Evidence map›Paper›PMID 30643395›Full record

ArticleClinical interventions in aging2019

Comparison of three criteria for potentially inappropriate medications in Chinese older adults.

Zhuo Ma, Caixia Zhang, Xiangli Cui, Lihong Liu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical interventions in aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zhuo MaPharmacy Department of Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, cui10@163.com; liulihong@bjcyh.com.
Caixia ZhangPharmacy Department of Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, cui10@163.com; liulihong@bjcyh.com.
Xiangli CuiPharmacy Department of Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, cui10@163.com; liulihong@bjcyh.com.
Lihong LiuPharmacy Department of Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China, cui10@163.com; liulihong@bjcyh.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to compare the prevalence of potentially inappropriate medications (PIMs) among Chinese aged patients using the Beers criteria of 2015, the Screening Tool of Older Persons' Prescriptions (STOPP) of 2014 and the criteria of PIMs for older adults in China (Chinese criteria), and to identify the correlates of the PIMs' use.

methodsA retrospective, cross-sectional study was conducted among geriatric patients at Beijing Chao-Yang Hospital between January 2018 and March 2018. Three criteria (the Beers criteria of 2015, the STOPP criteria of 2014 and the Chinese criteria) were used to detect PIMs. A multivariate logistic regression analysis was carried out to determine factors associated with the use of PIMs. Leading PIMs for each set of criteria were also listed. The concordance among the three PIM criteria was calculated using kappa tests.

resultsTotally, 863 inpatients aged ≥65 years were included. The prevalence of patients receiving at least one PIM was 80.2%, 58.1% and 44.0% according to the Chinese criteria, 2015 Beers criteria and 2014 STOPP criteria, respectively. The Beers and the STOPP criteria indicated a moderate coherence, whereas the Chinese criteria showed poor concordance with the other two criteria. Proton-pump inhibitors in the Beers and STOPP criteria and clopidogrel in the PIM-Chinese accounted for most leading PIMs. The most important factor associated with PIM use by all three sets of criteria was the number of prescribed medications.

conclusionData showed a high PIM prevalence among older adults in China, which was associated with the number of prescribed medications. The Chinese criteria had the highest detection rate but a poor concordance with the Beers and STOPP criteria (

Indexed as

Potentially Inappropriate Medication ListAgedAged, 80 and overChinaCross-Sectional StudiesDrug PrescriptionsFemaleHumansInappropriate PrescribingMaleRetrospective StudiesBeers criteriaChinese criteriaelderlyhospitalizedpolypharmacySTOPP criteria

Identifiers

PMID30643395
PMCPMC6312397

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