Evidence map›Paper›PMID 32920684›Full record

ArticleInternational journal of clinical pharmacy2021

Potentially inappropriate medications in Chinese older adults: a comparison of two updated Beers criteria.

Dan He, Huaijun Zhu, Haihui Zhou, Na Dong, Haixia Zhang

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Article in International journal of clinical pharmacy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Prevalence and factors associated with potentially inappropriate medications in elderly stroke patients: A comparison of Beers 2019 and 2023 criteria.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
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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

5 authors.

Dan HeDepartment of Pharmacy, Drum Tower Hospital Affiliated to the Medical School of Nanjing University, No. 321 of Zhongshan Road, Gulou District, 210008, Nanjing, China.
Huaijun ZhuDepartment of Pharmacy, Drum Tower Hospital Affiliated to the Medical School of Nanjing University, No. 321 of Zhongshan Road, Gulou District, 210008, Nanjing, China.
Haihui ZhouDepartment of Pharmacy, Drum Tower Hospital Affiliated to the Medical School of Nanjing University, No. 321 of Zhongshan Road, Gulou District, 210008, Nanjing, China.
Na DongDepartment of Pharmacy, Drum Tower Hospital Affiliated to the Medical School of Nanjing University, No. 321 of Zhongshan Road, Gulou District, 210008, Nanjing, China.
Haixia ZhangDepartment of Pharmacy, Drum Tower Hospital Affiliated to the Medical School of Nanjing University, No. 321 of Zhongshan Road, Gulou District, 210008, Nanjing, China. zhx_510@hotmail.com.ORCID http://orcid.org/0000-0002-4562-0065

Funding

the Nanjing Medical Science Technology Development project YKK16088the Nanjing Technology Development Project 201503020the Nanjing University Medical Management Research Institute Project NDYG2015005
6 · The paper itself

Abstract

Background Beers criteria have been into the mainstay to characterize the potentially inappropriate medication since its first publication, but the recent version, Beers 2019, is yet to be validated by clinical studies nationally. Objective To identify the prevalence and the predictors of potentially inappropriate medications in hospitalized geriatric patients based on the Beers 2019 and 2015 criteria. Setting Nanjing Drum Tower Hospital, a 3000-bed tertiary care teaching hospital in China. Method We conducted a cross-sectional study from July 1, 2018 to December 31, 2018. Data from all hospitalized patients aged ≥ 65 years were collected from the hospital database. Inappropriate prescriptions were identified using the Beers 2019 criteria and the Beers 2015 criteria. Main outcome measure Prevalence Ratio (PR) and predictors of potentially inappropriate medications. Results The prevalence of inappropriate prescriptions based on the Beers 2019 criteria was 64.80%. This result was slightly higher than that of the Beers 2015 criteria (64.31%). The most commonly encountered inappropriate prescriptions identified using the two criteria were proton-pump inhibitors. The kappa coefficient was 0.826 (p < 0.001) indicating a strong coherence between the two criteria. The most important factor associated with inappropriate medications use was the number of prescribed drugs (PR 5.17, 95% CI 2.89-8.43; PR 4.58, 95% CI 1.93-7.25). Conclusion This study showed a high prevalence of potentially inappropriate medication in the Chinese geriatric population, which was associated with the number of prescribed drugs. The predictors identified in this research might help pharmacists to detect high-risk drugs and intervene in time.

Indexed as

Inappropriate PrescribingPotentially Inappropriate Medication ListAgedChinaCross-Sectional StudiesHumansPolypharmacyPrevalenceBeers criteria 2015Beers criteria 2019Older adultsPolypharmacyPotentially inappropriate medication

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.