Evidence map›Paper›PMID 38990488›Full record

ArticleDrug safety2024

Adopting STOPP/START Criteria Version 3 in Clinical Practice: A Q&A Guide for Healthcare Professionals.

Carlotta Lunghi, Marco Domenicali, Stefano Vertullo, Emanuel Raschi, Fabrizio De Ponti, Graziano Onder, Elisabetta Poluzzi

Abstract read
In one paragraph

Article in Drug safety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

10 citing papers in PubMed.

  1. Knowing When to Stop: Navigating Polypharmacy Training in Geriatric Psychiatry.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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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

7 authors.

Carlotta LunghiDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy. carlotta.lunghi@unibo.it.ORCID http://orcid.org/0000-0001-7636-6285
Marco DomenicaliDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID http://orcid.org/0000-0002-0809-2988
Stefano VertulloDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Emanuel RaschiDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID http://orcid.org/0000-0003-0487-7996
Fabrizio De PontiDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID http://orcid.org/0000-0002-0367-9595
Graziano OnderDepartment of Gerontology, Neuroscience and Orthopedics, Sacred Heart Catholic University, Rome, Italy.ORCID http://orcid.org/0000-0003-3400-4491
Elisabetta PoluzziDepartment of Medical and Surgical Sciences, University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID http://orcid.org/0000-0002-7209-0426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growing complexity of geriatric pharmacotherapy necessitates effective tools for mitigating the risks associated with polypharmacy. The Screening Tool of Older Persons' Potentially Inappropriate Prescriptions (STOPP)/Screening Tool to Alert doctors to Right Treatment (START) criteria have been instrumental in optimizing medication management among older adults. Despite their large adoption for improving the reduction of potentially inappropriate medications (PIM) and patient outcomes, the implementation of STOPP/START criteria faces notable challenges. The extensive number of criteria in the latest version and time constraints in primary care pose practical difficulties, particularly in settings with a high number of older patients. This paper critically evaluates the challenges and evolving implications of applying the third version of the STOPP/START criteria across various clinical settings, focusing on the European healthcare context. Utilizing a "Questions & Answers" format, it examines the criteria's implementation and discusses relevant suitability and potential adaptations to address the diverse needs of different clinical environments. By emphasizing these aspects, this paper aims to contribute to the ongoing discourse on enhancing medication safety and efficacy in the geriatric population, and to promote more person-centred care in an aging society.

Indexed as

Inappropriate PrescribingPolypharmacyPotentially Inappropriate Medication ListAgedHealth PersonnelHumansPrimary Health Care

Identifiers

PMID38990488
PMCPMC11485113

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.