keyword
Keywords PPOs- ( Potential Prescribing ...

PPOs- ( Potential Prescribing Omissions)

https://read.qxmd.com/read/35949679/under-prescription-of-medications-in-older-adults-according-to-start-criteria-a-cross-sectional-study-in-lebanon
#21
JOURNAL ARTICLE
Venise Hanna, Bahia Chahine, Farah Al Souheil
Background and Aims: Under-prescription is defined as the exclusion of medications indicated for the treatment of certain conditions without any rationale for not prescribing them. The under-prescription of medications is highly prevalent among older adults (≥65 years) receiving polypharmacy. This study aimed to assess the prevalence of the under-prescription of medications using the Screening Tool to Alert to Right Treatment (START) criteria version 2 and to identify the predictors of having potential prescribing omissions (PPOs)...
September 2022: Health Science Reports
https://read.qxmd.com/read/35847459/potentially-inappropriate-prescribing-in-hospitalized-older-adult-high-cost-health-care-users-a-pilot-study
#22
JOURNAL ARTICLE
Monica Sanh, Anne Holbrook, Peter D M Macdonald, Justin Lee
Background: High-cost health care users use disproportionate amounts of health care resources relative to the typical patient. It is unclear to what extent poor-quality prescribing, including potentially inappropriate prescribing (PIP), may be contributing to their adverse outcomes and health utilization costs. Objectives: To evaluate the prevalence of PIP and to explore its impact in older adult high-cost health care users. Methods: The charts of older adult high-cost health care users admitted to 2 academic hospitals in Ontario, Canada, in fiscal year 2015/16 were reviewed...
2022: Canadian Journal of Hospital Pharmacy
https://read.qxmd.com/read/35799113/over-and-under-prescribing-and-their-association-with-functional-disability-in-older-patients-at-risk-of-further-decline-in-germany-a-cross-sectional-survey-conducted-as-part-of-a-randomised-comparative-effectiveness-trial
#23
RANDOMIZED CONTROLLED TRIAL
Claudia Salm, Julia Sauer, Nadine Binder, Aline Pfefferle, Mario Sofroniou, Gloria Metzner, Erik Farin-Glattacker, Sebastian Voigt-Radloff, Andy Maun
BACKGROUND: Older patients at risk of functional decline are frequently affected by polypharmacy. This is associated with a further loss of independence. However, a relationship between functional disability and medications, such as 'Potentially Inappropriate Medications' (PIMs) and 'Potential Prescribing Omissions' (PPOs), as itemised for (de) prescribing in practice-orientated medication lists, has yet to be established. METHODS: As part of a randomised comparative effectiveness trial, LoChro, we conducted a cross-sectional analysis of the association between PIMs and PPOs measured using the 'Screening Tool of Older Persons' Prescription Criteria / Screening Tool To Alert to Right Treatment' (STOPP/START) Version 2, with functional disability assessed using the 'World Health Organization Disability Assessment Schedule 2...
July 7, 2022: BMC Geriatrics
https://read.qxmd.com/read/35682479/inappropriate-prescriptions-in-older-people-translation-and-adaptation-to-portuguese-of-the-stopp-start-screening-tool
#24
JOURNAL ARTICLE
Luís Monteiro, Matilde Monteiro-Soares, Cristiano Matos, Inês Ribeiro-Vaz, Andreia Teixeira, Carlos Martins
Inappropriate prescribing, which encompasses the prescription of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs), is a common problem for older people. The STOPP/START tool enables general practitioners, who are the main prescribers, to identify and reduce the incidence of PIMs and PPOs and appraise an older patient's prescribed drugs during the diagnosis process to improve the clinical care quality. This study aimed to translate and validate the STOPP/START screening tool to enable its use by Portuguese physicians...
June 4, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/35648150/clinical-relevance-of-potentially-inappropriate-medications-and-potential-prescribing-omissions-according-to-explicit-criteria-a-validation-study
#25
JOURNAL ARTICLE
Naldy Parodi López, Staffan A Svensson, Susanna M Wallerstedt
PURPOSE: To investigate the clinical relevance of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs), and to evaluate the association between PIMs/PPOs and inadequate drug treatment. METHODS: PIMs/PPOs, concordantly identified by two physicians applying the STOPP/START criteria, the EU(7)-PIM list, and a Swedish set in 302 consecutive older primary care patients, were assessed regarding clinical relevance for the specific patient...
August 2022: European Journal of Clinical Pharmacology
https://read.qxmd.com/read/35641040/ambulatory-medication-safety-in-primary-care-a-systematic-review
#26
REVIEW
Richard A Young, Kimberly G Fulda, Anna Espinoza, Ayse P Gurses, Zachary N Hendrix, Timothy Kenny, Yan Xiao
PURPOSE: To review the literature on medication safety in primary care in the electronic health record era. METHODS: Included studies measured rates and outcomes of medication safety in patients whose prescriptions were written in primary care clinics with electronic prescribing. Four investigators independently reviewed titles and analyzed abstracts with dual-reviewer review for eligibility, characteristics, and risk of bias. RESULTS: Of 1464 articles identified, 56 met the inclusion criteria...
2022: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/35016636/factors-associated-to-potentially-inappropriate-prescribing-in-older-patients-according-to-stopp-start-criteria-mopim-multicentre-cohort-study
#27
MULTICENTER STUDY
Marisa Baré, Marina Lleal, Sara Ortonobes, Maria Queralt Gorgas, Daniel Sevilla-Sánchez, Nuria Carballo, Elisabet De Jaime, Susana Herranz
OBJECTIVES: The objectives of the present analyses are to estimate the frequency of potentially inappropriate prescribing (PIP) at admission according to STOPP/START criteria version 2 in older patients hospitalised due to chronic disease exacerbation as well as to identify risk factors associated to the most frequent active principles as potentially inappropriate medications (PIMs). METHODS: A multicentre, prospective cohort study including older patients (≥65) hospitalized due to chronic disease exacerbation at the internal medicine or geriatric services of 5 hospitals in Spain between September 2016 and December 2018 was conducted...
January 11, 2022: BMC Geriatrics
https://read.qxmd.com/read/34737705/potentially-inappropriate-medications-and-potential-prescribing-omissions-in-elderly-patients-receiving-post-acute-and-long-term-care-application-of-screening-tool-of-older-people-s-prescriptions-screening-tool-to-alert-to-right-treatment-criteria
#28
JOURNAL ARTICLE
Catarina Candeias, Jorge Gama, Márcio Rodrigues, Amílcar Falcão, Gilberto Alves
Background: Screening Tool of Older People's Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) criteria have been used to detect potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs). These criteria were applied to geriatric Portuguese patients receiving post-acute and long-term care to assess the prevalence and predictors of PIMs and PPOs. Methods: An observational, retrospective, cross-sectional and multicenter study was performed in 161 patients (aged ≥65 years) from eight Units for Integrated Continuous Care...
2021: Frontiers in Pharmacology
https://read.qxmd.com/read/34454744/effectiveness-of-stopp-start-criteria-in-primary-prevention-of-polypharmacy-and-under-treatment-in-older-patients
#29
JOURNAL ARTICLE
Emin Pala, Suleyman Ersoy, Velittin Selcuk Engin, Ali Ramazan Benli
AIM OF THE STUDY: STOPP/START criteria appear to be a useful tool to curb inappropriate prescribing (IP), which encompasses errors of both, over and under-treatment. This study aimed to find out whether application of STOPP/START reduces the IP effectively in primary care. METHODS: This prospective cross-sectional study was conducted in two family health centers (FHCs) in Istanbul. All older adults who applied to FHCs between 01-07-2018 and 01-07-2020 were enrolled...
May 2022: Thérapie
https://read.qxmd.com/read/34370211/associations-between-inappropriate-medication-use-and-instrumental-activities-of-daily-living-in-geriatric-rehabilitation-inpatients-resort-study
#30
JOURNAL ARTICLE
Elizabeth Manias, Cheng Hwee Soh, Md Zunayed Kabir, Esmee M Reijnierse, Andrea B Maier
BACKGROUND: Inappropriate medication use can affect functional independence in older adults. AIMS: The aim of the study is to examine associations between potentially inappropriate medication use and Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in geriatric rehabilitation inpatients. METHODS: A longitudinal, prospective, observational study was undertaken at a teaching hospital. Potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) were measured at acute admission, and at admission and discharge from geriatric rehabilitation...
February 2022: Aging Clinical and Experimental Research
https://read.qxmd.com/read/33903645/the-effects-of-in-hospital-deprescribing-on-potential-prescribing-omission-in-hospitalized-elderly-patients-with-polypharmacy
#31
JOURNAL ARTICLE
Miho Kaminaga, Junpei Komagamine, Shinpei Tatsumi
No studies to investigate the effect of a deprescribing intervention on the occurrence of potential prescribing omissions (PPOs) among elderly patients with polypharmacy have been conducted. Therefore, the effect of deprescribing on PPOs among elderly patients with polypharmacy was investigated. All 121 consecutive elderly patients who received in-hospital deprescribing interventions were evaluated. The primary outcome was any occurrence of PPOs based on the 2015 STOPP/START criteria. The proportion of patients who had any PPOs significantly increased after the deprescribing interventions (52...
April 26, 2021: Scientific Reports
https://read.qxmd.com/read/33269418/potentially-inappropriate-prescribing-in-older-hospitalized-dutch-patients-according-to-the-stopp-start-criteria-v2-a-longitudinal-study
#32
JOURNAL ARTICLE
Birgit A Damoiseaux-Volman, Stephanie Medlock, Kimmy Raven, Danielle Sent, Johannes A Romijn, Nathalie van der Velde, Ameen Abu-Hanna
PURPOSE: To investigate prevalence, independent associations, and variation over time of potentially inappropriate prescriptions in a population of older hospitalized patients. METHODS: A longitudinal study using a large dataset of hospital admissions of older patients (≥ 70 years) based on an electronic health records cohort including data from 2015 to 2019. Potentially inappropriate medication (PIM) and potential prescribing omission (PPO) prevalence during hospital stay were identified based on the Dutch STOPP/START criteria v2...
May 2021: European Journal of Clinical Pharmacology
https://read.qxmd.com/read/33007960/title-assessing-potentially-inappropriate-medications-in-seniors-differences-between-american-geriatrics-society-and-stopp-criteria-and-preventing-adverse-drug-reactions
#33
JOURNAL ARTICLE
Roger E Thomas, Leonard T Nguyen
Key problems for seniors are their exposure to "potentially inappropriate medications" and "potential medication omissions", which place them at risk for moderate, severe, or fatal adverse drug reactions. This study of 82,935 first admissions to acute care hospitals in Calgary during 2013-2018 identified 294,160 Screening Tool of Older People's Prescriptions (STOPP) potentially inappropriate medications (PIMs) (3.55/patient), 226,970 American Geriatric Society (AGS) Beers PIMs (2.74/patient), 59,396 START potential prescribing omissions (PPOs) (0...
September 30, 2020: Geriatrics
https://read.qxmd.com/read/32841285/evidence-based-application-of-explicit-criteria-to-assess-the-appropriateness-of-geriatric-prescriptions-at-admission-and-hospital-stay
#34
JOURNAL ARTICLE
Enrica Di Martino, Alessio Provenzani, Piera Polidori
BACKGROUND: Inappropriate prescribing in the elderly is a critical issue in primary care, causing a higher risk of Adverse Drug Reactions (ADRs) and resulting in major patient safety concerns. At international level, many tools have been developed to identify Potentially Inappropriate Medications (PIMs). OBJECTIVE: The aim of this study was the application of Beers, Screening Tool of Older People's Prescriptions (STOPP)/Screening Tool to Alert to Right Treatment (START) and Improving Prescribing in the Elderly Tool (IPET) criteria as key tool to improve the quality of prescribing...
2020: PloS One
https://read.qxmd.com/read/32776599/potentially-inappropriate-medications-and-potentially-prescribing-omissions-in-chinese-older-patients-comparison-of-two-versions-of-stopp-start
#35
COMPARATIVE STUDY
Zhuo Ma, Yalan Tong, Caixia Zhang, Lihong Liu
WHAT IS KNOWN AND OBJECTIVE: The aim of this study was to compare the prevalence of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) in elderly Chinese patients identified by the Screening Tool of Older Persons' Prescriptions/Screening Tool to Alert to Right Treatment (STOPP/START) version 2 (v2) and version 1 (v1). The secondary objective was to analyse the risk factors associated with the PIMs/PPOs. METHODS: This was a retrospective cross-sectional study, and all patients were aged ≥65 years and discharged from internal medical wards of Beijing Chaoyang Hospital in December 2018...
December 2020: Journal of Clinical Pharmacy and Therapeutics
https://read.qxmd.com/read/32695426/the-impact-of-a-multifaceted-intervention-to-reduce-potentially-inappropriate-prescribing-among-discharged-older-adults-a-before-and-after-study
#36
JOURNAL ARTICLE
Muhammad Eid Akkawi, Mohamad Haniki Nik Mohamed, Mohd Aznan Md Aris
Background: Potentially inappropriate prescribing (PIP) is associated with the incidence of adverse drug reactions, drug-related hospitalization and other negative outcomes in older adults. After hospitalization, older adults might be discharged with several types of PIPs. Studies have found that the lack of healthcare professionals' (HCPs) knowledge regarding PIP is one of the major contributing factors in this issue. The purpose of this study is to investigate the impact of a multifaceted intervention on physicians' and clinical pharmacists' behavior regarding potentially inappropriate medication (PIM) and potential prescribing omission (PPO) among hospitalized older adults...
2020: Journal of Pharmaceutical Policy and Practice
https://read.qxmd.com/read/32593242/prevalence-and-risk-factors-of-potentially-prescribing-omissions-in-elderly-and-senile-patients-clinical-practice-in-russian-hospitals
#37
JOURNAL ARTICLE
A M Al-Ragawi, S K Zyryanov, E A Ushkalova, O I Butranova, A P Pereverzev
A retrospective pharmacoepidemiological study (included data from medical records of 401 patients ≥65 years of age who received treatment in hospitals) was aimed to measure prevalence of potentially prescribing omissions (PPOs) among older people using Screening Tool to Alert doctors to Right Treatment 2 (START-2) criteria (2015) and to investigate associated risk factors. Statistical analysis includes methods of parametric and nonparametric statistics. We compared patients who had PPOs with those had not PPOs...
2020: Advances in Gerontology
https://read.qxmd.com/read/32545451/potentially-inappropriate-prescribing-and-potential-prescribing-omissions-in-82-935-older-hospitalised-adults-association-with-hospital-readmission-and-mortality-within-six-months
#38
JOURNAL ARTICLE
Roger E Thomas, Leonard T Nguyen, Dave Jackson, Christopher Naugler
Polypharmacy with "potentially inappropriate medications" (PIMs) and "potential prescribing omissions" (PPOs) are frequent among those 65 and older. We assessed PIMs and PPOs in a retrospective study of 82,935 patients ≥ 65 during their first admission in the period March 2013 through February 2018 to the four acute-care Calgary hospitals. We used the American Geriatric Society (AGS) and STOPP/START criteria to assess PIMs and PPOs. We computed odds ratios (ORs) for key outcomes of concern to patients, their families, and physicians, namely readmission and/or mortality within six months of discharge, and controlled for age, sex, numbers of medications, PIMs, and PPOs...
June 12, 2020: Geriatrics
https://read.qxmd.com/read/32440104/medication-evaluation-in-portuguese-elderly-patients-according-to-beers-stopp-start-criteria-and-eu-7-pim-list-an-exploratory-study
#39
JOURNAL ARTICLE
Cristina Monteiro, Catarina Canário, Manuel Ângelo Ribeiro, Ana Paula Duarte, Gilberto Alves
Purpose: The increase in drug prescription for the elderly raises the risk of the occurrence of potentially inappropriate medications (PIMs), thus increasing the incidence of drug-related problems. Likewise, potential prescribing omissions (PPOs) are also highly prevalent in the elderly. This study aimed at assessing the prevalence of PIMs in the elderly by using the EU(7)-PIM list, STOPP criteria version 2 and the Beers criteria version 2015, as well as the prevalence of PPOs by applying the START criteria version 2 in elderly nursing home residents and outpatients of the Eastern Central Region of Portugal...
2020: Patient Preference and Adherence
https://read.qxmd.com/read/32256055/potentially-inappropriate-prescriptions-in-ambulatory-elderly-patients-living-in-rural-areas-of-romania-using-stopp-start-version-2-criteria
#40
JOURNAL ARTICLE
Valentina Buda, Andreea Prelipcean, Minodora Andor, Liana Dehelean, Olivia Dalleur, Simona Buda, Lavinia Spatar, Maria Cristiana Mabda, Maria Suciu, Corina Danciu, Anca Tudor, Lucian Petrescu, Carmen Cristescu
BACKGROUND: Rational use of medications and monitoring of prescriptions in elderly patients is important to decrease the number and duration of hospitalizations, emergency medical consultations, mortality, as well as medical costs. PURPOSE: To identify potentially inappropriate medications (PIMs) and potential prescription omissions (PPOs), and determine their prevalence based on the Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) v2 criteria and Screening Tool to Alert doctors to Right Treatment (START) v2 criteria for patients aged >65 years...
2020: Clinical Interventions in Aging
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