Potentially inappropriate prescribing among older patients and associated factors: comparison of two versions of STOPP/START criteria

Authors

  • Marija Jovanović University of Belgrade. Faculty of Pharmacy
  • Milena Kovačević University of Belgrade. Faculty of Pharmacy https://orcid.org/0000-0003-2957-7965
  • Aleksandra Catić-Đorđević University of Niš. Faculty of Medicine
  • Milica Ćulafić University of Belgrade. Faculty of Pharmacy
  • Nikola Stefanović University of Niš. Faculty of Medicine
  • Branka Mitić University of Niš. Faculty of Medicine
  • Katarina Vučićević University of Belgrade. Faculty of Pharmacy
  • Sandra Vezmar Kovačević University of Belgrade. Faculty of Pharmacy
  • Radmila Veličković-Radovanović University of Niš. Faculty of Medicine
  • Branislava Miljković University of Belgrade. Faculty of Pharmacy

DOI:

https://doi.org/10.1590/s2175-97902023e22549

Keywords:

Geriatrics, Health services for the aged, Potentially inappropriate medication list, Drug utilization, Prevalence

Abstract

The study aimed to estimate and compare the prevalence and type of potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) between the STOPP/START original (v1) and updated version (v2) among older patients in various settings, as well as associated factors. The study included 440 patients attending a community pharmacy, 200 outpatients and 140 nursing home users. An increase in the prevalence of STOPP v2 (57.9%) compared to v1 (56.2%) was not statistically significant in the total sample and within each setting (p>0.05). A decrease in the prevalence of START v1 (55.8%) to v2 (41.2%) was statistically significant (p<0.001) in the total sample and within each setting (p<0.05). Drug indication (32.9%) and fall-risk medications (32.2%) were most commonly identified for STOPP v2, while cardiovascular system criteria (30.5%) were the most frequently detected for START v2. The number of medications was the strongest predictor for both STOPP v1 and v2, with odds ratio values of 1.35 and 1.34, respectively. Patients’ characteristics associated with the occurrence of STOPP and START criteria were identified. According to both STOPP/START versions, the results indicate a substantial rate of potentially inappropriate prescribing among elderly patients. The prevalence of PIMs was slightly higher with the updated version, while the prevalence of PPOs was significantly lower.

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Published

2023-07-03

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Section

Original Article

How to Cite

Potentially inappropriate prescribing among older patients and associated factors: comparison of two versions of STOPP/START criteria. (2023). Brazilian Journal of Pharmaceutical Sciences, 59, e22549. https://doi.org/10.1590/s2175-97902023e22549