@article{01HY1HXARE0RTNVJVAHQ4PTB95,
  abstract     = {{Purpose: The STOPP/START criteria are frequently applied in observational studies to assess potentially inappropriate prescribing in older adults. This study aimed to assess the applicability of the three available STOPP/START versions in two distinct data sources. 
Methods: To evaluate the applicability of the three versions of STOPP/START criteria, we used two observational data sources: (i) Integrated Swedish administrative health registries (ISHR) encompassing routinely collected health data and (ii) the population-based Swedish National study on Aging and Care in Kungsholmen (SNAC-K), based on health professional-led clinical assessments. The Anatomical Therapeutic Classification code (ATC) was used to categorise medications. Diseases were categorised using the international classification of diseases version 10 (ICD10).	
Results: The first STOPP/START version demonstrated an applicability rate of 80% in ISHR and 84% in SNAC-K. The second version demonstrated an applicability of 64% in ISHR and 74% in SNAC-K. The third version showed an applicability of 66% in ISHR and 77% in SNAC-K. Challenges in applicability included broad definitions, vague terminology, and the lack of information on disease severity, symptomatic traits, and stability of certain conditions.
Conclusion: The applicability of the STOPP/START criteria in observational studies seems to have decreased in more recent versions of the tool. Population-based studies with comprehensive clinical assessments may offer higher applicability compared to studies based on administrative data. Future versions of the STOPP/START criteria should prioritise clear and unambiguous definitions to improve their applicability in research and promote result generalisability and comparability.}},
  author       = {{Amrouch, Cheïma and Amrouch, Souad and Dai, Lu and Calderón‑Larrañaga, Amaia and Wastesson, Jonas and Johnell, Kristina and Vetrano, Davide Liborio and De Smedt, Delphine and Petrovic, Mirko}},
  issn         = {{1878-7649}},
  journal      = {{EUROPEAN GERIATRIC MEDICINE}},
  keywords     = {{STOPP/START,medication review,applicability of STOPP/START,automation of STOPP/START,screening tool}},
  language     = {{eng}},
  pages        = {{1149--1158}},
  title        = {{Applicability of STOPP/START prescribing criteria in integrated Swedish administrative health registries and a Swedish population-based cohort}},
  url          = {{http://doi.org/10.1007/s41999-024-00990-3}},
  volume       = {{15}},
  year         = {{2024}},
}

Altmetric

View in Altmetric

Web of Science

Times cited: