Older patients' prescriptions screening in the community pharmacy: development of the Ghent Older People's Prescriptions community Pharmacy Screening (GheOP³S) tool

Tommelein, Eline; Petrovic, Mirko; Somers, Annemie; Mehuys, Els; Cammen, Tischa van der; Boussery, Koen

doi:10.1093/pubmed/fdv090

Cited by 55 publications

(44 citation statements)

References 41 publications

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“…40,41 In 2016, Tommelein et al developed an explicit screening tool which could PIMs in community pharmacies. 42 Optimization of drug therapy by a clinical pharmacist can improve the quality of care and lower the costs of polymedication. 43…”

Section: Discussionmentioning

confidence: 99%

<p>Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria</p>

Buda¹,

Prelipcean²,

Andor³

et al. 2020

CIA

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These authors contributed equally to this work 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. Methods: This cross-sectional study was conducted in two rural counties in Romania based on electronic prescriptions for chronic conditions (EPCCs) issued from 30 days to 90 days by a specialist or general practitioner. Collected EPCCs were evaluated by an interdisciplinary team of specialists based on 26 STOPP v2 criteria and 10 START v2 criteria. Results: PIM prevalence was 25.80% and PPO prevalence was 41.72% for 646 EPCCs. The mean age of patients was 75 years and the mean number of drugs per EPCC was four. The most frequently identified PIMs were treatment duration (6.65%), theophylline administration (5.72%), drug indication (4.64%), cyclo-oxygenase-2 non-steroidal anti-inflammatory drugs (1.39%), and zopiclone prescription (0.77%). Statins (24.76%), beta-blockers (8.04%), and beta-2 agonist/antimuscarinic bronchodilators (5.88%) were the most frequently identified PPOs.Conclusion: PPOs were more prevalent than PIMs for elderly populations living in the two rural counties in Romania we studied. Health practitioners (family physicians, specialists, and pharmacists) should focus on prophylactic and curative considerations when prescribing agents to decrease the morbidity and mortality of elderly rural Romanian patients.

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Section: Discussionmentioning

confidence: 99%

<p>Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria</p>

Buda¹,

Prelipcean²,

Andor³

et al. 2020

CIA

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“…PIP profile, prescription habits, and also existing medicines in the local market vary between the US and Europe and also within different parts of the Europe [10,15]. Hereby, there are PIP lists developed by different European countries such as PRISCUS and FORTA in Germany [16,17]; GheOP 3 S tool in Belgium [18]; and other specific lists from France and Norway [19,20] but none is present from Eastern Europe. As an example of Eastern European countries, Turkey has significantly high-documented PIP prevalence as between 33.3 and 41.2% in older adults detected by implementation of STOPP and Beers criteria sets [15,21].…”

Section: Introductionmentioning

confidence: 99%

Turkish inappropriate medication use in the elderly (TIME) criteria to improve prescribing in older adults: TIME-to-STOP/TIME-to-START

et al. 2020

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Aim To meet the current need in different European countries for improving prescribing in older adults, we aimed to create an update screening tool getting origin from the two user friendly criterion sets: the STOPP/STARTv2 criteria and CRIME criteria. Findings Based on thorough literature review, 55 criteria were added, 17 criteria were removed, and 60 criteria were modified. As a result, 153 TIME criteria composed of 112 TIME-to-STOP and 41 TIME-to-START criteria were introduced. Message TIME criterion set is an update screening tool reported from Eastern Europe that included experts from geriatrics and other specialties frequently giving care to older adults and some additional practical explanations for clinical use.

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“…Recently, we developed the Ghent Older People's Prescriptions community Pharmacy Screening (GheOP³S-) tool, an explicit screening tool to detect PIPs with high clinical relevance for older patients (9). This screening tool provides the community pharmacist with the possibility to initiate a medication review process in a systematic and straightforward way, solely based on medication dispensing data available in the community pharmacy.…”

Section: Introductionmentioning

confidence: 99%

Potentially inappropriate prescribing in nursing home residents detected with the community pharmacist specific GheOP3S-tool

et al. 2016

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Older patients' prescriptions screening in the community pharmacy: development of the Ghent Older People's Prescriptions community Pharmacy Screening (GheOP³S) tool

Abstract: A novel explicit screening tool (GheOP³S) was developed to be used for PIP screening in the typical community pharmacy practice.

Cited by 55 publications

References 41 publications

<p>Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria</p>

<p>Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria</p>

Turkish inappropriate medication use in the elderly (TIME) criteria to improve prescribing in older adults: TIME-to-STOP/TIME-to-START

Potentially inappropriate prescribing in nursing home residents detected with the community pharmacist specific GheOP3S-tool

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