Updating the beers criteria effectivness of online dating
For the first set of Beers criteria, a 13 member expert panel was part of a two-stage Delphi survey in which consensus was reached regarding 30 therapeutic classes/medications whose use should be avoided in the elderly residing in nursing homes. Overall, they agreed upon 28 therapeutic classes/medications to avoid in the elderly residing in nursing homes or in the community.
These criteria were used as a process measure in Dr. Hartford Foundation-funded cluster randomized trial of a computer feedback intervention aimed at improving prescribing for older nursing home patients. In addition, these updated criteria included severity ratings for the “do-not-use” list of medications.
Methods: This study used a modified Delphi method, aset of procedures and methods for formulating a group judgmentfor a subject matter in which precise information islacking.
Of note, a recent systematic review summarized the current literature on the more than a dozen measures of potentially inappropriate prescribing in older adults and reported that the Beers criteria and the Screening Tool of Older Persons' Prescriptions (STOPP) criteria were some of the most common measures used.
The results of this successful trial were presented by Dr. Moreover, new explicit criteria were agreed upon for 35 drug-disease interactions to be avoided in older adults.
Beers at the 1993 American Geriatric Society (AGS) Annual Meeting, but to the best of our knowledge were never published as a peer-reviewed manuscript. In 1999, a partial list (i.e., 22 “drugs-to-avoid” and 12 drug-disease interaction criteria) was adopted by the Center for Medicare and Medicaid Services (CMS) as quality indicator measures for long-term care facilities (LTCF).
Methods: This study used a modified Delphi method, a set of procedures and methods for formulating a group judgment for a subject matter in which precise information is lacking.
The purpose of this initiative was to revise and update the Beers criteria for potentially inappropriate medication use in adults 65 years and older in the United States.