The criteria reviewed covered 2 types of statements: The criteria reviewed covered 2 types of statements: The third category includes medications to be used with caution in older adults. 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. The addition of this third category is important because it emphasizes that medications need to be tailored to the unique needs of each patient.
The first category includes medications that are potentially inappropriate for older people because they either pose high risks of adverse effects or appear to have limited effectiveness in older patients, and because there are alternatives to these medications. In fact, the AGS Beers Criteria have become one of the most frequently used reference tools in the field of geriatrics. Historically, the Beers Criteria have been well suited for clinical decision support systems and the development of quality metrics. Updating the Beers criteria for potentially inappropriate medication use in older adults: In addition, a period of public comment was made available to important stakeholders and supporting organizations before final release on October 8, The application of the Beers criteria and other tools for identifying potentially inappropriate medication use will continue to enable providers to plan interventions for decreasing both drug-related costs and overall costs and thus minimize drug-related problems. History[ edit ] Mark H. The addition of this third category is important because it emphasizes that medications need to be tailored to the unique needs of each patient. Talk with your healthcare provider before you consider stopping treatment. The panel searched for clinical trials and research studies since the AGS Beers Criteria were issued, and found more than 20, results! A more comprehensive guide to medication safety in older adults Share: The third category includes medications to be used with caution in older adults. Of these potentially inappropriate drugs, 66 were considered by the panel to have adverse outcomes of high severity. From this pool, our team reviewed more than 6, studies. The latest version of the Beers Criteria uses a more comprehensive, systematic review and grading of evidence. This study is an important update of previously established criteria that have been widely used and cited. However, they work best when suggestions for alternative therapies accompany alerts about high-risk medications. Brandt encourages pharmacists to be familiar not only with the criteria but also with the published companion papers that describe how the criteria are to be used in practice, as well as the levels and quality of evidence used to develop the criteria. The AGS Beers criteria include helpful and specific drug—disease combinations that serve as caveats for use. An interdisciplinary expert panel convened by AGS reviewed more than 6, clinical trials and research studies from a pool of over 20, articles published since the AGS Beers Criteria. Beers, MD , a geriatrician, first created the Beers Criteria in , through a consensus panel of experts by using the Delphi method. Comment in Arch Intern Med. 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. While these medications may be associated with more risks than benefits in general, they may be the best choice for a particular individual if administered with caution. For example, amiodarone should still be avoided as first-line treatment for atrial fibrillation unless a patient has heart failure or substantial left ventricular hypertrophy. The application of the Beers criteria and other tools for identifying potentially inappropriate medication use will continue to enable providers to plan interventions for decreasing both drug-related costs and overall costs and thus minimize drug-related problems.
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