American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

@article{Fick2019AmericanGS,
  title={American Geriatrics Society 2019 Updated AGS Beers Criteria{\textregistered} for Potentially Inappropriate Medication Use in Older Adults},
  author={Donna Marie Fick and Todd P. Semla and Michael A. Steinman and Judith L. Beizer and Nicole J Brandt and Robert C. Dombrowski and Catherine E Dubeau and Lynne Pezzullo and Jerome J. Epplin and Nina M. Flanagan and Emily Morden and Joseph T. Hanlon and Peter Hollmann and Rosemary D. Laird and Sunny Anne Linnebur and S K Sandhu},
  journal={Journal of the American Geriatrics Society},
  year={2019},
  volume={67}
}
The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3‐year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such… 

A closer look at the 2019 Beers criteria

The purpose of this review is to highlight noteworthy changes and to provide additional details and rationale behind the selected noteworthy changes within the 2019 Beers criteria update.

Expert consensus on clinical applicability of the American Geriatrics Society-Beers Criteria to older persons in Africa: An exploratory validation study.

The 2015 AGS-Beers Criteria recommendations were adapted to the Nigerian and South African health care contexts and may serve as a guide to clinicians when prescribing medications to older persons in Nigeria and South Africa.

A challenge: The American Geriatric Society needs to address the lack of inclusion of older adults in new drug evaluation

Neither the American Geriatric Society nor its members play a role in the US Food and Drug Administration evaluation process for new drugs for conditions that may be common in older adults, and this may partially explain the lack of information regarding older adults when new drugs are approved.

Inclusion of Potentially Inappropriate Medicines for the Older Adults in the Brazilian Consensus in Accordance with International Criteria

The results suggest the need for periodic validation of PIM against research clinics, new drugs and the inclusion of this agenda by the Ministry of Health in the revision of the National List of Essential Drugs and other Clinical Protocols and Therapeutic Prescription Guidelines for the older adults.

Potentially inappropriate medications in Chinese older adults: a comparison of two updated Beers criteria

A high prevalence of potentially inappropriate medication in the Chinese geriatric population, which was associated with the number of prescribed drugs, was shown, which might help pharmacists to detect high-risk drugs and intervene in time.

The FORTA (Fit fOR The Aged) List 2021: Fourth Version of a Validated Clinical Aid for Improved Pharmacotherapy in Older Adults

As new evidence in the field of geriatric pharmacology has emerged since the publication of the 2018 FORTA List, an update based again on a two-step Delphi process was performed to comply with the 3-year cycle of former updates.

Potentially Inappropriate Medications Use among Older Adults with Comorbid Diabetes and Hypertension

There is a need for greater vigilance when managing patients with comorbid conditions to avoid the use of inappropriate medications and tailored strategies and interventions to minimize the PIMs use in this population are warranted.

Recognizing Delirium: The Value of Having Geriatric Training as an Advanced Practice Clinician and Using a Framework of Age-Friendly Care.

While in graduate school at The Pennsylvania State University to become a nurse practitioner (NP), I received a certificate in gerontology from the Geriatric Center of Nursing Excellence and learned

Prevalence of potentially inappropriate medications based on the STOPPFrail criteria in frail older patients with limited life expectancy: a cross-sectional study

Most frail older adults with limited life expectancy had at least one STOPPFrail-PIM at admission, and the rate of STOPPFrails decreased significantly at discharge after the geriatric multidisciplinary team care, according to a retrospective study conducted in an academic tertiary care hospital in Korea.
...

References

SHOWING 1-10 OF 36 REFERENCES

American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

The 2015 AGS Beers Criteria are applicable to all older adults with the exclusion of those in palliative and hospice care and should lead to closer monitoring of drug use in older adults.

How to Use the American Geriatrics Society 2015 Beers Criteria—A Guide for Patients, Clinicians, Health Systems, and Payors

The intended role of the 2015 American Geriatrics Society (AGS) Beers Criteria is described and guidance on how patients, clinicians, health systems, and payors should use them is provided.

Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts.

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.

Explicit criteria for determining potentially inappropriate medication use by the elderly. An update.

  • M. Beers
  • Medicine
    Archives of internal medicine
  • 1997
Detailed criteria defining potentially inappropriate medication use by the elderly are updated, expanded, and more generally applicable to help identify inappropriate use of medications in elderly populations.

2012 Beers criteria update: how should practicing nurses use the criteria?

The continued development of explicit lists of medications to avoid in older adults, such as the Beers criteria, is a key initiative in geriatrics and nursing research, education, and practice will help decrease drug-related problems and improve the health of older adults.

Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine.

30 factors agreed on by this method identify inappropriate use of such commonly used categories of medications as sedative-hypnotics, antidepressants, antipsychotics, antihypertensives, nonsteroidal anti-inflammatory agents, oral hypoglycemics, dementia treatments, platelet inhibitors, histamine2 blockers, antibiotics, decongestants, iron supplements, muscle relaxants, gastrointestinal antispasmodics, and antiemetics.

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2

STOPP/START version 2 criteria have been expanded and updated for the purpose of minimizing inappropriate prescribing in older people based on an up-to-date literature review and consensus validation among a European panel of experts.

Determinants of Potentially Inappropriate Medication Use among Community‐Dwelling Older Adults

The results suggest that physicians attempt to avoid PIM use in the oldest old but have inadequate focus on the high-PIM-risk conditions, and medication intensity appears to be in the pathway between both quality-enabling and need-complexity characteristics and Pim use.

The Impact of Dementia Diagnosis on Patterns of Potentially Inappropriate Medication Use Among Older Adults

Persistent challenge of increasing PIM use in this group of older adults is of major concern and warrants interventions to minimize such prescribing.

Effect of Aspirin on Disability‐free Survival in the Healthy Elderly

Aspirin use in healthy elderly persons did not prolong disability‐free survival over a period of 5 years but led to a higher rate of major hemorrhage than placebo.