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

  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},
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

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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.

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.

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Beers AGS 2019 criteria in very old hospitalized patients.

In the present series of oldest-old hospitalized patients, significant rates of PIM were found, especially for drugs prescribed as "If Necessary", thereby increasing the risk of side-effects to that of the common polypharmacy in this age group.

Evaluation of potentially inappropriate medications in older patients admitted to the cardiac intensive care unit according to the 2019 Beers criteria, STOPP criteria version 2 and Chinese criteria

The objective was to analyse the prevalence of PIMs in elderly patients admitted to the cardiac intensive care unit (CICU) comparing the 2019 Beers criteria, Screening Tool of Older People's Potentially Inappropriate Prescriptions (STOPP) criteria version 2 and criteria of potentially inappropriate medications for older adults in China (Chinese criteria).



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.

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

  • S. Greenberg
  • Medicine
    Journal of the American Geriatrics Society
  • 2012
This update has much strength, including the use of an evidence‐based approach using the Institute of Medicine standards and the development of a partnership to regularly update the Criteria.

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.

Benzodiazepine use in the United States.

More vigorous clinical interventions supporting judicious benzodiazepine use may be needed to decrease rates of long-term benzodiazine use in older adults.