Application of the STOPP/START criteria to a medical record database

Katinka J Nauta, Feikje Groenhof, Jan Schuling, Jacqueline G Hugtenburg, Hein P J van Hout, Flora M Haaijer-Ruskamp, Petra Denig*

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

17 Citaten (Scopus)

Samenvatting

PurposeThe STOPP/START criteria are increasingly used to assess prescribing quality in elderly patients at practice level. Our aim was to test computerized algorithms for applying these criteria to a medical record database.

MethodsSTOPP/START criteria-based computerized algorithms were defined using Anatomical-Therapeutic-Chemical (ATC) codes for medication and International Classification of Primary Care (ICPC) codes for diagnoses. The algorithms were applied to a Dutch primary care database, including patients aged 65years using 5 chronic drugs. We tested for associations with patient characteristics that have previously shown a relationship with the original STOPP/START criteria, using multivariate logistic regression models.

ResultsIncluded were 1187 patients with a median age of 75years. In total, 39 of the 62 STOPP and 18 of the 26 START criteria could be converted to a computerized algorithm. The main reasons for inapplicability were lack of information on the severity of a condition and insufficient covering of ICPC-codes. We confirmed a positive association between the occurrence of both the STOPP and the START criteria and the number of chronic drugs (adjusted OR ranging from 1.37, 95% CI 1.04-1.82 to 3.19, 95% CI 2.33-4.36) as well as the patient's age (adjusted OR for STOPP 1.30, 95% CI 1.01-1.67; for START 1.73, 95% CI 1.35-2.21), and also between female gender and the occurrence of STOPP criteria (adjusted OR 1.41, 95% CI 1.09-1.82).

ConclusionSixty-five percent of the STOPP/START criteria could be applied with computerized algorithms to a medical record database with ATC-coded medication and ICPC-coded diagnoses.

Originele taal-2English
Pagina's (van-tot)1242-1247
Aantal pagina's6
TijdschriftPharmacoepidemiology and Drug Safety
Volume26
Nummer van het tijdschrift10
Vroegere onlinedatum11-aug-2017
DOI's
StatusPublished - okt-2017

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