American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults

Donna Fick, Todd Semla, Judith Beizer, Nicole Brandt, Robert Dombrowski, Catherine E. DuBeau, Nina Flanagan, Joseph Hanlon, Peter Hollmann, Sunny Linnebur, David Nau, Bob Rehm, Satinderpal Sandhu, Michael Steinman

Research output: Contribution to journalReview article

1569 Scopus citations

Abstract

Potentially inappropriate medications (PIMs) continue to be prescribed and used as first-line treatment for the most vulnerable of older adults, despite evidence of poor outcomes from the use of PIMs in older adults. PIMs now form an integral part of policy and practice and are incorporated into several quality measures. The specific aim of this project was to update the previous Beers Criteria using a comprehensive, systematic review and grading of the evidence on drug-related problems and adverse drug events (ADEs) in older adults. This was accomplished through the support of The American Geriatrics Society (AGS) and the work of an interdisciplinary panel of 11 experts in geriatric care and pharmacotherapy who applied a modified Delphi method to the systematic review and grading to reach consensus on the updated 2012 AGS Beers Criteria. Fifty-three medications or medication classes encompass the final updated Criteria, which are divided into three categories: potentially inappropriate medications and classes to avoid in older adults, potentially inappropriate medications and classes to avoid in older adults with certain diseases and syndromes that the drugs listed can exacerbate, and finally medications to be used with caution in older adults. 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. Thoughtful application of the Criteria will allow for (a) closer monitoring of drug use, (b) application of real-time e-prescribing and interventions to decrease ADEs in older adults, and (c) better patient outcomes.

Original languageEnglish (US)
Pages (from-to)616-631
Number of pages16
JournalJournal of the American Geriatrics Society
Volume60
Issue number4
DOIs
StatePublished - Apr 1 2012

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

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    Fick, D., Semla, T., Beizer, J., Brandt, N., Dombrowski, R., DuBeau, C. E., Flanagan, N., Hanlon, J., Hollmann, P., Linnebur, S., Nau, D., Rehm, B., Sandhu, S., & Steinman, M. (2012). American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 60(4), 616-631. https://doi.org/10.1111/j.1532-5415.2012.03923.x