American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
复制标题
DOI：
10.1111/jgs.13702
复制
发表时间：
2015-11-01
影响因子：
6.3
通讯作者：
Beers, Mark H.
中科院分区：
文献类型：
--
作者：
Radcliff, Sue;Yue, Jirong;Beers, Mark H.
2015年美国老年医学会（AGS）啤酒标准。与2012年的AGS Beers标准一样，它们包括老年人应避免的潜在不适当药物清单。新的标准是应避免使用或根据个人肾功能调整剂量的选定药物清单，以及记录与老年人危害相关的选定药物相互作用。具体目的是让一个由13名老年护理和药物治疗专家组成的跨学科小组使用改良的德尔菲方法更新2012年AGS Beers标准，以系统地审查和分级证据，并就每个现有和新标准达成共识。该过程遵循基于证据的方法，使用医学研究所标准。2015年AGS Beers标准适用于所有老年人，不包括姑息治疗和临终关怀患者。卫生专业人员、消费者、付款人和卫生系统仔细应用该标准，应能更密切地监测老年人的药物使用情况。
The 2015 American Geriatrics Society (AGS) Beers Criteria are presented. Like the 2012 AGS Beers Criteria, they include lists of potentially inappropriate medications to be avoided in older adults. New to the criteria are lists of select drugs that should be avoided or have their dose adjusted based on the individual's kidney function and select drug-drug interactions documented to be associated with harms in older adults. The specific aim was to have a 13-member interdisciplinary panel of experts in geriatric care and pharmacotherapy update the 2012 AGS Beers Criteria using a modified Delphi method to systematically review and grade the evidence and reach a consensus on each existing and new criterion. The process followed an evidence-based approach using Institute of Medicine standards. The 2015 AGS Beers Criteria are applicable to all older adults with the exclusion of those in palliative and hospice care. Careful application of the criteria by health professionals, consumers, payors, and health systems should lead to closer monitoring of drug use in older adults.