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Updating the beers criteria for potentially

Expert consensus for these criteria was developed using extensive literature reviews with a bibliography and a questionnaire evaluated using a modified Delphi technique. Comparison of the association between disease burden and inappropriate medication use across three cohorts of older adults. Donna Fick, Ph D, RN, the lead author and facilitator of the expert panel, indicates that some drugs on the list generated concern from some clinicians after they were published, but she reminds us that, "All criteria should be questioned and improved, and ultimately decisions about prescribing or stopping a medication should be based on the individual patient's whole clinical picture." She also indicates that any controversy generated heightens awareness of the complexities of medication use in older adults, and this is good. Instead, they are a type of consensus document that was developed by a team of experts specializing in geriatric medicine and pharmacology from across the United States. Their specific expertise included geriatric care, clinical pharmacology, and psychopharmacology. Seniors at Greatest Risk Comorbidities, polypharmacy, and poor lifestyle choices increase risk in seniors, just as they do in younger people. Rigler SK, Jachna CM, Perera S, Shireman TI, Eng ML. Members of the Beers panel, in addition to creating a list of potentially inappropriate medications, have identified conditions that increase a patient's risk for adverse drug events and certain drugs that should be avoided in those specific conditions. Patterns of potentially inappropriate medication use across three cohorts of older Medicaid recipients. Although unenlightened pharmacists might think these drugs are available by prescription only or are labeled with clear warnings, many of them are easily available as OTC medications and widely marketed to and used by seniors.

Many facilities have created summary documents or modifications based on the criteria, like those posted on the Internet by Duke University's Center for Clinical and Genetic Economics, available at duke.edu/ccge/curtis/ Although helpful, these lists should not replace a careful review of the original document. Fortunately, it, too, is available free of charge on the Internet at archinte.ama-assn.org/cgi/content/full/163/22/2716#ACK. Development of the Criteria Critics will hasten to point out that the Beers criteria are not an evidence-based guideline. Prevalence and correlates of potentially inappropriate prescribing among ambulatory older patients in the year 2001: comparison of three explicit criteria. Pharmacists who practice in long-term care are very familiar with the Beers criteria.Many other pharmacists remain unaware that a national expert panel identified many medications or classes of medication—48, to be exact—that adults aged 65 years and older should avoid.

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The 2003 revision added cognitive impairment, depression, Parkinson's disease, anorexia, malnutrition, and obesity to the list. Self-reported medication use in community-residing older adults: a pilot study.

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