Table 2.
Study | Country | Risk of bias | Tool | Tool adaptation | Number of patients with 1 + PIP | Sample size | Prevalence of patients with 1 + PIP (95% CI) | Timing of outcome measurement |
---|---|---|---|---|---|---|---|---|
Acute care setting | ||||||||
Hudhra54 | Albania | H | Beers 201212 | Independent and considering diagnosis & registered & excluding criteria requiring follow-up dataa | 110 | 319 | 0.34 (0.29–0.40)b | Discharge |
STOPP15 | 110 | 319 | 0.34 (0.29–0.40)b | Discharge | ||||
STOPP version 216 | 201 | 319 | 0.63 (0.58–0.68)b | Discharge | ||||
Matanovic56 | Croatia | H | Beers 201212 | Independent and considering diagnosis | 263 | 454 | 0.58 (0.53–0.62)b | Admissiona |
Comprehensive protocol79 | 200 | 454 | 0.44 (0.40–0.49)b | Admissiona | ||||
Mucalo57 | Croatia | H | Comprehensive protocol79 | Independent and considering diagnosis & registered | 102 | 276 | 0.37 (0.31–0.43)b | Discharge |
EU(7)-PIM list81 | 184 | 276 | 0.67 (0.61–0.72)b | Discharge | ||||
STOPP version 2 16 | 190 | 276 | 0.69 (0.63–0.74)b | Discharge | ||||
Radosevic58 | Croatia | H | Beers 200311 | Independent of diagnosis & registered | 35 | 142 | 0.25 (0.18–0.32)b | During hospitalisation |
Gallagher53 | Czechia | H | Beers 200311 | All criteria | 34 | 150 | 0.23 (0.17–0.30)b | Admission |
START15 | 81 | 150 | 0.54 (0.46–0.62)b | Admission | ||||
STOPP15 | 52 | 150 | 0.35 (0.27–0.43)b | Admission | ||||
Kostkova55 | Slovakia | H | Beers 200311 | Independent of diagnosis | 128 | 566 | 0.23 (0.19–0.26)b | Admission |
157 | 566 | 0.28 (0.24–0.32)b | Discharge | |||||
French list82 | 145 | 566 | 0.26 (0.22–0.29)b | Admission | ||||
172 | 566 | 0.30 (0.27–0.34)b | Discharge | |||||
Wawruch51 * | Slovakia | H | Beers 200311 | Independent of diagnosisa | 121 | 600 | 0.20 (0.17–0.24)b | Admission |
120 | 600 | 0.20 (0.17–0.23)b | Discharge | |||||
126 | 600 | 0.21 (0.18–0.24)b | Admission & discharge | |||||
Community setting | ||||||||
Fialova59 | Czechia | L | Beers 199710 | Independent of diagnosis & registered & excluding criteria concerning DDIs and requiring duration of use | 67 | 428 | 0.16 (0.13–0.19)b | N/A |
Beers 200311 | 108 | 428 | 0.25 (0.21–0.30)b | N/A | ||||
McLeod84 | 136 | 428 | 0.32 (0.28–0.36)b | N/A | ||||
Composite: Beers 199710& Beers 200311 & McLeod84 | 176 | 428 | 0.41 (0.37–0.46)b | N/A | ||||
Rajska-Neumann63 | Poland | H | Beers 199710 | Independent and considering diagnosis & excluding criteria requiring dose, dosage, duration of usea | 285 | 1000 | 0.28 (0.26–0.31)b,c | N/A |
Rajska-Neumann64 | Poland | H | Beers 200311 | Independent of diagnosis | 6 | 92 | 0.07 (0.03–0.14)b | N/A |
Primejdie48° | Romania | H | Composite: PRISCUS list85 & START15 & STOPP15 | Registered & excluding criteria requiring clinical information and concerning OTCs | 119 | 345 | 0.34 (0.30–0.40)b | N/A |
Kovacevic62 | Serbia | L | START15 | All criteria | 257 | 509 | 0.50 (0.46–0.55)b | N/A |
STOPP 15 | 139 | 509 | 0.27 (0.24–0.31)b | N/A | ||||
Gorup60 | Slovenia | H | START15 | All criteria | 216 | 503 | 0.43 (0.39–0.47)b | N/A |
LTC setting | ||||||||
Kalafutova72 | Czechia | H | STOPP15 | NR | 38 | 58 | 0.66 (0.53–0.77)b | N/A |
Bor71 | Hungary | H | Composite: Austrian list78 & Beers 201513 & French list82 & PRISCUS list85 | Independent of diagnosis & registereda | 141 | 184 | 0.77 (0.70–0.82)b,d | N/A |
Primejdie48° | Romania | H | Composite: PRISCUS list85 & START15 & STOPP15 | Registered & excluding criteria requiring clinical information | 75 | 91 | 0.82 (0.73–0.89)b | N/A |
Stojanovic75 | Serbia | H | GheOP3S tool83 | All criteria | 383 | 400 | 0.96 (0.93–0.97)b | N/A |
START version 216 | 399 | 400 | 1.00 (0.98–1.00)b | N/A | ||||
STOPP version 216 | 344 | 400 | 0.86 (0.82–0.89)b | N/A | ||||
Kolar73 | Slovakia | H | 2012 CZ criteria80 | All criteriaa | 24 | 70 | 0.34 (0.24–0.46)b | N/A |
Ster74 | Slovenia | SC | Beers 200311 | Independent and considering diagnosis & high severity rating & registered | 355 | 2040 | 0.17 (0.16–0.19)b | N/A |
Outpatient setting | ||||||||
Popovic68 | Croatia | SC | Comprehensive protocol79 | Independent of diagnosis | 18,358 | 29,418 | 0.62 (0.62–0.63)b,e | N/A |
Vlahovic-Palcevski70 | Croatia | H | Beers 199710 | Independent of diagnosis & registered & excluding criteria requiring dosage, duration of use | 864 | 10,426 | 0.08 (0.08–0.09)a,b | N/A |
Vinsova69 | Czechia | H | Beers 200311 | Independent of diagnosis & registered & excluding criteria requiring dose, dosage, duration of use | 8351 | 15,516 | 0.54 (0.53–0.55)b | N/A |
Grina65 | Lithuania | SC | Beers 200311 | Independent of diagnosis & registered, reimbursed & excluding criteria concerning DDIs and requiring clinical information | 111,859 | 431,625 | 0.26 (0.26–0.26)b | N/A |
Beers 201513 | 104,126 | 431,625 | 0.24 (0.24–0.24)b | N/A | ||||
EU(7)-PIM list81 | 246,724 | 431,625 | 0.57 (0.57–0.57)b,c | N/A | ||||
Jazbar66 | Slovenia | SC | Austrian list78 | Independent of diagnosis & excluding criteria requiring dose | 187,186 | 345,400 | 0.54 (0.54–0.54)b | N/A |
Beers 201212 | 192,588 | 345,400 | 0.56 (0.56–0.56)b | N/A | ||||
EU(7)-PIM list81 | 208,085 | 345,400 | 0.60 (0.60–0.60)b | N/A | ||||
PRISCUS list85 | 122,255 | 345,400 | 0.35 (0.35–0.36)b | N/A | ||||
Nerat67 | Slovenia | H | Beers 200311 | Independent of diagnosis | 66,994 | 298,990 | 0.22 (0.22–0.23)b | N/A |
French list82 | 34,999 | 136,076 | 0.26 (0.25–0.26)b | N/A | ||||
Composite: Beers 200311 & French list82 | 48,917 | 136,076 | 0.36 (0.36–0.36)b | N/A | ||||
Stuhec52 | Slovenia | H | PRISCUS list85 | All criteriaa | 69 | 91 | 0.76 (0.66–0.84)b, f | N/A |
DDI Drug-drug interaction, GheOP3S Ghent Older People's Prescriptions community Pharmacy Screening, H High, L Low, LTC Long-term care, N/A Not applicable, SC Some concerns, START Screening Tool to Alert doctors to Right Treatment, STOPP Screening Tool of Older Person's Prescriptions.
*Indicates the major publication for the study (the study was described in three reports).
°One report described two studies.
aData were obtained and/or confirmed from study authors.
bCalculated.
cDiscrepancies in publication resolved in correspondence.
dData for persons aged 65 + years were obtained by correspondence.
eA part of the criteria considering diagnosis was presented separately as a percentage of a total number of prescriptions (1,315,624) that was 2.0%.
fData were obtained from the master's thesis by Gorenc86.