European Geriatric Medicine最新文献

{"title":"Better survival of older patients with stroke managed in a collaborative stroke pathway.","authors":"Bruno Oquendo, Witold Jarzebowski, Charlotte Nouhaud, Anne Leger, Christel Oasi, Charlotte Havreng-Thery, Carmelo Lafuente-Lafuente, Joel Belmin","doi":"10.1007/s41999-025-01225-9","DOIUrl":"https://doi.org/10.1007/s41999-025-01225-9","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the survival of stroke patients over 70 years old managed in the collaborative Stroke Pathway dedicated to the OLD patients (SPOLD) with those referred to conventional rehabilitation wards.</p><p><strong>Methods: </strong>This longitudinal observational retrospective cohort study involved over 70 years old patients referred from the same neurovascular emergency unit in a university hospital in France to a post-stroke geriatric unit within the SPOLD pathway, compared to patients referred to conventional rehabilitation ward during the same period. Initial stroke severity and comorbidities were assessed using the NIHSS score and the Charlson index, respectively. The primary endpoint was 2-year survival, analyzed using Cox models for both the entire cohort and a propensity score-matched cohort to control for referral bias.</p><p><strong>Results: </strong>The study included 262 patients with a mean age of 84.5 ± 6.7 years, of whom 122 (46.6%) were male. Patients in the SPOLD group (n = 101) had significantly higher age, NIHSS scores, and Charlson indices compared to those in the conventional rehabilitation ward (n = 161). Adjusted mortality was significantly lower in SPOLD patients (OR: 0.525, 95% CI: 0.298 to 0.924, p = 0.025). In the propensity score-matched cohort, mortality was also significantly lower for SPOLD patients (OR: 0.426, 95% CI: 0.212 to 0.857, p = 0.017).</p><p><strong>Conclusion: </strong>This study suggests that this collaborative organization between a neurovascular emergency unit and a rehabilitation geriatric unit may be associated with a better survival of older patients after stroke.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring frailty: a comparison of the cumulative deficit model of frailty in survey and routine data.","authors":"Lara Johnson, Bruce Guthrie, Atul Anand, Alan Marshall, Sohan Seth","doi":"10.1007/s41999-025-01251-7","DOIUrl":"https://doi.org/10.1007/s41999-025-01251-7","url":null,"abstract":"<p><strong>Purpose: </strong>Frailty, a state of increased vulnerability to adverse health outcomes, impacts individuals and healthcare systems. The cumulative deficit model provides a flexible frailty measure but its application across diverse data remains underexplored. This study compares frailty indices derived from survey and routine data.</p><p><strong>Methods: </strong>Frailty indices in the Clinical Practice Research Datalink (CPRD) Aurum (N = 1,625,677) and the English Longitudinal Study of Ageing (ELSA) (N = 5190) were compared for adults aged 65 + in England. Deficits were categorised as \"one-to-one\", \"one-to-many\", and \"one-to-none\". Age-sex-standardised deficit prevalence, frailty distribution and associations with demographics were analysed using summary statistics and regression.</p><p><strong>Results: </strong>Mean frailty index scores were similar (CPRD: 0.13 ± 0.10; ELSA: 0.13 ± 0.12) but differences were observed in the capture of specific deficits. The majority of deficits had a \"one-to-none\" or \"one-to-many\" mapping. Among 14 comparable deficits, visual impairment, fractures and heart failure were more common in CPRD, while falls, sleep disturbance and arthritis were more frequent in ELSA. Severe frailty and greater fitness were more prevalent in ELSA than CPRD. Sex and age influenced frailty similarly in both datasets, with frailty index scores increasing more rapidly with age in CPRD.</p><p><strong>Conclusion: </strong>Differences in the number and types of deficits measured offset each other overall, supporting the cumulative deficit model's premise that including a sufficient range of deficits does not significantly alter population-level frailty measures. This interchangeability may alleviate concerns about deficit selection, supporting more flexible approaches to population frailty assessment across both survey and routine data.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between the 400-m walk test and sensor-based daily physical activity in frail and sarcopenic older adults.","authors":"Jana Rogler, Sebastian Krumpoch, Ellen Freiberger, Ulrich Lindemann, Robert Kob","doi":"10.1007/s41999-025-01262-4","DOIUrl":"https://doi.org/10.1007/s41999-025-01262-4","url":null,"abstract":"<p><strong>Purpose: </strong>Physical activity (PA) is recommended for frail and sarcopenic older adults as an essential means of preventing negative health outcomes and decline in functional abilities. Our objective was to examine the association between the time and/or stops during the 400-m walk test (400MWT) and average daily steps and walking cadence in a German cohort of frail and sarcopenic community-dwelling older adults.</p><p><strong>Methods: </strong>For this sub-study the German cohort of 104 frail and sarcopenic older adults (i.e., SPRINTT) aged 80.8 ± 5.2 years was divided into participants having made none or one stop or more than one stops, referred to as non-stoppers and multi-stoppers. The characteristics and general health state (physical function, disease state, concerns about falling) at first observation (FO) and individual last observation (LO) after at least 11 months (mean 24.5 ± 8.5 months) were examined. Daily PA represented by average daily steps and walking cadence was assessed over three to seven days at FO and LO using the activPAL3 micro. Time and stops made during the 400MWT and their association with daily PA were investigated using regression with bootstrapping.</p><p><strong>Results: </strong>Out of 104 frail and sarcopenic older adults, 84 non-stoppers (female: n = 54; 64.3%) had a median time in 400MWT of 509 s (Inter Quartile Range (IQR) 324-875), a median number of daily steps of 6537 (IQR 1841-19,488) and a median daily walking cadence of 73 steps/minute (IQR 53.3-88.9). 20 multi-stoppers (female: n = 12; 60%) showed a time of 703 s (IQR 479-898), 5642 steps (IQR 2470-11,458) and a cadence of 70.7 steps/minute (IQR 61.4-83.6). Time was significantly associated with average daily steps and walking cadence at both FO and LO, stops alone were not.</p><p><strong>Conclusion: </strong>Gait speed under laboratory conditions can be used in clinical settings and research to estimate daily PA, represented by average daily steps and cadence, in frail and sarcopenic older adults.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a web video-based positive word stimulation program for older patients with cardiac disease and subthreshold depression admitted to an acute care ward: a pilot randomized controlled trial.","authors":"Masataka Sakimoto, Hiroyuki Uchida, Takumi Igusa, Takuya Kobayashi, Aya Fukazawa, Chihaya Machida, Hirokuni Fujii, Keisuke Sekine, Minori Kurosaki, Kenji Tsuchiya, Senichiro Kikuchi, Kazuki Hirao","doi":"10.1007/s41999-025-01258-0","DOIUrl":"https://doi.org/10.1007/s41999-025-01258-0","url":null,"abstract":"<p><strong>Purpose: </strong>Major depressive disorder can exacerbate morbidity and hasten mortality from cardiac disorders among geriatric patients, so mitigation of subthreshold depression (StD) may help improve long-term outcome. Subliminal priming with supraliminal reward stimulation (SPSRS), in which subjects view videos with embedded positive words, may be an effective intervention strategy for StD symptom reduction. The purpose of this pilot randomized controlled trial (RCT) was to evaluate the feasibility of an SPSRS intervention for older patients with cardiac disease and StD admitted to acute care wards.</p><p><strong>Methods: </strong>Thirty older patients with cardiac disease and comorbid StD (79.2 ± 7.55 years, six female) were randomly assigned to the intervention (SPSRS) group (n = 15) or the control group (n = 15). The intervention group viewed 10-min videos containing positive word stimulation once per day for 5 consecutive days, while the control group viewed YouTube videos containing no positive word stimulation following the same protocol. The primary outcome was a change in score on the Japanese version of the Beck Depression Inventory-II (BDI-II).</p><p><strong>Results: </strong>There were no dropouts and no adverse events during the trial. Linear mixed models showed no significant improvement in BDI-II in the intervention group compared to the control group (P = 0.72).</p><p><strong>Conclusions: </strong>This pilot RCT supports the feasibility of the SPSRS intervention for older patients with cardiac disease and StD. A full-scale RCT would require a larger sample size, modifications to the content for this patient group, increased frequency of daily interventions, and a more sensitive depression symptom assessment tool.</p><p><strong>Trial registration: </strong>The University Hospital Medical Information Network (UMIN) Registered 8 September 2023 (UMIN000052155).</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of cognitive reserve on the risk of cognitive frailty in older patients receiving maintenance hemodialysis: a cross-sectional study.","authors":"Ning-Ning Xia, Hong-Ying Wang, Jing Liu","doi":"10.1007/s41999-025-01260-6","DOIUrl":"https://doi.org/10.1007/s41999-025-01260-6","url":null,"abstract":"<p><strong>Background: </strong>Older patients undergoing hemodialysis may exhibit signs of cognitive frailty due to physiological degradation and the accumulation of toxins. This study aimed to explore the factors associated with both cognitive reserves and cognitive frailty in older patients receiving maintenance hemodialysis.</p><p><strong>Methods: </strong>Between February to December of 2023, older patients undergoing hemodialysis were selected from blood purification centers in Jiangsu Province, China, via convenience sampling. General data, dialysis data, biochemical indexes, GDS-5 scores, and cognitive reserve scores were collected. The patients were divided into two groups, namely, cognitively frail (74 patients) and non-cognitively frail (163 patients). Factors associated with cognitive frailty were analyzed via logistic regression, and ROC curve analysis was performed to evaluate the discriminative ability of cognitive reserve scores to identify cognitive frailty.</p><p><strong>Results: </strong>A total of 237 older patients receiving maintenance hemodialysis were included (61% male patients with a mean age of 70.8 ± 8.2 years), 31.2% of whom exhibited symptoms of cognitive frailty. Logistic regression showed that advanced age, longer dialysis durations, higher GDS-5 scores, lower cognitive reserve scores, and a history of inpatient admission within six months were independently associated with cognitive frailty. Each of these factors had a P value of < 0.05. The ROC curve analysis demonstrated that cognitive reserve scores had a strong discriminative ability to identify cognitive frailty, with an optimal cutoff value of 75.5 points, an AUC of 0.94, a sensitivity of 89.6%, and a specificity of 90.5%.</p><p><strong>Conclusion: </strong>Cognitive frailty is prevalent in older patients undergoing maintenance hemodialysis and is associated with multiple factors. Lower cognitive reserve scores were independently associated with cognitive frailty and demonstrated ideal discriminative ability to identify affected individuals. Nevertheless, longitudinal studies can be carried out to investigate the relevant underlying causal relationships.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beneficial outcomes of medication review in patients with hip fractures: a systematic review.","authors":"Dina Aprillia Ariestine, Taro Kojima, Fakhriza Hidayati Siregar, Alvin Ivander","doi":"10.1007/s41999-025-01252-6","DOIUrl":"https://doi.org/10.1007/s41999-025-01252-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyze medication review efficacy toward clinical outcomes in older adults with hip fractures.</p><p><strong>Methods: </strong>A systematic search was conducted using the modified keywords \"medication review,\" \"polypharmacy,\" and \"hip fractures\" to find relevant studies. Following the PRISMA guidelines, we reviewed published studies from 2014 to 2024. A total of 21 studies have been identified, six of which reported medication reviews for older adults with hip fractures.</p><p><strong>Results: </strong>The findings highlight the critical need for a multi-faceted strategy to address the challenges of polypharmacy in older adults with hip fractures. A higher number of medications is associated with some adverse outcomes, such as increased hospitalization rates, longer recovery times, and a greater incidence of pressure ulcers. Although minimizing inappropriate medications may show some positive results, focusing solely on medication management is insufficient in this vulnerable population.</p><p><strong>Conclusion: </strong>Medication reviews have substantially mitigated medication-related issues, including costs, drug efficacy, and patient discomfort. Nevertheless, clinical outcomes have yet to exhibit significant improvement, which presents an opportunity for further research to explore the potential benefits of medication reviews in enhancing the care of patients with hip fractures. A holistic approach, which consists of medication review, patient education, and tailored rehabilitation programs, may be essential to improve recovery, decrease hospitalization rates, and prevent adverse events.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational gaps and mild cognitive impairment among older workers.","authors":"Shoma Akaida, Osamu Katayama, Ryo Yamaguchi, Daiki Yamagiwa, Hiroyuki Shimada","doi":"10.1007/s41999-025-01253-5","DOIUrl":"https://doi.org/10.1007/s41999-025-01253-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the association between currently employed but unwilling to remain employed (occupational gaps) and mild cognitive impairment (MCI) in older workers.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted on 2272 workers aged 65 years and older (mean age: 71.2 years, 52.2% male) who participated in a large community-based cohort study from 2017 to 2018. MCI was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool, which measures four cognitive domains: memory, attention, executive function, and processing speed. Participants with a decline ≥ 1.5 standard deviations below the age- and education-adjusted norms in one or more domains were classified as having MCI. Occupational gaps were categorized into two groups based on self-reported willingness to work. Logistic regression analysis was performed with MCI as the dependent variable and occupational gaps as the independent variable, and adjusted for covariates.</p><p><strong>Results: </strong>Among older workers, 18.0% experienced MCI and 46.1% experienced occupational gaps. The proportion of individuals with occupational gaps was 44.2% in the non-MCI group and 54.6% in the MCI group, with a significantly higher proportion in the MCI group (p < 0.001). Logistic regression analysis revealed a significant association between occupational gaps and MCI (odds ratio 1.44, 95% confidence interval 1.15-1.80).</p><p><strong>Conclusion: </strong>The findings suggest that occupational gaps may be associated with MCI in older workers.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a predictive nomogram for frailty based on thyroid function in older adults.","authors":"Xiaotian Shi, Huayu Yang, Shan Wang, Yifan Yang, Yuanyuan Li, Guoze Dou, Qing Ma","doi":"10.1007/s41999-025-01247-3","DOIUrl":"https://doi.org/10.1007/s41999-025-01247-3","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to develop and validate a frailty prediction model incorporating thyroid hormone levels in older adults with normal thyroid function.</p><p><strong>Methods: </strong>A total of 767 participants aged ≥ 65 years (566 males, 73.8%) were enrolled between December 2019 and December 2023. Participants were randomly assigned to training (n = 546) and internal validation (n = 235) sets; an external validation cohort was recruited between December 2023 and December 2024. Frailty was assessed using the FRAIL scale. Predictors were selected through LASSO and logistic regression analyses, and a nomogram was constructed for clinical application.</p><p><strong>Results: </strong>A total of 767 patients were included, with a median age of 81 years. Of these, 205 individuals (26.7%) were classified into the frailty group. The restricted cubic spline plot showed a negative correlation between the FT3/FT4 and frailty after adjusting for multiple confounding factors. Five predictors, age, polypharmacy, MNA.SF score, grip, and FT3/FT4 were incorporated to establish the model. The model performed well achieving AUC values of 0.92 and 0.80 in the development and external validation datasets, respectively. The Calibration curves and DCA results suggested that the model possesses satisfactory predictive performance.</p><p><strong>Conclusions: </strong>We developed a clinically applicable model to predict frailty in older adults with normal thyroid function, highlighting the relevance of thyroid hormone status in frailty risk assessment.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and opportunities for falls prevention: an online survey across European healthcare professionals.","authors":"Lotta J Seppala, James Frith, Dawn A Skelton, Clemens Becker, Hubert Blain, Rose-Anne Kenny, Annemiek J Linn, Jesper Ryg, Solveig A Arnadottir, Gülistan Bahat, Maria Bonnici, María Ángeles Caballero Mora, Yannis Dionyssiotis, Dvora Frankenthal, Sirpa Hartikainen, Jorunn L Helbostad, Alvaro Casas Herrero, Birkan İlhan, Anna B Jonsdottir, Marija Markovski, Regina Roller-Wirnsberger, Carmelinda Ruggiero, Ingvild Saltvedt, Anna Skalska, Daniel Smedberg, George Soulis, Katarzyna Szczerbińska, Eva Topinkova, Gregor Veninšek, Ellen Vlaeyen, Alban Ylli, Nathalie van der Velde","doi":"10.1007/s41999-025-01237-5","DOIUrl":"https://doi.org/10.1007/s41999-025-01237-5","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the challenges and opportunities for the implementation of falls preventive services across Europe.</p><p><strong>Methods: </strong>An online cross-sectional survey among healthcare professionals was initiated by the European Geriatric Medicine Society (EuGMS) Special Interest Group on Falls and Fractures containing a Likert scale and multiple-choice questions on education and knowledge, current practices, barriers, and facilitators for falls prevention. Survey participation for healthcare professionals was encouraged by the EuGMS through an email invitation, website banner, and social media. National representatives from 24 countries further promoted it via societies, local networks, and hospital channels.</p><p><strong>Results: </strong>A total of 1669 multidisciplinary healthcare professionals participated from 34 European countries (median 47 years; 75% female; 40.6% physicians (73.3% geriatricians/trainees), 36% physiotherapists, 23.4% other healthcare professionals). Only 26.9% believed their undergraduate education adequately prepared them for clinical practice in this area. A total of 75.8% of respondents reported opportunistically screening older adults for fall risk often or always during consultations. Gait and balance assessment was considered the most important and was the most frequently performed component of the multifactorial fall risk assessment. The top-five barriers were staffing issues, lack of time, older adults' non-adherence to recommended strategies, workload related to falls prevention, and prioritizing other tasks. The top-five facilitators were more time, easy-to-use guidelines, sufficient resources, increased education and training on falls prevention, and increased collaboration. We observed regional and country-level variation in these top barriers and facilitators.</p><p><strong>Conclusion: </strong>This survey highlights the need for improved undergraduate education in falls prevention across Europe. It is essential to educate and engage governmental bodies and insurers to secure their support and prioritization of falls prevention initiatives. Furthermore, enhancing education, addressing older adults' nonadherence, interdisciplinary collaboration and providing easy-to-use guidelines seem crucial for effective implementation. The falls prevention strategy should be tailored to the local context.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving usability of the STOPP/START version 3 criteria: development of a practice tool for clinicians, students and researchers.","authors":"O Dalleur, F X Sibille, A Mouzon, F Vaillant, S Marien, A Spinewine, B Boland","doi":"10.1007/s41999-025-01214-y","DOIUrl":"https://doi.org/10.1007/s41999-025-01214-y","url":null,"abstract":"<p><strong>Background: </strong>The STOPP/START criteria are aimed to be used by clinicians to perform medication review to optimize pharmacotherapy in older adults. The STOPP/START.version 3 (SS.v3) published in European Geriatric Medicine in 2023 updated and significantly extended the previous version. SS.v3 is more open to criticism for its poor usability in daily clinical practice. The present study aimed at contributing to SS.v3 by highlighting the new content of its criteria and by providing clinicians, students and researchers with a user-friendly presentation to facilitate medication review.</p><p><strong>Methods: </strong>The SS.v3 criteria were reviewed by seven geriatricians and clinical pharmacists with expertise in pharmacotherapy in older adults. The 190 SS.v3 criteria were carefully compared to the 115 SS.v2 criteria in order to identify the new ones and those with clinically significant modifications. A single-entry table was developed for the medications (STOPP.v3) and the medical conditions (START.v3).</p><p><strong>Results: </strong>Among the 133 STOPP.v3 criteria, we identified 54 new (41%) and 25 modified (19%) ones. The 57 START.v3 criteria include 24 new (42%) and 17 modified (30%) ones. The single-entry table is a comprehensive presentation of SSv3 in 3 pages. It is systematically organized and upfront presents the medication for the STOPP criteria and the condition for the START criteria, enhancing its usability.</p><p><strong>Conclusion: </strong>This work highlights many new and modified SS.v3 criteria that clinicians, students and researchers should be aware of. The single-entry table for STOPP medications and START clinical conditions may facilitate medication review for older adults in daily clinical practice.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}