Abstract
The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For the 2019 update, an interdisciplinary expert panel reviewed the evidence published since the last update (2015) to determine if new criteria should be added or if existing criteria should be removed or undergo changes to their recommendation, rationale, level of evidence, or strength of recommendation. J Am Geriatr Soc 67:674–694, 2019.
Original language | English (US) |
---|---|
Pages (from-to) | 674-694 |
Number of pages | 21 |
Journal | Journal of the American Geriatrics Society |
Volume | 67 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2019 |
All Science Journal Classification (ASJC) codes
- Geriatrics and Gerontology
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In: Journal of the American Geriatrics Society, Vol. 67, No. 4, 04.2019, p. 674-694.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults
AU - By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel
AU - Fick, Donna M.
AU - Semla, Todd P.
AU - Steinman, Michael
AU - Beizer, Judith
AU - Brandt, Nicole
AU - Dombrowski, Robert
AU - DuBeau, Catherine E.
AU - Pezzullo, Lynn
AU - Epplin, Jerome J.
AU - Flanagan, Nina
AU - Morden, Emily
AU - Hanlon, Joseph
AU - Hollmann, Peter
AU - Laird, Rosemary
AU - Linnebur, Sunny
AU - Sandhu, Satinderpal
N1 - Funding Information: Conflicts of Interest: Dr. Beizer is a consultant for Wolters-Klewer. Dr. Brandt is a consultant for Institute for HealthCare Improvement (Faculty), is section editor for SLACK, Inc, and received a grant from IMPAQ on MTM; Enhanced MTM. Dr. Fick is a paid consultant for SLACK Inc and Precision Health Economics. She receives funding from the National Institute of Health for delirium studies. Dr. Hollmann is a paid reviewer for regulatory-required Rhode Island physician review of Utilization Review (UR) criteria for CVS/Caremark. Dr. Linnebur is a consultant for the Colorado Access Pharmacy and Therapeutics Committee. Dr. Semla is an editor for Lexi-Comp, and Dr. Semla’s wife holds commercial interest in AbbVie (at which she is also an employee) and Abbott Labs. Dr. Semla receives honoraria from the American Geriatrics Society (AGS) for his contribution as an author of Geriatrics at Your Fingertips and for serving as a section editor for the Journal of the American Geriatrics Society and is a past president and chair of the AGS Board of Directors. Funding Information: The decisions and content of the 2019 American Geriatrics Society (AGS) Beers Criteria® are those of the AGS and the panel members and are not necessarily those of the US government or US Department of Veterans Affairs. Sue Radcliff, Independent Researcher, Denver, CO, provided research services. Jirong Yue and Gina Rocco provided additional research services. Susan E. Aiello, DVM, ELS, provided editorial services. Elvy Ickowicz, MPH, Elisha Medina-Gallagher, and Mary Jordan Samuel provided additional research and administrative support. We must also acknowledge the work of the late Mark H. Beers, MD, whose vision for better quality of care for older adults remains active through tools like the AGS Beers Criteria®. The following organizations with special interest and expertise in the appropriate use of medications in older adults provided peer review of a preliminary draft of this guideline: American Medical Directors Association—The Society for Post-Acute and Long-Term Care Medicine, American Academy of Home Care Medicine, American Academy of Neurology, American Academy of Nurse Practitioners, American Academy of Nursing, American Association of Geriatric Psychiatry, American College of Cardiology, American College of Clinical Pharmacy, American College of Obstetrics and Gynecology, American College of Osteopathic Internists, American College of Physicians, American College of Surgeons, American Osteopathic Association, American Psychiatric Nurses Association, American Public Health Association, American Society of Anesthesiologists, American Society of Consultant Pharmacists, American Society of Health-System Pharmacists, the Endocrine Society, Gerontological Advanced Practice Nurses Association, Gerontological Society of America, and Society of General Internal Medicine. Dr. Beizer is a consultant for Wolters-Klewer. Dr. Brandt is a consultant for Institute for HealthCare Improvement (Faculty), is section editor for SLACK, Inc, and received a grant from IMPAQ on MTM; Enhanced MTM. Dr. Fick is a paid consultant for SLACK Inc and Precision Health Economics. She receives funding from the National Institute of Health for delirium studies. Dr. Hollmann is a paid reviewer for regulatory-required Rhode Island physician review of Utilization Review (UR) criteria for CVS/Caremark. Dr. Linnebur is a consultant for the Colorado Access Pharmacy and Therapeutics Committee. Dr. Semla is an editor for Lexi-Comp, and Dr. Semla's wife holds commercial interest in AbbVie (at which she is also an employee) and Abbott Labs. Dr. Semla receives honoraria from the American Geriatrics Society (AGS) for his contribution as an author of Geriatrics at Your Fingertips and for serving as a section editor for the Journal of the American Geriatrics Society and is a past president and chair of the AGS Board of Directors. All panel members contributed to the concept, design, and preparation of the manuscript. American Geriatrics Society staff participated in the final technical preparation and submission of the manuscript. The following individuals were members of the American Geriatrics Society (AGS) Panel to update the 2019 AGS Beers Criteria®: Donna M. Fick, PhD, RN, FGSA, FAAN, College of Nursing and Medicine, The Pennsylvania State University, University Park, PA (cochair); Todd P. Semla, PharmD, MS, BCPG, FCCP, AGSF, US Department of Veterans Affairs National Pharmacy Benefits Management Services (retired) and Northwestern University Feinberg School of Medicine, Chicago, IL (cochair); Michael Steinman, MD, University of California San Francisco and San Francisco Veterans Affairs Medical Center, San Francisco, CA (cochair); Judith Beizer, PharmD, BCGP, FASCP, AGSF, St Johns University, Queens, NY; Nicole Brandt, PharmD, MBA, BCPP, BCGP, FASCP, University of Maryland, Baltimore, MD; Robert Dombrowski, PharmD, Centers for Medicare and Medicaid Services, Baltimore, MD (nonvoting member); Catherine E. DuBeau, MD, Dartmouth-Hitchcock Medical Center, Lebanon, NH; Lynn Pezzullo, RPh, CPEHR, Pharmacy Quality Alliance, Alexandria, VA (nonvoting member); Jerome J. Epplin, MD, AGSF, Litchfield Family Practice Center, Litchfield, IL; Nina Flanagan, PhD, GNP-BC, APHM-BC, Decker School of Nursing, Binghamton University, Dunmore, PA; Emily Morden, MSW, National Committee for Quality Assurance, Washington, DC (nonvoting member); Joseph Hanlon, PharmD, MS, BCPS, FASHP, FASCP, FGSA, AGSF, Department of Medicine (Geriatric Medicine) School of Medicine, University of Pittsburgh and Geriatric Research, Education and Clinical Center, Veterans Affairs Healthcare System, Pittsburgh, PA; Peter Hollmann, MD, AGSF, Brown Medicine, Providence, RI; Rosemary Laird, MD, MHSA, AGSF, Geriatric Medical Leader for Florida Hospital, Winter Park, FL; Sunny Linnebur, PharmD, FCCP, BCPS, BCGP, FASCP, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO; Satinderpal Sandhu, MD, SUNY Upstate Medical University and Syracuse Veterans Affairs Medical Center, Syracuse, NY. Publisher Copyright: © 2019 The American Geriatrics Society
PY - 2019/4
Y1 - 2019/4
N2 - The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For the 2019 update, an interdisciplinary expert panel reviewed the evidence published since the last update (2015) to determine if new criteria should be added or if existing criteria should be removed or undergo changes to their recommendation, rationale, level of evidence, or strength of recommendation. J Am Geriatr Soc 67:674–694, 2019.
AB - The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3-year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For the 2019 update, an interdisciplinary expert panel reviewed the evidence published since the last update (2015) to determine if new criteria should be added or if existing criteria should be removed or undergo changes to their recommendation, rationale, level of evidence, or strength of recommendation. J Am Geriatr Soc 67:674–694, 2019.
UR - http://www.scopus.com/inward/record.url?scp=85060785523&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060785523&partnerID=8YFLogxK
U2 - 10.1111/jgs.15767
DO - 10.1111/jgs.15767
M3 - Article
C2 - 30693946
AN - SCOPUS:85060785523
SN - 0002-8614
VL - 67
SP - 674
EP - 694
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 4
ER -