《老年人潜在不适当处方筛查工具/处方遗漏筛查工具(STOPP/START)标准》第3版解读

Interpretation of the Screening Tool of Older Person's Potentially Inappropriate Prescriptions/Screening Tool to Alert to Right Treatment(STOPP/START)Criteria(Version 3)

老年人潜在不适当处方筛查工具(STOPP)/处方遗漏筛查工具(START)由2008年爱尔兰Cork大学附属医院专家组首次发表并于2015年进行第2次更新。自发表以来,该标准在发现老年人潜在不适当用药、加强对老年人滥用药物的监管、减少老年人药品不良事件等方面发挥了积极作用。2023年第3版STOPP/START标准发布,在第2版基础上增加、修订和删减了一些标准,最终形成190条潜在不适当用药标准。新标准根据最新的老年人合理用药研究结果和临床证据,提供了更新、更实用的循证医学依据。本文对STOPP/START标准(第3版)进行了详细的解读,为我国潜在不适当用药标准更新和完善提供参考,并对未来该领域的研究方向提出思考和建议。

The Screening Tool of Older Person's Potentially Inappropriate Prescriptions(STOPP)and the Screening Tool to Alert to Right Treatment(START)were initially developed by a panel of experts from Cork University Hospital,Ireland in 2008,and underwent a second update in 2015.Since their inception,these criteria have played a pivotal role in identifying potentially inappropriate medication use in the elderly,enhancing oversight of medication misuse in older individuals,and reducing adverse drug events among the elderly.In 2023,the third edition of the STOPP/START criteria was released,providing updated and more practical evidence-based guidance.Building upon the second edition,this iteration includes the addition,revision,and removal of certain criteria,resulting in a total of 190 new standards for potentially inappropriate medication use.This latest version incorporates the most recent research findings and clinical evidence related to appropriate medication use in older adults.We provide a detailed analysis of the STOPP/START criteria(version 3),offering valuable insights for the updating and refinement of potentially inappropriate medication criteria in our country.Furthermore,it presents recommendations for future research in this field.