[Improving drug prescribing in the elderly: a new edition of STOPP/START criteria]

Rev Esp Geriatr Gerontol. 2015 Mar-Apr;50(2):89-96. doi: 10.1016/j.regg.2014.10.005. Epub 2014 Nov 22.
[Article in Spanish]


Inappropriate use of drugs in older patients may have an adverse impact on several individual health outcomes, such as increasing the prevalence of adverse drug reactions, morbidity and mortality, and geriatric syndromes, as well as on health care systems, such as increased costs and longer hospital stays. Explicit criteria of drug appropriateness are increasingly used to detect and prevent inappropriate use of drugs, either within a comprehensive geriatric assessment or as tool used by different multidisciplinary geriatric teams. STOPP-START criteria, first published in 2008 (in Spanish in 2009), are being adopted as reference criteria throughout Europe. The Spanish version of the new 2014 edition (recently published in English) of the STOPP-START criteria is presented here. A review of all the papers published in Spain using the former version of these criteria is also presented, with the intention of promoting their use and for research in different health care levels.

Keywords: Drug-related problems; Explicit criteria; Métodos explícitos; Older people; Pacientes mayores; Polimedicación; Polypharmacy; Potentially inappropriate prescriptions; Prescripción inadecuada; Problemas relacionados con los medicamentos.

Publication types

  • Review

MeSH terms

  • Aged
  • Drug Prescriptions / standards*
  • Humans
  • Potentially Inappropriate Medication List*