Alternatives to Beers list medications sinequan

Christian, Jennifer B., Anne vanHaaren, Kathleen A. Cameron, and Kate L. Lapane. Stockl and colleagues conducted a retrospective case-control analysis of 37,358 matched pairs of older adults who were or were not receiving PIMs as defined by the 2003 Beers Criteria.Lund and colleagues found that adherence to the Beers Criteria in prescribing served as a proxy not only for measurement of the specific medications on the listing, but as a more global measure of prescribing quality among clinicians caring for older adults.In systematic review published in 2007, Jano and colleagues examined the clinical outcomes of Beers Criteria application in a variety of healthcare settings.A cross-sectional analysis of prescribing of HRMs from the 2006 HEDISResnick and Pacala noted that CMS has adopted earlier versions of the Beers Criteria in quality assessment of pharmacological care in older adults and has incorporated the criteria into Medicare Part D, which applies to prescription drug coverage for older adults.The stated intentions of the 2012 Beers Criteria include “improving the selection of prescription drugs by clinicians and patients, evaluating patterns of drug use within populations, educating clinicians and patients on proper drug usage, and evaluating health outcome, quality of care, cost and utilization data.”One of the other issues often, yet erroneously, linked to the Beers Criteria is actions by third-party or other payers to deny coverage for certain prescriptions or to require clinicians to obtain preauthorization. Avoid combining drugs with anticholinergic effects (risk of cognitive decline). To accompany the updated AGS Beers Criteria ® in 2015, the AGS also developed a list of safer medications that are alternatives to some of the medications listed in the criteria. 0000001280 00000 n ©2020 AGS Health in Aging Foundation All Rights Reserved.

2015 AGS Beers Criteria.

According to the 2000/2001 Medical Expenditures Panel Survey, the total estimated health cost related to use of PIMs was $7.2 billion.Adverse drug reactions among older adults can lead to a wide variety of negative outcomes.

0000001633 00000 n For more than 20 years, the AGS Beers Criteria ® have been a valuable resource for healthcare providers about the safety of prescribing drugs for older people.

0000002883 00000 n With regard to practice and policy, the AUA will continue to work with other professional organizations such as the AGS, CMS, commercial third-party insurers, and the pharmaceutical industry to evaluate and adapt to changing knowledge within the field of geriatric urology.We strongly encourage clinicians, payers, pharmacy benefit managers, and policy makers to educate themselves about the reasoning and recommendations contained within the Beers Criteria as they apply to urologic medications and practice with older adults. As noted in the prior example, use of a short course of nitrofurantoin to treat a case of acute cystitis in an older adult with normal renal function would be appropriate prescribing under the Beers Criteria, yet could potentially be classified as poor quality care by quality measures based on HEDISIn addition, written notifications to providers are often generated automatically by pharmacies for patients who are on one or more of the medications listed in the Beers Criteria, even if the prescription is appropriate under the specific context of the Beers Criteria. 0000006454 00000 n

2 The table includes alternative drugs for the most frequently prescribed HRMs based on SilverScript® Insurance Company (SSI), a CVS Health company, formulary utilization.

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