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Comparison of the 22nd World Health Organization Model List of Essential Medicines with the explicit criteria for the treatment of chronicity in elderly patients
  1. Ramon Fernández Fernández1,
  2. Queralt Moreno Gil2,
  3. Cécile Bessat3,
  4. Pablo Roman4,
  5. Daniel Sevilla-Sanchez5
  1. 1Pharmacy Department, Consorci Sociosanitari de Vilafranca, Vilafranca del Penedes, Barcelona, Spain
  2. 2Pharmacy Department, Althaia Foundation of Manresa, Manresa, Catalunya, Spain
  3. 3Department of Internal Medicine, Lausanne University Hospital, Lausanne, Vaud, Switzerland
  4. 4Primary Health Care Department, Grup Mutua Terrassa, Terrassa, Catalunya, Spain
  5. 5Pharmacy Department, Parc Sanitari Pere Virgili, Barcelona, Catalunya, Spain
  1. Correspondence to Ramon Fernández Fernández, Pharmacy Department, Consorci Sociosanitari de Vilafranca, Vilafranca del Penedes, Barcelona, Spain; ramon.fernan17{at}gmail.com

Abstract

Objectives This study analysed whether the Model List of Essential Medicines is suitable for elderly patients. Furthermore, it investigated the specific issues that should be considered when prescribing a drug and which drugs should be added to improve the list according to the explicit criteria guidelines.

Methods A qualitative descriptive review was performed comparing the explicit criteria guidelines of Beers 2019, Laroche, McLeod, NORGEP, PRISCUS, STOPP/START 2014 and Winit-Watjana with the 22nd edition of the Model List of Essential Medicines.

Results The Model List of Essential Medicines has 458 drugs. Depending on the explicit criteria considered, there were different numbers of potentially inappropriate medications and potential prescribing omissions. When all explicit criteria were combined, a total of 73 medicines were classified as potentially inappropriate. Using the STOPP/START criteria, 46 potential prescribing omissions were detected. According to these explicit criteria, the Model List of Essential Medicines appeared to lack some medicines.

Conclusions Explicit criteria guidelines have different potential for detecting potentially inappropriate medications. Our findings suggest that some drugs should be added to the next edition of the Model List of Essential Medicines to cover some therapeutic gaps.

  • PUBLIC HEALTH
  • DRUG-RELATED SIDE EFFECTS AND ADVERSE REACTIONS
  • GERIATRICS
  • Health Care Economics and Organizations
  • Safety

Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.

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Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.

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