Beers list

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The Beers List is a listing of drugs that patients over 65 years of age should not be given. It was created in 1991 by the American geriatrician Mark H. Beers. In 2003 the list was updated. It is primarily a question of drugs which, especially in older people , can lead to increased adverse drug effects, or for which alternative drugs with fewer side effects are available.

Situation in Germany

For a long time there was no comparable list of drugs for Germany, even if this would have been desirable due to the different market situation and the different prescribing practices. In 2005, 20% of patients over 65 years of age in Germany were prescribed at least one drug from the Beers list. In 2010, a research team led by the Wuppertal pharmacologist Petra A. Thürmann published the Priscus list , which attempts to adapt the Beers list to the national characteristics of Germany.

One topic on the Beers list is drug interactions . The 2013 Drug Report provides current figures on drug use among people over 65 years of age and particularly points out problems caused by polypharmacy in this age group.

Monitor of drug prescriptions

Since March 2012 the Central Institute for Statutory Health Insurance in the Federal Republic of Germany (ZI) has been providing key figures for prescribing potentially inadequate medication (PIM) for older people in cooperation with the PMV research group at the University of Cologne .

literature

  • MH Beers u. a .: Explicit criteria for determining inappropriate medication use in nursing home residents. In: Arch Intern Med . , 1991 Sep; 151 (9), pp. 1825-1832.
  • DM Fick u. a .: Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. In: Arch Intern Med. , 2003 Dec 8-22, 163 (22), pp. 2716-2724.

Web links

Individual evidence

  1. PRISCUS list. (PDF; 542 kB) accessed on January 2, 2013.
  2. Stefanie Holt u. a .: Potentially inadequate medication for the elderly: The PRISCUS list. In: Dtsch Arztebl Int. , 2010; 107 (31-32), pp. 543-551.
  3. Barmer GEK Pharmaceutical Report 2013. Barmer GEK; Retrieved June 12, 2013.
  4. ZI presents the monitor of drug prescriptions for multimorbid people aged 65 and over. ( Memento of the original from August 19, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. Press release of the Central Institute for Statutory Health Insurance in the Federal Republic of Germany (ZI) from March 5, 2012. @1@ 2Template: Webachiv / IABot / www.zi.de