STOPP/START version 2—development of software applications: easier said than done?
Abstract
Explicit criteria, such as the STOPP/START criteria, are increasingly used both in clinical practice and in research to identify potentially inappropriate prescribing in older people. In an article on the STOPP/START criteria version 2, O'Mahony et al have pointed out the advantages of developing computerised criteria. Both clinical decision support systems to support healthcare professionals and software applications to automatically detect inappropriate prescribing in research studies can be developed. In the process of developing such tools, difficulties may occur. In the context of a research study, we have developed an algorithm to automatically apply STOPP/START criteria version 2 to our research database. We comment in this paper on different kinds of difficulties encountered and make suggestions that could be taken into account when developing the next version of the criteria.
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Attempts to digitize deprescribing criteria into electronic clinical decision support have raised difficulties, typically requiring a labor-intensive coding process and unstructured information such as free text from patient records to contextualize certain criteria.
“Attempts to digitize these criteria into electronic clinical decision support (CDS) have raised difficulties, typically requiring a labor-intensive coding process and unstructured information such as free text from patient records to contextualize certain criteria [11,12].”
From Identifying Deprescribing Opportunities With Large Language Models in Older Adults: Retrospective Cohort Study (2025) · cites this paper as [12]
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- Authors
- Anrys, P., Boland, B., Degryse, J.-M., De Lepeleire, J., Petrovic, M., Marien, S., Dalleur, O., Strauven, G., Foulon, V., & Spinewine, A.
- Affiliations
- UCLouvain (BE)
- Cliniques Universitaires Saint-Luc (BE)
- KU Leuven (BE)
- Corresponding author
- Anrys, Pauline
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-07-04
- Volume
- 45
- Issue
- 5
- Pages
- 590-593
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2462137307
- Cited by
- 37
- References
- 11
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 3
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Digital Access to Libraries (submittedVersion)
- Lirias (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Keywords
- STOPP/START criteria, potentially inappropriate prescribing, older adults, clinical decision support systems, algorithm development, software development challenges
- MeSH terms
- Potentially Inappropriate Medication List, Aged, Algorithms, Health Services for the Aged, Humans, Drug Prescriptions, Software, Software Design, Databases, Factual, Decision Support Systems, Clinical, Inappropriate Prescribing
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