Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria: A multidisciplinary consensus panel

Dominique A. de Groat; Marloes de Vries; Karlijn J. Joling; Jos P.C.M. Van Campen; Jacqueline G. Hugtenburg; Rob J. Van Marum; Annemieke M.A.Vermeulen windsant-Van Den Tweel; Petra J.M. Elders; Hein P.Van Hout

doi:https://doi.org/10.1093/ageing/afu075

Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria: A multidisciplinary consensus panel

Dominique A. de Groat, Marloes de Vries, Karlijn J. Joling, Jos P.C.M. Van Campen, Jacqueline G. Hugtenburg, Rob J. Van Marum, Annemieke M.A.Vermeulen windsant-Van Den Tweel, Petra J.M. Elders, Hein P.Van Hout

Research output: Contribution to journal › Article › Academic › peer-review

19 Citations (Scopus)

Abstract

Background: the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into international disease and medication codes to facilitate computerised extraction from medical records and databases. Methods: a three round consensus procedure with a multidisciplinary expert panel was organised to prepare, judge and agree on the design of the STOPP/START criteria specifications in corresponding international disease codes (ICD9 and ICPC) and medication codes (ATC). Results: after two rounds consensus was reached for 74% of the STOPP criteria and for 73% of the START criteria. After three rounds full consensus was reached resulting in a specification of 61 out of 62 STOPP criteria and 26 START criteria with their corresponding codes. One criterion could not be specified and for some criteria corresponding disease codes were lacking or imperfect. Conclusion: this study showed the necessity of a consensus procedure as even experts frequently differed on how to specify the STOPP/START criteria. This specification enables next steps such as prognostic validation of these criteria on adverse outcomes and studying the impact of improving appropriate prescribing in the elderly.

Original language	English
Pages (from-to)	773-778
Number of pages	6
Journal	Age and ageing
Volume	43
Issue number	6
DOIs	https://doi.org/10.1093/ageing/afu075
Publication status	Published - 1 Jan 2014

Keywords

Computerised extraction
Inappropriate prescribing
Older people
STOPP/START criteria
Specification

Access to Document

https://doi.org/10.1093/ageing/afu075

Cite this

@article{0d5dc9085d114150bcfee031aa51af86,

title = "Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria: A multidisciplinary consensus panel",

abstract = "Background: the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into international disease and medication codes to facilitate computerised extraction from medical records and databases. Methods: a three round consensus procedure with a multidisciplinary expert panel was organised to prepare, judge and agree on the design of the STOPP/START criteria specifications in corresponding international disease codes (ICD9 and ICPC) and medication codes (ATC). Results: after two rounds consensus was reached for 74% of the STOPP criteria and for 73% of the START criteria. After three rounds full consensus was reached resulting in a specification of 61 out of 62 STOPP criteria and 26 START criteria with their corresponding codes. One criterion could not be specified and for some criteria corresponding disease codes were lacking or imperfect. Conclusion: this study showed the necessity of a consensus procedure as even experts frequently differed on how to specify the STOPP/START criteria. This specification enables next steps such as prognostic validation of these criteria on adverse outcomes and studying the impact of improving appropriate prescribing in the elderly.",

keywords = "Computerised extraction, Inappropriate prescribing, Older people, STOPP/START criteria, Specification",

author = "{de Groat}, {Dominique A.} and {de Vries}, Marloes and Joling, {Karlijn J.} and {Van Campen}, {Jos P.C.M.} and Hugtenburg, {Jacqueline G.} and {Van Marum}, {Rob J.} and {windsant-Van Den Tweel}, {Annemieke M.A.Vermeulen} and Elders, {Petra J.M.} and Hout, {Hein P.Van}",

year = "2014",

month = jan,

day = "1",

doi = "https://doi.org/10.1093/ageing/afu075",

language = "English",

volume = "43",

pages = "773--778",

journal = "Age and ageing",

issn = "0002-0729",

publisher = "Oxford University Press",

number = "6",

}

TY - JOUR

T1 - Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria

T2 - A multidisciplinary consensus panel

AU - de Groat, Dominique A.

AU - de Vries, Marloes

AU - Joling, Karlijn J.

AU - Van Campen, Jos P.C.M.

AU - Hugtenburg, Jacqueline G.

AU - Van Marum, Rob J.

AU - windsant-Van Den Tweel, Annemieke M.A.Vermeulen

AU - Elders, Petra J.M.

AU - Hout, Hein P.Van

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into international disease and medication codes to facilitate computerised extraction from medical records and databases. Methods: a three round consensus procedure with a multidisciplinary expert panel was organised to prepare, judge and agree on the design of the STOPP/START criteria specifications in corresponding international disease codes (ICD9 and ICPC) and medication codes (ATC). Results: after two rounds consensus was reached for 74% of the STOPP criteria and for 73% of the START criteria. After three rounds full consensus was reached resulting in a specification of 61 out of 62 STOPP criteria and 26 START criteria with their corresponding codes. One criterion could not be specified and for some criteria corresponding disease codes were lacking or imperfect. Conclusion: this study showed the necessity of a consensus procedure as even experts frequently differed on how to specify the STOPP/START criteria. This specification enables next steps such as prognostic validation of these criteria on adverse outcomes and studying the impact of improving appropriate prescribing in the elderly.

AB - Background: the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into international disease and medication codes to facilitate computerised extraction from medical records and databases. Methods: a three round consensus procedure with a multidisciplinary expert panel was organised to prepare, judge and agree on the design of the STOPP/START criteria specifications in corresponding international disease codes (ICD9 and ICPC) and medication codes (ATC). Results: after two rounds consensus was reached for 74% of the STOPP criteria and for 73% of the START criteria. After three rounds full consensus was reached resulting in a specification of 61 out of 62 STOPP criteria and 26 START criteria with their corresponding codes. One criterion could not be specified and for some criteria corresponding disease codes were lacking or imperfect. Conclusion: this study showed the necessity of a consensus procedure as even experts frequently differed on how to specify the STOPP/START criteria. This specification enables next steps such as prognostic validation of these criteria on adverse outcomes and studying the impact of improving appropriate prescribing in the elderly.

KW - Computerised extraction

KW - Inappropriate prescribing

KW - Older people

KW - STOPP/START criteria

KW - Specification

UR - http://www.scopus.com/inward/record.url?scp=84911380905&partnerID=8YFLogxK

U2 - https://doi.org/10.1093/ageing/afu075

DO - https://doi.org/10.1093/ageing/afu075

M3 - Article

C2 - 24963101

SN - 0002-0729

VL - 43

SP - 773

EP - 778

JO - Age and ageing

JF - Age and ageing

IS - 6

ER -

Specifying ICD9, ICPC and ATC codes for the STOPP/START criteria: A multidisciplinary consensus panel

Abstract

Keywords

Access to Document

Other files and links

Cite this