The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria

Hdl Handle:
http://hdl.handle.net/10147/337224
Title:
The development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteria
Authors:
Cooper, Janine A; Ryan, Cristín; Smith, Susan M; Wallace, Emma; Bennett, Kathleen; Cahir, Caitriona; Williams, David; Teeling, Mary; Fahey, Tom; Hughes, Carmel M; (The PROMPT Steering Group)
Citation:
BMC Health Services Research. 2014 Oct 30;14(1):484
Issue Date:
30-Oct-2014
URI:
http://dx.doi.org/10.1186/s12913-014-0484-6; http://hdl.handle.net/10147/337224
Abstract:
Abstract Background Whilst multimorbidity is more prevalent with increasing age, approximately 30% of middle-aged adults (45–64 years) are also affected. Several prescribing criteria have been developed to optimise medication use in older people (≥65 years) with little focus on potentially inappropriate prescribing (PIP) in middle-aged adults. We have developed a set of explicit prescribing criteria called PROMPT (PRescribing Optimally in Middle-aged People’s Treatments) which may be applied to prescribing datasets to determine the prevalence of PIP in this age-group. Methods A literature search was conducted to identify published prescribing criteria for all age groups, with the Project Steering Group (convened for this study) adding further criteria for consideration, all of which were reviewed for relevance to middle-aged adults. These criteria underwent a two-round Delphi process, using an expert panel consisting of general practitioners, pharmacists and clinical pharmacologists from the United Kingdom and Republic of Ireland. Using web-based questionnaires, 17 panellists were asked to indicate their level of agreement with each criterion via a 5-point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree) to assess the applicability to middle-aged adults in the absence of clinical information. Criteria were accepted/rejected/revised dependent on the panel’s level of agreement using the median response/interquartile range and additional comments. Results Thirty-four criteria were rated in the first round of this exercise and consensus was achieved on 17 criteria which were accepted into the PROMPT criteria. Consensus was not reached on the remaining 17, and six criteria were removed following a review of the additional comments. The second round of this exercise focused on the remaining 11 criteria, some of which were revised following the first exercise. Five criteria were accepted from the second round, providing a final list of 22 criteria [gastro-intestinal system (n = 3), cardiovascular system (n = 4), respiratory system (n = 4), central nervous system (n = 6), infections (n = 1), endocrine system (n = 1), musculoskeletal system (n = 2), duplicates (n = 1)]. Conclusions PROMPT is the first set of prescribing criteria developed for use in middle-aged adults. The utility of these criteria will be tested in future studies using prescribing datasets.
Item Type:
Article
Language:
en
Keywords:
MEDICATION MANAGEMENT; PRESCRIBING

Full metadata record

DC FieldValue Language
dc.contributor.authorCooper, Janine Aen_GB
dc.contributor.authorRyan, Cristínen_GB
dc.contributor.authorSmith, Susan Men_GB
dc.contributor.authorWallace, Emmaen_GB
dc.contributor.authorBennett, Kathleenen_GB
dc.contributor.authorCahir, Caitrionaen_GB
dc.contributor.authorWilliams, Daviden_GB
dc.contributor.authorTeeling, Maryen_GB
dc.contributor.authorFahey, Tomen_GB
dc.contributor.authorHughes, Carmel Men_GB
dc.contributor.author(The PROMPT Steering Group)en_GB
dc.date.accessioned2014-12-16T15:03:01Z-
dc.date.available2014-12-16T15:03:01Z-
dc.date.issued2014-10-30-
dc.identifier.citationBMC Health Services Research. 2014 Oct 30;14(1):484en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-014-0484-6-
dc.identifier.urihttp://hdl.handle.net/10147/337224-
dc.description.abstractAbstract Background Whilst multimorbidity is more prevalent with increasing age, approximately 30% of middle-aged adults (45–64 years) are also affected. Several prescribing criteria have been developed to optimise medication use in older people (≥65 years) with little focus on potentially inappropriate prescribing (PIP) in middle-aged adults. We have developed a set of explicit prescribing criteria called PROMPT (PRescribing Optimally in Middle-aged People’s Treatments) which may be applied to prescribing datasets to determine the prevalence of PIP in this age-group. Methods A literature search was conducted to identify published prescribing criteria for all age groups, with the Project Steering Group (convened for this study) adding further criteria for consideration, all of which were reviewed for relevance to middle-aged adults. These criteria underwent a two-round Delphi process, using an expert panel consisting of general practitioners, pharmacists and clinical pharmacologists from the United Kingdom and Republic of Ireland. Using web-based questionnaires, 17 panellists were asked to indicate their level of agreement with each criterion via a 5-point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree) to assess the applicability to middle-aged adults in the absence of clinical information. Criteria were accepted/rejected/revised dependent on the panel’s level of agreement using the median response/interquartile range and additional comments. Results Thirty-four criteria were rated in the first round of this exercise and consensus was achieved on 17 criteria which were accepted into the PROMPT criteria. Consensus was not reached on the remaining 17, and six criteria were removed following a review of the additional comments. The second round of this exercise focused on the remaining 11 criteria, some of which were revised following the first exercise. Five criteria were accepted from the second round, providing a final list of 22 criteria [gastro-intestinal system (n = 3), cardiovascular system (n = 4), respiratory system (n = 4), central nervous system (n = 6), infections (n = 1), endocrine system (n = 1), musculoskeletal system (n = 2), duplicates (n = 1)]. Conclusions PROMPT is the first set of prescribing criteria developed for use in middle-aged adults. The utility of these criteria will be tested in future studies using prescribing datasets.-
dc.language.isoenen
dc.subjectMEDICATION MANAGEMENTen_GB
dc.subjectPRESCRIBINGen_GB
dc.titleThe development of the PROMPT (PRescribing Optimally in Middle-aged People's Treatments) criteriaen_GB
dc.typeArticleen
dc.language.rfc3066en-
dc.rights.holderJanine A Cooper et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-11-19T20:03:23Z-
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