MALPIP, STOPP/Start, Beers

This application aims to aid healthcare providers to assess the appropriateness of medications used among older adults.

Screening Tool of Older Persons’ potentially inappropriate Prescription (STOPP), and Screening Tool to Alert doctors to Right Treatment (Start) criteria are evidence based recommendations that were developed in 2008 and updated in 2015. These criteria comprise of 80 STOPP criteria and 34 START criteria. STOPP criteria identify potentially inappropriate medications that should be avoided in elderly patients. Meanwhile, the 34 START criteria address the common potentially prescribing omission of a medication that is recommended to be used where there is a justified indication and no contraindication.

Originally conceived of in 1991 by the late Mark Beers, a geriatrician, the Beers Criteria consists medications that cause side effects in older adults due to the physiologic changes of aging. Since 2011, the American Geriatric Society has produced updates using an evidence-based methodology and rating each Criterion (quality of evidence and strength of evidence) using the American College of Physicians’ Guideline Grading System. The Beers Criteria in this app consists of 5 Tables, based on The 2019 AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults.

MALPIP 2023 was developed by MALPIP work group with 21 clinical experts led by Shaun Lee and David Chang.