Table 2 Results of individual studies.

From: Prevalence of potentially inappropriate prescribing in older adults in Central and Eastern Europe: a systematic review and synthesis without meta-analysis

Study

Country

Risk of bias

Tool

Tool adaptation

Number of patients with 1 + PIP

Sample size

Prevalence of patients with 1 + PIP (95% CI)

Timing of outcome measurement

Acute care setting

Hudhra54

Albania

H

Beers 201212

Independent and considering diagnosis & registered & excluding criteria requiring follow-up dataa

110

319

0.34 (0.29–0.40)b

Discharge

STOPP15

110

319

0.34 (0.29–0.40)b

Discharge

STOPP version 216

201

319

0.63 (0.58–0.68)b

Discharge

Matanovic56

Croatia

H

Beers 201212

Independent and considering diagnosis

263

454

0.58 (0.53–0.62)b

Admissiona

Comprehensive protocol79

200

454

0.44 (0.40–0.49)b

Admissiona

Mucalo57

Croatia

H

Comprehensive protocol79

Independent and considering diagnosis & registered

102

276

0.37 (0.31–0.43)b

Discharge

EU(7)-PIM list81

184

276

0.67 (0.61–0.72)b

Discharge

STOPP version 2 16

190

276

0.69 (0.63–0.74)b

Discharge

Radosevic58

Croatia

H

Beers 200311

Independent of diagnosis & registered

35

142

0.25 (0.18–0.32)b

During hospitalisation

Gallagher53

Czechia

H

Beers 200311

All criteria

34

150

0.23 (0.17–0.30)b

Admission

START15

81

150

0.54 (0.46–0.62)b

Admission

STOPP15

52

150

0.35 (0.27–0.43)b

Admission

Kostkova55

Slovakia

H

Beers 200311

Independent of diagnosis

128

566

0.23 (0.19–0.26)b

Admission

157

566

0.28 (0.24–0.32)b

Discharge

French list82

145

566

0.26 (0.22–0.29)b

Admission

172

566

0.30 (0.27–0.34)b

Discharge

Wawruch51 *

Slovakia

H

Beers 200311

Independent of diagnosisa

121

600

0.20 (0.17–0.24)b

Admission

120

600

0.20 (0.17–0.23)b

Discharge

126

600

0.21 (0.18–0.24)b

Admission & discharge

Community setting

Fialova59

Czechia

L

Beers 199710

Independent of diagnosis & registered & excluding criteria concerning DDIs and requiring duration of use

67

428

0.16 (0.13–0.19)b

N/A

Beers 200311

108

428

0.25 (0.21–0.30)b

N/A

McLeod84

136

428

0.32 (0.28–0.36)b

N/A

Composite: Beers 199710& Beers 200311 & McLeod84

176

428

0.41 (0.37–0.46)b

N/A

Rajska-Neumann63

Poland

H

Beers 199710

Independent and considering diagnosis & excluding criteria requiring dose, dosage, duration of usea

285

1000

0.28 (0.26–0.31)b,c

N/A

Rajska-Neumann64

Poland

H

Beers 200311

Independent of diagnosis

6

92

0.07 (0.03–0.14)b

N/A

Primejdie48°

Romania

H

Composite: PRISCUS list85 & START15 & STOPP15

Registered & excluding criteria requiring clinical information and concerning OTCs

119

345

0.34 (0.30–0.40)b

N/A

Kovacevic62

Serbia

L

START15

All criteria

257

509

0.50 (0.46–0.55)b

N/A

STOPP 15

139

509

0.27 (0.24–0.31)b

N/A

Gorup60

Slovenia

H

START15

All criteria

216

503

0.43 (0.39–0.47)b

N/A

LTC setting

Kalafutova72

Czechia

H

STOPP15

NR

38

58

0.66 (0.53–0.77)b

N/A

Bor71

Hungary

H

Composite: Austrian list78 & Beers 201513 & French list82 & PRISCUS list85

Independent of diagnosis & registereda

141

184

0.77 (0.70–0.82)b,d

N/A

Primejdie48°

Romania

H

Composite: PRISCUS list85 & START15 & STOPP15

Registered & excluding criteria requiring clinical information

75

91

0.82 (0.73–0.89)b

N/A

Stojanovic75

Serbia

H

GheOP3S tool83

All criteria

383

400

0.96 (0.93–0.97)b

N/A

START version 216

399

400

1.00 (0.98–1.00)b

N/A

STOPP version 216

344

400

0.86 (0.82–0.89)b

N/A

Kolar73

Slovakia

H

2012 CZ criteria80

All criteriaa

24

70

0.34 (0.24–0.46)b

N/A

Ster74

Slovenia

SC

Beers 200311

Independent and considering diagnosis & high severity rating & registered

355

2040

0.17 (0.16–0.19)b

N/A

Outpatient setting

Popovic68

Croatia

SC

Comprehensive protocol79

Independent of diagnosis

18,358

29,418

0.62 (0.62–0.63)b,e

N/A

Vlahovic-Palcevski70

Croatia

H

Beers 199710

Independent of diagnosis & registered & excluding criteria requiring dosage, duration of use

864

10,426

0.08 (0.08–0.09)a,b

N/A

Vinsova69

Czechia

H

Beers 200311

Independent of diagnosis & registered & excluding criteria requiring dose, dosage, duration of use

8351

15,516

0.54 (0.53–0.55)b

N/A

Grina65

Lithuania

SC

Beers 200311

Independent of diagnosis & registered, reimbursed & excluding criteria concerning DDIs and requiring clinical information

111,859

431,625

0.26 (0.26–0.26)b

N/A

Beers 201513

104,126

431,625

0.24 (0.24–0.24)b

N/A

EU(7)-PIM list81

246,724

431,625

0.57 (0.57–0.57)b,c

N/A

Jazbar66

Slovenia

SC

Austrian list78

Independent of diagnosis & excluding criteria requiring dose

187,186

345,400

0.54 (0.54–0.54)b

N/A

Beers 201212

192,588

345,400

0.56 (0.56–0.56)b

N/A

EU(7)-PIM list81

208,085

345,400

0.60 (0.60–0.60)b

N/A

PRISCUS list85

122,255

345,400

0.35 (0.35–0.36)b

N/A

Nerat67

Slovenia

H

Beers 200311

Independent of diagnosis

66,994

298,990

0.22 (0.22–0.23)b

N/A

French list82

34,999

136,076

0.26 (0.25–0.26)b

N/A

Composite: Beers 200311 & French list82

48,917

136,076

0.36 (0.36–0.36)b

N/A

Stuhec52

Slovenia

H

PRISCUS list85

All criteriaa

69

91

0.76 (0.66–0.84)b, f

N/A

  1. DDI Drug-drug interaction, GheOP3S Ghent Older People's Prescriptions community Pharmacy Screening, H High, L Low, LTC Long-term care, N/A Not applicable, SC Some concerns, START Screening Tool to Alert doctors to Right Treatment, STOPP Screening Tool of Older Person's Prescriptions.
  2. *Indicates the major publication for the study (the study was described in three reports).
  3. °One report described two studies.
  4. aData were obtained and/or confirmed from study authors.
  5. bCalculated.
  6. cDiscrepancies in publication resolved in correspondence.
  7. dData for persons aged 65 + years were obtained by correspondence.
  8. eA part of the criteria considering diagnosis was presented separately as a percentage of a total number of prescriptions (1,315,624) that was 2.0%.
  9. fData were obtained from the master's thesis by Gorenc86.