[Uncertain evidence for effect of medication reviews of the prescriptions for elderly patients].

Elderly patients are often prescribed several drugs, which might increase the risk of drug-related harms and the risk of not using the drugs as prescribed, both of which can result in increased costs. The literature supports the conclusions in a newly published Cocranereview on four randomized controlled trials (RCT) showing that it is uncertain whether medication reviews reduce mortality or hospital readmissions, but medication reviews seem to reduce emergency department contacts. However, further RCT are needed before implementing medication reviews.

[Methods for systematic listing of medication in the elderly].

To improve medication in the elderly several screening tools have been developed. The most used tool is the Beers 2003 criteria; however, the newer STOPP/START criteria have proven more effective and easier to use. Based on the literature we aim to compare these tools according to a list of desired properties and to suggest the best template for a Danish tool, though it is still to be determined, whether the identification and correction of potentially inappropriate medication leads to a better outcome in terms of decreased morbidity and mortality and improved health economics.