Turkish inappropriate medication use in the elderly (TIME) criteria to improve prescribing in older adults: TIME-to-STOP/TIME-to-START.
PURPOSE
To improve prescribing in older adults, criterion sets have been introduced from different countries. While current criterion sets are useful to some extent, they do not meet the need in some European countries. Turkish inappropriate medication use in the elderly (TIME) criteria was planned to meet this need.


METHODS
In phase 1, the user friendly sets: STOPP/START version2 and CRIME criteria were combined. National experts composed of geriatricians and non-geriatricians were invited to review and comment. In phase 2, thorough literature review was performed and reference-based revisions, omissions, and additions were made. Explanatory additions were added to some criteria to improve application in practice. In phase 3, all working group members reviewed the criteria/explanations and agreed on the final content.


RESULTS
Phase 1 was performed by 49 expert academicians between May and October 2016. Phase 2 was performed by 23 working group academicians between October 2016 and November 2018 and included face-to-face interviews between at least two geriatrician members and one criterion-related specialist. Phase 3 was completed between November 2018-March 2019 with review and approval of all criteria by working group academicians. As a result, 55 criteria were added, 17 criteria were removed, and 60 criteria were modified from the first draft. A total of 153 TIME criteria composed of 112 TIME-to-STOP and 41 TIME-to-START criteria were introduced.


CONCLUSION
TIME criteria is an update screening tool that differs from the current useful tools by the interactive study of experts from geriatrics and non-geriatrics, inclusion of practical explanations for some criteria and by its eastern European origin. TIME study respectfully acknowledges its roots from STOPP/START and CRIME criteria. Studies are needed whether it would lead improvements in older adults' health.
['Bahat|Gulistan|G|http://orcid.org/0000-0001-5343-9795', 'Ilhan|Birkan|B|', 'Erdogan|Tugba|T|', 'Halil|Meltem|M|', 'Savas|Sumru|S|', 'Ulger|Zekeriya|Z|', 'Akyuz|Filiz|F|', 'Bilge|Ahmet Kaya|AK|', 'Cakir|Sibel|S|', 'Demirkan|Kutay|K|', 'Erelel|Mustafa|M|', 'Guler|Kerim|K|', 'Hanagasi|Hasmet|H|', 'Izgi|Belgin|B|', 'Kadioglu|Ates|A|', 'Karan|Ayse|A|', 'Kulaksizoglu|Isin Baral|IB|', 'Mert|Ali|A|', 'Ozturk|Savas|S|', 'Satman|Ilhan|I|', 'Sever|Mehmet Sukru|MS|', 'Tukek|Tufan|T|', 'Uresin|Yagiz|Y|', 'Yalcin|Onay|O|', 'Yesilot|Nilufer|N|', 'Oren|Meryem Merve|MM|', 'Karan|Mehmet Akif|MA|']
D000368:Aged D011307:Drug Prescriptions D005853:Geriatrics D006801:Humans D057970:Inappropriate Prescribing D000067561:Potentially Inappropriate Medication List D010818:Practice Patterns, Physicians'
Inappropriate medication use Elderly Prescribing TIME criteria Screening Polypharmacy