It is really not that difficult to use an out of date database. If one has current approach or procedure charts, there is a date on the chart that it was last published and in some instances a procedure amendment date that indicates when the last change that affects the database was made. As long as the date of the last change or procedure amendment date is prior to the expiration date of the approach or procedure, it may be used. To do this, you need current charts as provided by many of the EFB subscriptions or current paper charts. VOR's are easy to determine if they have moved or not by verifying the latitude-longitude in the database. Most VOR's have not moved since they were installed in the 1960's. But since airways are defined by VOR radials and intersections are defined by cross radials or DME distances, you don't need to have a current database to use the VOR.
The AFMS is the official source that determines if an expired database can be used or not, but since about Aug of 2010, the AIM has stated in table 1−1−6 note 3 regarding the requirement for a current database for approaches:
Prior to August of 2010, this note read as:
Although I maintain a regular subscription, I have used an out of date database for approaches for many years using GNS430W/530W systems, and if it takes you more than 30 seconds to determine if the approach in the expired database is current or not, you are spending too much time. Reasons pop up all the time where the database is down level, usually only one level. It is an hour and a half round trip back to the house/hangar if I forget to bring the latest database or it may switch over while I am on a trip. I don't get up early enough for it to expire in flight, but I have ferried aircraft with way out of date databases for a new buyer and have yet to find an approach that I could not legally fly. Remember, those VOR and ILS procedures in the database are there only for situational awareness and are totally not required to fly the approach by entering the frequencies and courses on the nav radios the old fashioned way.