Evidence map›Paper›PMID 38899053›Full record

ArticleGerontology & geriatric medicine

Quality Gap in Long-Stay Antipsychotic Quality Measure Performance Widens Over the Pandemic, Reversing Past Gains.

Jonathan D Winter, Stephen Petterson, Danya M Qato, J William Kerns, Roy T Sabo, Katherine M Winter, Nicole Brandt, Linda Wastila, YoonKyung Chung, Adam Funk and 3 more

Abstract read
In one paragraph

Article in Gerontology & geriatric medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Structural Vulnerability and the Pandemic: Widening Gaps in Nursing Home Antipsychotic Prescribing.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. A National Survey of Nursing Home Clinicians to Explain Increased Valproate Prescribing.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jonathan D WinterDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.ORCID https://orcid.org/0000-0001-8650-5066
Stephen PettersonDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Danya M QatoUniversity of Maryland School of Pharmacy, Baltimore, USA.
J William KernsDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.ORCID https://orcid.org/0009-0003-2056-273X
Roy T SaboDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Katherine M WinterShenandoah University School of Nursing, Winchester, VA, USA.
Nicole BrandtUniversity of Maryland School of Pharmacy, Baltimore, USA.
Linda WastilaUniversity of Maryland School of Pharmacy, Baltimore, USA.
YoonKyung ChungDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Adam FunkDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Craig EwasiukDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Rebecca EtzDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.
Alex H KristDepartment of Family Medicine & Population Health, Virginia Commonwealth University School of Medicine, Richmond, USA.

Funding

Prescribing trends and associated outcomes of antiepileptic drugs and other psychoactive medications in US nursing homes surrounding the COVID-19 pandemicR01AG074358 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Jonathan David Winter · 2022 to 2026
$3.6M
NIA NIH HHS R01 AG074358
6 · The paper itself

Abstract

The Centers for Medicare & Medicaid Services (CMS) grades nursing home performance in antipsychotic prescribing quarterly, publishing findings as a quality measure. While scores have improved since 2011, marked performance variation between facilities persists. To assess quality gap changes between best- and worst-performing deciles, we compared quarterly prescribing changes between these groups pre-pandemic (April 2011 to March 2020) and during the pandemic (April 2020 to March 2022). Antipsychotic quality measure scores, improving pre-pandemic, deteriorated during the pandemic. The pre-pandemic quality gap between the best- and worst-performing deciles narrowed as the worst-performing decile improved faster than the best-performing decile. During the pandemic, the quality gap widened as the worst-performing decile relapsed more than the best-performing decile (

Indexed as

antipsychoticequalityequitynursing homequalityquality measure

Identifiers

PMID38899053
PMCPMC11186389

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.