Evidence map›Paper›PMID 24909340›Full record

ArticleAmerican journal of obstetrics and gynecology2014

The mortality risk of expectant management compared with delivery stratified by gestational age and race and ethnicity.

Melissa G Rosenstein, Jonathan M Snowden, Yvonne W Cheng, Aaron B Caughey

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
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

6 citing papers in PubMed, 24 citations in OpenAlex.

  1. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Melissa G RosensteinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, CA. Electronic address: rosensteinm@obgyn.ucsf.edu.
Jonathan M SnowdenDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.
Yvonne W ChengDepartment of Obstetrics and Gynecology, California Pacific Medical Center, San Francisco, CA.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR.
Oregon Health & Science University · USCalifornia Pacific Medical Center · USUniversity of California, San Francisco · US

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
NICHD NIH HHS K12 HD001262
6 · The paper itself

Abstract

objectiveThe objective of the study was to compare the mortality risk of expectant management with the risk of delivery at each week of term pregnancy in 4 racial/ethnic groups. STUDY

designThis was a retrospective cohort study of all nonanomalous, term deliveries in California from 1997 to 2006 among white, black, Hispanic, and Asian women. In each racial/ethnic group, we compared the risk of infant death at each week with a composite risk representing the mortality risk of 1 week of expectant management.

resultsThe risk of stillbirth and infant death is highest in black women (stillbirth risk: 18.0 per 10,000, infant death: 24.4 per 10,000, compared with 9.4 per 10,000 and 10.8 per 10,000 in white women, respectively; P < .001). Although absolute risks differ by race/ethnicity, the composite risk of expectant management does not surpass the risk of delivery until 39 weeks in any group. At 39 weeks these absolute risk differences are low, however, with a number needed to deliver to prevent 1 death ranging from 751 (among black women) to 2587 (among Asian women).

conclusionThe mortality risk of expectant management exceeds the risk of delivery at 39 weeks in all racial/ethnic groups, despite variation in absolute risks.

Indexed as

Gestational AgeWatchful WaitingAdultAsianBlack or African AmericanCaliforniaCohort StudiesDelivery, ObstetricFemaleFetal MortalityHealth Status DisparitiesHispanic or LatinoHumansInfantInfant MortalityInfant, Newbornexpectant managementmortality riskrace/ethnicitystillbirth

Identifiers

PMID24909340
PMCPMC4252751
OpenAlexW1968781906

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.