Evidence map›Paper›PMID 2804827›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne1989

Recent trends in cesarean section rates in Ontario.

G M Anderson, J Lomas

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1989. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Cesarean section: analysis of the experience before and after the National Consensus Conference on Aspects of Cesarean Birth.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1993
    Article
  6. Article
  7. Reducing the cesarean section rate in a rural community hospital.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1991
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

G M AndersonHealth Policy Research Unit, University of British Columbia, Vancouver.
J Lomas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After increasing steadily for 15 years the cesarean section rate in Ontario stabilized at 20.2 per 100 deliveries in the fiscal years 1986-87 and 1987-88. An important factor in the stabilization was a decrease in the rate of repeat section. The diagnosis and management of dystocia and fetal distress continue to put upward pressure on the cesarean section rate, which is higher than would be expected if recent practice guidelines had been fully implemented. There is a need for further research into the appropriate management of labour and delivery and into more targeted techniques for bringing practice into line with appropriate standards of care.

Indexed as

Breech PresentationCesarean SectionDystociaFemaleFetal DistressHumansOntarioPregnancyReoperation

Identifiers

PMID2804827
PMCPMC1451492

What OpenQuestion holds

Textmetadata
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.