Evidence map›Paper›PMID 29462215›Full record

ArticlePloS one2018

Robson 10-groups classification system to access C-section in two public hospitals of the Federal District/Brazil.

Cláudia Vicari Bolognani, Lílian Barros de Sousa Moreira Reis, Adriano Dias, Iracema de Mattos Paranhos Calderon

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 37 citations in OpenAlex.

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  11. Gestational Risk as a Determining Factor for Cesarean Section according to the Robson Classification Groups.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
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  13. Pattern of Live Births in Rio de Janeiro State, Brazil, According to Robson Groups and the Kotelchuck Index Classification - 2015/2016.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020
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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

4 authors at 2 institutions in 1 country.

Cláudia Vicari BolognaniMedical School Coordination, Graduate School of Health Sciences/FEPECS/SES, Brasília, Federal District, Brazil.ORCID 0000-0003-1521-475X
Lílian Barros de Sousa Moreira ReisGraduate Program in Gynecology, Obstetrics and Mastology, Botucatu Medical School/UNESP, Botucatu, São Paulo, Brazil.
Adriano DiasGraduate Program in Gynecology, Obstetrics and Mastology, Botucatu Medical School/UNESP, Botucatu, São Paulo, Brazil.
Iracema de Mattos Paranhos CalderonGraduate Program in Gynecology, Obstetrics and Mastology, Botucatu Medical School/UNESP, Botucatu, São Paulo, Brazil.
Universidade Estadual Paulista (Unesp) · BRInesc P&D Brasil · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global increase in C-section rates is real. In Brazil, these indices correspond to 58.94% in the Midwest region and 52.77% in the Federal District.

objectiveTo evaluate the C-section rates and identify the groups with the greatest risk at two reference hospitals in the public network of Federal District/Brazil, using 10-Group Robson System.

methodA cross-sectional study of 6579 births assisted at the Hospital A (HA) and the Hospital B (HB) during 2013. The C-section rates in each group and its respective contribution to the total hospital C-sections was compared between HA and HB. To this, was used the proportion difference test (similar to chi-square test), with RR and 95% CI, and the logistic regression analysis (OR; 95% CI) among the groups with higher C-section/total C-section. The significance limit of p < 0.05 was defined for all tests.

resultsThe C-section rates were 50.8% at the HA and 42.3% at the HB, with 1.20 RR (95%CI = 1.13-1.28) at the HA. The highest rates were observed in Robson groups G5, G1, and G2. At the HA, G1 had a 21.5% C-section rate, which was greater than at the HB (13.8%; p < 0.05); the cesarean rates for groups G2 and G5 were higher at the HB (respectively, 18.6 and 38.1%) than at the HA (14.8 and 32.5%, respectively; p < 0.05).

conclusionThese results point out specific goals to be achieved in order to reduce abusive cesarean rates in both A and B hospitals, especially in the primigravida and in those with previous C-section.

Indexed as

AdolescentAdultBrazilCesarean SectionCross-Sectional StudiesElectronic Health RecordsFemaleHospitals, PublicHumansLogistic ModelsParityProspective StudiesRisk AssessmentUnnecessary ProceduresYoung Adult

Identifiers

PMID29462215
PMCPMC5819776
OpenAlexW2790083532

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LicenceCC BY
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Registered trials

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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.