Evidence map›Paper›PMID 30297293›Full record

ArticleThe Journal of pediatrics2019

Birth Hospitalization Costs and Days of Care for Mothers and Neonates in California, 2009-2011.

Ciaran S Phibbs, Susan K Schmitt, Matthew Cooper, Jeffrey B Gould, Henry C Lee, Jochen Profit, Scott A Lorch

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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

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

  1. Pooled it
  2. Pooled it
  3. Early and exclusive enteral nutrition in infants born very preterm.Archives of disease in childhood. Fetal and neonatal edition · 2024
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  12. Effects of a remote patient monitoring program on cost of care for neonates with inadequate oral feeding.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  13. Review
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  17. Management of monochorionic diamniotic twin gestation affected by Type-II selective fetal growth restriction: cost-effectiveness analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
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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

7 authors.

Ciaran S PhibbsHealth Economics Resource Center and Center for Implementation to Innovation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA; Perinatal Epidemiology and Health Outcomes Research Unit, Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, CA. Electronic address: cphibbs@stanford.edu.
Susan K SchmittHealth Economics Resource Center and Center for Implementation to Innovation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA; Perinatal Epidemiology and Health Outcomes Research Unit, Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, CA.
Matthew CooperProgenity, Inc., San Diego, CA; Preeclampsia Foundation, Melbourne, FL.
Jeffrey B GouldPerinatal Epidemiology and Health Outcomes Research Unit, Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, CA; California Perinatal Quality Care Collaborative, Palo Alto, CA.
Henry C LeePerinatal Epidemiology and Health Outcomes Research Unit, Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, CA; California Perinatal Quality Care Collaborative, Palo Alto, CA.
Jochen ProfitPerinatal Epidemiology and Health Outcomes Research Unit, Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, CA; California Perinatal Quality Care Collaborative, Palo Alto, CA.
Scott A LorchCenter for Outcomes Research, Children's Hospital of Philadelphia, Philadelphia, PA; Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia, PA.

Funding

A Dashboard of Racial/Ethnic Disparity in Care Provided by NICUsR01HD083368 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN · 2016 to 2020
$3.2M
Social Disparities in NICU CareR01HD084667 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN · 2016 to 2019
$2.4M
Effect of Changing NICU Patient Volumes and Levels of Care on Neonatal OutcomesR01HD084819 · NICHD · STANFORD UNIVERSITY · PI LORCH, SCOTT A, PHIBBS, CIARAN S. · 2016 to 2018
$1.1M
NICHD NIH HHS R01 HD083368NICHD NIH HHS R01 HD084667NICHD NIH HHS R01 HD084819
6 · The paper itself

Abstract

objectiveTo provide population-based estimates of the hospital-related costs of maternal and newborn care, and how these vary by gestational age and birth weight. STUDY

designWe conducted a retrospective analysis of 2009-2011 California in-hospital deliveries at nonfederal hospitals with the infant and maternal discharge data successfully (96%) linked to birth certificates. Cost-to-charge ratios were used to estimate costs from charges. Physician hospital payments were estimated by mean diagnosis related group-specific reimbursement and costs were adjusted for inflation to December 2017 values. After exclusions for incomplete or missing data, the final sample was 1 265 212.

resultsThe mean maternal costs for all in-hospital deliveries was $8204, increasing to $13 154 for late preterm (32-36 weeks) and $22 702 for very preterm (<32 weeks) mothers. The mean cost for all newborns was $6389: $2433 for term infants, $22 102 for late preterm, $223 931 for very preterm infants, and $317 982 for extremely preterm infants (<28 weeks). Preterm infants were 8.1% of cases but incurred 60.9% of costs; for very preterm and extremely preterm infants, these shares were 1.0% and 36.5%, and 0.4% and 20.0%, respectively. Overall, mothers incurred 56% of the total costs during the delivery hospitalization.

conclusionsBoth maternal and neonatal costs are skewed, with this being much more pronounced for infants. Preterm birth is much more expensive than term delivery, with the additional costs predominately incurred by the infants. The small share of infants who require extensive stays in neonatal intensive care incur a large share of neonatal costs and these costs have increased over time.

Indexed as

CaliforniaDelivery, ObstetricFemaleHospital CostsHospitalizationHumansInfant, NewbornLength of StayMothersPatient DischargePerinatal CarePregnancyRetrospective Studiesbirth weightgestational ageneonatal costs

Identifiers

PMID30297293
PMCPMC6309642

What OpenQuestion holds

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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.