ArticleHealth services research2019
Physician age and the abandonment of episiotomy.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Systematic Review: Association Between Physicians' Clinical Experience and Quality of Care and Patient Outcomes.Journal of general internal medicine · 2026Pooled it
- Influence of the maternity unit and region of delivery on episiotomy practice in France: a nationwide population-based study.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Physicians' clinical experience and its association with healthcare quality: a systematised review.BMJ open quality · 2021Article
- Physician variation in the de-adoption of ineffective statin and fibrate therapy.Health services research · 2021Article
- Identifying the effects of scientific information and recommendations on physicians' prescribing behavior.Journal of health economics · 2021Article
- Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China.BMJ open · 2021Article
- Patient and provider-level factors associated with changes in utilization of treatments in response to evidence on ineffectiveness or harm.International journal of health economics and management · 2020Article
- Physician age and the abandonment of episiotomy.Health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether women treated by older physicians are more likely to undergo episiotomy. DATA SOURCES/STUDY
settingHospital discharge data from Pennsylvania for the period 1994 to 2010. STUDY
designWe examined the impact of the year in which physicians started delivering babies (a proxy for age) in Pennsylvania on episiotomy rates using a linear probability model with hospital fixed effects. DATA COLLECTION/EXTRACTION
methodsUsing diagnosis and procedure codes, we identified women delivering vaginally (N = 1 658 327) and determined the proportion who had an episiotomy. PRINCIPAL
findingsThe average physician-level episiotomy rate declined from 54 percent in 1994 to 13 percent in 2010. Rates declined among older and younger physicians, but, at any point in time, women treated by older physicians were more likely to have an episiotomy. A 10-year difference in physician age is associated with a 6 percentage point increase in episiotomy rates.
conclusionsResults indicate that older physicians, who entered practice when episiotomy was common, were slow to adjust their practices in response to evidence showing that routine episiotomy is unnecessary.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.