Observational studyAmerican journal of perinatology2020
Factors Associated with Timeliness of Surgical Repair among Infants with Myelomeningocele: California Perinatal Quality Care Collaborative, 2006 to 2011.
Observational study in American journal of perinatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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
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Who cites it
5 citing papers in PubMed.
- Timeliness of surgical repair among infants with myelomeningocele in a tertiary care hospital in Addis Ababa, Ethiopia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Observational
- Postnatal myelomeningocele closure in smallest reported neonate: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Linked birth cohort files for perinatal health research: California as a model for methodology and implementation.Annals of epidemiology · 2023Article
- Factors Associated with Early Neonatal and First-Year Mortality in Infants with Myelomeningocele in California from 2006 to 2011.American journal of perinatology · 2021Article
- Timing of Transfer and Mortality in Neonates with Hypoplastic Left Heart Syndrome in California.Pediatric cardiology · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThis study aimed to examine factors associated with timely (0-2 days after birth) myelomeningocele surgical repair. STUDY
designWe examined 2006 to 2011 births from the California Perinatal Quality Care Collaborative, linking to hospital discharge and vital records. Selected maternal, infant, and delivery hospital characteristics were evaluated to understand disparities in timely repair. Poisson regression was used to estimate adjusted risk ratios (aRRs) and 95% confidence intervals (CIs).
resultsOverall, 399 of the 450 (89%) infants had a timely repair and approximately 80% of them were delivered in level III/IV hospitals. Infants with hydrocephalus were significantly less likely to have a delayed myelomeningocele repair compared with those without (aRR = 0.22; 95% CI = 0.13, 0.39); infants whose medical care was paid by Medi-Cal or other nonprivate insurance were 2.2 times more likely to have a delayed repair compared with those covered by a private insurance (aRR = 2.23; 95% CI = 1.17, 4.27). Low birth weight was a significant predictor for delayed repair (aRR = 2.06; 95% CI = 1.10, 3.83).
conclusionThere was a significant disparity in myelomenigocele repair based on medical care payer. Families and hospitals should work together for timely repair in hospitals having specialized multidisciplinary teams. Findings from the study can be used to follow best clinical practices for myelomeningocele repair.
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