Evidence map›Paper›PMID 31499056›Full record

ArticleAmerican journal of obstetrics and gynecology2019

Changing the conversation: applying a health equity framework to maternal mortality reviews.

Michael R Kramer, Andrea E Strahan, Jessica Preslar, Julie Zaharatos, Amy St Pierre, Jacqueline E Grant, Nicole L Davis, David A Goodman, William M Callaghan

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Michael R KramerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: mkram02@emory.edu.
Andrea E StrahanDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA.
Jessica PreslarDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Julie ZaharatosCDC Foundation, Atlanta, GA.
Amy St PierreCDC Foundation, Atlanta, GA.
Jacqueline E GrantDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Durham, NC.
Nicole L DavisDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
David A GoodmanDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
William M CallaghanDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Emory University · USNational Center for Chronic Disease Prevention and Health Promotion · USCDC Foundation · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

The risk of maternal death in the United States is higher than peer nations and is rising and varies dramatically by the race and place of residence of the woman. Critical efforts to reduce maternal mortality include patient risk stratification and system-level quality improvement efforts targeting specific aspects of clinical care. These efforts are important for addressing the causes of an individual's risk, but research to date suggests that individual risk factors alone do not adequately explain between-group disparities in pregnancy-related death by race, ethnicity, or geography. The holistic review and multidisciplinary makeup of maternal mortality review committees make them well positioned to fill knowledge gaps about the drivers of racial and geographic inequity in maternal death. However, committees may lack the conceptual framework, contextual data, and evidence base needed to identify community-based contributing factors to death and, when appropriate, to make recommendations for future action. By incorporating a multileveled, theory-grounded framework for causes of health inequity, along with indicators of the community vital signs, the social and community context in which women live, work, and seek health care, maternal mortality review committees may identify novel underlying factors at the community level that enhance understanding of racial and geographic inequity in maternal mortality. By considering evidence-informed community and regional resources and policies for addressing these factors, novel prevention recommendations, including recommendations that extend outside the realm of the formal health care system, may emerge.

Indexed as

Advisory CommitteesHealth EquityAlaska NativesBlack or African AmericanEthnicityFemaleGeographyHispanic or LatinoHumansIndians, North AmericanMaternal DeathMaternal MortalityPregnancyRisk AssessmentUnited StatesWhite Peoplematernal deathmaternal mortalitymaternal mortality review committeesquality improvement

Identifiers

PMID31499056
PMCPMC11003448
OpenAlexW2972281139

What OpenQuestion holds

Textmetadata
LicenceTDM
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.