Evidence map›Paper›PMID 37165125›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

Racial and ethnic disparities in obstetric anesthesia: a scoping review.

Won Lee, Marina Souto Martins, Ronald B George, Alicia Fernandez

Open access · bronzeAbstract readScoping Review
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
6.8field-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

5 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
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 4 institutions in 3 countries.

Won LeeDepartment of Anesthesia and Perioperative Care, University of California San Francisco, 513 Parnassus Avenue, S455E, San Francisco, CA, 94143, USA.ORCID http://orcid.org/0000-0002-2829-8991
Marina Souto MartinsSchool of Medicine, Universidade de Fortaleza, Fortaleza, Brazil.
Ronald B GeorgeDepartment of Anesthesia and Pain Management, Mount Sinai Hospital, Toronto, ON, Canada.
Alicia FernandezDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Mount Sinai Hospital · CASan Francisco General Hospital · USUniversidade de Fortaleza · BRUniversity of California, San Francisco · US

Funding

Comprehensive Anesthesia Research TrainingT32GM008440 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Judith Hellman · 1996 to 2026
$5.5M
NIGMS NIH HHS T32 GM008440NIH HHS T32GM008440
6 · The paper itself

Abstract

purposeHealth disparities continue to affect racial and ethnic marginalized obstetric patients disproportionally with increased risk of Cesarean delivery and pregnancy-related death. Yet, the literature on what influences such disparities in obstetric anesthesia service and its clinical outcomes is less well known. We set out to describe racial and ethnic disparities in obstetric anesthesia during the peripartum period in the USA via a scoping review of the recent literature. SOURCE: Using the Institute of Medicine's definition of disparities, we searched the National Library of Medicine's PubMed/Medline, Embase, Web of Science, APA PsycINFO, and Google Scholar for articles published between 1 January 2000 and 30 June 2022 to identify literature on racial and ethnic disparities in obstetric anesthesia. PRINCIPAL

findingsOut of 8,432 articles reviewed, 15 met our inclusion criteria. All but one study was observational. Seven studies were single-institutional while the remaining used multicentre data/databases. All studies compared two or more race and ethnicity classifications. Studies in this review described disparities in the use of labour epidural analgesia, labour epidural request timing, anesthesia for Cesarean deliveries, postpartum pain management, and epidural blood patch for postdural puncture headaches. Several studies reported disparities observed in the unadjusted models becoming no longer significant when adjusted for other covariates.

conclusionBased on the findings of the present scoping review on racial and ethnic disparities in obstetric anesthesia, we present an evidence map identifying knowledge gaps and propose a future research agenda.

Indexed as

Anesthesia, ObstetricalLabor, ObstetricCesarean SectionEthnicityFemaleHealthcare DisparitiesHumansPregnancydisparitiesobstetric anesthesiascoping reviewvalue-concordancy

Identifiers

PMID37165125
PMCPMC10370345
OpenAlexW4376131285

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.