ArticleCanadian Medical Association journal1985
Explaining variations in cesarean section rates: patients, facilities or policies?
Article in Canadian Medical Association journal, 1985. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 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
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.
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Who cites it
10 citing papers in PubMed.
- Prevalence, causes, and complications of cesarean delivery in Iran: A systematic review and meta-analysis.International journal of reproductive biomedicine · 2018Review
- Explaining source of payment differences in U.S. cesarean rates: why do privately insured mothers receive more cesareans than mothers who are not privately insured?Health care management science · 2005Article
- Interspecialty differences in the obstetric care of low-risk women.American journal of public health · 1997Article
- Factors influencing the practice of vaginal birth after cesarean section.American journal of public health · 1993Article
- Variations in surgical rates in Quebec: does access to teaching hospitals make a difference?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1993Article
- Charges for comprehensive obstetric care at teaching and nonteaching hospitals. A comparison.The Western journal of medicine · 1991Article
- Influence of perinatal asphyxia on neurologic outcome: consequences for family practice accoucheurs.Canadian family physician Medecin de famille canadien · 1990Article
- Holding back the tide of caesareans.BMJ (Clinical research ed.) · 1988Article
- The consensus process and evidence dissemination.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1986Article
- Intention for Cesarean Section Versus Vaginal Delivery Among Pregnant Women in Isfahan: Correlates and Determinants.Journal of reproduction & infertilityArticle
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Using overall rates of cesarean section and either rates of diagnosis or rates of cesarean section for the four main indications for this procedure, we analysed the variations among teaching and community hospitals in four of Ontario's six regions. The rates varied substantially in both 1979 and 1982, with the overall rate for cesarean section in 1982 being 17.1 to 21.0 per 100 deliveries in the teaching hospitals and 16.5 to 19.7 in the community hospitals. The rate of diagnosis of dystocia varied up to threefold in the teaching hospitals and up to twofold in the community hospitals. Fetal distress was diagnosed at even more variables rates. The rate of repeat cesarean section varied most in the teaching hospitals, whereas the rate of cesarean section for breech presentation varied significantly in the community and the teaching hospitals in 1982 but only in the community hospitals in 1979. Nearly all the rates increased between 1979 and 1982. Differences in patient characteristics and in availability of resources appeared less important in explaining these rate variations than differences in clinical policy.
Indexed as
Identifiers
3967160PMC1346706What 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.