Evidence map›Paper›PMID 40243836›Full record

ArticleCadernos de saude publica2025

Estimation of induced abortions in Brazil: review of the indirect method calculation based on hospital admissions due to abortion complications.

Rosa Maria Soares Madeira Domingues, Agatha Sacramento Rodrigues, Marcos Augusto Bastos Dias, Valéria Saraceni, Rejane Sobrinho Pinheiro, Cláudia Medina Coeli, Alberto Pereira Madeiro

Abstract read
In one paragraph

Article in Cadernos de saude publica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Rosa Maria Soares Madeira DominguesInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.ORCID 0000-0001-5722-8127
Agatha Sacramento RodriguesUniversidade Federal do Espírito Santo, Vitória, Brasil.ORCID 0000-0003-1112-8264
Marcos Augusto Bastos DiasInstituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.ORCID 0000-0003-1386-7001
Valéria SaraceniSecretaria Municipal de Saúde, Rio de Janeiro, Brasil.ORCID 0000-0001-7360-6490
Rejane Sobrinho PinheiroInstituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.ORCID 0000-0002-3361-3626
Cláudia Medina CoeliInstituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.ORCID 0000-0003-1757-3940
Alberto Pereira MadeiroCentro de Ciências da Saúde, Universidade Estadual do Piauí, Teresina, Brasil.ORCID 0000-0002-5258-5982

Funding

Gates Foundation INV-027961
6 · The paper itself

Abstract

This study aimed to present a new proposal for the calculation of estimates of induced abortion in Brazil using the indirect method, based on hospital admissions due to abortion complications applying the Guttmacher Institute methodology. Data from the Brazilian Hospital Information System of the Brazilian Unified National Health System (SIH/SUS, acronym in Portuguese) were used to identify hospital admissions due to abortion with public funding and from the Brazilian National Agency for Private Health Insurance and Plans (ANS, acronym in Portuguese) for admissions with supplementary health funding. Correction factors were used to exclude hospital admissions due to miscarriage by the woman's age group, and data from the 2016 National Abortion Survey (PNA, acronym in Portuguese) were used to review the correction factor for complications that did not require hospitalization, based on the simulation of scenarios with different parameters of population coverage of healthcare plans and frequency of induced abortions in SUS and supplementary health patients. Using this new proposal, a total unsafe abortion rate of 8.7 per 1,000 women aged 10-49 was estimated for 2015, with 9.9 in SUS patients and 5,4 in supplementary health patients, and a total unsafe abortion ratio of 18.5 per 100 live births, with 21.1 in SUS patients and 11.2 in supplementary health patients. This new calculation proposal is an advance because it includes data about hospital admissions of supplementary health and a correction factor for complications that did not result in hospitalization using empirical data from the 2016 PNA. This factor is based on available data and is expected to be improved as new evidence is generated, especially evidence that reflects the specificities of the various regions of the country.

Indexed as

Abortion, InducedHospitalizationAdolescentAdultBrazilChildFemaleHumansMiddle AgedNational Health ProgramsPregnancyYoung Adult

Identifiers

PMID40243836
PMCPMC11996186

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.