Evidence map›Paper›PMID 41015571›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Disparities in delivery hospital risk-adjusted outcomes for very low birthweight infants: the role of NICU volume and level of care.

Gia Yannekis, Sarah N Kunz, Molly Passarella, Brielle Formanowski, Scott A Lorch

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Gia YannekisDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA. gyanneki@bidmc.harvard.edu.ORCID http://orcid.org/0009-0004-2214-6294
Sarah N KunzDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1344-7293
Molly PassarellaDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Brielle FormanowskiDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0009-3916-847X
Scott A LorchDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Obstetric delivery volume, regionalization, and maternal and infant outcomesR01HD099197 · NICHD · STANFORD UNIVERSITY · PI PHIBBS, CIARAN S. · 2020 to 2023
$2.7M
Effect of Changing NICU Patient Volumes and Levels of Care on Neonatal OutcomesR01HD084819 · NICHD · STANFORD UNIVERSITY · PI LORCH, SCOTT A, PHIBBS, CIARAN S. · 2016 to 2018
$1.1M
AHRQ HHS T32 HS000063NICHD NIH HHS R01 HD084819NICHD NIH HHS R01 HD099197U.S. Department of Health & Human Services | Agency for Healthcare Research and Quality (AHRQ) T32HS000063U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD084819U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD099197
6 · The paper itself

Abstract

objectiveDescribe racial and ethnic differences in delivery hospital NICU risk-adjusted mortality and morbidity rates (RAMMR), stratified by volume and level of care. STUDY

designCross-sectional analysis of all very low birthweight (<1500 g; VLBW) infants born in Michigan, Oregon, and South Carolina between 2010 and 2020 and Pennsylvania between 2010 and 2018 (n = 37,784). Lorenz concentration curves and indices were used to describe differences in NICU RAMMR by race and ethnicity. Analysis was performed for overall cohort; high-level, high-volume NICUs; and low-level and/or low-volume NICUs.

resultDespite being most frequently born at high-level, high-volume centers, Non-Hispanic Black (NHB) neonates were overrepresented at hospitals with high RAMMR and all other groups were overrepresented at hospitals with lower RAMMR. Differences were most pronounced in the low-level and/or low-volume cohort.

conclusionNHB VLBW infants born at hospitals with low-level and/or low-volume NICUs are disproportionately exposed to adverse outcomes and must be the focus of future policy interventions.

Indexed as

Healthcare DisparitiesHospitals, High-VolumeHospitals, Low-VolumeInfant MortalityInfant, Very Low Birth WeightIntensive Care Units, NeonatalCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMichiganOregonPennsylvaniaSouth Carolina

Identifiers

PMID41015571
PMCPMC12551374

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.