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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Souza, J. P. Betran, A. P. Dumont, A. de Mucio, B. Gibbs Pickens, C. M. Deneux-Tharaux, C. Ortiz-Panozo, E. Sullivan, E. Ota, E. Togoobaatar, G. Carroli, G. Knight, H. Zhang, J. Cecatti, J. G. Vogel, J. P. Jayaratne, K. Leal, M. C. Gissler, M. Morisaki, N. Lack, N. Oladapo, O. T. Tunçalp, Ö. Lumbiganon, P. Mori, R. Quintana, S. Costa Passos, A. D. Marcolin, A. C. Zongo, A. Blondel, B. Hernández, B. Hogue, C. J. Prunet, C. Landman, C. Ochir, C. Cuesta, C. Pileggi-Castro, C. Walker, D. Alves, D. Abalos, E. Moises, Ecd Vieira, E. M. Duarte, G. Perdona, G. Gurol-Urganci, I. Takahiko, K. Moscovici, L. Campodonico, L. Oliveira-Ciabati, L. Laopaiboon, M. Danansuriya, M. |
| Description | Country affiliation: Brazil Author Affiliation: Souza JP ( Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Betran AP ( Department of Reproductive Health and Research, UNDP-UNFPA-UNICEF-WHO World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland.); Dumont A ( Research Institute for Development, Université Paris Descartes, Sorbonne Paris Cité, UMR 216, Paris, France.); de Mucio B ( Latin American Center for Perinatology, Women and Reproductive Health, (CLAP/WR), WHO Regional Office for the Americas, Montevideo, Uruguay.); Gibbs Pickens CM ( Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.); Deneux-Tharaux C ( Inserm U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Biostatistics, Paris Descartes University, Paris, France.); Ortiz-Panozo E ( Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico.); Sullivan E ( Faculty of Health, University of Technology, Sydney, NSW, Australia.); Ota E ( Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.); Togoobaatar G ( Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.); Carroli G ( Centro Rosarino de Estudios Perinatales, Rosario, Argentina.); Knight H ( Royal College of Obstetricians and Gynaecologists, Office for Research and Clinical Audit, Lindsay Stewart R&D Centre, London, UK.); Zhang J ( Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.); Cecatti JG ( Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.); Vogel JP ( Department of Obstetrics and Gynaecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, SP, Brazil.); Jayaratne K ( Department of Reproductive Health and Research, UNDP-UNFPA-UNICEF-WHO World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland.); Leal MC ( Family Health Bureau, Ministry of Health, Colombo, Sri Lanka.); Gissler M ( Escola Nacional de Saúde Pública (ENSP), Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil.); Morisaki N ( National Institute for Health and Welfare, Helsinki, Finland.); Lack N ( Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.); Oladapo OT ( Department of Paediatrics, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.); Tunçalp Ö ( Bayerische Arbeitsgemeinschaft für Qualitätssicherung in der Stationären Versorgung (BAQ), Bayerische Krankenhausgesellschaft, Munich, Germany.); Lumbiganon P ( Department of Reproductive Health and Research, UNDP-UNFPA-UNICEF-WHO World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland.); Mori R ( Department of Reproductive Health and Research, UNDP-UNFPA-UNICEF-WHO World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland.); Quintana S ( Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.); Costa Passos AD ( Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.); Marcolin AC ( Department of Gynaecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Zongo A ( Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Blondel B ( Department of Gynaecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Hernández B ( Research Institute for Development, Université Paris Descartes, Sorbonne Paris Cité, UMR 216, Paris, France.); Hogue CJ ( Direction de la santé de la famille, Ministère de la Santé, Ouagadougou, Burkina Faso.); Prunet C ( Inserm U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Biostatistics, Paris Descartes University, Paris, France.); Landman C ( Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.); Ochir C ( Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.); Cuesta C ( Inserm U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Biostatistics, Paris Descartes University, Paris, France.); Pileggi-Castro C ( Escola Nacional de Saúde Pública (ENSP), Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil.); Walker D ( School of Public Health, Health Sciences University of Mongolia, Ulaanbaatar, Mongolia.); Alves D ( Centro Rosarino de Estudios Perinatales, Rosario, Argentina.); Abalos E ( GLIDE Technical Cooperation and Research, Ribeirão Preto, SP, Brazil.); Moises E ( Department of Paediatrics, Ribeirão Preto Medical School, University of Sao Paulo, Ribeirão Preto, SP, Brazil.); Vieira EM ( Departments of Obstetrics & Gynaecology and Global Health Sciences, University of California, San Francisco, CA, USA.); Duarte G ( Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Perdona G ( Centro Rosarino de Estudios Perinatales, Rosario, Argentina.); Gurol-Urganci I ( Department of Gynaecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Takahiko K ( Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Moscovici L ( Department of Gynaecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Campodonico L ( Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.); Oliveira-Ciabati L ( Royal College of Obstetricians and Gynaecologists, Office for Research and Clinical Audit, Lindsay Stewart R&D Centre, London, UK.); Laopaiboon M ( Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.); Danansuriya M ( Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan.) |
| Abstract | OBJECTIVE: To generate a global reference for caesarean section (CS) rates at health facilities. DESIGN: Cross-sectional study. SETTING: Health facilities from 43 countries. POPULATION/SAMPLE: Thirty eight thousand three hundred and twenty-four women giving birth from 22 countries for model building and 10,045,875 women giving birth from 43 countries for model testing. METHODS: We hypothesised that mathematical models could determine the relationship between clinical-obstetric characteristics and CS. These models generated probabilities of CS that could be compared with the observed CS rates. We devised a three-step approach to generate the global benchmark of CS rates at health facilities: creation of a multi-country reference population, building mathematical models, and testing these models. MAIN OUTCOME MEASURES: Area under the ROC curves, diagnostic odds ratio, expected CS rate, observed CS rate. RESULTS: According to the different versions of the model, areas under the ROC curves suggested a good discriminatory capacity of C-Model, with summary estimates ranging from 0.832 to 0.844. The C-Model was able to generate expected CS rates adjusted for the case-mix of the obstetric population. We have also prepared an e-calculator to facilitate use of C-Model (www.who.int/reproductivehealth/publications/maternal_perinatal_health/c-model/en/). CONCLUSIONS: This article describes the development of a global reference for CS rates. Based on maternal characteristics, this tool was able to generate an individualised expected CS rate for health facilities or groups of health facilities. With C-Model, obstetric teams, health system managers, health facilities, health insurance companies, and governments can produce a customised reference CS rate for assessing use (and overuse) of CS. TWEETABLE ABSTRACT: The C-Model provides a customized benchmark for caesarean section rates in health facilities and systems. |
| File Format | HTM / HTML |
| ISSN | 14700328 |
| e-ISSN | 14710528 |
| DOI | 10.1111/1471-0528.13509 |
| Journal | BJOG: An International Journal of Obstetrics & Gynaecology |
| Issue Number | 3 |
| Volume Number | 123 |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2016-02-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Obstetrics Discipline Gynecology Cesarean Section Statistics & Numerical Data Models, Statistical Cross-sectional Studies Internationality Pregnancy Reference Values Multicenter Study Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |
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