A global reference for caesarean section rates (C-Model): a multicountry cross-sectional study

ObjectiveTo generate a global reference for caesarean section (CS) rates at health facilities. DesignCross-sectional study. SettingHealth facilities from 43 countries. Population/SampleThirty eight thousand three hundred and twenty-four women giving birth from 22 countries for model building and 100...

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Detalles Bibliográficos
Autores: Souza, J. P., Betran, A. P., Dumont, A., de Mucio, B., Pickens, C. M. Gibbs, 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., Tuncalp, O., Lumbiganon, P., Mori, R., Quintana, S., Passos, A. D. Costa, Marcolin, A. C., Zongo, A., Blondel, B., Hernandez, B., Hogue, C. J., Prunet, C., Landman, C., Ochir, C., Cuesta, C., Pileggi-Castro, C., Walker, D., Alves, D., Abalos, E., Moises, E. C. D., Vieira, E. M., Duarte, G., Perdona, G., Gurol-Urganci, I., Takahiko, K., Moscovici, L., Campodonico, L., Oliveira-Ciabati, L., Laopaiboon, M., Danansuriya, M., Nakamura-Pereira, M., Costa, M. L., Torloni, M. R. [UNIFESP], Kramer, M. R., Borges, P., Olkhanud, P. B., Perez-Cuevas, R., Agampodi, S. B., Mittal, S., Serruya, S., Bataglia, V., Li, Z., Temmerman, M., Guelmezoglu, A. M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/58484
Acceso en línea:https://doi.org/10.1111/1471-0528.13509
https://repositorio.unifesp.br/handle/11600/58484
Access Level:acceso abierto
Palabra clave:Benchmarking
caesarean delivery rates
caesarean section rates
logistic regression
Descripción
Sumario:ObjectiveTo generate a global reference for caesarean section (CS) rates at health facilities. DesignCross-sectional study. SettingHealth facilities from 43 countries. Population/SampleThirty eight thousand three hundred and twenty-four women giving birth from 22 countries for model building and 10045875 women giving birth from 43 countries for model testing. MethodsWe 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 measuresArea under the ROC curves, diagnostic odds ratio, expected CS rate, observed CS rate. ResultsAccording 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 (). ConclusionsThis 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 abstractThe C-Model provides a customized benchmark for caesarean section rates in health facilities and systems. Tweetable abstract The C-Model provides a customized benchmark for caesarean section rates in health facilities and systems.

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