Variation in Caesarean Section Rates in the US: Outliers, Damned Outliers, and Statistics

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Variation in Caesarean Section Rates in the US: Outliers, Damned Outliers, and Statistics

Gordon C. Smith discusses the study by Katy Kozhimannil and colleagues that examines variations in cesarean section rates in the US and argues for the need for high-quality routine data collection to better understand the reasons for these variations. Please see later in the article for the Editors' Summary.

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Unexplained variation in hospital caesarean section rates.

OBJECTIVES To assess recent hospital caesarean section (CS) rates in New South Wales, adjusted for case mix; to quantify the amount of variation that can be explained by case mix differences; and to examine the potential impact on the overall CS rate of reducing variation in practice. DESIGN AND SETTING Population-based record linkage study of births in 81 hospitals in New South Wales, 2009-2...

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Outliers and patterns of outliers in contingency tables with Algebraic Statistics

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Caesarean section rates in Mozambique

BACKGROUND The Caesarean section (C-section) rate is used as an indicator for availability and utilization of life-saving obstetric services. The purpose of the present study was to explore changes in C-section rates between 1995 and 2011 by area, place of delivery and maternal socioeconomic factors in Mozambique. METHODS Cross-sectional data from the Demographic and Health Surveys conducted ...

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The rise in caesarean section rates.

Much has been written about the rise in Caesarean section rates seen worldwide and in Ireland. The recent ESRI paper 1 suggested that physician behaviour might be an important factor in Ireland. The study concluded that changes in maternal characteristics accounted for only about half of the increase in Caesarean section rates but it did not include maternal obesity in the analysis (the data ar...

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ژورنال

عنوان ژورنال: PLoS Medicine

سال: 2014

ISSN: 1549-1676

DOI: 10.1371/journal.pmed.1001746