PMID: 9649082Jul 2, 1998Paper

Assessing the role of case mix in cesarean delivery rates

Obstetrics and Gynecology
E LiebermanA Cohen

Abstract

Implicit in comparisons of unadjusted cesarean rates for hospitals and providers is the assumption that differences result from management practices rather than differences in case mix. This study proposes a method for comparison of cesarean rates that takes the effect of case mix into account. All women delivered of infants at our institution from December 1, 1994, through July 31, 1995, were classified according to whether they received care from community-based practitioners (N=3913) or from the hospital-based practice that serves a higher-risk population (N=1556). Women were categorized according to both obstetric history (nulliparas, multiparas without a previous cesarean, multiparas with a previous cesarean) and the presence of obstetric conditions influencing the risk of cesarean delivery (multiple birth, breech presentation or transverse lie, preterm, no trial of labor for a medical indication). We determined the percent of women in each parity-obstetric condition subgroup and calculated a standardized cesarean rate for the hospital-based practice using the case mix of the community-based practitioners as the standard. The crude cesarean rate was higher for the hospital-based practice (24.4%) than for the community-base...Continue Reading

References

Mar 8, 1990·The New England Journal of Medicine·G S BerkowitzR L Berkowitz
Jun 1, 1990·American Journal of Obstetrics and Gynecology·R K DeMott, H F Sandmire
Mar 16, 1989·The New England Journal of Medicine·G L GoyertP C Nehra
Sep 4, 1986·The New England Journal of Medicine·R H de RegtR H Schwarz
May 1, 1995·American Journal of Public Health·P BravemanM Verdon
Jun 1, 1995·American Journal of Obstetrics and Gynecology·R A Bobrowski, S F Bottoms
Jan 1, 1995·Obstetrics and Gynecology·M PrysakA Kisly
Oct 1, 1993·American Journal of Obstetrics and Gynecology·J A AdashekM L Socol
Dec 16, 1995·BMJ : British Medical Journal·R Gosden, A Rutherford
Mar 1, 1996·British Journal of Obstetrics and Gynaecology·R ClearyA Welch
Jun 1, 1996·Obstetrics and Gynecology·A BiancoR L Berkowitz

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Citations

Jul 10, 2003·Obstetrics and Gynecology·Jennifer Bailit, Joanne Garrett
Jun 11, 1999·Obstetrics and Gynecology·J L BailitA N Peaceman
Jan 3, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M RabilloudJ Estève
Nov 24, 1999·Paediatric and Perinatal Epidemiology·D J JacksonT G Ganiats
Jan 8, 1999·The New England Journal of Medicine·B P SachsF Frigoletto
Nov 1, 2001·Clinical Obstetrics and Gynecology·B P Sachs
Aug 17, 2006·BMC Health Services Research·Maria P FantiniCarlo A Perucci
Feb 2, 2011·PloS One·Maria Regina TorloniMario Merialdi
Jun 30, 2014·BMC Pregnancy and Childbirth·Elisa StivanelloMaria Pia Fantini
Aug 20, 2009·Paediatric and Perinatal Epidemiology·Allison S BryantAaron B Caughey
Apr 22, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·S ParanjothyJ Thomas
Oct 21, 2009·Paediatric and Perinatal Epidemiology·Monica TaljaardUNKNOWN World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group
Jun 10, 2008·American Journal of Obstetrics and Gynecology·Dean V CoonrodMaria Manriquez
Dec 22, 1999·American Journal of Obstetrics and Gynecology·J C Glantz
Jun 28, 2000·American Journal of Obstetrics and Gynecology·D M MainD H Moore
Nov 21, 2000·American Journal of Obstetrics and Gynecology·A I WhitselG S Stuart
Jun 22, 2002·AJR. American Journal of Roentgenology·Stefan SpörriHenning Schneider
Mar 18, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Liam DunnMichael Beckmann
Jun 21, 2002·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Alan M PeacemanLarry M Manheim
Jun 2, 2001·Medical Decision Making : an International Journal of the Society for Medical Decision Making·L Eldenburg, W S Waller
Aug 30, 2008·Journal of Attention Disorders·Andrea Faber Taylor, Frances E Kuo
Mar 2, 2005·Obstetrics and Gynecology·Andrea LintonThomas V Williams
Aug 27, 2005·European Journal of Epidemiology·Alessandra CaponLea Panepuccia
Jun 25, 2013·Archives of Gynecology and Obstetrics·Poonam RanaFiroz Anwar
Dec 13, 2012·Maternal and Child Health Journal·Erika L ThompsonJeffrey Roth
Sep 29, 2006·The Pediatric Infectious Disease Journal·Fernando A GuerraUNKNOWN Pediatric Study Group for VAQTA
Dec 29, 2000·Current Opinion in Obstetrics & Gynecology·K D Gregory
Aug 17, 2021·Obstetric Medicine·Konstantinos Giannakou

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