Publications des scientifiques de l'IRD

Souza J. P., Betran A. P., Dumont Alexandre, de Mucio B., Pickens C. M. G., 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. C., 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., Kramer M. R., Borges P., Olkhanud P. B., Perez-Cuevas R., Agampodi S. B., Mittal S., Serruya S., Bataglia V., Li Z., Temmerman M., Gulmezoglu A. M. (2016). A global reference for caesarean section rates (C-Model) : a multicountry cross-sectional study. BJOG : International Journal of Obstetrics and Gynaecology, 123 (3), p. 427-436. ISSN 1470-0328.

Titre du document
A global reference for caesarean section rates (C-Model) : a multicountry cross-sectional study
Année de publication
2016
Type de document
Article référencé dans le Web of Science WOS:000368998000022
Auteurs
Souza J. P., Betran A. P., Dumont Alexandre, de Mucio B., Pickens C. M. G., 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. C., 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., Kramer M. R., Borges P., Olkhanud P. B., Perez-Cuevas R., Agampodi S. B., Mittal S., Serruya S., Bataglia V., Li Z., Temmerman M., Gulmezoglu A. M.
Source
BJOG : International Journal of Obstetrics and Gynaecology, 2016, 123 (3), p. 427-436 ISSN 1470-0328
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.
Plan de classement
Sciences fondamentales / Techniques d'analyse et de recherche [020] ; Santé : généralités [050]
Description Géographique
MONDE
Localisation
Fonds IRD [F B010066179]
Identifiant IRD
fdi:010066179
Contact