Inequities in the use of cesarean section deliveries in the world

Autores
Gibbons, Luz; Belizan, Jose; Lauer, Jeremy A.; Betran, Ana P.; Merialdi, Mario; Althabe, Fernando
Año de publicación
2012
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
OBJECTIVE: The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity. STUDY DESIGN: We obtained data on the number of CSs performed in 137 countries in 2008. The consensus is that countries should achieve a 10% rate of CS; therefore, for countries that are below that rate, we calculated the cost to achieve a 10% rate. For countries with a CS rate of >15%, we calculated the savings that could be made by the achievement of a 15% rate. RESULTS: Fifty-four countries had CS rates of <10%, whereas 69 countries showed rates of >15%. The cost of the global saving by a reduction of CS rates to 15% was estimated to be $2.32 billion (US dollars); the cost to attain a 10% CS rate was $432 million (US dollars). CONCLUSION: CSs that are potentially medically unjustified appear to command a disproportionate share of global economic resources
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Lauer, Jeremy A.. World Health Organization; Suiza
Fil: Betran, Ana P.. World Health Organization; Suiza
Fil: Merialdi, Mario. World Health Organization; Suiza
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
Pregnancy
Cesarean
Health
Human
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/269195
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/269195
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Inequities in the use of cesarean section deliveries in the worldGibbons, LuzBelizan, JoseLauer, Jeremy A.Betran, Ana P.Merialdi, MarioAlthabe, FernandoPregnancyCesareanHealthHumanhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3OBJECTIVE: The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity. STUDY DESIGN: We obtained data on the number of CSs performed in 137 countries in 2008. The consensus is that countries should achieve a 10% rate of CS; therefore, for countries that are below that rate, we calculated the cost to achieve a 10% rate. For countries with a CS rate of >15%, we calculated the savings that could be made by the achievement of a 15% rate. RESULTS: Fifty-four countries had CS rates of <10%, whereas 69 countries showed rates of >15%. The cost of the global saving by a reduction of CS rates to 15% was estimated to be $2.32 billion (US dollars); the cost to attain a 10% CS rate was $432 million (US dollars). CONCLUSION: CSs that are potentially medically unjustified appear to command a disproportionate share of global economic resourcesFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Lauer, Jeremy A.. World Health Organization; SuizaFil: Betran, Ana P.. World Health Organization; SuizaFil: Merialdi, Mario. World Health Organization; SuizaFil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaMosby-Elsevier2012-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/269195Gibbons, Luz; Belizan, Jose; Lauer, Jeremy A.; Betran, Ana P.; Merialdi, Mario; et al.; Inequities in the use of cesarean section deliveries in the world; Mosby-Elsevier; American Journal Of Obstetrics And Gynecology; 206; 4; 4-2012; 331.e1-331.e190002-9378CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S000293781200258Xinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.ajog.2012.02.026info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-11-12T09:33:22Zoai:ri.conicet.gov.ar:11336/269195instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-11-12 09:33:22.326CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Inequities in the use of cesarean section deliveries in the world
title Inequities in the use of cesarean section deliveries in the world
spellingShingle Inequities in the use of cesarean section deliveries in the world
Gibbons, Luz
Pregnancy
Cesarean
Health
Human
title_short Inequities in the use of cesarean section deliveries in the world
title_full Inequities in the use of cesarean section deliveries in the world
title_fullStr Inequities in the use of cesarean section deliveries in the world
title_full_unstemmed Inequities in the use of cesarean section deliveries in the world
title_sort Inequities in the use of cesarean section deliveries in the world
dc.creator.none.fl_str_mv Gibbons, Luz
Belizan, Jose
Lauer, Jeremy A.
Betran, Ana P.
Merialdi, Mario
Althabe, Fernando
author Gibbons, Luz
author_facet Gibbons, Luz
Belizan, Jose
Lauer, Jeremy A.
Betran, Ana P.
Merialdi, Mario
Althabe, Fernando
author_role author
author2 Belizan, Jose
Lauer, Jeremy A.
Betran, Ana P.
Merialdi, Mario
Althabe, Fernando
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Pregnancy
Cesarean
Health
Human
topic Pregnancy
Cesarean
Health
Human
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv OBJECTIVE: The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity. STUDY DESIGN: We obtained data on the number of CSs performed in 137 countries in 2008. The consensus is that countries should achieve a 10% rate of CS; therefore, for countries that are below that rate, we calculated the cost to achieve a 10% rate. For countries with a CS rate of >15%, we calculated the savings that could be made by the achievement of a 15% rate. RESULTS: Fifty-four countries had CS rates of <10%, whereas 69 countries showed rates of >15%. The cost of the global saving by a reduction of CS rates to 15% was estimated to be $2.32 billion (US dollars); the cost to attain a 10% CS rate was $432 million (US dollars). CONCLUSION: CSs that are potentially medically unjustified appear to command a disproportionate share of global economic resources
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Lauer, Jeremy A.. World Health Organization; Suiza
Fil: Betran, Ana P.. World Health Organization; Suiza
Fil: Merialdi, Mario. World Health Organization; Suiza
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description OBJECTIVE: The purpose of this study was to describe the unequal distribution in the performance of cesarean section delivery (CS) in the world and the resource-use implications of such inequity. STUDY DESIGN: We obtained data on the number of CSs performed in 137 countries in 2008. The consensus is that countries should achieve a 10% rate of CS; therefore, for countries that are below that rate, we calculated the cost to achieve a 10% rate. For countries with a CS rate of >15%, we calculated the savings that could be made by the achievement of a 15% rate. RESULTS: Fifty-four countries had CS rates of <10%, whereas 69 countries showed rates of >15%. The cost of the global saving by a reduction of CS rates to 15% was estimated to be $2.32 billion (US dollars); the cost to attain a 10% CS rate was $432 million (US dollars). CONCLUSION: CSs that are potentially medically unjustified appear to command a disproportionate share of global economic resources
publishDate 2012
dc.date.none.fl_str_mv 2012-04
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/269195
Gibbons, Luz; Belizan, Jose; Lauer, Jeremy A.; Betran, Ana P.; Merialdi, Mario; et al.; Inequities in the use of cesarean section deliveries in the world; Mosby-Elsevier; American Journal Of Obstetrics And Gynecology; 206; 4; 4-2012; 331.e1-331.e19
0002-9378
CONICET Digital
CONICET
url http://hdl.handle.net/11336/269195
identifier_str_mv Gibbons, Luz; Belizan, Jose; Lauer, Jeremy A.; Betran, Ana P.; Merialdi, Mario; et al.; Inequities in the use of cesarean section deliveries in the world; Mosby-Elsevier; American Journal Of Obstetrics And Gynecology; 206; 4; 4-2012; 331.e1-331.e19
0002-9378
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/abs/pii/S000293781200258X
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ajog.2012.02.026
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Mosby-Elsevier
publisher.none.fl_str_mv Mosby-Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1848597049810878464
score 12.976206

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