Global inequities in cesarean section deliveries and required resources persist

Autores
Wu, Michaella L.; Nichols, Paulina M.; Cormick, Gabriela; Betran, Ana P.; Gibbons, Luz; Belizan, Jose
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: The purpose of this study was to estimate the global distribution and financial cost associated with the inequities present in the use of cesarean sections (CS) worldwide. Study Design: We used the latest estimates on CS rates published by WHO and we adopted 10?15 % as the range of CS rates that are considered optimal for adequate use. We calculated the cost (in USD) to achieve CS rates of 10?15 % for countries that reported rates below 10 %. We also calculated the cost of CS rates in excess (>15 % and > 20 %) by estimating how much it would cost to reduce the rates to 10?15 % for each of those countries. Results: 137 countries are included in this analysis with updated data on CS rates between the years 2010 and 2018. Our analysis found that 36 countries reported CS rates < 10 %, whereas 91 countries reported CS rates > 15 % (a majority of which were > 20 %); only 10 countries reported CS rates between 10 and 15 %. The cost of CS exceeding a rate of 15 % is estimated to be $9,586,952,466 including inflation and exceeding 20 % is $7.169.248.033 (USD). The cost of achieving ?needed? CS among countries with CS rates < 10 % is $612,609,418 (USD). The cost of cesarean sections exceeding 15 % has increased by 313 % between 2008 and more recent years, accruing $7 billion (USD) more in surplus since 2008. The reallocation of CS funding would save the global economy $9 billion (USD). Conclusion: Global inequities in CS performed and associated costs have increased since 2008, resulting in a disproportionate number of resources allocated.
Fil: Wu, Michaella L.. University of North Carolina; Estados Unidos
Fil: Nichols, Paulina M.. University of North Carolina; Estados Unidos
Fil: Cormick, Gabriela. Universidad Nacional de La Matanza; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Betran, Ana P.. Organizacion Mundial de la Salud; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
CESAREAN SECTION DELIVERY
COST
INEQUITIES
SURVEILLANCE
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:11336/229527
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/229527
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Global inequities in cesarean section deliveries and required resources persistWu, Michaella L.Nichols, Paulina M.Cormick, GabrielaBetran, Ana P.Gibbons, LuzBelizan, JoseCESAREAN SECTION DELIVERYCOSTINEQUITIESSURVEILLANCEhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: The purpose of this study was to estimate the global distribution and financial cost associated with the inequities present in the use of cesarean sections (CS) worldwide. Study Design: We used the latest estimates on CS rates published by WHO and we adopted 10?15 % as the range of CS rates that are considered optimal for adequate use. We calculated the cost (in USD) to achieve CS rates of 10?15 % for countries that reported rates below 10 %. We also calculated the cost of CS rates in excess (>15 % and > 20 %) by estimating how much it would cost to reduce the rates to 10?15 % for each of those countries. Results: 137 countries are included in this analysis with updated data on CS rates between the years 2010 and 2018. Our analysis found that 36 countries reported CS rates < 10 %, whereas 91 countries reported CS rates > 15 % (a majority of which were > 20 %); only 10 countries reported CS rates between 10 and 15 %. The cost of CS exceeding a rate of 15 % is estimated to be $9,586,952,466 including inflation and exceeding 20 % is $7.169.248.033 (USD). The cost of achieving ?needed? CS among countries with CS rates < 10 % is $612,609,418 (USD). The cost of cesarean sections exceeding 15 % has increased by 313 % between 2008 and more recent years, accruing $7 billion (USD) more in surplus since 2008. The reallocation of CS funding would save the global economy $9 billion (USD). Conclusion: Global inequities in CS performed and associated costs have increased since 2008, resulting in a disproportionate number of resources allocated.Fil: Wu, Michaella L.. University of North Carolina; Estados UnidosFil: Nichols, Paulina M.. University of North Carolina; Estados UnidosFil: Cormick, Gabriela. Universidad Nacional de La Matanza; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Betran, Ana P.. Organizacion Mundial de la Salud; ArgentinaFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaElsevier Ireland2023-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/229527Wu, Michaella L.; Nichols, Paulina M.; Cormick, Gabriela; Betran, Ana P.; Gibbons, Luz; et al.; Global inequities in cesarean section deliveries and required resources persist; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 285; 6-2023; 31-400301-2115CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0301211523001264info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ejogrb.2023.03.036info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:09:00Zoai:ri.conicet.gov.ar:11336/229527instacron: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:34982025-09-03 10:09:01.175CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Global inequities in cesarean section deliveries and required resources persist
title Global inequities in cesarean section deliveries and required resources persist
spellingShingle Global inequities in cesarean section deliveries and required resources persist
Wu, Michaella L.
CESAREAN SECTION DELIVERY
COST
INEQUITIES
SURVEILLANCE
title_short Global inequities in cesarean section deliveries and required resources persist
title_full Global inequities in cesarean section deliveries and required resources persist
title_fullStr Global inequities in cesarean section deliveries and required resources persist
title_full_unstemmed Global inequities in cesarean section deliveries and required resources persist
title_sort Global inequities in cesarean section deliveries and required resources persist
dc.creator.none.fl_str_mv Wu, Michaella L.
Nichols, Paulina M.
Cormick, Gabriela
Betran, Ana P.
Gibbons, Luz
Belizan, Jose
author Wu, Michaella L.
author_facet Wu, Michaella L.
Nichols, Paulina M.
Cormick, Gabriela
Betran, Ana P.
Gibbons, Luz
Belizan, Jose
author_role author
author2 Nichols, Paulina M.
Cormick, Gabriela
Betran, Ana P.
Gibbons, Luz
Belizan, Jose
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv CESAREAN SECTION DELIVERY
COST
INEQUITIES
SURVEILLANCE
topic CESAREAN SECTION DELIVERY
COST
INEQUITIES
SURVEILLANCE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: The purpose of this study was to estimate the global distribution and financial cost associated with the inequities present in the use of cesarean sections (CS) worldwide. Study Design: We used the latest estimates on CS rates published by WHO and we adopted 10?15 % as the range of CS rates that are considered optimal for adequate use. We calculated the cost (in USD) to achieve CS rates of 10?15 % for countries that reported rates below 10 %. We also calculated the cost of CS rates in excess (>15 % and > 20 %) by estimating how much it would cost to reduce the rates to 10?15 % for each of those countries. Results: 137 countries are included in this analysis with updated data on CS rates between the years 2010 and 2018. Our analysis found that 36 countries reported CS rates < 10 %, whereas 91 countries reported CS rates > 15 % (a majority of which were > 20 %); only 10 countries reported CS rates between 10 and 15 %. The cost of CS exceeding a rate of 15 % is estimated to be $9,586,952,466 including inflation and exceeding 20 % is $7.169.248.033 (USD). The cost of achieving ?needed? CS among countries with CS rates < 10 % is $612,609,418 (USD). The cost of cesarean sections exceeding 15 % has increased by 313 % between 2008 and more recent years, accruing $7 billion (USD) more in surplus since 2008. The reallocation of CS funding would save the global economy $9 billion (USD). Conclusion: Global inequities in CS performed and associated costs have increased since 2008, resulting in a disproportionate number of resources allocated.
Fil: Wu, Michaella L.. University of North Carolina; Estados Unidos
Fil: Nichols, Paulina M.. University of North Carolina; Estados Unidos
Fil: Cormick, Gabriela. Universidad Nacional de La Matanza; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Betran, Ana P.. Organizacion Mundial de la Salud; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
description Objective: The purpose of this study was to estimate the global distribution and financial cost associated with the inequities present in the use of cesarean sections (CS) worldwide. Study Design: We used the latest estimates on CS rates published by WHO and we adopted 10?15 % as the range of CS rates that are considered optimal for adequate use. We calculated the cost (in USD) to achieve CS rates of 10?15 % for countries that reported rates below 10 %. We also calculated the cost of CS rates in excess (>15 % and > 20 %) by estimating how much it would cost to reduce the rates to 10?15 % for each of those countries. Results: 137 countries are included in this analysis with updated data on CS rates between the years 2010 and 2018. Our analysis found that 36 countries reported CS rates < 10 %, whereas 91 countries reported CS rates > 15 % (a majority of which were > 20 %); only 10 countries reported CS rates between 10 and 15 %. The cost of CS exceeding a rate of 15 % is estimated to be $9,586,952,466 including inflation and exceeding 20 % is $7.169.248.033 (USD). The cost of achieving ?needed? CS among countries with CS rates < 10 % is $612,609,418 (USD). The cost of cesarean sections exceeding 15 % has increased by 313 % between 2008 and more recent years, accruing $7 billion (USD) more in surplus since 2008. The reallocation of CS funding would save the global economy $9 billion (USD). Conclusion: Global inequities in CS performed and associated costs have increased since 2008, resulting in a disproportionate number of resources allocated.
publishDate 2023
dc.date.none.fl_str_mv 2023-06
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/11336/229527
Wu, Michaella L.; Nichols, Paulina M.; Cormick, Gabriela; Betran, Ana P.; Gibbons, Luz; et al.; Global inequities in cesarean section deliveries and required resources persist; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 285; 6-2023; 31-40
0301-2115
CONICET Digital
CONICET
url http://hdl.handle.net/11336/229527
identifier_str_mv Wu, Michaella L.; Nichols, Paulina M.; Cormick, Gabriela; Betran, Ana P.; Gibbons, Luz; et al.; Global inequities in cesarean section deliveries and required resources persist; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 285; 6-2023; 31-40
0301-2115
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/pii/S0301211523001264
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ejogrb.2023.03.036
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
application/pdf
dc.publisher.none.fl_str_mv Elsevier Ireland
publisher.none.fl_str_mv Elsevier Ireland
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
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score 13.13397

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