• Je něco špatně v tomto záznamu ?

Trends in caesarean section rates in Europe from 2015 to 2019 using Robson's Ten Group Classification System: A Euro-Peristat study

M. Amyx, M. Philibert, A. Farr, S. Donati, AK. Smárason, V. Tica, P. Velebil, S. Alexander, M. Durox, MF. Elorriaga, G. Heller, T. Kyprianou, E. Mierzejewska, I. Verdenik, I. Zīle-Velika, J. Zeitlin, Euro-Peristat Research Group

. 2024 ; 131 (4) : 444-454. [pub] 20231001

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu pozorovací studie, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24007003

Grantová podpora
This research was part of PHIRI (Population Health Information Research Infrastructure), which received funding from the European Union's Horizon 2020 Research and Innovation programme (grant agreement No 101018317). The funding source was not involved in conducting this research or writing this manuscript.

OBJECTIVE: To assess changes in caesarean section (CS) rates in Europe from 2015 to 2019 and utilise the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends. DESIGN: Observational study utilising routine birth registry data. SETTING: A total of 28 European countries. POPULATION: Births at ≥22 weeks of gestation in 2015 and 2019. METHODS: Using a federated model, individual-level data from routine sources in each country were formatted to a common data model and transformed into anonymised, aggregated data. MAIN OUTCOME MEASURES: By country: overall CS rate. For TGCS groups (by country): CS rate, relative size, relative and absolute contribution to overall CS rate. RESULTS: Among the 28 European countries, both the CS rates (2015, 16.0%-55.9%; 2019, 16.0%-52.2%) and the trends varied (from -3.7% to +4.7%, with decreased rates in nine countries, maintained rates in seven countries (≤ ± 0.2) and with increasing rates in 12 countries). Using the TGCS (for 17 countries), in most countries labour induction increased (groups 2a and 4a), whereas multiple pregnancies (group 8) decreased. In countries with decreasing overall CS rates, CS tended to decrease across all TGCS groups, whereas in countries with increasing rates, CS tended to increase in most groups. In countries with the greatest increase in CS rates (>1%), the absolute contributions of groups 1 (nulliparous term cephalic singletons, spontaneous labour), 2a and 4a (induction of labour), 2b and 4b (prelabour CS) and 10 (preterm cephalic singletons) to the overall CS rate tended to increase. CONCLUSIONS: The TGCS shows varying CS trends and rates among countries of Europe. Comparisons between European countries, particularly those with differing trends, could provide insight into strategies to reduce CS without clinical indication.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc24007003
003      
CZ-PrNML
005      
20240423155639.0
007      
ta
008      
240412s2024 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1111/1471-0528.17670 $2 doi
035    __
$a (PubMed)37779035
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Amyx, Melissa $u Université de Paris Cité, Épidémiologie Obstétricale, Périnatale et Pédiatrique (EPOPé), Centre de Recherche Épidémiologie et Statistiques Sorbonne Paris Cité (CRESS), INSERM U1153, INRA, Paris, France $1 https://orcid.org/0000000346607716
245    10
$a Trends in caesarean section rates in Europe from 2015 to 2019 using Robson's Ten Group Classification System: A Euro-Peristat study / $c M. Amyx, M. Philibert, A. Farr, S. Donati, AK. Smárason, V. Tica, P. Velebil, S. Alexander, M. Durox, MF. Elorriaga, G. Heller, T. Kyprianou, E. Mierzejewska, I. Verdenik, I. Zīle-Velika, J. Zeitlin, Euro-Peristat Research Group
520    9_
$a OBJECTIVE: To assess changes in caesarean section (CS) rates in Europe from 2015 to 2019 and utilise the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends. DESIGN: Observational study utilising routine birth registry data. SETTING: A total of 28 European countries. POPULATION: Births at ≥22 weeks of gestation in 2015 and 2019. METHODS: Using a federated model, individual-level data from routine sources in each country were formatted to a common data model and transformed into anonymised, aggregated data. MAIN OUTCOME MEASURES: By country: overall CS rate. For TGCS groups (by country): CS rate, relative size, relative and absolute contribution to overall CS rate. RESULTS: Among the 28 European countries, both the CS rates (2015, 16.0%-55.9%; 2019, 16.0%-52.2%) and the trends varied (from -3.7% to +4.7%, with decreased rates in nine countries, maintained rates in seven countries (≤ ± 0.2) and with increasing rates in 12 countries). Using the TGCS (for 17 countries), in most countries labour induction increased (groups 2a and 4a), whereas multiple pregnancies (group 8) decreased. In countries with decreasing overall CS rates, CS tended to decrease across all TGCS groups, whereas in countries with increasing rates, CS tended to increase in most groups. In countries with the greatest increase in CS rates (>1%), the absolute contributions of groups 1 (nulliparous term cephalic singletons, spontaneous labour), 2a and 4a (induction of labour), 2b and 4b (prelabour CS) and 10 (preterm cephalic singletons) to the overall CS rate tended to increase. CONCLUSIONS: The TGCS shows varying CS trends and rates among countries of Europe. Comparisons between European countries, particularly those with differing trends, could provide insight into strategies to reduce CS without clinical indication.
650    _2
$a novorozenec $7 D007231
650    _2
$a těhotenství $7 D011247
650    _2
$a lidé $7 D006801
650    _2
$a ženské pohlaví $7 D005260
650    12
$a císařský řez $7 D002585
650    12
$a porodní děj $7 D007743
650    _2
$a těhotenství mnohočetné $7 D011272
650    _2
$a parita $7 D010298
651    _2
$a Evropa $x epidemiologie $7 D005060
655    _2
$a pozorovací studie $7 D064888
655    _2
$a časopisecké články $7 D016428
700    1_
$a Philibert, Marianne $u Université de Paris Cité, Épidémiologie Obstétricale, Périnatale et Pédiatrique (EPOPé), Centre de Recherche Épidémiologie et Statistiques Sorbonne Paris Cité (CRESS), INSERM U1153, INRA, Paris, France $1 https://orcid.org/0000000328477655
700    1_
$a Farr, Alex $u Department of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Medical University of Vienna, Vienna, Austria $1 https://orcid.org/0000000246289052
700    1_
$a Donati, Serena $u National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Italian Ministry of Health (ISS), Rome, Italy $1 https://orcid.org/0000000246072072
700    1_
$a Smárason, Alexander K $u Institution of Health Science Research, University of Akureyri, Akureyri, Iceland $1 https://orcid.org/0000000346407925
700    1_
$a Tica, Vlad $u Faculty of Medicine, East European Institute for Reproductive Health, Academy of Romanian Scientists, University 'Ovidius' Constanţa, Constanța, Romania $1 https://orcid.org/0000000190004731
700    1_
$a Velebil, Petr $u Institute for the Care of Mother and Child, Prague, Czech Republic $u 3rd Medical School of Charles University, Prague, Czech Republic
700    1_
$a Alexander, Sophie $u Perinatal Epidemiology and Reproductive Health Unit, CR2, School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium $1 https://orcid.org/0000000228619003
700    1_
$a Durox, Mélanie $u Université de Paris Cité, Épidémiologie Obstétricale, Périnatale et Pédiatrique (EPOPé), Centre de Recherche Épidémiologie et Statistiques Sorbonne Paris Cité (CRESS), INSERM U1153, INRA, Paris, France
700    1_
$a Elorriaga, Maria Fernandez $u Nursing Department, School of Medicine, Autonomous University of Madrid, Madrid, Spain $1 https://orcid.org/0000000263468044
700    1_
$a Heller, Günther $u Institute for Quality Assurance and Transparency in Healthcare (IQTIG), Berlin, Germany
700    1_
$a Kyprianou, Theopisti $u Health Monitoring Unit, Ministry of Health, Nicosia, Cyprus
700    1_
$a Mierzejewska, Ewa $u Department of Epidemiology and Biostatistics, Institute of Mother and Child, Warsaw, Poland $1 https://orcid.org/0000000308224781
700    1_
$a Verdenik, Ivan $u Department of Obstetrics and Gynaecology, University Medical Centre, Ljubljana, Slovenia
700    1_
$a Zīle-Velika, Irisa $u The Centre for Disease Prevention and Control of Latvia, Riga, Latvia $1 https://orcid.org/0000000315531130
700    1_
$a Zeitlin, Jennifer $u Université de Paris Cité, Épidémiologie Obstétricale, Périnatale et Pédiatrique (EPOPé), Centre de Recherche Épidémiologie et Statistiques Sorbonne Paris Cité (CRESS), INSERM U1153, INRA, Paris, France $1 https://orcid.org/0000000295682969
710    2_
$a Euro-Peristat Research Group
773    0_
$w MED00005444 $t BJOG $x 1471-0528 $g Roč. 131, č. 4 (2024), s. 444-454
856    41
$u https://pubmed.ncbi.nlm.nih.gov/37779035 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20240412 $b ABA008
991    __
$a 20240423155636 $b ABA008
999    __
$a ok $b bmc $g 2081165 $s 1216770
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2024 $b 131 $c 4 $d 444-454 $e 20231001 $i 1471-0528 $m BJOG $n BJOG $x MED00005444
GRA    __
$p This research was part of PHIRI (Population Health Information Research Infrastructure), which received funding from the European Union's Horizon 2020 Research and Innovation programme (grant agreement No 101018317). The funding source was not involved in conducting this research or writing this manuscript.
LZP    __
$a Pubmed-20240412

Najít záznam

Citační ukazatele

Možnosti archivace