Hospital Cesarean Delivery Rankings by Overall, Low-Risk, and Reliability-Adjusted Metrics

In this cross-sectional study of US hospitals, cesarean delivery rankings differed substantially between overall and SMFM low-risk denominators, highlighting limitations of overall rates for accountability. The high concordance between unadjusted and reliability-adjusted rankings suggests that the SMFM low-risk metric already captures most of the between-hospital signal. US region was the strongest correlate of reliability-adjusted rates.

Corresponding Author: Tetsuya Kawakita, MD, MS, EVMS Department of Obstetrics and Gynecology, Macon tetsuya.x.kawakita@gmail.com).

Link to the article in your story

We encourage you to link out to this article in your story using the link below. It includes an access token that will give free access to the article for your readers up to one year after publication. (The link will be live after the article publishes and embargo is lifted.)

Please see the article for additional information, including full author list, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

Need more information? Contact us.