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- W2065819747 abstract "<h2>Abstract</h2> <i>Objective</i>: Ranking maternity hospitals on prophylactic caesarean section rates. <i>Study design</i>: The study population was a sample of 8470 women having delivered in the 86 maternity hospitals of the Rhône-Alpes region (France) in 1990. A two-level logistic model and the Gibbs sampling method were used to estimate the adjusted rate and rank of each maternity hospital with their 95% credible interval. <i>Results</i>: Ranking of maternity hospitals was substantially modified after adjusting for differences in case-mix. The 95% credible intervals of the ranks were generally wide and overlapping. No maternity hospital could be confidently placed in the upper quarter nor in the lower quarter of the league table. <i>Conclusion</i>: The use of ranks based on rates to compare hospitals may be seriously misleading; thus, league tables need an accompanying reading guide. Furthermore, some rules should be respected, including the need to make accurate case-mix adjustments, to reduce the rate instability in smaller hospitals, and to highlight the uncertainty associated with ranks." @default.
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- W2065819747 date "2001-01-01" @default.
- W2065819747 modified "2023-10-18" @default.
- W2065819747 title "Maternity hospitals ranking on prophylactic caesarean section rates: uncertainty associated with ranks" @default.
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- W2065819747 doi "https://doi.org/10.1016/s0301-2115(00)00302-x" @default.
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