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Clustering effectsData from both epochs could be clustered because of similarities between babies within hospitals, countries (for epoch one), and neonatal networks (for epoch two). As only aggregate data were available for epoch one, we cannot fully account for this clustering. To investigate variation from clustering in epoch two, however, we calculated the outcome for each network and presented the median and range of these network specific outcomes. We used partially nested random effects models13 to estimate the change between epochs averaged over all neonatal networks. These models allow for clustering to be present in only part of the data. The model is of the form:where epoch(i)=0 for epoch one and 1 for epoch nike sb dunk high r/r
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