Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision

@article{Svoboda2013OutOS,
  title={Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision},
  author={J. Steven Jd Svoboda and Robert S. Van Howe},
  journal={Journal of Medical Ethics},
  year={2013},
  volume={39},
  pages={434 - 441}
}
The American Academy of Pediatrics recently released a policy statement and technical report on circumcision, in both of which the organisation suggests that the health benefits conferred by the surgical removal of the foreskin in infancy definitively outweigh the risks and complications associated with the procedure. While these new documents do not positively recommend neonatal circumcision, they do paradoxically conclude that its purported benefits ‘justify access to this procedure for… 
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TLDR
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TLDR
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TLDR
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References

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AMERICAN ACADEMY OF PEDIATRICS Task Force on Circumcision Circumcision Policy Statement
  • Medicine
TLDR
This Task Force adopted an evidence-based approach to analyzing the medical literature concerning circum-cision and recommended that when circumcision is considered, the benefits and risks should be explained to the parents and informed consent obtained.
Circumcision policy statement. American Academy of Pediatrics. Task Force on Circumcision.
  • Medicine
    Pediatrics
  • 1999
TLDR
To make an informed choice, parents of all male infants should be given accurate and unbiased information and be provided the opportunity to discuss this decision, and procedural analgesia should be provided.
Anesthesia for Neonatal Circumcision: Who Benefits?
TLDR
The medical research regarding topical and local anesthesia for neonatal circumcision and what information should be given regarding its effectiveness is reviewed.
The Cost to Circumcise Africa
TLDR
The cost to circumcise all HIVnegative African adult males is estimated to be significantly less costly, more effective in comparison to circumcising, and at least 95 times more cost effective at stopping the spread of HIV in sub-Saharan Africa.
Circumcision: a decision analysis of its medical value.
TLDR
A cost-effectiveness analysis of the consequences of the treatment choices (circumcision versus no circumcision) using a decision tree model concludes that there is no medical indication for or against circumcision.
Circumcision: is the risk of urinary tract infection really the pivotal issue?
TLDR
A decision model was built that addressed the question of whether or not to circumcise a newborn male and showed that unless the probability of a UTI in the first year of life for an uncircumcised male was greater than or equal to 0.29, then non-circumcision was still the preferred choice.
Male circumcision is not the HIV ‘vaccine’ we have been waiting for!
TLDR
For the health community to rush to recommend a program based on incomplete evidence is both premature and ill-advised and might ultimately aggravate the problem by altering people’s behavioral patterns and exposing them and their partners to new or expanded risks.
Routine Neonatal Circumcision
TLDR
The results suggest that the financial and medical advantages and dis advantages of routine neonatal circumcision cancel each other and that factors other than cost or health outcomes must be used in decision making.
SURGICAL COMPLICATIONS OF CIRCUMCISION.
TLDR
One of the most ancient of surgical operations and has been performed more than any other operation, in the past and today, is undertaken for ritual reasons as well as for medical indications.
Complications arising from ritual circumcision: pathogenesis and possible prevention.
  • S. Menahem
  • Medicine
    Israel journal of medical sciences
  • 1981
TLDR
To prevent the above complications, careful attention should be paid to the baby's voiding within the first 6 to 8 h after circumcision, and all dressings should be removed, or at least replaced, on the day following circumcision, when the likelihood or primary hemorrhage has passed.
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