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… Expand
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References

SHOWING 1-10 OF 181 REFERENCES
AMERICAN ACADEMY OF PEDIATRICS Task Force on Circumcision Circumcision Policy Statement
    Existing scientific evidence demonstrates potential medical benefits of newborn male circumci-sion; however, these data are not sufficient to recommend routine neonatal circumcision. In circumstancesExpand
    Circumcision Policy Statement
    TLDR
    Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedure’s benefits justify access to this procedure for families who choose it. Expand
    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. Expand
    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. Expand
    A prospective survey of the indications and morbidity of circumcision in children.
    TLDR
    Of 140 boys coming to day-case elective circumcision between the ages of 3 months and 14 years, the commonest cause was a congenital phimosis, and four patients required acute readmission postoperatively, and a further 4 developed meatal stenosis, requiring a formal meatotomy. Expand
    Lost Boys: An Estimate of U.S. Circumcision-Related Infant Deaths
    TLDR
    This study finds that approximately 117 neonatal circumcision-related deaths occur annually in the United States, about 1.3% of male neonatal deaths from all causes, and all of these deaths are avoidable. Expand
    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. Expand
    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. Expand
    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. Expand
    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. Expand
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