Literature DB >> 23508208

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

J Steven Svoboda1, Robert S Van Howe.   

Abstract

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 families who choose it,' claiming that whenever and for whatever reason it is performed, it should be covered by government health insurance. The policy statement and technical report suffer from several troubling deficiencies, ultimately undermining their credibility. These deficiencies include the exclusion of important topics and discussions, an incomplete and apparently partisan excursion through the medical literature, improper analysis of the available information, poorly documented and often inaccurate presentation of relevant findings, and conclusions that are not supported by the evidence given.

Entities:  

Keywords:  Children; Circumcision; Confidentiality/Privacy; Informed Consent; Newborns and Minors

Mesh:

Year:  2013        PMID: 23508208     DOI: 10.1136/medethics-2013-101346

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  10 in total

1.  Scientific evidence dispels false claims about circumcision.

Authors:  Brian J Morris
Journal:  Can Urol Assoc J       Date:  2014-11       Impact factor: 1.862

2.  To avoid circumcision complications, avoid circumcision.

Authors:  Robert Darby
Journal:  Can Urol Assoc J       Date:  2014-07       Impact factor: 1.862

Review 3.  What is the medical evidence on non-therapeutic child circumcision?

Authors:  Matthew Deacon; Gordon Muir
Journal:  Int J Impot Res       Date:  2022-01-08       Impact factor: 2.896

4.  Neonatal male circumcision is associated with altered adult socio-affective processing.

Authors:  Alessandro Miani; Gian Antonio Di Bernardo; Astrid Ditte Højgaard; Brian D Earp; Paul J Zak; Anne M Landau; Jørgen Hoppe; Michael Winterdahl
Journal:  Heliyon       Date:  2020-11-26

5.  Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark.

Authors:  Morten Frisch; Jacob Simonsen
Journal:  Eur J Epidemiol       Date:  2021-09-26       Impact factor: 12.434

6.  Critical evaluation of unscientific arguments disparaging affirmative infant male circumcision policy.

Authors:  Brian J Morris; John N Krieger; Jeffrey D Klausner
Journal:  World J Clin Pediatr       Date:  2016-08-08

Review 7.  Does Male Circumcision Protect against Sexually Transmitted Infections? Arguments and Meta-Analyses to the Contrary Fail to Withstand Scrutiny.

Authors:  Brian J Morris; Catherine A Hankins; Aaron A R Tobian; John N Krieger; Jeffrey D Klausner
Journal:  ISRN Urol       Date:  2014-05-13

Review 8.  Do the Benefits of Male Circumcision Outweigh the Risks? A Critique of the Proposed CDC Guidelines.

Authors:  Brian D Earp
Journal:  Front Pediatr       Date:  2015-03-18       Impact factor: 3.418

9.  Trends in penile cancer: a comparative study between Australia, England and Wales, and the US.

Authors:  James Sewell; Weranja Ranasinghe; Daswin De Silva; Ben Ayres; Tamra Ranasinghe; Luke Hounsome; Julia Verne; Raj Persad
Journal:  Springerplus       Date:  2015-08-14

10.  Critical evaluation of arguments opposing male circumcision: A systematic review.

Authors:  Brian J Morris; Stephen Moreton; John N Krieger
Journal:  J Evid Based Med       Date:  2019-09-08
  10 in total

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