TY - JOUR
T1 - Noenatal circumcision revisited
AU - Andrews, Wayne
AU - McMillan, Douglas
AU - Ohlsson, Arne
AU - Perreault, Thérèse
AU - Vincer, Michael
AU - Walker, C. Robin
AU - Watts, John
AU - Allen, Alexander
AU - Outerbridge, Eugene
AU - Saigal, Saroj
AU - Askin, Debbie Fraser
AU - Liston, Robert
AU - Merenstein, Gerald
AU - Natale, Renato
AU - Oh, William
AU - Papageorgiou, Apostolos
AU - Pinelli, Janet
PY - 1996
Y1 - 1996
N2 - Objective: To assist physicians in providing guidance to parents regarding neonatal circumcision. Options: Whether to recommend the routine circumcision of newborn male infants. Outcomes: Costs and complications of neonatal circumcision, the incidence of urinary tract infections, sexually transmitted diseases and cancer of the penis in circumcised and uncircumcised males, and of cervical cancer in their partners, and the costs of treating these diseases. Evidence: The literature on circumcision was reviewed by the Fetus and Newborn Committee of the Canadian Paediatric Society. During extensive discussion at meetings of the committee over a 24-month period, the strength of the evidence was carefully weighed and the perspective of the committee developed. Values: The literature was assessed to determine whether neonatal circumcision improves the health of boys and men and is a cost-effective approach to preventing penile problems and associated urinary tract conditions. Religious and personal values were not included in the assessment. Benefits, harms and costs: The effect of neonatal circumcision on the incidence of urinary tract infection, sexually transmitted diseases, cancer of the penis, cervical cancer and penile problems; the complications of circumcision; and estimates of the costs of neonatal circumcision and of the treatment of later penile conditions, urinary tract infections and complications of circumcision. Recommendation: Circumcision of newborns should not be routinely performed. Validation: This recommendation is in keeping with previous statements on neonatal circumcision by the Canadian Paediatric Society and the American Academy of Pediatrics. The statement was reviewed by the Infectious Disease Committee of the Canadian Paediatric Society. The Board of Directors of the Canadian Paediatric Society has reviewed its content and approved it for publication. Sponsor: This is an official statement of the Canadian Paediatric Society. No external financial support has been received by the Canadian Paediatric Society, or its members, for any portion of the statement's preparation.
AB - Objective: To assist physicians in providing guidance to parents regarding neonatal circumcision. Options: Whether to recommend the routine circumcision of newborn male infants. Outcomes: Costs and complications of neonatal circumcision, the incidence of urinary tract infections, sexually transmitted diseases and cancer of the penis in circumcised and uncircumcised males, and of cervical cancer in their partners, and the costs of treating these diseases. Evidence: The literature on circumcision was reviewed by the Fetus and Newborn Committee of the Canadian Paediatric Society. During extensive discussion at meetings of the committee over a 24-month period, the strength of the evidence was carefully weighed and the perspective of the committee developed. Values: The literature was assessed to determine whether neonatal circumcision improves the health of boys and men and is a cost-effective approach to preventing penile problems and associated urinary tract conditions. Religious and personal values were not included in the assessment. Benefits, harms and costs: The effect of neonatal circumcision on the incidence of urinary tract infection, sexually transmitted diseases, cancer of the penis, cervical cancer and penile problems; the complications of circumcision; and estimates of the costs of neonatal circumcision and of the treatment of later penile conditions, urinary tract infections and complications of circumcision. Recommendation: Circumcision of newborns should not be routinely performed. Validation: This recommendation is in keeping with previous statements on neonatal circumcision by the Canadian Paediatric Society and the American Academy of Pediatrics. The statement was reviewed by the Infectious Disease Committee of the Canadian Paediatric Society. The Board of Directors of the Canadian Paediatric Society has reviewed its content and approved it for publication. Sponsor: This is an official statement of the Canadian Paediatric Society. No external financial support has been received by the Canadian Paediatric Society, or its members, for any portion of the statement's preparation.
UR - http://www.scopus.com/inward/record.url?scp=0029960974&partnerID=8YFLogxK
M3 - Review article
C2 - 8634956
AN - SCOPUS:0029960974
SN - 0820-3946
VL - 154
SP - 769
EP - 780
JO - CMAJ. Canadian Medical Association Journal
JF - CMAJ. Canadian Medical Association Journal
IS - 6
ER -