title: Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision.
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.
authors.affiliation: Attorneys for the Rights of the Child, 2961 Ashby Avenue, Berkeley, CA 94707, USA. arc@post.harvard.edu
authors.forename: J Steven
authors.initials: JS
authors.lastname: Svoboda
authors.forename: Robert S
authors.initials: RS
authors.lastname: Van Howe
mesh_terms: D002944:Circumcision, Male / Q000009:adverse effects / Q000379:methods; D003466:Cultural Characteristics; D019317:Evidence-Based Medicine / Q000592:standards; D015658:HIV Infections / Q000517:prevention & control; D006291:Health Policy; D018594:Human Body; D006806:Human Rights; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control; D010372:Pediatrics; D010412:Penile Neoplasms / Q000517:prevention & control; D012955:Societies, Medical; D013587:Syphilis / Q000517:prevention & control; D014481:United States; D014552:Urinary Tract Infections / Q000517:prevention & control
keywords: Children; Circumcision; Confidentiality/Privacy; Informed Consent; Newborns and Minors