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脱节:最新 AAP 政策报告中关于新生儿割礼的致命缺陷。

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

机构信息

Attorneys for the Rights of the Child, 2961 Ashby Avenue, Berkeley, CA 94707, USA.

出版信息

J Med Ethics. 2013 Jul;39(7):434-41. doi: 10.1136/medethics-2013-101346. Epub 2013 Mar 18.

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

摘要

美国儿科学会最近发布了一份关于割礼的政策声明和技术报告,在这两份文件中,该组织认为,在婴儿期进行包皮环切术带来的健康益处绝对超过了与该手术相关的风险和并发症。虽然这些新文件并没有积极推荐新生儿割礼,但它们自相矛盾地得出结论,认为其所谓的益处“证明了选择这种手术的家庭有资格获得这种手术”,声称无论何时出于何种原因进行手术,都应该由政府医疗保险来支付。该政策声明和技术报告存在几个令人不安的缺陷,最终削弱了其可信度。这些缺陷包括排除了重要的主题和讨论,对医学文献的不完整且明显有党派倾向的考察,对现有信息的不当分析,对相关发现的记录不完整且常常不准确,以及结论与所提供的证据不符。

相似文献

1
Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision.脱节:最新 AAP 政策报告中关于新生儿割礼的致命缺陷。
J Med Ethics. 2013 Jul;39(7):434-41. doi: 10.1136/medethics-2013-101346. Epub 2013 Mar 18.
2
Male circumcision.男性割礼。
Pediatrics. 2012 Sep;130(3):e756-85. doi: 10.1542/peds.2012-1990. Epub 2012 Aug 27.
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Circumcision policy statement.割礼政策声明。
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The 2010 Royal Australasian College of Physicians' policy statement 'Circumcision of infant males' is not evidence based.2010 年澳大利亚皇家内科医学院政策声明“男婴割礼”没有循证医学证据。
Intern Med J. 2012 Jul;42(7):822-8. doi: 10.1111/j.1445-5994.2012.02823.x.
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Neonatal circumcision.新生儿包皮环切术
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Circumcision policy statement. American Academy of Pediatrics. Task Force on Circumcision.包皮环切术政策声明。美国儿科学会。包皮环切术特别工作组。
Pediatrics. 1999 Mar;103(3):686-93.
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Veracity and rhetoric in paediatric medicine: a critique of Svoboda and Van Howe's response to the AAP policy on infant male circumcision.儿科学中的真实性与言辞:对斯沃博达和范·豪对美国儿科学会婴儿男性包皮环切术政策回应的批判
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Newborn Male Circumcision with Parental Consent, as Stated in the AAP Circumcision Policy Statement, Is Both Legal and Ethical.如美国儿科学会包皮环切术政策声明中所述,经父母同意的男婴包皮环切术既合法又合乎伦理。
J Law Med Ethics. 2016 Jun;44(2):256-62. doi: 10.1177/1073110516654119.
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Circumcision rates in the United States: rising or falling? What effect might the new affirmative pediatric policy statement have?美国的割礼率:上升还是下降?新的积极儿科政策声明会产生什么影响?
Mayo Clin Proc. 2014 May;89(5):677-86. doi: 10.1016/j.mayocp.2014.01.001. Epub 2014 Apr 2.
10
Neonatal circumcision.新生儿包皮环切术
Urol Clin North Am. 1995 Feb;22(1):57-65.

引用本文的文献

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Neonatal Male Circumcision: Clearly Beneficial for Public Health or an Ethical Dilemma? A Systematic Review.新生儿男性包皮环切术:对公共卫生明显有益还是一个伦理困境?一项系统评价。
Cureus. 2024 Feb 23;16(2):e54772. doi: 10.7759/cureus.54772. eCollection 2024 Feb.
2
Comments by opponents on the British Medical Association's guidance on non-therapeutic male circumcision of children seem one-sided and may undermine public health.反对者对英国医学协会关于儿童非治疗性包皮环切术的指导意见的评论似乎有失偏颇,且可能损害公众健康。
World J Clin Pediatr. 2023 Dec 9;12(5):244-262. doi: 10.5409/wjcp.v12.i5.244.
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What is the medical evidence on non-therapeutic child circumcision?
非治疗性儿童割礼的医学证据是什么?
Int J Impot Res. 2023 May;35(3):256-263. doi: 10.1038/s41443-021-00502-y. Epub 2022 Jan 8.
4
Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark.婴儿期或儿童期非治疗性男性割礼与人类免疫缺陷病毒和其他性传播感染的风险:丹麦全国队列研究。
Eur J Epidemiol. 2022 Mar;37(3):251-259. doi: 10.1007/s10654-021-00809-6. Epub 2021 Sep 26.
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Neonatal male circumcision is associated with altered adult socio-affective processing.新生儿男性包皮环切术与成人社会情感加工的改变有关。
Heliyon. 2020 Nov 26;6(11):e05566. doi: 10.1016/j.heliyon.2020.e05566. eCollection 2020 Nov.
6
Critical evaluation of arguments opposing male circumcision: A systematic review.批判反对男性割礼观点的评估:系统综述。
J Evid Based Med. 2019 Nov;12(4):263-290. doi: 10.1111/jebm.12361. Epub 2019 Sep 8.
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Critical evaluation of unscientific arguments disparaging affirmative infant male circumcision policy.对诋毁男性婴儿包皮环切术肯定性政策的非科学论点的批判性评估。
World J Clin Pediatr. 2016 Aug 8;5(3):251-61. doi: 10.5409/wjcp.v5.i3.251.
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Trends in penile cancer: a comparative study between Australia, England and Wales, and the US.阴茎癌的趋势:澳大利亚、英格兰和威尔士与美国之间的比较研究。
Springerplus. 2015 Aug 14;4:420. doi: 10.1186/s40064-015-1191-4. eCollection 2015.
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Do the Benefits of Male Circumcision Outweigh the Risks? A Critique of the Proposed CDC Guidelines.男性割礼的益处是否超过风险?对拟议的 CDC 指南的批评。
Front Pediatr. 2015 Mar 18;3:18. doi: 10.3389/fped.2015.00018. eCollection 2015.
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Scientific evidence dispels false claims about circumcision.科学证据驳斥了关于包皮环切术的虚假说法。
Can Urol Assoc J. 2014 Nov;8(11-12):396-7. doi: 10.5489/cuaj.2490.