Attorneys for the Rights of the Child, 2961 Ashby Avenue, Berkeley, CA 94707, USA.
J Med Ethics. 2013 Jul;39(7):434-41. doi: 10.1136/medethics-2013-101346. Epub 2013 Mar 18.
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.
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。