Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago; Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine.
Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago.
J Pediatr Surg. 2020 Jun;55(6):1134-1138. doi: 10.1016/j.jpedsurg.2020.02.031. Epub 2020 Feb 27.
In 2012, the American Academy of Pediatrics (AAP) concluded the health benefits of circumcision during the neonatal period outweigh the risks. This study describes recent trends in male circumcision in freestanding children's hospitals in the United States.
Using the Pediatric Health Information System (PHIS), male patients <18 years of age who were circumcised without any additional procedures between the years 2010 and 2017 were identified. Data included age at procedure (neonate: 0-30 days, infant: 31-365 days, early childhood: ≥1 to <5 years, and older child: ≥5 to<18 years), cost, and specialty performing the circumcision.
Of the 171,680 circumcisions performed, 85,270 (50%) were during neonatal period, 29,060 (17%) during infancy, 30,276 (18%) early childhood, and 26,355 (16%) thereafter. Circumcision in neonates increased from 39% to 58% (p < 0.001), and the proportion performed during infancy decreased over time. System level cost for ambulatory circumcision averaged $32 million USD annually, and median cost per ambulatory circumcision was $2892 USD. Obstetricians and Pediatricians are performing proportionally more circumcisions.
Since 2012, proportionally more neonates are undergoing circumcision in US children's hospitals. Perinatal specialties are performing an increasing proportion of circumcisions. Circumcision during the birth hospitalization in the neonatal period is more resource-effective than postponing until later in infancy.
Retrospective, cross-sectional analysis.
Level IV.
2012 年，美国儿科学会（AAP）得出结论，新生儿期行割礼的健康益处大于风险。本研究描述了美国独立儿童医院近期男性割礼的趋势。
使用儿科健康信息系统（PHIS），确定 2010 年至 2017 年间，18 岁以下男性患者在无任何附加手术的情况下接受割礼。数据包括手术时的年龄（新生儿：0-30 天，婴儿：31-365 天，幼儿：≥1 至<5 岁，大龄儿童：≥5 至<18 岁）、费用和执行割礼的科室。
在 171680 例割礼中，85270 例（50%）发生在新生儿期，29060 例（17%）发生在婴儿期，30276 例（18%）发生在幼儿期，26355 例（16%）发生在大龄儿童期。新生儿期割礼比例从 39%增加到 58%（p<0.001），婴儿期割礼比例逐渐减少。门诊割礼的系统水平成本平均每年 3200 万美元，门诊割礼的中位数成本为 2892 美元。产科医生和儿科医生进行的割礼比例越来越高。
自 2012 年以来，美国儿童医院接受割礼的新生儿比例有所增加。围产期专科进行的割礼比例逐渐增加。新生儿期在分娩住院期间进行割礼比推迟到婴儿期后期更具资源效益。
回顾性、横断面分析。
IV 级。
