A contemporary snapshot of circumcision in US children's hospitals.
J Pediatr Surg
; 55(6): 1134-1138, 2020 Jun.
Article
em En
| MEDLINE
| ID: mdl-32199703
ABSTRACT
BACKGROUND:
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.METHODS:
Using the Pediatric Health Information System (PHIS), male patients <18â¯years of age who were circumcised without any additional procedures between the years 2010 and 2017 were identified. Data included age at procedure (neonate 0-30â¯days, infant 31-365â¯days, early childhood ≥1 to <5â¯years, and older child ≥5 to<18â¯years), cost, and specialty performing the circumcision.RESULTS:
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% (pâ¯<â¯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.CONCLUSION:
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. TYPE OF STUDY Retrospective, cross-sectional analysis. LEVEL OF EVIDENCE Level IV.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Circuncisão Masculina
/
Hospitais Pediátricos
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adolescent
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Child
/
Child, preschool
/
Humans
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Infant
/
Male
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2020
Tipo de documento:
Article