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Caregiver Reported Reasons for Delay of Neonatal Circumcision.
Jacobson, Deborah L; D'Oro, Anthony; Abdullah, Fizan; Barsness, Katherine A; Liu, Dennis B; Maizels, Max; Rosoklija, Ilina; Johnson, Emilie K.
Afiliação
  • Jacobson DL; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL.
  • D'Oro A; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL.
  • Abdullah F; Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Surgery, Northwestern University, Chicago, IL.
  • Barsness KA; Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Surgery, Northwestern University, Chicago, IL.
  • Liu DB; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL.
  • Maizels M; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL.
  • Rosoklija I; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL.
  • Johnson EK; Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Urology, Northwestern University, Chicago, IL; University of Illinois at Chicago, Department of Urology, Chicago, IL. Electronic address: EKJohnson@luriechildrens.org.
Urology ; 140: 143-149, 2020 06.
Article em En | MEDLINE | ID: mdl-32165277
OBJECTIVES: To determine caregiver-reported reasons for delay of desired neonatal circumcision. METHODS: Caregivers requesting elective outpatient circumcision at two urban tertiary care hospitals were surveyed from 1/2017 to 12/2018. Boys >3 years and those with abnormal penile anatomy were excluded. Patient/parent demographics, insurance status, comorbidities, birth history, family history, reasons circumcision was desired, and reasons for circumcision delay were obtained. RESULTS: Surveys were completed by 206/229 caregivers (90% response rate). Respondents were primarily mothers (74%) who identified as African-American (62%). Eligible boys presented at a median 7.5 months [0.3-35.6] and were predominantly African-American (63%), publicly-insured at birth (83%), and publicly-insured at present (86%). 80% were full-term. 83% had no comorbidities. Most caregivers (84%) requested inpatient circumcision, primarily for penile cleanliness (75%) and infection prevention (72%). Common reasons for delay included neonatal circumcision not being performed by the birth physician/hospital (26%) and prematurity (16%). Publicly-insured boys were more likely to encounter delays related birth physician/hospital not performing circumcisions (P = .02). Non-Caucasian/mixed race boys were less likely to be eligible for circumcision without general anesthesia (P = .004). In 108 cases (52%), circumcision was requested for full-term boys without comorbidities. Of these, 72 (35% of the cohort) now require general anesthesia to undergo circumcision. CONCLUSION: Among 206 boys experiencing circumcision delay, most were full-term, African-American, and publicly-insured. Common reasons for delay included neonatal circumcision not being performed by the birth hospital/physician and prematurity. General anesthesia could have been avoided in >35% of boys if circumcision was performed at birth.
Assuntos

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Circuncisão Masculina / Cuidadores / Procedimentos Cirúrgicos Eletivos / Comportamento do Consumidor / Assistência Ambulatorial Tipo de estudo: Prognostic_studies Limite: Humans / Infant / Male País/Região como assunto: America do norte Idioma: En Revista: Urology Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Circuncisão Masculina / Cuidadores / Procedimentos Cirúrgicos Eletivos / Comportamento do Consumidor / Assistência Ambulatorial Tipo de estudo: Prognostic_studies Limite: Humans / Infant / Male País/Região como assunto: America do norte Idioma: En Revista: Urology Ano de publicação: 2020 Tipo de documento: Article