I will point out that this has not yet been peer reviewed and we all (should) know correlation ≠ causation, but the international data collection is impressive, adding to eternal #circumcision debate
https://www.biorxiv.org/content/early/2018/06/07/339465 … #pediatrics #firstdonoharm
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Replying to @DrJenChen4kids @IntactByDefault
The research keeps pointing to infant male circumcision as the causation of SIDS. How can
#AAP continue to support it.2 replies 0 retweets 2 likes -
Replying to @EnvincibleK @IntactByDefault
Technically, the 2012
@AmerAcadPeds statement says the risk-benefit ratio is reasonable for those who choose it (usually parents are doing it for cultural reasons) but don’t routinely recommend it. In comparison, VitK injection at birth is standard of care#Pediatrics4 replies 0 retweets 0 likes -
Actually in the USA Docs and hospitals sell it as Medically necessary to prevent a whole host of diseases. It’s a Billion Dollar industry. Tho intactivist r using research to debunking their sales pitch to uninformed parents.
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Please avoid generalizing “docs and hospitals.” None of the places I’ve worked routinely recommended circ, and I wasn’t even trained to do it in residency. I only bring it up with parents if the boy has some condition that would actually be a contraindication, or they ask.
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Replying to @DrJenChen4kids @EnvincibleK and
I’ve only trained and worked in the USA, which would be obvious if you looked at my profile. Here is another reference that summarizes the debate and suggests how all parties can continue to provide education and have productive discussions http://pediatrics.aappublications.org/content/pediatrics/early/2016/04/04/peds.2016-0594.full.pdf …
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Replying to @DrJenChen4kids @EnvincibleK and
I'd be interested in knowing your thoughts on the attached. In particular, do you agree it's time to retire the
#AAP's 2012 circumcision policy & have a new one prepared by a task force that includes at least SOME physician opponents of the practice?#i2https://www.researchgate.net/publication/316527603_Cultural_bias_in_American_medicine_the_case_of_infant_male_circumcision …1 reply 1 retweet 1 like -
Replying to @cooney21 @EnvincibleK and
@AmerAcadPeds regularly reviews/revises policies, though it takes years. The 2012 statement was from a task force created in 2007 (last set was 1999) so for all I know, it’s already in process. What’s tricky is again, circs are performed by many non-pediatricians2 replies 0 retweets 0 likes -
Replying to @DrJenChen4kids @cooney21 and
Part of that process is reviewing new literature since the last statement, so info like this may shift toward neutral or negative risk-benefit ratio. Given the multidisciplinary large group, I highly doubt all of them were clearly pro-circumcision to start.
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Dr. Diekema, the only bioethicist on the task force, "had already made his views on the subject clear, previously arguing in favor of the permissibility not only of male forms of circumcision, but also of certain female forms." (p. 19) #i2 #firstdonoharm #pediatrics
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Replying to @cooney21 @DrJenChen4kids and
Dr. Freedman, who led the task force, is quoted as saying he had his own son circumcised not for health reasons, but "because I had 3,000 years of ancestors looking over my shoulder." (p. 16)
#i2#firstdonoharm#pediatrics1 reply 0 retweets 0 likesThanks. Twitter will use this to make your timeline better. UndoUndo
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