This story adequately addressed most of our criteria; exceptions were actual costs and better discussion of potential harms.
Circumcision has been on the decline in the country although the American Academy of Pediatrics’ examination of the evidence suggests that long-term health benefits from this procedure may outweigh risks associated with circumcision, a stance they have not taken in the past.
Cost was mentioned as a barrier for some people but no actual cost estimates were given in the story. AP’s story gave a CDC estimate of nationwide costs ranging from $200-600.
Only relative risk reduction figures were given for UTI and HIV risk reduction.
The AAP website notes: “A slightly lower risk of urinary tract infections (UTIs). A circumcised infant boy has about a 1 in 1,000 chance of developing a UTI in the first year of life; an uncircumcised infant boy has about a 1 in 100 chance of developing a UTI in the first year of life.” This would have given readers a bit more of an idea of what the numbers are.
Nonetheless, the NPR story did a better job on this by giving some numbers than did the competing AP story, so we’ll give it a pass.
The only specific harm mentioned in the story was critics’ comparison to genital mutilation.
But the story didn’t cite what the AAP wrote in its statement:
“Complications are infrequent; most are minor, and severe complications are rare.”
Or what appears on the AAP website:
Problems after a circumcision are very rare. However, call your pediatrician right away if
- Your baby does not urinate normally within 6 to 8 hours after the circumcision.
- Bleeding doesn’t stop.
- The redness around the tip of the penis gets worse after 3 to 5 days.
- Yellow discharge lasts longer than a week. It is normal to have a little yellow discharge or coating around the head of the penis in the first week.
The story attempted to discuss some of the limitations of the evidence by citing the HIV health benefit was mainly based on evidence from Africa. But the story was short on the specifics of the research methods other than noting, the task force, “….analyzed more than a thousand studies.” Nonetheless, we’ll give it the benefit of the doubt on this criterion.
Both advocates for circumcision and opponents were quoted within the story.
The alternative is no circumcision and was presented in the article.
The availability is clear in the story, as is the decline in use…and the fact that many state Medicaid programs have stopped covering it.
The story makes it clear that the AAP has previously issued recommendations on the topic of circumcision and points out that this latest recommendation is a bit contrary to that previously issued.
The article does not rely solely on a press release and attempted to obtain quotes from individuals not involved in the policy recommendations.
Systematic, Criteria-Driven
Monday at #ADA2021, an infectious disease epidemiologist, a journalist, and a researcher shared perspectives on communication of risk in the era of COVID-19: http://ow.ly/ROfR30rMeE7 @AstleyCM @garyschwitzer @berthahidalgo @ADA_DiabetesPro
Shoutouts to @susan_bewley @drkevinknopf @MichaelBaum11 in this call for more than fawning coverage from press releases for these kinds of stories.
Also, linked history inside goes back 5 years just on Grail apparently trying to become Holy Grail. https://twitter.com/garyschwitzer/status/1408849696416841731
Comments (3)
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Ron Low
September 2, 2012 at 4:25 pmThe story did not mention that in their report the AAP admits they excluded deaths, amputations, and botched jobs so severe they required surgical revision. Hundreds of US doctors specialize on doing such revisions.
Ash Paul
September 4, 2012 at 9:33 amYou might be interested to read this posting from Brian Earp, from the University of Oxford, writing in the Practical Ethics Blog:
The AAP report on circumcision: Bad science + bad ethics = bad medicine
Web-link:
http://blog.practicalethics.ox.ac.uk/2012/08/the-aap-report-on-circumcision-bad-science-bad-ethics-bad-medicine/
Judith Lienhard
September 5, 2012 at 11:56 pmno mention is made of how circumcision impacts breastfeeding. circumcision is an elective, cosmetic procedure done to a patient who cannot consent!
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