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By Kelly Young
The risk for adverse events following male circumcision increases markedly if the procedure is done after the first year of life, according to a large study in JAMA Pediatrics.
Using U.S. administrative claims data, researchers examined the incidence of circumcision-related adverse events among over 1 million infant boys who underwent circumcision (and over 1 million who did not). Adverse event rates were also calculated for older boys.
Among infants (younger than 1 year), less than 0.5% of those who were circumcised experienced an adverse event. Rates of adverse events increased with age at circumcision, reaching roughly 9% and 5% in boys aged 1–9 years and 10 years and older, respectively. The most common events were related to correctional procedures and bleeding.
The authors conclude: "Given the current debate about whether [male circumcision] should be delayed from infancy to adulthood for autonomy reasons, our results are timely and can help physicians counsel parents about circumcising their sons."
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LINK(S):
JAMA Pediatrics article (Free abstract)
Background: NEJM Journal Watch Pediatrics and Adolescent Medicine coverage of the AAP's 2012 policy statement on circumcision (Your NEJM Journal Watch registration required)