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Routine Neonatal Circumcision

Author

Listed:
  • Theodore G. Ganiats
  • Jonathan B.C. Humphrey
  • Howard L. Taras
  • Robert M. Kaplan

Abstract

A cost-utility analysis was performed to evaluate the relative importance of each of the various elements in the current circumcision debate. Elements used in the analysis included the cost of the procedure, the pain associated with the procedure, the risk of urinary tract infections, and the risk of penile cancer. The net, discounted lifetime dollar cost of routine circumcision is $102 per person, while the net, discounted lifetime health cost is 14 hours of healthy life. These results suggest that the financial and medical advantages and dis advantages of routine neonatal circumcision cancel each other and that factors other than cost or health outcomes must be used in decision making. Key words: cost-utility analysis; circumcision; urinary tract infection. (Med Decis Making 1991;11:282-293)

Suggested Citation

  • Theodore G. Ganiats & Jonathan B.C. Humphrey & Howard L. Taras & Robert M. Kaplan, 1991. "Routine Neonatal Circumcision," Medical Decision Making, , vol. 11(4), pages 282-292, December.
  • Handle: RePEc:sae:medema:v:11:y:1991:i:4:p:282-292
    DOI: 10.1177/0272989X9101100406
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    Citations

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    Cited by:

    1. Frederick, Shane, 2006. "Valuing future life and future lives: A framework for understanding discounting," Journal of Economic Psychology, Elsevier, vol. 27(5), pages 667-680, October.
    2. Olalekan A Uthman & Taiwo Aderemi Popoola & Mubashir M B Uthman & Olatunde Aremu, 2010. "Economic Evaluations of Adult Male Circumcision for Prevention of Heterosexual Acquisition of HIV in Men in Sub-Saharan Africa: A Systematic Review," PLOS ONE, Public Library of Science, vol. 5(3), pages 1-7, March.
    3. Darryl T. Gray, 2004. "Neonatal Circumcision: Cost-Effective Preventive Measure or “the Unkindest Cut of All†?," Medical Decision Making, , vol. 24(6), pages 688-692, November.
    4. Theodore G. Ganiats & Richard T. Carson & Robert M. Hamm & Scott B. Cantor & Walton Sumner & Stephen J. Spann & Michael D. Hagen & Christopher Miller, 2000. "Population-based Time Preferences for Future Health Outcomes," Medical Decision Making, , vol. 20(3), pages 263-270, July.

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