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A Cost-Utility Analysis of Neonatal Circumcision

Author

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  • Robert S. Van Howe

    (Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan)

Abstract

A cost-utility analysis, based on published data from multiple observational studies, comparing boys circumcised at birth and those not circumcised was undertaken using the Quality of Well-being Scale, a Markov analysis, the standard reference case, and a societal perspective. Neonatal circumcision increased incremental costs by $828.42 per patient and resulted in an incremental 15.30 well-years lost per 1000 males. If neonatal circumcision was cost-free, pain-free, and had no immediate complications, it was still more costly than not circumcising. Using sensitivity analysis, it was impossible to arrange a scenario that made neonatal circumcision cost-effective. Neonatal circumcision is not good health policy, and support for it as a medical procedure cannot be justified financially or medically.

Suggested Citation

  • Robert S. Van Howe, 2004. "A Cost-Utility Analysis of Neonatal Circumcision," Medical Decision Making, , vol. 24(6), pages 584-601, November.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:6:p:584-601
    DOI: 10.1177/0272989X04271039
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    Cited by:

    1. 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.
    2. Robert Darby, 2016. "Targeting Patients Who Cannot Object? Re-Examining the Case for Non-Therapeutic Infant Circumcision," SAGE Open, , vol. 6(2), pages 21582440166, June.

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