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Related Experiment Videos

Routine neonatal circumcision: a cost-utility analysis.

T G Ganiats1, J B Humphrey, H L Taras

  • 1Department of Community of Family Medicine, University of California, San Diego School of Medicine, La Jolla 92093-0807.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|October 1, 1991
PubMed
Summary
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Routine neonatal circumcision has a net lifetime cost of $102 and 14 hours of healthy life lost. These financial and health factors balance out, suggesting non-economic factors should guide decisions.

Area of Science:

  • Medical economics
  • Public health policy
  • Pediatric surgery

Background:

  • Circumcision is a common procedure with ongoing debate regarding its benefits and costs.
  • Decisions surrounding circumcision often involve balancing financial, medical, and ethical considerations.

Purpose of the Study:

  • To conduct a cost-utility analysis of routine neonatal circumcision.
  • To determine the relative importance of various factors in the current circumcision debate.

Main Methods:

  • A cost-utility analysis was performed.
  • Key elements evaluated included procedure cost, pain, risk of urinary tract infections, and penile cancer risk.

Main Results:

  • The net, discounted lifetime dollar cost of routine circumcision is $102 per person.

Related Experiment Videos

  • The net, discounted lifetime health cost is equivalent to 14 hours of healthy life.

    • Conclusions:

    • Financial and medical advantages/disadvantages of routine neonatal circumcision appear to balance each other.
    • Factors beyond cost and health outcomes should inform decision-making regarding circumcision.