0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum | Comparative Effectiveness Research

Male Circumcision Cost-effective Articles Ignore Methodological Problems and Ethical Concerns

Chris S. Booker, BSc
JAMA Pediatr. 2013;167(2):198-200. doi:10.1001/jamapediatrics.2013.832.
Text Size: A A A
Published online

Extract

I read the article by Kacker et al1 and the accompanying editorial2 with dismay. The authors have attempted to apply the results of randomized controlled trials of voluntary adult male circumcision (MC) and human immunodeficiency virus, herpes simplex virus,and human papillomavirus incidence in Africa to a cost-effectiveness analysis of neonatal MC in the United States. In applying the risk reduction ratios from these trials, Kacker et al have overstepped basic issues with regard to the interpretation of medical literature, including substantial assumptions regarding the external validity of these trials and their applicability to the United States. If the authors were truly interested in reducing the burden of diseases assessed, it would have been much more helpful to consider the comparative cost-effectiveness of other interventions (such as vaccination against human papillomavirus); the absence of such comparisons or even their discussion suggests the authors' interests lie not in the prevention of the diseases assessed, but in providing justification for a cultural practice in decline.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

February 1, 2013
Seema Kacker, BS; Kevin D. Frick, PhD; Charlotte A. Gaydos, DrPH; Aaron A. R. Tobian, MD, PhD
JAMA Pediatr. 2013;167(2):198-200. doi:10.1001/jamapediatrics.2013.835.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();