New England Journal of Medicine: Difference between revisions
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[[Image:NEJM logo.jpg|right|thumb]] | [[Image:NEJM logo.jpg|right|thumb]] | ||
The '''New England Journal of Medicine''' (NEJM) has shifted from a balanced approach, to a one-sided, pro-circumcision stance. They have a tendency to present the purported benefits of circumcision, while failing to print any letters critical of these claims, and failing to confront the ethical problems and medical complications associated with circumcision. | The '''New England Journal of Medicine''' (NEJM) has shifted from a balanced approach, to a one-sided, pro-circumcision stance. They have a tendency to present the purported benefits of [[circumcision]], while failing to print any letters critical of these claims, and failing to confront the ethical problems and medical complications associated with [[circumcision]]. | ||
== Shift from neutrality to a pro-circumcision stance == | == Shift from neutrality to a pro-circumcision stance == | ||
In 1997, the ''NEJM'' printed a strongly pro-circumcision editorial by Dr. [[Thomas E. Wiswell|Thomas Wiswell]],<ref>{{REFjournal | In 1997, the ''NEJM'' printed a strongly pro-circumcision editorial by circumcision promoter Dr. [[Thomas E. Wiswell|Thomas Wiswell]],<ref>{{REFjournal | ||
|last=Wiswell | |last=Wiswell | ||
|init=TE | |init=TE | ||
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}}</ref> | }}</ref> | ||
In a previous article in the ''NEJM'', Royce et al. insinuated that the prepuce may be a risk factor for [[HIV]] infections.<ref>{{REFjournal | In a previous article in the ''NEJM'', Royce et al. insinuated that the [[prepuce]] may be a risk factor for [[HIV]] infections.<ref>{{REFjournal | ||
|last=Royce | |last=Royce | ||
|init=RA | |init=RA | ||
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== Research the NEJM has overlooked == | == Research the NEJM has overlooked == | ||
Circumcision is losing popularity in the United States and has been discredited by the [https://www.cps.ca/ Canadian Pediatric Society]<ref>{{REFjournal | Circumcision is losing popularity in the [[United States]] and has been discredited by the [https://www.cps.ca/ Canadian Pediatric Society]<ref>{{REFjournal | ||
|last=Fetus and Newborn Committee, Canadian Paediatric Society | |last=[[Fetus]] and Newborn Committee, Canadian Paediatric Society | ||
|title=Neonatal circumcision revisited | |title=Neonatal circumcision revisited | ||
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1487803/ | |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1487803/ | ||
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|url=http://www.cirp.org/library/statements/aaps/ | |url=http://www.cirp.org/library/statements/aaps/ | ||
|date=1996-04 | |date=1996-04 | ||
}}</ref> in 1996 position papers. Taylor described the unique innervation of the preputial [[mucosa]] in 1996, and its loss to circumcision.<ref>{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> Taddio et al. showed that circumcision with and without local anesthesia (EMLA) resulted in negative behavioral changes in a child's response to [[pain]].<ref name=Taddio1997>{{ | }}</ref> in 1996 position papers. Taylor described the unique innervation of the preputial [[mucosa]] in 1996, and its loss to circumcision.<ref>{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> Taddio et al. showed that circumcision with and without local anesthesia ([[EMLA]]) resulted in negative behavioral changes in a child's response to [[pain]].<ref name=Taddio1997>{{TaddioA KatzJ IlersichAL KorenG 1997}}</ref> Laumann has shown that circumcision causes sexual behavior changes and an apparent increased risk of many venereal diseases in adult men.<ref name="Laumann1997"/> Price has questioned whether parents can ethically change their child's genitalia.<ref>Price (Bull. Medical Ethics).</ref> | ||
}}</ref> Laumann has shown that circumcision causes sexual behavior changes and an apparent increased risk of many venereal diseases in adult men.<ref name="Laumann1997"/> Price has questioned whether parents can ethically change their child's genitalia.<ref>Price (Bull. Medical Ethics).</ref> | |||
The research on EMLA and circumcision presented by Taddio et al. was proclaimed as a major advance.<ref>{{REFjournal | The research on [[EMLA]] and circumcision presented by [[Anna Taddio| Taddio]] et al. was proclaimed as a major advance.<ref>{{REFjournal | ||
|last=Taddio | |last=Taddio | ||
|init=A | |init=A | ||
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|volume=336 | |volume=336 | ||
|pages=1197-1201 | |pages=1197-1201 | ||
}}</ref> When the limitations of this form of local anesthesia was brought to the attention of the editors, they failed to print the criticism (see Abstracts & Analysis). They failed to point out that this form of local anesthesia (EMLA) did not prevent the long term negative behavioral response to [[pain]] previously reported in the ''Lancet''.<ref name=Taddio1997/> The lack of effects of EMLA on long term negative behavioral changes caused by circumcision was printed in British medical journals.<ref name=Taddio1997/><ref>{{REFjournal | }}</ref> When the limitations of this form of local anesthesia was brought to the attention of the editors, they failed to print the criticism (see Abstracts & Analysis). They failed to point out that this form of local anesthesia ([[EMLA]]) did not prevent the long term negative behavioral response to [[pain]] previously reported in the ''Lancet''.<ref name=Taddio1997/> The lack of effects of [[EMLA]] on long term negative behavioral changes caused by circumcision was printed in British medical journals.<ref name=Taddio1997/><ref>{{REFjournal | ||
|last=Taddio | |last=Taddio | ||
|init=A | |init=A | ||
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|pages=291-292 | |pages=291-292 | ||
}}</ref> | }}</ref> | ||
{{SEEALSO}} | |||
* [[Bias]] | |||
* [[HIV]] | |||
* [[Pain]] | |||
* [[Trauma]] | |||
* [[United States of America]] | |||
{{REF}} | {{REF}} | ||
[[Category:Journal]] | [[Category:Journal]] | ||
[[Category:Bias]] | |||
[[Category:USA]] | |||
[[Category:From CircLeaks]] | [[Category:From CircLeaks]] | ||