A cost-utility analysis of neonatal circumcisionRobert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, USA
Med Decis Making 24:584-601. 2004
..Neonatal circumcision is not good health policy, and support for it as a medical procedure cannot be justified financially or medically...
- Effect of confounding in the association between circumcision status and urinary tract infection
R S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, MI 49855 2340, USA
J Infect 51:59-68. 2005
..To estimate the impact of confounding in the association between circumcision status and urinary tract infection from epidemiological factors, sample collection, and health-seeking behaviors in the first year of life...
- Circumcision and HIV infection: review of the literature and meta-analysis
R S Van Howe
Department of Pediatrics, Marshfield Clinic, Lakeland Center, USA
Int J STD AIDS 10:8-16. 1999
..06, 95% confidence interval (CI)=1.01-1.12). Based on the studies published to date, recommending routine circumcision as a prophylactic measure to prevent HIV infection in Africa, or elsewhere, is scientifically unfounded...
- Incidence of meatal stenosis following neonatal circumcision in a primary care setting
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, USA
Clin Pediatr (Phila) 45:49-54. 2006
..A careful meatal examination is indicted in any circumcised boy with abdominal or urinary complaints...
- Neonatal circumcision and penile inflammation in young boys
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, USA
Clin Pediatr (Phila) 46:329-33. 2007
..91 (95% confidence interval, 1.76-77.66). The study found that rather than protecting against penile inflammation, neonatal circumcision increases the risk of penile inflammation, particularly in boys younger than 3 years old...
- Genital ulcerative disease and sexually transmitted urethritis and circumcision: a meta-analysis
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, MI, USA
Int J STD AIDS 18:799-809. 2007
..Significant between-study heterogeneity and evidence of publication bias exclude the possibility of reaching a definitive conclusion regarding the association of circumcision status and these sexually transmitted infections...
- Case number and the financial impact of circumcision in reducing prostate cancer
Robert S Van Howe
BJU Int 100:1193-4. 2007
- The possible role of circumcision in newborn outbreaks of community-associated methicillin-resistant Staphylococcus aureus
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, USA
Clin Pediatr (Phila) 46:356-8. 2007
..A literature review and a statistical analysis confirmed that male newborns are significantly more likely to be infected with Staphylococcus aureus. Circumcision is a possible explanation for the recent outbreaks...
- Fine-touch pressure thresholds in the adult penis
Morris L Sorrells
HIV AIDS researcher, San Francisco, CA, USA
BJU Int 99:864-9. 2007
..To map the fine-touch pressure thresholds of the adult penis in circumcised and uncircumcised men, and to compare the two populations...
- Re: cost analysis of neonatal circumcision in a large health maintenance organization
Robert S Van Howe
J Urol 176:2316; author reply 2317-9. 2006
- Human papillomavirus and circumcision: a meta-analysis
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, 1414 W Fair Avenue, Suite 226, Marquette, MI 49855, USA
J Infect 54:490-6. 2007
..Determine the relationship of circumcision status to the risk for genital infection with human papillomavirus (HPV)...
- Diagnosis and management of pharyngitis in a pediatric population based on cost-effectiveness and projected health outcomes
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan, USA
Pediatrics 117:609-19. 2006
..The cost-utility of these strategies for children has not been reported previously...
- Hypoglycemia in infants of diabetic mothers: experience in a rural hospital
Robert S Van Howe
Department of Pediatrics, Michigan State University College of Human Medicine, Marquette, Michigan 49855, USA
Am J Perinatol 23:105-10. 2006
..With presumably tighter control of gestational diabetes, the risk of symptomatic hypoglycemia appears diminished. If glucose monitoring of asymptomatic newborns is to be performed, it need only be done in the first 2 hours of life...
- Human papillomavirus link to circumcision is misleading
Robert S Van Howe
Cancer Epidemiol Biomarkers Prev 15:405; author reply 405-6. 2006
- HIV infection and circumcision: cutting through the hyperbole
Robert S Van Howe
Attorneys for the Rights of the Child, Berkeley, California, USA
J R Soc Promot Health 125:259-65. 2005
..Even if effective, mass circumcision as a preventive measure for HIV in developed countries is difficult to justify...
- Neonatal circumcision is neither medically necessary nor ethically permissible: a response to Clark et al. Comment to: Mandatory neonatal circumcision in sub-Saharan Africa: medical and ethical analysis. Peter Clark, Justin Eisenman, Stephen Szapor Med Sc
Robert S Van Howe
Med Sci Monit 14:LE7-13. 2008
