CDC has developed Information for Providers To Share with Male Patients and Parents Regarding Male Circumcision and the Prevention of HIV infection, Sexually Transmitted Infections, and other Health Outcomes In addition, CDC developed documents to describe the evidence that serves as the basis for this information, and to provide CDC responses to peer and public review.
This document is intended to assist health care providers in the United States who share information with men and parents of male infants during decision making about male circumcision conducted by health care providers (i.e. medically performed) as it relates to the prevention of human immunodeficiency virus (HIV) infection, sexually transmitted infections (STIs), and other health outcomes. A brief bulleted summary of the health benefits and risks of elective medically performed male circumcision is provided at the end of the document. An appendix provides grading of the evidence for key statements made in the document.
Appendix 1 includes the grading scheme and criteria for inclusion of citations and specific considerations for use of the scheme for Information for Providers To Share with Male Patients and Parents Regarding Male Circumcision and the Prevention of HIV infection, STIs, and other Health Outcomes Appendix 2 includes a list of key statements in Information for Providers To Share with Male Patients and Parents Regarding Male Circumcision and the Prevention of HIV infection, STIs, and other Health Outcomes and the consensus grade applied to the citation supporting that statement. Descriptive information for each citation is also provided including methodology (RCT, observational study, case control, expert opinion, etc.), outcome of interest (HIV/ STD, penile cancer, UTI, etc.), effect of circumcision on outcome of interest (increase, decrease, no change, not applicable), study population (location, risk behavior, gender, race/ethnicity, age group, and any additional comments).
This is a companion document to Information for Providers To Share with Male Patients and Parents Regarding Male Circumcision and the Prevention of HIV infection, STIs, and other Health Outcomes that describes the methods for evidence review and provides a description of the evidence about the preventive health benefits, safety, and risks of medical male circumcision; the acceptability of, provider attitudes towards, access to, and cost-effectiveness of male circumcision; and related ethical considerations. The data examined are mainly in the context of the United States, but data from other countries are included to inform the U.S. experience.