Evidence map›Paper›PMID 24594500›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2014

Single-arm evaluation of the AccuCirc device for early infant male circumcision in Botswana.

Rebeca M Plank, Kathleen E Wirth, Nnamdi O Ndubuka, Rasak Abdullahi, Maggie Nkgau, Chiapo Lesetedi, Kathleen M Powis, Mompati Mmalane, Joseph Makhema, Roger Shapiro and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02277795 (Evaluation of the AccuCirc for Early Infant Male Circumcision in Nyanza, Kenya), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02277795 nacompletednot on this mapstarted 2015, after this paper: background citation

Evaluation of the AccuCirc for Early Infant Male Circumcision in Nyanza, Kenya

TypeinterventionalSponsorBrigham and Women's HospitalRan2015 to 2016Enrolled704ConditionsMale CircumcisionArmsAccuCirc
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
  5. Review
  6. Article
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rebeca M Plank*Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, MA; †Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, MA; ‡Botswana-Harvard School of Public Health AIDS Initiative Partnership for HIV Research and Education, Gaborone, Botswana; §Department of Epidemiology, Harvard School of Public Health, Boston, MA; ‖Northern Inter-Tribal Health Authority, Prince Albert, Saskatchewan, Canada; ¶Botswana Ministry of Health, Gaborne, Botswana; #Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital, Boston, MA; and; **Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA.
Kathleen E Wirth
Nnamdi O Ndubuka
Rasak Abdullahi
Maggie Nkgau
Chiapo Lesetedi
Kathleen M Powis
Mompati Mmalane
Joseph Makhema
Roger Shapiro
Shahin Lockman

Funding

BUILDING HUMAN RESOURCE CAPACITY TO SUPPORT PREVENTION, CARE & TREATMENT, STRATEGU2GPS000941 · PS · PREMIERE · PI WILSON, CAROLYN JUNE · 2008 to 2012
$8.8M
Infant Male Circumcision in Botswana: Feasibility, Safety and AcceptabilityK23AI084579 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI PLANK, REBECA MILANESI · 2009 to 2012
$548k
NCHHSTP CDC HHS U2G PS000941NIAID NIH HHS K23 AI084579
6 · The paper itself

Abstract

: Existing devices for early infant male circumcision (EIMC) have inherent limitations. We evaluated the newly developed AccuCirc device by circumcising 151 clinically well, full-term male infants with birth weight ≥2.5 kg within the first 10 days of life from a convenience sample in 2 hospitals in Botswana. No major adverse events were observed. There was 1 local infection, 5 cases of minor bleeding, and 1 case of moderate bleeding. In 3 cases, the device made only partial incisions that were completed immediately by the provider without complications. Parental satisfaction was high: >96% of mothers stated that they would circumcise a future son. The pre-assembled, sterile AccuCirc kit has the potential to overcome obstacles related to supply chain management and on-site instrument disinfection that can pose challenges in resource-limited settings. In our study, the AccuCirc was safe and it should be considered for programmatic EIMC in resource-limited settings.

Indexed as

Equipment and SuppliesBotswanaCircumcision, MaleHumansInfant, NewbornMalePatient Acceptance of Health CareSurgical Wound InfectionTreatment Outcome

Identifiers

PMID24594500
PMCPMC4041082

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.