Evidence map›Paper›PMID 33482127›Full record

ArticleUrology2021

Bringing Jewish Ritual circumcision (Brit Milah) Into the Operating Room: An Analysis of Surgical Outcomes and Satisfaction Across Families and Society of Pediatric Urology members.

Alexander Koven, Fardod O'Kelly, Ali El-Ghazzaoui, Jacob C Langer, David Levin, Aubie Diamond, Yisroel Goldstein, Ezriel Reichman, Martin A Koyle

Abstract read
PubMed Publisher
In one paragraph

Article in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 51% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Case - Incorporating modern technology with traditional ceremony of Brit Milah during the COVID-19 pandemic.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Alexander KovenDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: alexander.koven@mail.utoronto.ca.
Fardod O'KellyDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Ali El-GhazzaouiDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Jacob C LangerDivision of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
David LevinDepartment of Anesthesiology and Pain Medicine, Hospital for Sick Children, Toronto, Ontario, Canada.
Aubie DiamondDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Abraham Diamond Medicine Professional Corporation, Toronto, Ontario, Canada.
Yisroel GoldsteinDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Ezriel ReichmanDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Martin A KoyleDivision of Pediatric Urology, Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess caregiver satisfaction, procedural outcomes and practitioner opinion regarding a novel program designed for patients to undergo a deferred Jewish ritual circumcision (Brit Milah) in the operating room (OR), combined with other indicated surgical procedures.

methodsAll patients undergoing Brit Milah in the OR at our institution between 2013 and 2019 were included. Surveys were administered to assess caregiver satisfaction and Society for Pediatric Urology member practice patterns. A retrospective case-control series was completed to compare complication rates and operative times for procedures with and without Brit Milah.

resultsForty-four intraoperative Brit Milah patients were identified. The mean procedure time for a distal hypospadias repair with Brit Milah was 66.0 minutes, compared to 62.4 minutes without (P = .57). No complications were attributable to the addition of Brit Milah. The caregiver survey had a 100% response rate. The modal response for satisfaction with the perioperative experience was 5 of 5 (ie, highly satisfied), with 100% of respondents very likely to recommend the program. 132 active Society for Pediatric Urology members responded to the survey (34.1% response rate) with 44% regularly allowing Brit Milah in the OR at their institution. 90.5% received positive caregiver feedback and 64% believe it is important to offer.

conclusionThis novel program incorporating Brit Milah into the OR yields high caregiver satisfaction, no additional OR time or postoperative complications, and provides an opportunity to combine family-centered care with cultural competence.

Indexed as

Ceremonial BehaviorCircumcision, MaleJewsPersonal SatisfactionAttitude of Health PersonnelCase-Control StudiesHumansInfantMaleOperating RoomsPediatricsPractice Patterns, Physicians'Retrospective StudiesSocieties, MedicalUnited StatesUrology

Identifiers

PMID33482127
OpenAlexW3125621662

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.