Evaluating Clinical Outcomes of an Advanced Practice Provider-Led Newborn Circumcision Clinic

Urology
Jonathan A GerberAbhishek Seth

Abstract

To determine the safety and efficacy of advanced practice provider (APP)-performed newborn circumcisions (NBCs), we reviewed outcomes of NBCs performed by pediatric urologists and APPs. We hypothesize comparable clinical outcomes between the groups. All urology performed NBCs during a 5-year period were reviewed, including time surrounding implementation of the APP-led clinic. Return to emergency department (ED) rates, return to operating room (OR) rates, and intraprocedure bleeding requiring intervention were reviewed. Fisher exact and Mann-Whitney testing were utilized. There were no statistically significant differences in rates of intraprocedure bleeding, return to ED in 30days, return to OR for revision or other related penile surgery, or the overall number of patients with complications between the groups. Thirteen patients had complications in the APP cohort, compared to 8 in the urologist cohort. There was a difference in age and weight, with urologists performing NBCs on older and heavier patients. There was no difference in clinical outcomes between children over and under 10 pounds (4.5 kg). There was a significant difference in the need for revision circumcision when comparing children older vs younger than 30days (...Continue Reading

Citations

Sep 26, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Kaity Colón-SanchezPamela Ellsworth
Sep 16, 2020·Journal of Pediatric Urology·Vivian WilliamsCarlos Estrada

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