Comparison of Ring Block, Dorsal Penile Nerve Block, and Topical Anesthesia for Neonatal Circumcision

A Randomized Controlled Trial

The issue:
 
Why did physicians who thought neonatal circumcision had no medical indication circumcise 52 healthy male newborns, traumatizing some of them to the point of danger? To see the CNN report on this medical study, click here. To see the report as published in the Journal of the American Medical Association, click here.

Participants:

Scene:
 
Antenatal units in two tertiary care hospitals in Edmonton, Alberta, Canada.

Correspondents, in alphabetical order:
 
Dr. W. W. (Bill) Anderson, Past President, Alberta Medical Association.
Dr. Denise Avard,, Director, Canadian Institute of Child Health.
Dr. Vangie Bergum, Co-Director, John Dossetor Health Care Ethics Centre.
Dr. David Bond, President, Alberta Medical Association (1999-2000).
Dr. Paul Byrne, Co-Director, John Dossetor Health Care Ethics Centre.
Dr. Mary Lou Cranston, Director, St. Joseph's Health Care Ethics Centre.
Dr. Henry Dinsdale, President, National Council on Ethics in Human Research.
Mr. Pierre Dionne, Director, International Bureau for Children's Rights.
Dr. Emmett Francoeur, President, Canadian Paediatric Society.
Dr. Roderick Fraser, President and Vice-Chancellor, University of Alberta.
Ms. Peggy M. Hartman, Director of Civil and Family Legal Services.
The Honourable Jon Havelock, Minister of Justice and Attorney General of Alberta.
The Honourable Halvar Jonson, Minister of Health, Province of Alberta.
Mr. Ronald Kustra, Assistant Executive Director (Public Affairs), AMA.
Dr. Janice Lander, Associate Dean, Faculty of Nursing and head of the research team.
R. Gary McCuaig, Chief Crown Prosecutor—Edmonton.
The Honourable Anne McLellan, Minister of Justice and Attorney General of Canada.
Ms. Fernande Meilleur, Director, Canadian Coalition for the Rights of Children.
Dr. Donald Morrish, Chair of the Research Ethics Board that approved the study.
Dr. Rowland T. Nichol, President, Alberta Medical Association (1998-99).
Dr. Larry Ohlhauser, Registrar of the College of Physicians and Surgeons of Alberta.
Mr. Ian Potter, Assistant Deputy Minister, HPPB, Health Canada.
Mr. Bob Rechner, Children's Advocate, Province of Alberta.
Mr. Brian Ward, Director, Childhood and Youth Division, Health Canada.

The correspondence, in chronological order:

Date Reply Correspondent
97 Dec 27 98 Feb 02 Jon Havelock, Attorney General of Alberta
98 Feb 12 due* Larry Ohlhauser, Registrar, College of Physicians and Surgeons
98 Feb 12 98 Mar 03 Bill Anderson, Past President, Alberta Medical Association
98 Mar 20 n/a Ron Kustra, Assistant Executive Director (Public Affairs), AMA
98 Mar 20 due* Janice Lander
98 Mar 28 98 Apr 24 Roderick Fraser, President, University of Alberta
98 Mar 28 98 May 08 Health Promotion and Programs Branch (HPPB), sponsor of the study
98 Mar 28 n/a Brian Ward, Director, Childhood and Youth Division, Health Canada
98 Apr 08 98 Apr 16 Bob Rechner, Children's Advocate, Province of Alberta
98 Apr 19 due* Denise Avard, Director, Canadian Institute of Child Health
98 Apr 19 due* Pierre Dionne, Director, International Bureau for Children's Rights
98 Apr 19 due* Fernande Meilleur
98 May 11 98 June 29 Fraser
98 June 04 98 July 06 Ian Potter, Assistant Deputy Minister, HPPB
98 June 24 98 Sept 09 Mary Lou Cranston, Director, St. Joseph's Health Care Ethics Centre
98 June 26 due* Vangie Bergum and Paul Byrne
98 June 26 98 July 21 Halvar Jonson, Alberta Minister of Health
98 June 26 due* Lander
98 July 16 n/a Potter
98 Aug 17 n/a Jonson
98 Aug 28 98 Sept 10 Donald Morrish, Chair, Research Ethics Board, U of Alberta
98 Sept 17 due* Morrish
98 Sept 18 98 Oct 23 Henry Dinsdale, President, National Council on Ethics in Human Research
98 Sept 18 due* Emmett Francoeur, President, Canadian Paediatric Society
98 Nov 13 due* Rowland T. Nichol, President, Alberta Medical Association
98 Nov 13 due* Morrish
98 Nov 13 due* Ohlhauser
98 Nov 13 due* Dinsdale
98 Nov 13 due* Anne McLellan, Attorney General of Canada
99 May 21 99 Jun 02 R. Gary McCuaig, Chief Crown Prosecutor—Edmonton
99 May 21 99 June 08 Morrish
99 June 17 due* Morrish
99 Sep 27 due* Morrish
99 Sep 29 99 Oct 12 Bob Rechner, Alberta Children's Advocate
99 Oct 07 due* Dinsdale
99 Nov 03 99 Dec 17 David Bond, President, Alberta Medical Association (1999-2000)
00 Jan 07 00 Jan 25 Bond
00 Jan 24 00 Jan 26 Ohlhauser

* due over 6 months