critical appraisal évaluation critique

penile human papillomavirus infection, and cervical cancer in female partners. N Engl J Med 2002;346:1105-12. Research question Does circumcision reduce the risk of penile human papillomavirus (HPV) infection in a man and cervical cancer in his female partner? Type of article and design Seven case-control studies. Relevance to family physicians We are often asked by new parents about the benefi t and harm of male circumcision. Some studies have suggested that circumcision reduces risk of urinary tract infections, penile cancer, and HIV infection. Poor cosmetic results, removing too much or too little foreskin, or uneven removal of the foreskin are potential adverse outcomes; occasionally circumci-sion results in meatal stenosis.1 Despite the reported benefi ts of circumcision, the most common reason for doing it is that the father was circumcised.2 There is much literature on male circumcision, and several medical organizations have published policy statements on the topic. The Canadian Paediatric Society does not recommend routine neo-natal circumcision2 nor does the American Academ