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To the Editor We read with great interest the article by El Bcheraoui et al1 recently published in JAMA Pediatrics. We believe that the rates of adverse events of male circumcision may have been underestimated. As a matter of fact, the authors did not mention intraoperative and postoperative pain as an adverse effect, especially in neonates. Nonetheless, authors in other studies consider undertreating or untreating procedural pain to be an actual adverse event.2
Bisogni S, Olivini N, Festini F. Undertreated and Untreated Pain Should Be Considered an Adverse Event of Neonatal Circumcision. JAMA Pediatr. 2014;168(11):1076-1077. doi:10.1001/jamapediatrics.2014.1653