PEDIATRICS

OBJECTIVES To assess the effects of immersive virtual reality (IVR) for alleviating anxiety, anticipatory nausea and vomiting, and chemotherapy-induced nausea and vomiting (CINV) in patients with pediatric cancer receiving their first chemotherapy. METHODS An assessor-blinded parallel-group randomized controlled trial was conducted in a local children’s hospital among pediatric patients (aged 6-1…

BACKGROUND AND OBJECTIVES Clinical practice guidelines for pediatric obesity management allow for consideration of glucagon-like peptide-1 receptor agonists (GLP-1RA) in children ages 8–11. No study has documented secular trends in GLP-1RA prescribing in this group. We hypothesized that there would be a significant increase over time, particularly for children with more severe obesity, greater co…

BACKGROUND AND OBJECTIVE Neonatal organ donation could significantly expand the deceased donor pool, but referral pathways and acceptance criteria remain highly variable worldwide and determination of neurological death in neonatal patients has traditionally been considered challenging. Our national study aimed to determine the potential proportion of neonates eligible for donation after neurolog…

BACKGROUND Residency graduates must be “practice ready” by the time they leave training. This study explored how pediatric residency program directors view their role and responsibility in determining practice readiness and examined how characterizations of practice readiness differ based upon residents’ intended career trajectories. METHODS The authors conducted a constructivist grounded theory …

To report the successful use of continuous renal replacement therapy (CRRT) in a child with type 1 diabetes mellitus (T1DM) and intravenous immunoglobulin (IVIG)–refractory Kawasaki disease shock syndrome (KDSS). A 3-year, 10-month-old boy with poorly controlled T1DM and autoimmune thyroiditis presented with KDSS and diabetic ketoacidosis. Despite IVIG and high-dose aspirin, he developed refracto…

CONTEXT Delirium is common in pediatric intensive care units. Reliable tools are needed, but evidence on measurement properties remains fragmented. OBJECTIVES To identify pediatric delirium tools and evaluate their measurement properties and certainty of evidence. DATA SOURCES MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library, and Web of Science were searched without language or date restrictio…

Evidence of net benefit and feasibility of implementation is necessary for a health condition to become part of routine newborn screening. But acquiring data to support informed decision-making is difficult without a nimble and coordinated research capacity grounded in public health practice, a problem exacerbated in the case of rare disorders. To address this concern, we built and implemented Ea…

Parents of children who are deaf or hard of hearing (D/HH) must make many complex decisions during their child’s infancy and early childhood. Identifying key decision points will help guide the development of shared decision-making tools. We began by identifying 4 domains to classify the decisions for D/HH children: developmental, cultural/belonging, audiological, and medical. In partnership with…

Long-term follow-up (LTFU) systems for newborn screening (NBS) are essential for evaluating access to care, outcomes, and treatment barriers. Following screening, infants with confirmed diagnoses are followed by care providers, but local, state, and national systems to assess outcomes are lacking. The objectives were to create a roadmap outlining stages for LTFU program development to assist juri…

Decision analytic models that project the outcomes of population-based newborn screening compared with clinical identification can inform newborn screening policymaking. A flexible decision analytic model that could be adapted for the many and growing number of conditions being considered for newborn screening would help expedite decision making while reducing the time and resources required to d…

We have reached another inflection point—perhaps the end of an era—in state newborn screening programs. Frequently touted as one of the great achievements in public health, newborn screening in the United States is remarkable in part because of the role of state government in routine pediatric care and because of the role of the federal government in the standardization of health policy through a…

OBJECTIVE Utilize a longitudinal study to examine over time whether (1) burnout has decreased since it peaked during the COVID-19 pandemic in 2021; (2) patterns are similar across pediatrician characteristics; and (3) changes in work and personal characteristics are linked to decreasing burnout. METHODS We analyzed data from the American Academy of Pediatrics Pediatrician Life and Career Experien…