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Association of Patient and Family Reports of Hospital Safety Climate With Language Proficiency in the US. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-13 Alisa Khan,Victoria Parente,Jennifer D Baird,Shilpa J Patel,Sharon Cray,Dionne A Graham,Monique Halley,Tyler Johnson,Erin Knoebel,Kheyandra D Lewis,Isabella Liss,Eileen M Romano,Shrunjal Trivedi,Nancy D Spector,Christopher P Landrigan,,Ellen J Bass,Sharon Calaman,April E Fegley,Andrew J Knighton,Jennifer K O'Toole,Theodore C Sectish,Rajendu Srivastava,Amy J Starmer,Daniel C West
Importance Patients with language barriers have a higher risk of experiencing hospital safety events. This study hypothesized that language barriers would be associated with poorer perceptions of hospital safety climate relating to communication openness. Objective To examine disparities in reported hospital safety climate by language proficiency in a cohort of hospitalized children and their families
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Childcare and Employment Disruptions in 2020 Among Caregivers of Children With and Without Special Health Care Needs. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-13 Caleb Easterly,Doyoung Kim,Michael J Steiner,Neal A deJong
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More Recent Literature Does Not Support Premise or Conclusions. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-13 Timothy R Shope,Nader Shaikh,Alejandro Hoberman
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Assessment of Variation in US State Laws Addressing the Prevention of and Response to Teen Dating Violence in Secondary Schools. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-13 Avanti Adhia,Melanie Kray,Deirdre Bowen,Mary A Kernic,Elizabeth Miller
Importance Teen dating violence (TDV) is widespread and has adverse consequences across the life course. Many US states are actively seeking strategies to prevent and address TDV in schools, including enactment and implementation of TDV laws. These state laws are upstream, system-level interventions that lay the foundation for an array of downstream targeted interventions to be deployed in schools
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More Recent Literature Does Not Support Premise or Conclusions-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-13 Holly M Frost,Adam L Hersh
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Risk and Phenotype of Multisystem Inflammatory Syndrome in Vaccinated and Unvaccinated Danish Children Before and During the Omicron Wave. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-08 Mette Holm,Laura Espenhain,Jonathan Glenthøj,Lisbeth Samsø Schmidt,Sannie Brit Nordly,Ulla Birgitte Hartling,Ulrikka Nygaard
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Association Between Screen Time Trajectory and Early Childhood Development in Children in China. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Jin Zhao,Zhangshen Yu,Xiaoning Sun,Saishuang Wu,Jun Zhang,Donglan Zhang,Yunting Zhang,Fan Jiang
Importance Screen time has become an integral part of children's daily lives. Nevertheless, the developmental consequences of screen exposure in young children remain unclear. Objective To investigate the screen time trajectory from 6 to 72 months of age and its association with children's development at age 72 months in a prospective birth cohort. Design, Setting, and Participants Women in Shanghai
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Exploring Potential Modifiers of the Association Between Neurodevelopmental Disorders and Risk of Bullying Exposure. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Evelina Käld,Linda Beckman,Valsamma Eapen,Ping-I Lin
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Did We Forget That Masks, Lockdowns, and Other Nonpharmaceutical Interventions Also Play a Role in Respiratory Viral Disease?-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 William Encinosa,Jessica Figueroa,Youssef Elias
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Did We Forget That Masks, Lockdowns, and Other Nonpharmaceutical Interventions Also Play a Role in Respiratory Viral Disease? JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Chenyu Sun,Scott Lowe,Binyu Wei
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Use of Race in Pediatric Clinical Practice Guidelines: A Systematic Review. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Courtney A Gilliam,Edwin G Lindo,Shannon Cannon,L'Oreal Kennedy,Teresa E Jewell,Joel S Tieder
Importance National clinical practice guidelines (CPGs) guide medical practice. The use of race in CPGs has the potential to positively or negatively affect structural racism and health inequities. Objective To review the use of race in published pediatric CPGs. Evidence Review A literature search of PubMed, Medscape, Emergency Care Research Institute Guidelines Trust, and MetaLib.gov was performed
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Social Media Use in Children and Adolescents. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-31 Meryl Shychuk,Nancy Joseph,Lindsay A Thompson
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Association of Mistreatment and Discrimination With Medical School Attrition. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-31 Mytien Nguyen,Sarwat I Chaudhry,Mayur M Desai,Candice Chen,William A McDade,Tonya L Fancher,Dowin Boatright
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Global, Regional, and National Incidence and Mortality of Neonatal Preterm Birth, 1990-2019. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-31 Guiying Cao,Jue Liu,Min Liu
Importance Preterm birth complications are the leading cause of death in children younger than 5 years worldwide. Despite advancing knowledge of risk factors and mechanisms related to preterm labor, the preterm birth rate has risen in most industrialized countries. Moreover, the burden of neonatal preterm birth remains unclear across the world. Objective To determine the trends in incidence and mortality
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Presepsin for the Diagnosis of Neonatal Early-Onset Sepsis: A Systematic Review and Meta-analysis. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-31 Chiara Poggi,Ersilia Lucenteforte,Davide Petri,Salvatore De Masi,Carlo Dani
Importance Neonatal early-onset sepsis (EOS) is a severe disease, particularly in preterm infants. Timely diagnosis can be challenging owing to unspecific presentation and questionable performance of the common markers of infection. Presepsin was recently proven to be a promising biomarker for the diagnosis of EOS. Objective To assess presepsin accuracy for the diagnosis of EOS. Data Sources PubMed
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COVID-19 Vaccination During Pregnancy-Multiple Pregnancies Need More Focus-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-31 Inbal Goldshtein,David M Steinberg,Jacob Kuint
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Association of Race and Socioeconomic Disadvantage With Missed Telemedicine Visits for Pediatric Patients During the COVID-19 Pandemic. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Evan Brociner,Kun-Hsing Yu,Isaac S Kohane,McGreggor Crowley
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Effects of Limiting Recreational Screen Media Use on Physical Activity and Sleep in Families With Children: A Cluster Randomized Clinical Trial. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Jesper Pedersen,Martin Gillies Banke Rasmussen,Sarah Overgaard Sørensen,Sofie Rath Mortensen,Line Grønholt Olesen,Jan Christian Brønd,Søren Brage,Peter Lund Kristensen,Anders Grøntved
Importance Children and adults spend large amounts of their leisure time using screen media, which may affect their health and behavior. Objective To investigate the effect of reducing household recreational screen media use on physical activity and sleep in children and adults. Design, Setting, and Participants This was a cluster randomized clinical trial with a 2-week follow-up. Enrollment began
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Childhood Asthma Incidence, Early and Persistent Wheeze, and Neighborhood Socioeconomic Factors in the ECHO/CREW Consortium. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Antonella Zanobetti,Patrick H Ryan,Brent Coull,Cole Brokamp,Soma Datta,Jeffrey Blossom,Nathan Lothrop,Rachel L Miller,Paloma I Beamer,Cynthia M Visness,Howard Andrews,Leonard B Bacharier,Tina Hartert,Christine C Johnson,Dennis Ownby,Gurjit K Khurana Hershey,Christine Joseph,Song Yiqiang,Eneida Mendoza,Daniel J Jackson,Heike Luttmann-Gibson,Edward M Zoratti,Anne L Wright,Fernando D Martinez,Christine
Importance In the United States, Black and Hispanic children have higher rates of asthma and asthma-related morbidity compared with White children and disproportionately reside in communities with economic deprivation. Objective To determine the extent to which neighborhood-level socioeconomic indicators explain racial and ethnic disparities in childhood wheezing and asthma. Design, Setting, and Participants
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Screen Timing May Be More Likely Than Screen Time to Be Associated With the Risk of Autism Spectrum Disorder. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Yu-Hsuan Lin,Sheng-Hsuan Lin,Susan Shur-Fen Gau
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Childhood Asthma Disparities-Race, Place, or Not Keeping Pace? JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Daniel T Malleske,Tyra C Bryant-Stephens,Diana Montoya-Williams
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Screen Timing May Be More Likely Than Screen Time to Be Associated With the Risk of Autism Spectrum Disorder-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-23 Megumi Kushima,Zentaro Yamagata
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Race, Overdose Deaths, and Years of Lost Life-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-16 O Trent Hall,Candice Trimble,Stephanie Garcia
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Race, Overdose Deaths, and Years of Lost Life. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-16 Rebecca Arden Harris
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Association Between High-Need Education-Based Funding and School Suspension Rates for Autistic Students in New Zealand. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-16 Nicholas Bowden,Sheree Gibb,Richard Audas,Sally Clendon,Joanne Dacombe,Jesse Kokaua,Barry J Milne,Himang Mujoo,Samuel William Murray,Kirsten Smiler,Hilary Stace,Larah van der Meer,Barry James Taylor
Importance Autistic students often experience poor educational outcomes that have implications for later life, including unemployment, interactions with the criminal justice system, increased risk for substance abuse, and low socioeconomic status. Improving educational outcomes is critical for ensuring that autistic young people can reach their potential. Objective To quantify differences in suspension
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National Cohort Study of Health Care Resource Use After Pediatric Tracheostomy. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-16 Jason Powell,Kim Keltie,Andrew Sims,Hayley Richardson,Malcolm Brodlie,Steven Powell
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Validation of the Pediatric Sequential Organ Failure Assessment Score and Evaluation of Third International Consensus Definitions for Sepsis and Septic Shock Definitions in the Pediatric Emergency Department. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-16 Fran Balamuth,Halden F Scott,Scott L Weiss,Michael Webb,James M Chamberlain,Lalit Bajaj,Holly Depinet,Robert W Grundmeier,Diego Campos,Sara J Deakyne Davies,Norma Jean Simon,Lawrence J Cook,Elizabeth R Alpern,
Importance Pediatric sepsis definitions have evolved, and some have proposed using the measure used in adults to quantify organ dysfunction, a Sequential Organ Failure Assessment (SOFA) score of 2 or more in the setting of suspected infection. A pediatric adaptation of SOFA (pSOFA) showed excellent discrimination for mortality in critically ill children but has not been evaluated in an emergency department
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Association Between Toy Type and Parent Language Input Provided to Children With Autism Spectrum Disorder and Age-Matched Children With Typical Development. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Mackenzie Sturman,Kendra Peffers,Jennifer R Johnson,Courtney E Venker
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Developmental Outcomes for Children After Elective Birth at 39 Weeks' Gestation. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Anthea Lindquist,Roxanne Hastie,Amber Kennedy,Lyle Gurrin,Anna Middleton,Jon Quach,Jeanie Cheong,Susan P Walker,Richard Hiscock,Stephen Tong
Importance Elective births at 39 weeks' gestation are increasing. While this option may improve maternal and perinatal outcomes compared with expectant management, longer-term childhood developmental outcomes are uncertain. Objective To investigate the association between elective birth at 39 weeks' gestation and the risk of childhood developmental vulnerability. Design, Setting, and Participants For
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Beyond the Cover-Children's Books as Tools for Positive Social Identity Formation. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Jasmyne Jackson,Anthony Mell
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Association Between a Policy to Subsidize Supermarkets in Underserved Areas and Childhood Obesity Risk. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Pasquale Rummo,Jeremy Sze,Brian Elbel
Importance The establishment and renovation of supermarkets may promote healthy diet practices among youth by increasing retail infrastructure for fresh foods. Objective To estimate the association between the Food Retail Expansion to Support Health (FRESH) program and the weight status of children and adolescents. Design, Setting, and Participants Using a difference-in-differences (DiD) design and
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Taking a Hard Look at the Empirical Evidence for Popular Community-Based Interventions in Obesity. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Sarah E Deemer,Arthur H Owora,David B Allison
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The Need to Study Clinical Outcomes in Children and Adolescents With COVID-19 From Middle- and Low-Income Regions. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Jean B Nachega,Rhoderick N Machekano,Lynne M Mofenson
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The Need to Study Clinical Outcomes in Children and Adolescents With COVID-19 From Middle- and Low-Income Regions. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-09 Eduardo A Oliveira,Enrico A Colosimo,Ana Cristina Simões E Silva
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Evaluation of Bronchiolitis-Related Emergency Department Visits From 2004 to 2018: A Population-Based Cohort Study. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-02 Justin Brunet,Peter J Gill,Haris Imsirovic,Patricia C Parkin,Teresa To,Suzanne Schuh,Sanjay Mahant,
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Recent Trends in School-Based Mental Health Services Among Low-Income and Racial and Ethnic Minority Adolescents. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-02 Adam S Wilk,Ju-Chen Hu,Hefei Wen,Janet R Cummings
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An Integrated Approach to Blood Culture Stewardship. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-02 Lucila Marquez,Debra L Palazzi
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Association of Diagnostic Stewardship for Blood Cultures in Critically Ill Children With Culture Rates, Antibiotic Use, and Patient Outcomes: Results of the Bright STAR Collaborative. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-02 Charlotte Z Woods-Hill,Elizabeth A Colantuoni,Danielle W Koontz,Annie Voskertchian,Anping Xie,Cary Thurm,Marlene R Miller,James C Fackler,Aaron M Milstone,,Asya Agulnik,J Elaine-Marie Albert,Michael J Auth,Erin Bradley,Jason A Clayton,Susan E Coffin,Samantha Dallefeld,Chidiebere P Ezetendu,Nina A Fainberg,Brian F Flaherty,Charles B Foster,Sarmistha B Hauger,Sue J Hong,Nicholas D Hysmith,Aileen L Kirby
Importance Blood culture overuse in the pediatric intensive care unit (PICU) can lead to unnecessary antibiotic use and contribute to antibiotic resistance. Optimizing blood culture practices through diagnostic stewardship may reduce unnecessary blood cultures and antibiotics. Objective To evaluate the association of a 14-site multidisciplinary PICU blood culture collaborative with culture rates, antibiotic
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Association of Food and Nonalcoholic Beverage Marketing With Children and Adolescents' Eating Behaviors and Health: A Systematic Review and Meta-analysis. JAMA Pediatr. (IF 16.193) Pub Date : 2022-05-02 Emma Boyland,Lauren McGale,Michelle Maden,Juliet Hounsome,Angela Boland,Kathryn Angus,Andrew Jones
Importance There is widespread interest in the effect of food marketing on children; however, the comprehensive global evidence reviews are now dated. Objective To quantify the association of food and nonalcoholic beverage marketing with behavioral and health outcomes in children and adolescents to inform updated World Health Organization guidelines. Data Sources Twenty-two databases were searched
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Noninvasive High-Frequency Oscillatory Ventilation vs Nasal Continuous Positive Airway Pressure vs Nasal Intermittent Positive Pressure Ventilation as Postextubation Support for Preterm Neonates in China: A Randomized Clinical Trial. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Xingwang Zhu,HongBo Qi,Zhichun Feng,Yuan Shi,Daniele De Luca,
Importance Several respiratory support techniques are available to minimize the use of invasive mechanical ventilation (IMV) in preterm neonates. It is unknown whether noninvasive high-frequency oscillatory ventilation (NHFOV) is more efficacious than nasal continuous positive airway pressure (NCPAP) or nasal intermittent positive pressure ventilation (NIPPV) in preterm neonates after their first extubation
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Pediatric Hospital Admission and Role of Clinical Practice Guidelines. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Shabih Manzar
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Current State of Pediatric Reference Intervals and the Importance of Correctly Describing the Biochemistry of Child Development: A Review. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-25 Alicia N Lyle,Fidelia Pokuah,Dennis J Dietzen,Edward C C Wong,Amy L Pyle-Eilola,John S Fuqua,Alison Woodworth,Patricia M Jones,Lara J Akinbami,Luigi R Garibaldi,Hubert W Vesper
Importance Appropriately established pediatric reference intervals are critical to the clinical decision-making process and should reflect the physiologic changes that occur during healthy child development. Reference intervals used in pediatric care today remain highly inconsistent across a broad range of common clinical biomarkers. Observations This narrative review assesses biomarker-specific pediatric
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Evaluation of Suicides Among US Adolescents During the COVID-19 Pandemic. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-25 Marie-Laure Charpignon,Johnattan Ontiveros,Saahil Sundaresan,Anika Puri,Jay Chandra,Kenneth D Mandl,Maimuna Shahnaz Majumder
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Data Divide-Disentangling the Role of the COVID-19 Pandemic on Child Mental Health and Well-being. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-25 Daphne J Korczak,Sheri Madigan,Tracy Vaillancourt
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Estimated Transmission Outcomes and Costs of SARS-CoV-2 Diagnostic Testing, Screening, and Surveillance Strategies Among a Simulated Population of Primary School Students. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-20 Alyssa Bilinski,Andrea Ciaranello,Meagan C Fitzpatrick,John Giardina,Maunank Shah,Joshua A Salomon,Emily A Kendall
Importance In addition to illness, the COVID-19 pandemic has led to historic educational disruptions. In March 2021, the federal government allocated $10 billion for COVID-19 testing in US schools. Objective Costs and benefits of COVID-19 testing strategies were evaluated in the context of full-time, in-person kindergarten through eighth grade (K-8) education at different community incidence levels
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Prevalence of Children With Medical Complexity and Associations With Health Care Utilization and In-Hospital Mortality. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 JoAnna K Leyenaar,Andrew P Schaefer,Seneca D Freyleue,Andrea M Austin,Tamara D Simon,Jeanne Van Cleave,Erika L Moen,A James O'Malley,David C Goodman
Importance Children with medical complexity (CMC) have substantial health care needs and frequently experience poor health care quality. Understanding the population prevalence and associated health care needs can inform clinical and public health initiatives. Objective To estimate the prevalence of CMC using open-source pediatric algorithms, evaluate performance of these algorithms in predicting health
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Clarifying Best Practices for Early Childhood Development-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Dana C McCoy,Sharon Wolf,Edward Tsinigo
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Clarifying Best Practices for Early Childhood Development. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Bolajoko O Olusanya,M K C Nair
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Race and Urinary Tract Infections in Young Children With Fever. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Olakunle B Akintemi,Kenneth B Roberts
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Reassessment of the Role of Race in Calculating the Risk for Urinary Tract Infection: A Systematic Review and Meta-analysis. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Nader Shaikh,Matthew Lee,Lynissa R Stokes,Elizabeth Miller,Marcia Kurs-Lasky,Isabella Conway,Timothy R Shope,Alejandro Hoberman
Importance A previously reported prediction model included a child's race to estimate risk of urinary tract infection (UTI), but race-conscious medicine encourages investigating how race is likely to be a proxy for other factors that should instead be used for risk prediction. Objectives To systematically review the available literature to evaluate the robustness of the association between race and
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The Complicated Inadequacy of Race and Ethnicity Data. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-18 Barbara H Chaiyachati,Michelle-Marie Peña,Diana Montoya-Williams
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Caries and Oral Health Behaviors Among Children With and Without Intellectual and Developmental Disabilities. JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-18 Sarah Bui,Beau D Meyer
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Acute Upper Airway Disease in Children With the Omicron (B.1.1.529) Variant of SARS-CoV-2—A Report From the US National COVID Cohort Collaborative JAMA Pediatr. (IF 16.193) Pub Date : 2022-04-15 Blake Martin,Peter E. DeWitt,Seth Russell,L. Nelson Sanchez-Pinto,Melissa A. Haendel,Richard Moffitt,Tellen D. Bennett
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Use of Antenatal Corticosteroids for Risk of Preterm Birth-Is Timing Everything? JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Andrea F Duncan,Daniel T Malleske,Nathalie L Maitre
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Evaluation of Long-term Outcomes Associated With Preterm Exposure to Antenatal Corticosteroids: A Systematic Review and Meta-analysis. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-06 Kiran Ninan,Sugee K Liyanage,Kellie E Murphy,Elizabeth V Asztalos,Sarah D McDonald
Importance Animal studies have found that antenatal corticosteroids affect many organs across multiple stages of life. However, the long-term outcomes in human children are not well understood. Objective To conduct a systematic review and meta-analysis of long-term outcomes associated with preterm exposure to antenatal corticosteroids compared with no exposure in all children as well as children with
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Illness in the Family and Shared Stress, Work, and Struggle. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Douglas L Hill,Dimitri A Christakis,Chris Feudtner
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Centering Young People's Perspectives, Needs, and Preferences in Research Regarding Barriers to Medications for Opioid Use Disorder-Reply. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Andreas Pilarinos,Daniel J Bromberg,Mohammad Karamouzian
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Centering Young People's Perspectives, Needs, and Preferences in Researching Barriers to Medications for Opioid Use Disorder. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Kirsten Marchand,Katrina Marie Pellatt,Skye Barbic
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Associations of Parental Cancer With School Absenteeism, Medical Care Unaffordability, Health Care Use, and Mental Health Among Children. JAMA Pediatr. (IF 16.193) Pub Date : 2022-06-01 Zhiyuan Zheng,Jingxuan Zhao,Leticia Nogueira,Xuesong Han,Qinjin Fan,K Robin Yabroff
Importance A cancer diagnosis can adversely affect other members of the family, including children. However, little is known about the extent to which history of parental cancer affects children's health. Objective To examine associations of parental cancer with children's school absenteeism, medical care unaffordability, health care use, and mental health. Design, Setting, and Participants This cross-sectional