JAMA Pediatrics




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Addressing Online Extremism—Lessons From Current Threats to Gender-Affirming Care

Rishub K. Das, BA1; Oren Ganor, MD, MSc2; Brian C. Drolet, MD3

doi : 10.1001/jamapediatrics.2022.6157

April 2023, Vol 177, No. 4, Pages 327-441

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Screening Success in the Age of Autism

Paul H. Lipkin, MD1

doi : 10.1001/jamapediatrics.2022.5972

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COVID-19 Vaccines in Young Children—Reassuring Evidence for Parents

Paul A. Offit, MD1

doi : 10.1001/jamapediatrics.2022.6251

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The Healthy, Hunger-Free Kids Act and Children’s Body Mass Index Outcomes

Lauren Fiechtner, MD, MPH1,2; Jennifer Woo Baidal, MD, MPH3; Erika R. Cheng, PhD, MPA4

doi : 10.1001/jamapediatrics.2022.5834

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Short Message Service Reminder Nudge for Parents and Influenza Vaccination Uptake in Children and Adolescents With Special Risk Medical ConditionsThe Flutext-4U Randomized Clinical Trial

Jane Tuckerman, PhD1,2,3; Kelly Harper, BHSc4,5; Thomas R. Sullivan, PhD6,7; Alana R. Cuthbert, PhD6; Jennifer Fereday, PhD4; Jennifer Couper, MD1,4,5; Nicholas Smith, PhD1,4; Andrew Tai, PhD1,4,5; Andrew Kelly, MBBS1,4; Richard Couper, MBChB4; Mark Friswell, MBChB4; Louise Flood, MBBS8; Christopher C. Blyth, PhD9,10,11,12; Margie Danchin, PhD2,3,13; Helen S. Marshall, MD1,4,5

doi : 10.1001/jamapediatrics.2022.6145

Importance  Children with chronic medical conditions are at increased risk of severe influenza. Uptake of influenza vaccination in children and adolescents with these identified special risk medical conditions (SRMCs) is suboptimal.

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Effect of an Intranasal Corticosteroid on Quality of Life and Local Microbiome in Young Children With Chronic RhinosinusitisA Randomized Clinical Trial

Marta Latek, MSc1; Piotr �acwik, MD, PhD2; Katarzyna Molińska, MSc1; Andrzej Błauż, MSc, PhD3; Jakub Lach, MSc4; Błażej Rychlik, MSc, PhD3; Dominik Strapagiel, MSc, PhD4; Joanna Majak, MD, PhD5; Joanna Molińska, MSc1; Dorota Czech, MD, PhD6; Michał Seweryn, PhD7; Piotr Kuna, MD, PhD1; Cezary Pałczyński, MD, PhD2; Paweł Majak, MD, PhD8

doi : 10.1001/jamapediatrics.2022.6172

Importance  Intranasal corticosteroids (INCs) remain the first-line treatment of chronic rhinosinusitis (CRS) in both adults and children, despite the lack of evidence regarding their efficacy in the pediatric population. Similarly, their effect on the sinonasal microbiome has not been well documented.

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Effect of Vitamin D Supplementation on Bone Mass in Infants With 25-Hydroxyvitamin D Concentrations Less Than 50 nmol/LA Prespecified Secondary Analysis of a Randomized Clinical Trial

Nathalie Gharibeh, PhD1; Maryam Razaghi, PhD1; Catherine A. Vanstone, RN, MSc1; Olusola F. Sotunde, PhD1; Laura Glenn, RD, MSc1; Kristina Mullahoo, RD, MSc1; Zahra Farahnak, PhD1,2; Ali Khamessan, PhD3; Shu Qin Wei, MD, PhD4; Dayre McNally, MD, PhD5; Frank Rauch, MD6; Glenville Jones, PhD7; Martin Kaufmann, PhD7; Hope A. Weiler, PhD1,8

doi : 10.1001/jamapediatrics.2022.5837

Importance  The dose of supplemental vitamin D needed in infants born with serum 25-hydroxyvitamin D (25[OH]D) concentrations less than 50 nmol/L (ie, 20 ng/mL) is unclear.

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Global Proportion of Disordered Eating in Children and AdolescentsA Systematic Review and Meta-analysis

José Francisco López-Gil, PhD1,2; Antonio García-Hermoso, PhD3; Lee Smith, PhD4; Joseph Firth, PhD5,6; Mike Trott, PhD4,7; Arthur Eumann Mesas, PhD1,8; Estela Jiménez-López, PhD1; Héctor Gutiérrez-Espinoza, PhD9; Pedro J. Tárraga-López, PhD10; Desirée Victoria-Montesinos, PhD11

doi : 10.1001/jamapediatrics.2022.5848

Importance  The 5-item Sick, Control, One, Fat, Food (SCOFF) questionnaire is the most widely used screening measure for eating disorders. However, no previous systematic review and meta-analysis determined the proportion of disordered eating among children and adolescents.

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Sensitivity and Specificity of the Modified Checklist for Autism in Toddlers (Original and Revised)A Systematic Review and Meta-analysis

Andrea Trubanova Wieckowski, PhD1; Lashae N. Williams, MS1; Juliette Rando, MPH1; Kristen Lyall, ScD1; Diana L. Robins, PhD1

doi : 10.1001/jamapediatrics.2022.5975

Importance  The Modified Checklist for Autism in Toddlers (M-CHAT) and the M-CHAT, Revised With Follow-up (M-CHAT-R/F)—henceforth referred to as M-CHAT(-R/F)—are the most commonly used toddler screeners for autism spectrum disorder (ASD). Their use often differs from that in the original validation studies, resulting in a range of estimates of sensitivity and specificity.

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Assessment of Efficacy and Safety of mRNA COVID-19 Vaccines in Children Aged 5 to 11 YearsA Systematic Review and Meta-analysis

Atsuyuki Watanabe, MD1; Ryoma Kani2; Masao Iwagami, MD, PhD3,4; Hisato Takagi, MD, PhD5; Jun Yasuhara, MD6; Toshiki Kuno, MD, PhD7

doi : 10.1001/jamapediatrics.2022.6243

Importance  Evidence of the efficacy and safety of messenger RNA (mRNA) COVID-19 vaccines in children aged 5 to 11 years has been emerging. Collecting these data will inform clinicians, families, and policy makers.

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US Infant Pertussis Incidence Trends Before and After Implementation of the Maternal Tetanus, Diphtheria, and Pertussis Vaccine

Tami H. Skoff, MS1; Li Deng, PhD1; Catherine H. Bozio, PhD1,2; Susan Hariri, PhD1

doi : 10.1001/jamapediatrics.2022.5689

Importance  Infants younger than 1 year have the highest burden of pertussis morbidity and mortality. In 2011, the US introduced tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination during pregnancy to protect infants before vaccinations begin.

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Changes in Body Mass Index Among School-Aged Youths Following Implementation of the Healthy, Hunger-Free Kids Act of 2010

Aruna Chandran, MD, MPH1; Mohamad Burjak, MS1; Joshua Petimar, ScD2; Ghassan Hamra, PhD1; Melissa M. Melough, PhD3; Anne L. Dunlop, MD, MPH4; Brittney M. Snyder, PhD5; Augusto A. Litonjua, MD, MPH6; Tina Hartert, MD, MPH7; James Gern, MD8,9; Akram N. Alshawabkeh, PhD10; Judy Aschner, MD11,12; Carlos A. Camargo Jr, MD, DrPH13; Dana Dabelea, MD, PhD14; Cristiane S. Duarte, PhD, MPH15; Assiamira Ferrara, MD, PhD16; Jody M. Ganiban, PhD17; Frank Gilliland, MD, PhD18; Diane R. Gold, MD, MPH19,20; Monique Hedderson, PhD, MPH16; Julie B. Herbstman, PhD21; Christine Hockett, PhD22,23; Margaret R. Karagas, PhD24; Jean M. Kerver, PhD25,26; Kathleen A. Lee-Sarwar, MD19,27; Barry Lester, PhD28; Cindy T. McEvoy, MD29; Zhongzheng Niu, PhD18; Joseph B. Stanford, MD30,31; Rosalind Wright, MD, MPH32; Emily Zimmerman, PhD33; Shohreh Farzan, PhD19; Zhumin Zhang, PhD34; Emily Knapp, PhD1

doi : 10.1001/jamapediatrics.2022.5828

Importance  The prevalence of obesity among youths 2 to 19 years of age in the US from 2017 to 2018 was 19.3%; previous studies suggested that school lunch consumption was associated with increased obesity. The Healthy, Hunger-Free Kids Act of 2010 (HHFKA) strengthened nutritional standards of school-based meals.

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Myocarditis or Pericarditis Events After BNT162b2 Vaccination in Individuals Aged 12 to 17 Years in Ontario, Canada

Sarah A. Buchan, PhD1,2,3; Sarah Alley, MPH1; Chi Yon Seo, MSc1; Caitlin Johnson, MPH1; Jeffrey C. Kwong, MD1,2,3,4,5; Sharifa Nasreen, PhD2,3; Nisha Thampi, MD1,6; Diane Lu, MD1; Tara M. Harris, MHSc1; Andrew Calzavara, MSc2; Sarah E. Wilson, MD1,2,3

doi : 10.1001/jamapediatrics.2022.6166

Importance  The risk of myocarditis or pericarditis after COVID-19 messenger RNA vaccines varies by age and sex, and there is some evidence to suggest increasing risk with shorter intervals between dose 1 and 2 (ie, interdose interval).

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Psychometric Properties of Screening Instruments for Social Network Use Disorder in Children and AdolescentsA Systematic Review

Samantha Schlossarek, MSc1; Hannah Schmidt, MSc1,2; Anja Bischof, PhD1; Gallus Bischof, PhD1; Dominique Brandt, MSc1; Stefan Borgwardt, MD1; Dillon T. Browne, PhD3; Dimitri Christakis, MD, MPH4; Pamela Hurst-Della Pietra, DO5; Zsolt Demetrocvics, PhD6,7; Hans-Jürgen Rumpf, PhD1

doi : 10.1001/jamapediatrics.2022.5741

Importance  Children and adolescents spend considerable time on the internet, which makes them a highly vulnerable group for the development of problematic usage patterns. A variety of screening methods have already been developed and validated for social network use disorder (SNUD); however, a systematic review of SNUD in younger age groups has not been performed.

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What Is Parent-Child Interaction Therapy?

Michelle Curtin, DO1; Lindsay A. Thompson, MD, MS1

doi : 10.1001/jamapediatrics.2022.5930

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Estimated Effectiveness of Postpartum Maternal Messenger RNA COVID-19 Vaccination Against Delta and Omicron SARS-CoV-2 Infection and Hospitalization in Infants Younger Than 6 Months

Sarah C. J. Jorgensen, PharmD, MPH1; Alejandro Hernandez, MSc2; Deshayne B. Fell, PhD3; Peter C. Austin, PhD2; Rohan D’Souza, MD, PhD4; Astrid Guttmann, MDCM, MSc2; Jeffrey C. Kwong, MD, MSc2

doi : 10.1001/jamapediatrics.2022.6134

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Association of Supplemental Nutrition Assistance Program Retailers With Child Food Insecurity During the COVID-19 Pandemic

Qingxiao Li, PhD1; Shuoli Zhao, PhD2; Metin Çakır, PhD3; Zhixiu Yu, PhD4

doi : 10.1001/jamapediatrics.2022.5984

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Disparities in Pediatric Medical and Childcare Disruption Due to COVID-19

Kelsi Batioja, BS1; Covenant Elenwo, MPH1; Micah Hartwell, PhD2

doi : 10.1001/jamapediatrics.2022.6130

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Chronic Food Insecurity in US Families With Children

Noura Insolera, PhD, MA1

doi : 10.1001/jamapediatrics.2022.5820

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Race and the 2022 American Academy of Pediatrics Hyperbilirubinemia Guideline

Alex R. Kemper, MD, MPH, MS1; Thomas B. Newman, MD, MPH2,3; Joseph L. Wright, MD, MPH4,5

doi : 10.1001/jamapediatrics.2022.5913

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Race and the 2022 American Academy of Pediatrics Hyperbilirubinemia Guideline

William Christopher Golden, MD1

doi : 10.1001/jamapediatrics.2022.5916

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Race and the 2022 American Academy of Pediatrics Hyperbilirubinemia Guideline—Reply

Sharon Ostfeld-Johns, MD1; Elena Aragona, MD1; Louis Hart, MD1

doi : 10.1001/jamapediatrics.2022.5910

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Messenger RNA Vaccine in Mother’s Milk

Riccardo Davanzo, MD, PhD1

doi : 10.1001/jamapediatrics.2022.6021

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Messenger RNA Vaccine in Mother’s Milk

Jennifer M. Nelson, MD, MPH1; Katherine E. Fleming-Dutra, MD2; Dana Meaney-Delman, MD, MPH3

doi : 10.1001/jamapediatrics.2022.6024

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Messenger RNA Vaccine in Mother’s Milk—Reply

Nazeeh Hanna, MD1; Christie Clauss, PharmD2; Leonard R. Krilov, MD3

doi : 10.1001/jamapediatrics.2022.6018

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Time to End Community Acquired as an Adjectival Diagnosis for Pneumonia

Miles M. Weinberger, MD1

doi : 10.1001/jamapediatrics.2022.6142

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Time to End Community Acquired as an Adjectival Diagnosis for Pneumonia—Reply

Qinyuan Li, MD1,2,3,4; Yaolong Chen, MD, PhD5,6; Zhengxiu Luo, MD1,2,3,4

doi : 10.1001/jamapediatrics.2022.6139

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