Current Problems in Pediatric and Adolescent Health Care最新文献_第4页

Utility of facial imaging and machine learning in the evaluation of fetal alcohol spectrum disorders 面部成像和机器学习在胎儿酒精谱系障碍评估中的应用。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2026-01-01 Epub Date: 2026-01-09 DOI: 10.1016/j.cppeds.2025.101913

Diego A. Gomez BS , Omar Abdul-Rahman MD

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Foreword: Fetal alcohol spectrum disorders 前言：胎儿酒精谱系障碍。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2026-01-01 Epub Date: 2026-01-21 DOI: 10.1016/j.cppeds.2026.101914

Arthur H. Fierman M.D. (Editor-in-Chief)

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Editorial Board Page 编委会页面

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2026-01-01 Epub Date: 2026-02-20 DOI: 10.1016/S1538-5442(26)00005-2

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Pediatric metabolic and bariatric surgery: When is the right time to operate? 儿科代谢和减肥手术：什么时候是合适的手术时间？

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-12-03 DOI: 10.1016/j.cppeds.2025.101882

Mark Shacker BA , Justine Chinn MD , Janey S.A. Pratt MD , Gillian L. Fell MD, PhD

{"title":"Pediatric metabolic and bariatric surgery: When is the right time to operate?","authors":"Mark Shacker BA , Justine Chinn MD , Janey S.A. Pratt MD , Gillian L. Fell MD, PhD","doi":"10.1016/j.cppeds.2025.101882","DOIUrl":"10.1016/j.cppeds.2025.101882","url":null,"abstract":"<div><div>Pediatric obesity is a growing epidemic associated with serious long-term health consequences, including diabetes, cardiovascular disease, and reduced life expectancy. Metabolic and bariatric surgery (MBS) is a safe, effective, and durable treatment for adolescents with severe or refractory obesity; however, it remains significantly underutilized. As a consequence, children with severe obesity and associated comorbidities progress to an advanced stage of disease that can be even more challenging to treat than in adults. Current evidence demonstrates that MBS in adolescents achieves comparable or even superior weight loss and comorbidity resolution compared to adults, with favorable long-term safety profiles. In select cases, GLP-1 receptor agonists (GLP-1RAs), may be used as an adjunct to MBS. Current evidence for GLP-1RA use in the preoperative period is limited, although when reinitiated early in the postoperative period, they may be associated with improved weight loss outcomes. Despite strong guideline support, <0.05 % of eligible children undergo MBS, likely due to poor access to adolescent MBS centers, limited insurance coverage, and a lack of awareness or misinformation surrounding MBS, among other causes. Multidisciplinary support including preoperative teaching, mental health services, and long-term postoperative follow-up is essential to the success of the procedure. Further research is needed to better characterize the disparities in access, improve outreach and education efforts, combat the stigma associated with adolescent MBS, and address this growing public health crisis.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 12","pages":"Article 101882"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial Board Page 编委会页面

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-12-12 DOI: 10.1016/S1538-5442(25)00168-3

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Establishing a high-quality, equitable adolescent bariatric surgery program 建立一个高质量、公平的青少年减肥手术项目。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1016/j.cppeds.2025.101880

Sadie Crouch MA, BSN, RN , Joselio Rodrigues de Oliveira Filho MD , Cornelia Griggs MD, MPH , Kanika Bowen-Jallow MD, MMS, FACS, FAAP

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Introduction: Adolescent bariatric surgery in modern pediatric practice 简介：青少年减肥手术在现代儿科实践。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-11-29 DOI: 10.1016/j.cppeds.2025.101883

Jun Tashiro

引用次数: 0

Quality of life and body contouring surgery in adolescents after bariatric surgery: A scoping review 减肥手术后青少年的生活质量和身体轮廓手术：范围回顾。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.cppeds.2025.101881

Sofia Perez-Otero BS , Hermes A. Aponte Rivera MD , Allyson R Alfonso MD , Jun Tashiro MD, MPH , Daniel J Ceradini MD

{"title":"Quality of life and body contouring surgery in adolescents after bariatric surgery: A scoping review","authors":"Sofia Perez-Otero BS , Hermes A. Aponte Rivera MD , Allyson R Alfonso MD , Jun Tashiro MD, MPH , Daniel J Ceradini MD","doi":"10.1016/j.cppeds.2025.101881","DOIUrl":"10.1016/j.cppeds.2025.101881","url":null,"abstract":"<div><h3>BACKGROUND</h3><div>Body contouring surgery (BCS) is a common postoperative trajectory for adults following bariatric surgery, yet research on its application to adolescents is lacking. This scoping review aimed to map the available literature on quality of life (QoL) and potential for BCS in adolescents after bariatric surgery.</div></div><div><h3>Methods</h3><div>This review followed the Joanna Briggs Institute (JBI) guidance for scoping reviews and is reported in accordance with the PRISMA extension for Scoping Reviews (PRISMA-ScR). Three electronic databases were queried for studies regarding QoL and BCS in adolescents following bariatric surgery within the last 20 years. A descriptive and thematic analysis was conducted.</div></div><div><h3>Results</h3><div>Twenty-three studies met inclusion criteria. A total of 19 (82.6%) evaluated QoL and 4 (17.4%) explored the role of BCS in adolescents following bariatric surgery. The most common method of data collection was prospective study (65.2%). Two themes were described: QoL after bariatric surgery, which expressed improvement in several domains within 6 months, and role for BCS, which showed high interest in addressing residual excess skin and appearance. Gaps in the literature were identified, including a need for studies exploring mediators of QoL, predictors of compliance, and outcomes of BCS.</div></div><div><h3>Conclusions</h3><div>Studies describing residual symptoms and BCS in adolescents following bariatric surgery are lacking. BCS may complement bariatric surgery, but further research must be conducted to assess its safety in adolescents. By addressing the research gaps described in this review, physicians may have a better understanding of the needs of this population and how to counsel them.</div></div><div><h3>Level of evidence and type of study</h3><div>Level IV; Systematic Scoping Review</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 12","pages":"Article 101881"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foreword: Adolescent Bariatric Surgery in Modern Pediatric Practice 前言：青少年减肥手术在现代儿科实践。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-11-30 DOI: 10.1016/j.cppeds.2025.101889

Arthur H. Fierman M.D. (Editor in Chief)

引用次数: 0

Metabolic and bariatric surgery for adolescents: Progress and persistent challenges 青少年代谢和减肥手术：进展和持续的挑战。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-12-06 DOI: 10.1016/j.cppeds.2025.101890

Zachary Ballinger MD MSCI , Jeremy Aidlen MD

{"title":"Metabolic and bariatric surgery for adolescents: Progress and persistent challenges","authors":"Zachary Ballinger MD MSCI , Jeremy Aidlen MD","doi":"10.1016/j.cppeds.2025.101890","DOIUrl":"10.1016/j.cppeds.2025.101890","url":null,"abstract":"<div><div>Pediatric obesity, the most common chronic childhood disease in the United States is associated with significant comorbidities that persist into adulthood and increase the risk of early mortality. Metabolic and bariatric surgery (MBS) is the most effective intervention for severe obesity with durable reductions in BMI and obesity-related comorbidities as compared with medical therapy. MBS utilization remains strikingly low. Nearly three million children currently meet eligibility criteria for MBS, yet only about 2500 procedures are performed annually. There are many barriers to accessing MBS, including subspecialty surgeon availability, cost and geographic concentration of multidisciplinary programs, and the substantial burden of perioperative outpatient visits. Primary care physicians remain hesitant to refer adolescents for MBS due to outdated concerns about surgical risks, growth disruption, and adherence to the ineffective strategy of “watchful waiting.” Insurance denials likewise remain a persistent challenge with approval of only 40 % of initial requests for pediatric MBS, leading to delays, program attrition, and widening disparities. These barriers are compounded by persistent socioeconomic and racial inequities. Minority and socioeconomically disadvantaged youth are disproportionately affected by obesity, yet less likely to receive early referral or access to specialized obesity care. At the time of surgery, these patients have higher BMI and more advanced comorbidities, reflecting systemic failures. Despite these challenges, MBS offers transformative, and often lifesaving, benefits. Addressing persistent disparities in access to care by improving physician education, expanding program access and capacity, and reforming insurance policies are essential steps toward equitable access to effective obesity treatment for all children.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 12","pages":"Article 101890"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0