Tag: adolescent medicine

1. More than half of adolescents with cancer desired to make decisions together with their oncologist after considering the opinion of their parent or guardian. They also reported increased regret when feeling uncertain about their best option, uninformed, unclear about their own values, or unsupported in their decision-making. 2. Regret...
Safety and Feasibility of Using Magnetic Resonance Imaging Criteria to Identify Patients With “Good Prognosis” Rectal Cancer Eligible for Primary Surgery: The Phase 2 Nonrandomized QuickSilver Clinical Trial For patients with rectal cancer, the strongest predictor of local recurrence is the circumferential resection margin (CRM) after surgery, with negative CRMs...
1. Nonmedical prescription opioids (NMPO) use in parents is an independent risk factor for use in their adolescent children, even after controlling for other substance use and sociodemographic factors. 2. Additional parental risk factors for adolescent NMPO use were parental smoking, low levels of monitoring, and high levels of parent-adolescent...
1. The National Institute of Alcohol Abuse and Alcoholism (NIAAA) 2-question screen showed high predictive validity in identifying adolescents at risk for developing alcohol use disorders (AUDs). Study Rundown: Employment of early screening, brief intervention, and referral to treatment (SBIRT) is a well-known and effective strategy among adolescents to prevent...
1. A total of 1 in 5 women in the US reported delayed contraceptive initiation (>1 month after sexual debut), with higher rates of delayed use reported among African American, Hispanic, or low-income women. 2. Delayed contraceptive initiation was associated with an almost 4 times higher risk of unintended pregnancy...
1. Clinical interviews of adolescents and their parents revealed that half of parents were unaware of their adolescents’ lifetime thoughts of suicide. 2. Older adolescent age, Hispanic ethnicity, adolescents’ history of psychiatric treatment, and family history of suicide were associated with decreased odds of parental unawareness; fathers were more likely...
1. Strict tobacco retail licensing (TRL) regulation, including enforcement of laws banning cigarette sales to minors and regular compliance checks, was associated with lower odds of baseline cigarette use and lower odds of cigarette initiation and use over time in adolescents. 2. Odds of e-cigarette use initiation was also lower...
1. College students were at significantly higher risk of contracting meningococcus serotype B (MenB) disease compared with noncollege students in the same age group. 2. Less than 25% of college students who contracted meningococcal disease had received at least one dose of the MenB vaccine. Study Rundown: While the overall incidence...
1. Among adolescent never smokers, electronic cigarette (e-cigarette) users had approximately 4-fold greater odds of initiating cigarette use at follow-up 2-3 years later. 2. Frequency of cigarette use was similarly patterned among both baseline e-cigarette users and non-users who initiated cigarette use at follow-up. Evidence Rating Level: 2 (Good) Study Rundown: E-cigarette...
1. The Mental Health Parity and Addiction Equity Act (MHPAEA) was associated with lower average out-of-pocket (OOP) spending on mental health for children in affected insurance plans without an associated decrease in mental health service utilization. 2. The effect on average OOP spending was larger for high-spending children, but the...