Clinical Futures at Children's Hospital of Philadelphia

Dental fluoride varnish is a recommended procedure used to reduce the risk of cavities in children, strengthen tooth enamel and prevent decay of children. However, data reveals that fewer than 10% of children receive any dental varnish at their pediatrician's office. Experts from Children's Hospital of Philadelphia and Clinical Futures experts, including Brian Jenssen, MD, MSHP and Gabrielle DiFiore, MPH, developed a quality improvement intervention that can help providers increase dental varnish applications. When tested, the intervention increased dental varnish rates up to 30.5%. These results were published today in the American Academy of Pediatrics. "Our study shows that with a few quality improvement strategies; we can significantly improve the rates of dental fluoride varnish application," said, Dr. Jenssen. Read more about this work on our Research in Practice Blog: https://bit.ly/4pqeh9j

Parents who #smoke often see their child’s doctor more frequently than their own. Could pediatric primary care be an effective place to support parents in quitting smoking? A new JAMA Network Open study led by researchers from Mass General Brigham and Children's Hospital of Philadelphia (CHOP) explored this question by integrating an automated smoking cessation intervention into pediatric visits. Among parents who completed the follow up, 48.2% of participants reported using nicotine replacement therapy compared with 16% in the control arm, and 22.8% of the intervention arm utilized a quitline or SmokefreeTXT compared with only 2.2% in the control arm. “The significantly increased treatment engagement and reductions in cigarette use are particularly encouraging and suggest that additional strategies, integrated with automated intervention, may work even better to reduce smoking among parents,” said co-senior study author Alex Fiks, MD, from CHOP. Read more: https://lnkd.in/g9WXHUqC Mass General Brigham authors included Jonathan Winickoff, Emara Nabi-Burza, Abra J., Bethany Hipple, Doug Levy, Mark Vangel, and Nancy Rigotti.

Helping parents quit smoking promotes healthy lifestyles for both adults and children, but connecting parents with interventions can be a challenge. While some parents who smoke may not have their own primary care health physician, they will seek primary care for their children multiple times a year. That's why researchers, including Clinical Futures' experts Brian Jenssen, MD, Janani Ramachandran, MS, Jeritt Thayer, PhD, Robert Grundmeier, MD, Tyra Bryant-Stephens, MD and Alexander Fiks, MD, developed and tested an automated smoking cessation intervention that integrates directly into the in pediatric primary care setting. This intervention consistently screens parents and connects them directly to treatment options and support. The results: increased treatment engagement and reductions in cigarette use! Read this Children's Hospital of Philadelphia press release to learn more about this study and how this intervention can be adopted to help parents quit smoking: https://bit.ly/4mS6AH2

This #RecentResearchWednesday, we highlight new work that showcases how our Clinical Futures' experts are advancing pediatric healthcare. Take a look at these recent publications: 1. 'Automated Tobacco Cessation Intervention for Parents in Pediatric Primary Care: A Cluster-Randomized Clinical Trial' Clinical Futures Contributing Authors: Brian Jenssen, MD, MSHP, Janani Ramachandran, MS, MPH, Jeritt Thayer, PhD, Robert Grundmeier, MD, Tyra Bryant-Stephens, MD, and Alexander Fiks, MD, MSCE Published in JAMA Network Open CHOP Press Release: http://bit.ly/3JUTpqb 2. 'How Should Clinical Teams Integrate Findings From Social Needs Screenings Into Children's Care Plans?' Clinical Futures Contributing Authors: Michael Luke, MD, MSHP and Aditi Vasan MD, MSHP Published in AMA Journal of Ethics http://bit.ly/46qFNfb 3. 'Effect of maternal HIV status on the early neonatal microbiome' Clinical Futures Contributing Authors: Andrew Steenhoff, MBBCh, DCH, Morgan Zalot Hammershaimb, MPH, and Susan Coffin, MD, MPH Published in Pediatric Infectious Diseases Society http://bit.ly/4nhkCBQ

Researchers at CHOP, including Clinical Futures’ experts Elizabeth Lowenthal Hafkin, MD, MSCE, FAAP, AAHIVS, and Hansel Otero, MD, FAAP, in collaboration with the Botswana Harvard Health Partnership, identified measurable differences in brain tissue patterns between newborns exposed to HIV during pregnancy, but not infected, and those with no HIV exposure. Read more in this CHOP news brief. ⬇️

Experts from Children's Hospital of Philadelphia and Clinical Futures work tirelessly to advance pediatric research and improve outcomes for children and their families. Below are some key highlights from our most recent newsletter: Chris Feudtner, MD, PhD, MPH, Chief of the Division of General Pediatrics, and an expert at Clinical Futures, is one of the multiple principal investigators of a new consortium focused on palliative care research. Read more: https://bit.ly/4lPrqpe In a recent news brief, CHOP shared a major milestone for primary care offices: 10,000 virtual driving assessments have been completed across the care network. The virtual driving assessment was developed by researchers from Clinical Futures and the Center for Injury Research and Prevention. Read more: https://bit.ly/3JDsbo6 A new Clinical Report published last week in the American Academy of Pediatrics shares new information regarding recommendations for pediatricians surrounding screening children for mental or developmental issues. The report was co-authored by Clinical Futures' expert James Guevara, MD, MPH. Read More: https://bit.ly/3Vt1ll4 You can view our full newsletter here: https://lnkd.in/eeWZ-aEW Don't forget to sign up here to receive the monthly newsletter in your inbox: https://lnkd.in/exmypw2E

Most children and adolescents with kidney stones undergo a procedure called ureteroscopy. However, researchers at Children's Hospital of Philadelphia have found that an alternative treatment known as shockwave lithotripsy is just as effective. With this method patients experience a quicker recovery, less pain, and fewer urinary symptoms. This study, led by Clinical Futures' expert Gregory Tasian, MD, MSc, MSCE, was published in JAMA Network Open and is part of the Pediatric KIDney Stone (PKIDS) trial. This trial is the largest comparative effectiveness study of surgical interventions for children and adolescents with kidney stones. CHOP established the PKIDS Care Improvement Network in 2019. To learn more about this research, visit our Research and Practice Blog here: http://bit.ly/4mf6E3k. Please also read this Cornerstone Blog post below. ⬇️

💻 Catch up on the latest Research in Practice Blog posts: 1. 'Respiratory Targets Associated With Lung Aeration During Delivery Room Resuscitation of Preterm Neonates' Researchers identified crucial respiratory targets during delivery room resuscitation for preterm infants, paving the way for enhanced pediatric care. Learn more: https://bit.ly/4mzxpz9 2. 'Ureteroscopy vs Shockwave Lithotripsy to Remove Kidney Stones in Children and Adolescents' Most children and adolescents with kidney stones undergo ureteroscopy. However, data from this study reveals that a different treatment option, shockwave lithotripsy, is just as effective with quicker recovery, less pain, and fewer urinary symptoms. Learn more: https://bit.ly/4mf6E3k 3. 'A novel Computable phENotype To Identify Pulmonary Embolism in chilDrEn: The CENTIPEDE Study' This Children's Hospital of Philadelphia research team developed a groundbreaking algorithm to identify potential pediatric pulmonary embolism cases, aiming to revolutionize early detection and treatment. Learn more: https://bit.ly/47dXGPe 🔎 Discover more blog posts here: https://lnkd.in/e2-tWJCP #PediatricResearch #FamilyCenteredCare #CHOP #ClinicalFutures

📣 Research News:  Researchers from Children's Hospital of Philadelphia and Clinical Futures, including Hilary Whitworth, MD, MSCE and Michael O'Byrne, MD, MSCE, conducted a new study that created a computable phenotype to systematically and efficiently identify pediatric patients with pulmonary embolism, a rare disease. However, once diagnosed, the mortality rate for this condition has been reported to be as high as 8%. "We report the first pediatric pulmonary embolism computable phenotype, which can identify at-risk patients and empower informed decision making that improves outcomes for patients," said Michael O'Byrne, MD, MSCE. Read more on our Research in Practice blog: http://bit.ly/4oSfbeg

Most children and adolescents with kidney stones undergo a procedure called ureteroscopy. However, researchers at Children's Hospital of Philadelphia (CHOP) have found that an alternative treatment known as shockwave lithotripsy is just as effective. With this method patients experience a quicker recovery, less pain, and fewer urinary symptoms. This study, led by Clinical Futures' expert Gregory Tasian, MD, MSc, MSCE, was published in JAMA Network Open and is part of the Pediatric KIDney Stone (PKIDS) trial. This trial is the largest comparative effectiveness study of surgical interventions for children and adolescents with kidney stones. CHOP established the PKIDS Care Improvement Network in 2019. To learn more about this research, visit our Research and Practice Blog here: http://bit.ly/4mf6E3k.