E-cigarettes, JUUL and Vaping: What Pediatric Health Care Providers Need to Know

E-cigarettes have exploded in popularity among teens over the last decade, making them the most common tobacco product used by youth. In a recent blog post that originally appeared on the PolicyLab website, CPCE and PolicyLab faculty member Dr. Brian Jenssen discusses what pediatric healthcare providers need to know about e-cigarettes, JUUL, and vaping. Pediatricians see the majority of the U.S. child and adolescent population, and adolescents view pediatricians as trusted sources for credible health information which makes them uniquely positioned to screen for tobacco use in their patients, initiate treatment and connect adolescents to smoking cessation services. Dr. Jenssen urges pediatrician to work to fill in the gaps in research, identify proven methods to help kids and teens quit vaping, and educate patients and their families about the risks of e-cigarette use.

Cornerstone | February 6, 2019

Upcoming Events

Automated Early Detection of Obstetric Complications: Research in Progress in an Integrated Health Care Delivery System

Date: February 22, 2019 

Time: 12:00 pm - 1:00 pm 

Location: CHOP Roberts Center for Pediatric Research, Conference Room 1-120 A&B 

CPCE & PolicyLab invite you to attend a research seminar with visiting speaker Gabriel J. Escobar, MD. Dr. Escobar is a research scientist at the Kaiser Permanente Northern California Division of Research, director of the Division of Research Systems Research Initiative; and Regional Director for Hospital Operations Research for Kaiser Permanente Northern California. His research interests include risk adjustment, predictive modeling, severity-of-illness scoring, the use of comprehensive inpatient and outpatient electronic medical records for health services research, and the use of real-time decision support tools that are embedded in the electronic record.  

Adherence Assessment and Promotion in Pediatric and AYA Oncology

Date: February 26, 2019

Time: 4:00 pm

Location: CHOP Colket Translational Research Building (CTRB) - 1200B

The CHOP Center for Childhood Cancer Research presents Ahna Pai, PhD, Professor of Pediatrics, Center for the Promotion of Adherence and Self-Management, Division of Behavioral Medicine and Clinical Psychology, University of Cincinnati / Cincinnati Children's Hospital Medical Center. View the event flyer.

Progress and Considerations for AAV Gene Therapies - Lessons from Hemophilia Clinical Trials

Date: February 27, 2019

Time: 12:00 pm - 1:00 pm

Location: CHOP Roberts Center for Pediatric Research, Conference Room 2-180

In this session hosted by the Clinical Trials Research Affinity Group (RAG) Lindsey George, MD, Attending Physician, Department of Hematology, Children's Hospital of Philadelphia, will discuss some of the challenges of gene therapy trials. Please RSVP to ClinicalTrialsRAG@email.chop.edu.

Save the Date: Career Pathways in Global Health

Date: April 6, 2019

Time: 10:00 am - 1:00 pm

Location: Perry World House, 3803 Locust Walk, Philadelphia, PA 

Global health is less about geography and more of a lens through which one approaches health care delivery and outcomes in the larger global context. The career paths in this field are as vast as the topic itself. Come learn about the career trajectories and work lives of featured speakers regarding local and global public health research and practice. More details available online.

Recent Publications

Prolonged duration of early antibiotic therapy in extremely premature infants.

Antibiotics are the most common medications prescribed for infants in the neonatal intensive care unit

(NICU). This research from CPCE faculty members Dr. Karen Puopolo and Dr. Sagori Mukhopadhyay and colleagues from the NICHD Neonatal Research Network assessed the prevalence and outcomes of prolonged early antibiotics to extremely premature infants without culture-confirmed infection or necrotizing enterocolitis (NEC). Study findings showed a significant decline in the overall use of prolonged early antibiotics, however, significant center-specific antibiotic practice variation persists. 

Infections after pediatric ambulatory surgery: Incidence and risk factors.

Surgical site infections are the second most commonly reported healthcare-associated infections in adults and children. Critical gaps in our understanding of surgical site infections (SSI) prevent accurate identification of patients at increased risk for the development of SSI and appropriately targeted preventive interventions. This research from faculty members in our Pediatric Infectious Diseases Epidemiology and Antimicrobial Stewardship (IDEAS) Research Group describes the epidemiology of SSI after pediatric ambulatory surgery.

Pediatric Perioperative DNR Orders: A Case Series in a Children's Hospital.

Do-not-resuscitate (DNR) orders are common among children receiving palliative care, who may nevertheless benefit from surgery and other procedures. Although anesthesia, surgery, and pediatric guidelines recommend systematic reconsideration of DNR orders in the perioperative period, data regarding how clinicians evaluate and manage DNR orders in the perioperative period is limited. Dr. Chris Feudtner and colleagues reviewed electronic medical records for children with DNR orders in place within 30 days of surgery and found that no documented systematic reconsideration took place in the perioperative period for over 40% of procedures. This highlights the need to improve how DNR orders are managed during the perioperative period.

Disparities in pediatric acute myeloid leukemia (AML) clinical trial enrollment.

Equal access to clinical trial enrollment is important to ensure that findings are generalizable to the broader population. This study from CPCE researchers Dr. Richard Aplenc and Dr. Brian Fisher and colleagues evaluated disparities in enrollment on pediatric oncology clinical trials. Understanding the etiology of these disparities will inform strategies to ensure balanced access to clinical trials across patient populations.

Systematic literature review on the economic, humanistic, and societal burden of heart failure in children and adolescents.

Unlike the adult heart failure patient population, there is scarce of information on the overall burden of heart failure in the pediatric population across geographies and within different age groups. Here, Dr. Joseph Rossano and colleagues conduct the first systematic review to describe and quantify the economic, humanistic, and societal burden of pediatric heart failure on patients and caregivers. This review provides valuable insights into burden of heart failure in children and adolescents, however, there is a need for larger population based studies with wider geographical coverage.

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