https://jamanetwork.com/journals/jamapediatrics en-us Wed, 01 Jul 2026 00:00:00 GMT Mon, 06 Jul 2026 11:43:45 GMT Silverchair jamams@jamanetwork.org support@jamanetwork.com https://jamanetwork.com/journals/jamapediatrics/fullarticle/2851388 Wed, 01 Jul 2026 00:00:00 GMT Vision: JAMA Pediatrics will be the most respected source of information for investigators, providers, and policy makers seeking the highest quality evidence to guide decision-making. 180 7 709 709 10.1001/jamapediatrics.2025.3737 2851388 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2849444 Wed, 01 Jul 2026 00:00:00 GMT This JAMA Pediatrics Patient Page describes screening for cystic fibrosis in newborns. 180 7 808 808 10.1001/jamapediatrics.2026.1812 2849444 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2849441 Wed, 01 Jul 2026 00:00:00 GMT This cohort study determines where inequities exist along the Early Intervention Care Cascade and quantifies their magnitude. 180 7 767 775 10.1001/jamapediatrics.2026.1822 2849441 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2849138 Wed, 01 Jul 2026 00:00:00 GMT The Original Investigation titled “Comparative Effectiveness of Antihypertensive Medications in Children With Chronic Kidney Disease,” published on March 16, 2026, was corrected to fix the panel labels in Figure 1. This article was corrected online. 180 7 807 807 10.1001/jamapediatrics.2026.1965 2849138 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848770 Wed, 01 Jul 2026 00:00:00 GMT It took too long for us to appreciate the effects of social media on children’s mental health. We now face a new—and potentially more powerful—threat to pediatric mental health: artificial intelligence (AI). JAMA Pediatrics recognizes the extraordinary potential of AI to transform society, including health and health care. We have published multiple articles about it. But we are also mindful of the unique risks AI poses to children and adolescents. In particular, we are concerned about the rise of parasocial relationships with AI chatbots. Well-publicized cases of at-risk teens developing pathological attachments—sometimes culminating in suicide—are alarming and may be bellwether warnings. The Viewpoint by Radesky and colleagues lays a foundational framework for what future research should focus on. While we continue to seek the most robust study designs, we also welcome well-designed preliminary studies that clarify how substantial these risks may be, which children are most vulnerable, and what mitigation strategies are most promising. Such studies may, of necessity, rely on smaller convenience samples and proxy or aggregate outcomes—but whenever possible, they should use validated process and outcome measures and present limitations transparently. To the best of our ability, we must endeavor to make science keep pace with technology for the best interests of children. 180 7 722 722 10.1001/jamapediatrics.2026.1376 2848770 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848768 Wed, 01 Jul 2026 00:00:00 GMT To the Editor Barnert and Wise present a pressing ethical and public health challenge for pediatricians and all clinicians who care for children in the US and globally. While I commend them for bringing forward the disturbing health disparities for children held in custody, their Viewpoint ultimately fails to advocate for what is needed most for immigrant children: a safeguarding of their right to be protected from arbitrary immigration detention and family separation. 180 7 806 807 10.1001/jamapediatrics.2026.1373 2848768 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848767 Wed, 01 Jul 2026 00:00:00 GMT In Reply We thank Kronick for the opportunity to clarify the intent of our Viewpoint. We agree that children and families should not be placed in immigration detention, consistent with the American Academy of Pediatrics position. Similarly, we believe the juvenile justice system should use incarceration only as a last resort while continuing to move toward more developmentally aligned approaches. We have written elsewhere about the cruelty of using child detention as a deterrent to migration and the need to prevent youth incarceration whenever possible. 180 7 807 807 10.1001/jamapediatrics.2026.1414 2848767 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848766 Wed, 01 Jul 2026 00:00:00 GMT This cross-sectional study investigates the frequency with which children are reported as present for or witness to violent deaths and suicides in the US and the related circumstances. 180 7 776 782 10.1001/jamapediatrics.2026.1524 2848766 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848764 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint outlines a preliminary framework for clinicians, researchers, and policymakers about the effects of social artificial intelligence (AI) on the well-being of children and adolescents. 180 7 720 721 10.1001/jamapediatrics.2026.1349 2848764 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848573 Wed, 01 Jul 2026 00:00:00 GMT This cross-sectional study describes how profound autism criteria are associated with unmet support needs of autistic adolescents and their caregivers and the anticipated need for supervised housing. 180 7 800 803 10.1001/jamapediatrics.2026.1087 2848573 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848572 Wed, 01 Jul 2026 00:00:00 GMT This cohort study examines the rates, causes, and implications of the death of fathers of children 5 years or younger in the state of Georgia from 2017 to 2022. 180 7 795 798 10.1001/jamapediatrics.2026.1217 2848572 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848571 Wed, 01 Jul 2026 00:00:00 GMT To the Editor Berry and colleagues demonstrate that integrating a machine-learning postoperative length-of-stay (LOS) model into elective surgical scheduling, through a prospective calendar tool used to flag high-census days, was associated with a reduction in day-to-day variation in postoperative bed demand and an increase in elective case volume at a children’s hospital. Their work highlights an operational fact: bed constraints are not only a matter of how many cases, but also a question as to when those patients are likely to be discharged. 180 7 805 805 10.1001/jamapediatrics.2026.1211 2848571 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848570 Wed, 01 Jul 2026 00:00:00 GMT In Reply We thank Bair for the thoughtful letter in response to our study examining the implementation of a machine-learning, postoperative length-of-stay (LOS) prediction model and calendar-based scheduling tool to inform elective surgical scheduling and hospital bed capacity management. We agree with Bair that probabilistic forecasting enhances operational decision-making. Our implementation incorporates probabilistic census forecasting through day-level probability estimates of future bed occupancy (eg, 95% probability of remaining 1 day and 85% of remaining 2 days). We aggregate these daily probabilities at the unit and hospital levels to estimate census and the risk of exceeding capacity thresholds. The summed probabilities populate our scheduling calendar to estimate the space available for additional cases. Probabilities are also aggregated at the patient level to provide an intuitive point estimate of LOS for reporting. 180 7 805 806 10.1001/jamapediatrics.2026.1214 2848570 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848568 Wed, 01 Jul 2026 00:00:00 GMT This study compares daily living skills performance among adolescents with autism, other developmental disabilities, and the general population, and identifies early childhood predictors of independently performed daily living skills acquired by adolescence. 180 7 758 766 10.1001/jamapediatrics.2026.1306 2848568 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848567 Wed, 01 Jul 2026 00:00:00 GMT This systematic review and meta-analysis estimates the pooled incidence and relative risk of chronic kidney disease, mortality, hypertension, and proteinuria following acute kidney injury in hospitalized children. 180 7 739 749 10.1001/jamapediatrics.2026.1357 2848567 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848171 Wed, 01 Jul 2026 00:00:00 GMT In this issue of JAMA Pediatrics, Ewing-Cobbs and colleagues report their multicenter randomized clinical trial evaluating an online therapist-supported intervention to reduce posttraumatic stress symptoms (PTSS) among children hospitalized after traumatic injury. The intervention is notable for its novelty and breadth, combining interactive online psychoeducational modules based on trauma-focused cognitive behavioral therapy with structured weekly video conference sessions that teach emotional identification, cognitive reframing, and stress management skills. Compared with the control arm of “usual care” provided at the 4 participating trauma centers, the therapist-supported intervention resulted in greater reductions in Child PTSD Symptom Scale scores from baseline to follow-up at 10 weeks and again at 6 months, suggesting not only improved outcomes over current standards of care, but just as importantly, sustained benefit beyond the early postinjury period. 180 7 723 724 10.1001/jamapediatrics.2026.1135 2848171 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848168 Wed, 01 Jul 2026 00:00:00 GMT This diagnostic study examines the performance of the updated Pediatric Emergency Care Applied Research Network rule in determining the risk for invasive bacterial infections in an international sample of infants. 180 7 803 805 10.1001/jamapediatrics.2026.0971 2848168 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848167 Wed, 01 Jul 2026 00:00:00 GMT This cohort study evaluates a deep learning model’s accuracy in predicting the need for neonatal respiratory support among pregnant women scheduled for cesarean delivery. 180 7 794 795 10.1001/jamapediatrics.2026.1081 2848167 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2848163 Wed, 01 Jul 2026 00:00:00 GMT This randomized clinical trial investigates if the Reducing Stress After Trauma (ReSeT) brief online therapist-assisted health program is effective in reducing the severity of posttraumatic stress symptoms in children hospitalized for physical injury. 180 7 729 738 10.1001/jamapediatrics.2026.1143 2848163 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847890 Wed, 01 Jul 2026 00:00:00 GMT In JAMA Pediatrics, Putri and colleagues report long-term cardiometabolic outcomes among 7275 children who initiated obesity treatment in Sweden and were followed up through young adulthood, alongside more than 35 000 matched peers from the general population. Nearly half of the children with obesity met criteria for metabolically healthy obesity at baseline, defined by the absence of elevated blood pressure, impaired fasting glycemia, elevated transaminases as a marker of hepatic involvement, elevated triglycerides, and low high-density lipoprotein cholesterol. However, by age 30 years, children classified as having metabolically healthy obesity experienced substantially higher cumulative incidences of type 2 diabetes, hypertension, and dyslipidemia than their peers without obesity. Although their risks were lower than those of children with metabolically unhealthy obesity, the contrast with the general population was striking. Importantly, even a modest reduction in body mass index z score during treatment was associated with meaningful reductions in cardiometabolic risk in both the metabolically healthy and unhealthy groups. These findings challenge the assumption that the absence of metabolic abnormalities in childhood identifies a group at low long-term risk. 180 7 724 726 10.1001/jamapediatrics.2026.0956 2847890 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847888 Wed, 01 Jul 2026 00:00:00 GMT This cohort study compares antibiotic prophylaxis prescription timing among children with sickle cell disease born between 2008 and 2022 to identify whether suboptimal uptake of antibiotic prophylaxis is due to the timely receipt of the first prescription by 3 months of age. 180 7 792 794 10.1001/jamapediatrics.2026.0653 2847888 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847887 Wed, 01 Jul 2026 00:00:00 GMT This cross-sectional study evaluates the prevalence food insecurity and risk factors among children in households above the Supplemental Nutrition Assistance Program (SNAP) income thresholds. 180 7 798 800 10.1001/jamapediatrics.2026.0962 2847887 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847882 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint discusses the impact of mental health challenges on athletic performance and the impact of sports bans on mental health in light of transgender sports policy. 180 7 717 718 10.1001/jamapediatrics.2026.0829 2847882 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847881 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint describes rising rates of parent declination of intramuscular vitamin K prophylaxis for newborns and recommends development of a US Food and Drug Administration (FDA)–approved oral formulation. 180 7 719 719 10.1001/jamapediatrics.2026.0832 2847881 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847697 Wed, 01 Jul 2026 00:00:00 GMT Real-world evidence is increasingly used for immunization policy and resource allocation decisions, and in this issue of JAMA Pediatrics, Attaianese et al demonstrate potentially high economic favorability for nirsevimab immunization to prevent respiratory syncytial virus (RSV) under a wide range of conditions in Italy. Using Poisson regression models based on 2 seasons of data from hospitals representing differential catchment areas, they estimate RSV infections that would have occurred in the 2024 to 2025 RSV season and compare them with actual infections observed. Although there is inherent uncertainty comparing a model-based estimate with observed infections, Attaianese et al find nirsevimab to be cost saving, and the study serves as an example of the value of immunization in preventing illness, saving lives, and saving money. Beyond its country-specific findings, this study underscores the critical influence of health system characteristics on the economic favorability of the same intervention across countries. 180 7 726 728 10.1001/jamapediatrics.2026.0823 2847697 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847692 Wed, 01 Jul 2026 00:00:00 GMT This economic evaluation investigates the real-world cost-effectiveness of nirsevimab immunization in preventing respiratory syncytial virus (RSV)–related pediatric hospitalizations. 180 7 783 791 10.1001/jamapediatrics.2026.0657 2847692 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847690 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint describes the extent and mechanisms of overdiagnosis in autism and reviews its harmful implications. 180 7 711 712 10.1001/jamapediatrics.2026.0400 2847690 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2847689 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint discusses the need to address proposed diagnostic classifications, competing research and funding priorities, and barriers to screening, services, and supports for the autism community. 180 7 713 714 10.1001/jamapediatrics.2026.0403 2847689 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2846179 Wed, 01 Jul 2026 00:00:00 GMT This cohort study evaluates if metabolically healthy obesity in children is associated with increased long-term cardiometabolic outcomes. 180 7 750 757 10.1001/jamapediatrics.2026.0343 2846179 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2845852 Wed, 01 Jul 2026 00:00:00 GMT This Viewpoint discusses the dismissal of vaccine recommendations from medical professional groups, including the US Advisory Committee on Immunization Practices. 180 7 715 716 10.1001/jamapediatrics.2026.0415 2845852