The Journal of pediatrics
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The Journal of pediatrics · Mar 2015
Randomized Controlled Trial Multicenter Study Observational StudySevere obesity and comorbid condition impact on the weight-related quality of life of the adolescent patient.
To assess links between comorbid health status, severe excess weight, and weight-related quality of life (WRQOL) in adolescents with severe obesity and undergoing weight-loss surgery (WLS) to inform clinical care. ⋯ WRQOL impairment is substantial for adolescents with severe obesity undergoing WLS, with predictors varying by sex. These patient-data highlight targets for education, support, and adjunctive care referrals before WLS. Furthermore, they provide a comprehensive empirical base for understanding heterogeneity in adolescent WRQOL outcomes after WLS, as weight and comorbidity profiles change over time.
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The Journal of pediatrics · Mar 2015
Multicenter StudyPediatric exposure to opioid and sedation medications during terminal hospitalizations in the United States, 2007-2011.
To describe the use of opioids and sedatives to pediatric patients dying in the hospital in the 2 weeks preceding death. ⋯ Although most pediatric patients terminally hospitalized are exposed to opioid and sedation medication, some patients do not receive such medications before death. Given that patient and hospital characteristics were associated with opioid/sedative exposure, these findings suggest areas of potential quality improvement and further research.