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In This Issue of JAMA Pediatrics
August 2017


JAMA Pediatr. 2017;171(8):717. doi:10.1001/jamapediatrics.2016.3123

Whether managing appendicitis as an urgent rather than an emergency procedure is associated with an increased risk of adverse events is controversial. In this study across 23 children’s hospitals, risks of complicated disease and postoperative complications were examined with time to appendectomy within 24 hours of hospital presentation. Among 2429 children, a delayed appendectomy was not associated with adverse outcomes. The accompanying Editorial underscores that the patient’s clinical status combined with the availability of resources defines optimal management for children with appendicitis.

Editorial 1 and 2

Two-thirds of individuals receiving treatment for opioid use disorder had their first use before age 25 years, and one-third before age 18 years. Hadland et al used a national commercial insurance database to examine youth with opioid use disorder who received buprenorphine and naltrexone. While medication use increased between 2011 and 2014, only 1 in 4 youths received 1 of these drugs. The accompanying Editorial discusses the low rate of medication-associated treatment among these youth and needed changes in practices and policies.