Research

Surgical Repair of Cloacal Malformation Does Not Worsen Bladder Function
Surgical Repair of Cloacal Malformation Does Not Worsen Bladder Function 1024 683 Mary Bates, PhD

The complexity of the malformation, more than the surgical approach, determines post-operative urodynamics. Approximately 90% of girls with cloacal malformation exhibit some degree of bladder dysfunction. While associated conditions can impact bladder dynamics, the complex surgery required to repair cloacal malformation has also been hypothesized to cause bladder dysfunction. Strategies to repair cloacal malformation in…

Has the Next Generation of Gene Therapy Arrived?
Has the Next Generation of Gene Therapy Arrived? 1024 683 Wendy Margolin

Researchers crack the code to deliver dual gene therapy in preclinical studies – with promises of wider applications. In a gene therapy breakthrough, a Nationwide Children’s Hospital researcher has successfully used an adeno-associated virus (AAV) to introduce two genes into cells with a single vector. Paul Martin, PhD, created a new dual gene vector approach…

Enhancing School Readiness for Children with Critical Congenital Heart Disease: Insights and Strategies for Health Care Clinicians
Enhancing School Readiness for Children with Critical Congenital Heart Disease: Insights and Strategies for Health Care Clinicians 1024 664 Erin Gregory

A recent publication in Pediatric Cardiology explores the complexities of school readiness among children with critical congenital heart disease (CCHD) compared to their peers. The study hypothesizes that children with CCHD will face more significant difficulties in school readiness, linked to specific medical risk factors associated with their condition. Identifying Barriers to Progress The study, led by…

Sacral Nerve Stimulation Improves Symptoms and Quality of Life in Children With Defecation Disorders
Sacral Nerve Stimulation Improves Symptoms and Quality of Life in Children With Defecation Disorders 1024 656 Mary Bates, PhD

A new study narrows down the patients who may benefit the most from the treatment. In a large prospective study, researchers from Nationwide Children’s Hospital found that sacral nerve stimulation can lead to significant and long-lasting improvements in fecal continence and quality of life in children with refractory defecation disorders. Sacral nerve stimulation (SNS) involves…

Can Artificial Intelligence (AI) Improve Access to Social Resources for Better Patient Outcomes?
Can Artificial Intelligence (AI) Improve Access to Social Resources for Better Patient Outcomes? 1024 540 Pam Georgiana

A recent study tests the ability of the DAPHNE© Chatbot to do just that. Health care providers and organizations recognize the impact of social factors on health and are increasingly addressing social determinants to improve health outcomes and equity. However, integrating social care into health practices remains challenging due to structural barriers such as staffing,…

Long-Term Bladder Management and Continence in Girls With Cloacal Malformation
Long-Term Bladder Management and Continence in Girls With Cloacal Malformation 1024 683 Pam Georgiana
Molly Fuchs, MD

New insights on outcomes and quality of life from Nationwide Children’s comprehensive study of pediatric patients. Over the last decade, surgical innovation has revolutionized the treatment of cloacal malformation, a congenital anomaly affecting the development of the gastrointestinal, urinary and reproductive systems in girls. This condition occurs when the rectum, vagina and urinary tracts fail…

Rethinking Male Bias in Pediatric Growth Hormone Deficiency
Rethinking Male Bias in Pediatric Growth Hormone Deficiency 1024 683 JoAnna Pendergrass, DVM

Although males have historically been over-represented in pediatric growth hormone deficiency (GHD) cases, this predominance does not hold true across various classifications of GHD.   Referrals for short-stature evaluations are common in pediatric endocrinology despite the rarity of growth hormone deficiency (GHD). Historically, boys predominate these referrals, which are conducted to rule out GHD. Yet,…

Is Surfactant Treatment at Birth Associated With Severe Bronchopulmonary Dysplasia?
Is Surfactant Treatment at Birth Associated With Severe Bronchopulmonary Dysplasia? 1024 683 Pam Georgiana

An observational study reviews a contemporary cohort of preterm infants. Recently, Leif D. Nelin, MD, division chief of neonatology at Nationwide Children’s and a professor of pediatrics at The Ohio State University College of Medicine, and a team of doctors in the Bronchopulmonary Dysplasia (BPD) Collaborative Registry speculated that the use of surfactant treatment in…

Water Beads: Sensory Fun or Ticket to the Emergency Department?
Water Beads: Sensory Fun or Ticket to the Emergency Department? 1024 683 Laura Dattner

Researchers find ED visits more than doubled from 2021 to 2022 and call for federal legislation and regulation to address this child hazard. Researchers from the Center for Injury Research and Policy and Central Ohio Poison Center at Nationwide Children’s Hospital have found more than an estimated 8,000 visits to U.S. emergency departments (EDs) associated…

Nationwide Children’s Researchers Awarded Funding to Carry Out Groundbreaking Research on Single Ventricle Heart Disease
Nationwide Children’s Researchers Awarded Funding to Carry Out Groundbreaking Research on Single Ventricle Heart Disease 150 150 Madison Storm

The American Heart Association (AHA) and Additional Ventures have announced funding for five teams of scientists for research on single ventricle heart disease. Four researchers from Nationwide Children’s Hospital were included in the grant awards, building off their ongoing work in regenerative medicine and cardiovascular research. These Collaborative Sciences Awards bring together researchers from various…

Supporting Tracheostomy Decision-Making for Families and Providers
Supporting Tracheostomy Decision-Making for Families and Providers 1024 683 Abbie Miller

The Trach Scoring Tool, developed by leaders in bronchopulmonary dysplasia (BPD) at Nationwide Children’s Hospital, offers support for physicians and families. The decision of when to do a tracheostomy on an infant is difficult, to say the least, says Leif Nelin, MD, division chief of Neonatology at Nationwide Children’s Hospital. “Every family has different knowledge,…

Extended Reality Offers New Ways to View Congenital Heart Disease
Extended Reality Offers New Ways to View Congenital Heart Disease 1024 577 Mary Bates, PhD

Researchers are evaluating the technology’s potential to improve clinical practice, trainee and family education, and patient outcomes. What if you could put on a headset and teleport inside a model of a patient’s beating heart? What if you could interact with that heart — touch it with your fingertips, zoom in or out or view…

Study Reveals New Use for GER Tool in Neonates: Swallowing Analysis
Study Reveals New Use for GER Tool in Neonates: Swallowing Analysis 1024 683 Katie Brind'Amour, PhD, MS, CHES
Dr. Jadcherla

Investigators have repurposed a simple test for gastroesophageal reflux (GER) disease to provide valuable insight into multiple swallowing abnormalities in newborn babies. A tool used to diagnose gastroesophageal reflux disease (GERD) in hospitalized neonates now has another use: characterizing swallowing abilities. The researchers at Nationwide Children’s Hospital who pioneered the objective use of the test,…

Evaluating Caregiver Report of Developmental Delays in Young Children
Evaluating Caregiver Report of Developmental Delays in Young Children 1024 681 Mary Bates, PhD

Caregiver-report measures of cognitive skills correlate with direct assessments by clinicians. Researchers from Nationwide Children’s Hospital report that a standardized caregiver interview can effectively identify children at risk for cognitive developmental delays. The findings suggest that caregiver-report measures may be useful in assessing young children, particularly when direct clinical assessment is not feasible. For children…

Disrupting Mitochondrial Pyruvate Uptake in Kidney Tubular Cells Bolsters Antioxidant Responses and Protects From Acute Kidney Injury
Disrupting Mitochondrial Pyruvate Uptake in Kidney Tubular Cells Bolsters Antioxidant Responses and Protects From Acute Kidney Injury 1024 732 Jessica Nye, PhD

Blocking mitochondrial pyruvate uptake in the kidney was found to upregulate oxidant defense systems, ultimately mitigating the effects of an acute kidney injury (AKI). “The kidney has these reabsorption units, tubular cells, that reabsorb glucose, amino acids and specific ions. These units spend a lot of mitochondrial energy, so they need a lot of ATP…

Uncovering Racial and Ethnic Disparities in Pediatric Sleep Research
Uncovering Racial and Ethnic Disparities in Pediatric Sleep Research 1024 683 Erin Gregory

In a recent study published in the Journal of Biomedical Informatics, Mattina Davenport, PhD, principal investigator in the Center for Child Health Equity and Outcomes Research at the Abigail Wexner Research Institute at Nationwide Children’s Hospital, explores the impact of biases in clinical documentation on pediatric sleep research. The Motivation Behind the Study Pediatric sleep…

Novel Brace for Hip Immobilization After Bladder Exstrophy Repair
Novel Brace for Hip Immobilization After Bladder Exstrophy Repair 150 150 Katie Brind'Amour, PhD, MS, CHES

An innovative orthopedic brace allows families to avoid the disadvantages of casts, external fixators and traction devices after bladder exstrophy surgery. After bladder exstrophy repair — a complicated surgery to move a baby’s bladder from outside of the abdomen to the inside — postoperative hip position can cause tension on the incisions, making pelvic immobilization…

Does Coinfection Lead to Longer Ventilation Times?
Does Coinfection Lead to Longer Ventilation Times? 1024 683 Pam Georgiana

New multicenter study evaluates treatments and diagnoses of respiratory infections in young patients.    Lower respiratory tract infection, or bronchiolitis, is one of the most common reasons for intensive care unit (ICU) admissions and mechanical ventilation in children younger than two years old. Despite this, little current research exists regarding the most effective treatment when…

Demystifying Machine Learning With AutoML
Demystifying Machine Learning With AutoML 1024 683 Abbie Miller

A Nationwide Children’s Hospital team from the Office of Data Sciences recently won the Advanced ML tier in the precisionFDA Automated Machine Learning (AutoML) App-a-thon Challenge: Democratizing and Demystifying Artificial Intelligence (AI). Each year, the FDA hosts challenges centered around data science and bioinformatics. This year, the challenge focuses on AutoML, a low-code ML technique…

Early Detection and Multidisciplinary Care: Successful Management of Duodenal Atresia
Early Detection and Multidisciplinary Care: Successful Management of Duodenal Atresia 1024 737 Pam Georgiana
person in scrubs holding a baby

The team in the Fetal Center at Nationwide Children’s Hospital shares their comprehensive approach for best possible outcomes.  When a routine ultrasound reveals two enlarged, fluid-filled bubbles in the baby’s abdomen, known as the “double bubble” sign, pregnant patients and their families often feel scared and concerned. These bubbles indicate duodenal atresia, a congenital condition…

Children on Pancreatic Enzymes Experience Fewer Acute Pancreatitis Episodes
Children on Pancreatic Enzymes Experience Fewer Acute Pancreatitis Episodes 1024 429 Mary Bates, PhD

Pancreatic enzyme therapy benefitted patients with pancreatic-sufficient acute recurrent pancreatitis and chronic pancreatitis.  A new study shows that children with both acute recurrent pancreatitis and chronic pancreatitis had significantly lower incidence of acute pancreatitis episodes per year after starting pancreatic enzyme therapy. The findings support the need for a clinical trial to determine the treatment’s…

Comparing Outcomes Between Direct and ED Admissions for Neonatal Hyperbilirubinemia
Comparing Outcomes Between Direct and ED Admissions for Neonatal Hyperbilirubinemia 1024 681 Pam Georgiana
sleeping infant

Does the method of admission affect care for patients with neonatal hyperbilirubinemia? Neonatal hyperbilirubinemia, with jaundice as its primary symptom, can be scary for parents of newborns. This condition requires a blood test to measure bilirubin levels for diagnosis. Despite its concerning appearance, hyperbilirubinemia is very treatable, and patients are usually at low risk for…

Clinical Differences in Early-Onset and Adolescent-Onset Rumination Syndrome
Clinical Differences in Early-Onset and Adolescent-Onset Rumination Syndrome 1024 683 Mary Bates, PhD

Study suggests rumination syndrome in young children is less severe initially and improves over time.   Early-onset rumination syndrome is clinically distinct from adolescent-onset rumination syndrome, according to a new report out of Nationwide Children’s Hospital. In this largest study of pediatric patients with rumination syndrome to date, researchers found differences in sex distribution, co-occurring…

Understanding How Youths With Autism Make the Move to Adult Health Care
Understanding How Youths With Autism Make the Move to Adult Health Care 1024 683 Mary Bates, PhD

Study finds overlap in the utilization of pediatric and adult health care is the norm. In a new study, researchers from Nationwide Children’s Hospital and The Ohio State University teamed up to better understand how adolescents and young adults with autism navigate the transition from pediatric to adult health care. “We wanted to characterize the…

Refining the Role of Basal Urothelial Cells in Bladder Development
Refining the Role of Basal Urothelial Cells in Bladder Development 1024 683 Jessica Nye, PhD

Basal keratin 5 urothelial cells (K5-UCs) were found to be age-restricted progenitors in bladders and their progenitor potential could be rescued by exogenous proliferative cues.   “The identity of the bladder urothelium progenitor is controversial and confounded by slow turnover, and a low mitotic index during homeostasis,” says Ashley R. Jackson, PhD, principal investigator in…

How Does Hodgkin Lymphoma Differ With Age?
How Does Hodgkin Lymphoma Differ With Age? 150 150 Pam Georgiana

A new study reveals age-related differences in pathology and medical management. When Anthony N. Audino, MD, a pediatric oncologist in the Division of Pediatric Hematology/Oncology/BMT at Nationwide Children’s, first met a preschool-aged patient with Hodgkin lymphoma, he was surprised. “It was startling to see someone so young with this disease because it’s typically diagnosed between…

New Study Demonstrates Potential for a Gene Therapy for Vanishing White Matter Disease
New Study Demonstrates Potential for a Gene Therapy for Vanishing White Matter Disease 1024 552 Katie Brind'Amour, PhD, MS, CHES

The research, conducted in mouse models, shows promising safety and efficacy for a currently incurable, life-limiting condition. Researchers at Nationwide Children’s Hospital have confirmed initial safety and efficacy data for a gene supplementation therapy for Vanishing White Matter (VWM) disease in mouse models. Testing multiple versions of therapy in two separate mouse models representing different…

Surgical Repair of Traumatic Hip Dislocations With Acetabular “Fleck” Signs
Surgical Repair of Traumatic Hip Dislocations With Acetabular “Fleck” Signs 1024 683 Mary Bates, PhD
Kevin Klingele, MD

Surgical hip dislocation with open labral repair produced excellent clinical outcomes in pediatric patients. The acetabular “fleck” sign is a radiographic finding indicative of significant labral injury in young patients with traumatic hip dislocations. In a new study, researchers from Nationwide Children’s Hospital show that treatment by surgical hip dislocation with open labral repair leads…

Opportunities to Reduce Stress for Parents of Kids With Autism
Opportunities to Reduce Stress for Parents of Kids With Autism 1024 683 Katie Brind'Amour, PhD, MS, CHES

Research suggests parenting self-efficacy and family resources influence parental stress levels, offering potential modifiable targets for clinicians aiming to help families thrive.   A study led by pediatric psychology experts at Nationwide Children’s Hospital has confirmed that parenting self-efficacy is associated with parental stress levels in families of children with autism, and that parenting self-efficacy…

A Noncardiomyocyte Signaling Pathway in Early Heart Development
A Noncardiomyocyte Signaling Pathway in Early Heart Development 1024 670 Mary Bates, PhD

Study demonstrates role for endocardial cells in myocardial trabeculation. A new study in Nature Communications from researchers at Nationwide Children’s Hospital provides novel insights into a signaling pathway that regulates the developing myocardium during early heart development. The findings have implications for understanding congenital heart disease and myocardial regeneration. This research was led by Deqiang…

Outcomes of Colonic Pull-Through for Patients With Cloacal Exstrophy: Is it Really Helping Kids?
Outcomes of Colonic Pull-Through for Patients With Cloacal Exstrophy: Is it Really Helping Kids? 1024 683 Mary Bates, PhD

Collaborative study reveals infrequent utilization of the procedure and identifies factors correlated with success. Cloacal exstrophy is a rare grouping of congenital anorectal malformations. Although once nearly uniformly fatal, survival has increased significantly, and with it, the focus on long-term outcomes. In the last 15 years, a reconstructive surgery known as colonic pull-through has been…

Reducing Hospital Stays After Fontan Procedures by More Than 66%
Reducing Hospital Stays After Fontan Procedures by More Than 66% 1024 575 Pam Georgiana
Black and white photo of boy sitting up on hospital bed

A new quality improvement initiative implements new guidelines using an innovative chest tube commonly used in adults.   Before April 2020, the average length of hospital stay for patients undergoing the Fontan procedure at Nationwide Children’s was about 23 days. This prolonged hospitalization stay was longer than many other institutions due to prolonged chest tube…

How Does Thickened Formula Affect Reflux in Infants?
How Does Thickened Formula Affect Reflux in Infants? 1024 683 Mary Bates, PhD

Infants in the neonatal intensive care unit with suspected gastroesophageal reflux disease (GERD) are often fed formula with added rice cereal or other thickeners, despite limited evidence of its efficacy or long-term consequences. Additionally, the consequences of thickened feeds are not well-studied, says Sudarshan Jadcherla, MD, a principal investigator at the Center for Perinatal Research…

Donor-Derived NK Cells Safe and Efficacious in Relapsed and Refractory AML
Donor-Derived NK Cells Safe and Efficacious in Relapsed and Refractory AML 1024 649 Lauren Dembeck

Researchers have used their approach for growing large numbers of NK cells to allow repeated dosing for a more effective and less toxic treatment.   Outcomes for patients with relapsed and refractory acute myeloid leukemia (R/R AML) have not significantly improved over the last 30 years. For example, a recent study of patients treated with…

Telemedicine’s Past, Present and Future Role in Pediatric Inflammatory Bowel Disease Care
Telemedicine’s Past, Present and Future Role in Pediatric Inflammatory Bowel Disease Care 1024 683 Erin Gregory

A recent study sheds light on how telemedicine’s use during the pandemic has reshaped care delivery for children with IBD.   A recent study published in Journal of Pediatric Gastroenterology and Nutrition utilized electronic medical record data to compare the volume, duration and nature of office and telemedicine visits for pediatric patients with inflammatory bowel…

Trauma and Resilience in Youth With Opioid Use and Eating Disorders
Trauma and Resilience in Youth With Opioid Use and Eating Disorders 1024 575 Pam Georgiana
Teen girl with backpack

Health care providers should expect patients to have hidden traumas and reduced resilience.   When treating adolescents and young adults in the Substance Use Treatment and Recovery program at Nationwide Children’s, medical director Erin R. McKnight, MD, MPH, noticed that while most of her young patients had experienced some trauma in their lives, some patients…

Nationwide Children’s Research Benefits Kids Everywhere
Nationwide Children’s Research Benefits Kids Everywhere 1024 575 Nationwide Children's

Pediatric research benefits children everywhere. Through the stories below, discover more about the breadth and depth of research at Nationwide Children’s that is improving child health. Changing Feeding Outcomes Through Crib-Side Research “We have developed personalized approaches that allow for precision diagnosis and guided therapies that favor better nutrition, better oral skills, better airway protection…

Improving Medication Adherence and Clinical Outcomes After Hematopoietic Stem Cell Transplant
Improving Medication Adherence and Clinical Outcomes After Hematopoietic Stem Cell Transplant 1024 683 JoAnna Pendergrass, DVM

A clinical trial is evaluating the acceptability and efficacy of a mobile app in improving medication adherence, symptoms and clinical outcomes in pediatric hematopoietic stem cell patients. A research team led by Micah Skeens, PhD, APRN, FAAN, principal investigator in the Center for Biobehavioral Health at the Abigail Wexner Research Institute, assistant professor of pediatrics…

Turning Complications into Fuel for a New Approach to Better Outcomes
Turning Complications into Fuel for a New Approach to Better Outcomes 1024 418 Alaina Doklovic

A new web application enhances Morbidity and Mortality data storage and actively improves patient care. Morbidity and Mortality (M&M) Conferences are mandated meetings that occur regularly at all academic medical centers and are powerful opportunities for learning and reflection. These conferences have been around for decades and provide opportunities to learn from medical errors, complications…

Accelerating Advances in Epilepsy Surgery
Accelerating Advances in Epilepsy Surgery 1024 683 Abbie Miller

One program is bringing together clinical care, surgery and research to create a brighter future for children with intractable epilepsy. Childhood-onset epilepsy affects 1% of children worldwide. Up to a third of patients with epilepsy will have medically refractory epilepsy, continuing to have seizures despite using two or more antiseizure medications. Options for this group…

New Frontiers for Data Science in Pediatric Research
New Frontiers for Data Science in Pediatric Research 1024 577 Peter White, PhD

From discovery science to population health, researchers generate masses of data that hold immense potential to transform pediatric research, diagnostics, treatments and even guide disease prevention strategies. To make sense of this data deluge, we’ve been harnessing the power of cloud computing and cutting-edge data science techniques, such as artificial intelligence (AI), machine learning (ML)…

Unraveling the Genetic Mystery Behind a Rare Pediatric Disease
Unraveling the Genetic Mystery Behind a Rare Pediatric Disease 980 429 Wendy Margolin

Prune belly syndrome (PBS) is a rare, congenital urologic disease, affecting an estimated 1 out of 50,000 births. While most urologists will see fewer than three cases of PBS in their careers, Nationwide Children’s Hospital’s Linda Baker, MD, has treated more than 50 patients and met and counseled nearly 200 in the last 15 years.…

Connecting Well-being to Compassionate Care in Pediatric Residents
Connecting Well-being to Compassionate Care in Pediatric Residents 1024 683 Madison Storm

A multicenter study identified several well-being factors associated with pediatric residents’ confidence in providing calm, compassionate care to patients. Suzanne Reed, MD, has been interested in medical education since her training as a medical student. Captivated by the academic side of education, Dr. Reed has dedicated much of her research and clinical work to medical…

Practical Advice for Investigator-Initiated Trials
Practical Advice for Investigator-Initiated Trials 1024 363 Lauren Dembeck

Investigator-initiated trials play a crucial role in advancing medical research and contributing to evidence-based medicine. These trials are initiated, designed and conducted by researchers, often physicians or scientists, rather than by pharmaceutical or biotechnology companies. They allow researchers to explore specific hypotheses, novel interventions or unique patient populations that may not be addressed in industry-sponsored…

New National “Vital Signs” to Measure Population-wide Pediatric Health
New National “Vital Signs” to Measure Population-wide Pediatric Health 1024 683 Jeb Phillips

In 2017, an opinion piece in JAMA Pediatrics started this way: “We call for a national effort to develop a parsimonious set of quality and outcome measures for (all) children.” And now, for perhaps the first time in American pediatrics, that “parsimonious set: has been laid out to guide communities and health systems across the United…

Supporting Optimal Developmental Outcomes After Neonatal Opioid Withdrawal Syndrome
Supporting Optimal Developmental Outcomes After Neonatal Opioid Withdrawal Syndrome 1024 575 Abbie Miller
Toddler playing with toys

Children with prenatal opioid exposure have a higher risk for developmental and behavioral concerns. Prenatal opioid exposure is still far too common. Experts estimate that one infant who has been exposed to opioids is born every 15 minutes in the United States.  While standard diagnostic criteria for neonatal opioid withdrawal syndrome (NOWS) were recently proposed,…

Infliximab Biosimilars Improve Growth Outcomes in Children With Inflammatory Bowel Disease
Infliximab Biosimilars Improve Growth Outcomes in Children With Inflammatory Bowel Disease 1024 683 Mary Bates, PhD

Treatment with either the infliximab originator or a biosimilar improves clinical and growth outcomes. In a new study, researchers at Nationwide Children’s Hospital report that children with inflammatory bowel disease showed similar growth and clinical outcomes whether they were treated with the infliximab originator or a biosimilar agent. The results add to the growing literature…

New Approach to Understanding Slow Oscillations in the Sleeping Brain
New Approach to Understanding Slow Oscillations in the Sleeping Brain 150 150 Jessica Nye, PhD

Investigators have proposed a novel model-based approach that leverages data generated during sleep to mimic global slow oscillations in the sleeping brain with closed-loop (cl) Transcranial Alternating Current Stimulation (tACS). “We’re really interested in the sleeping brain because as we develop, the brain is changing. During sleep, we process information that we learn during the…

Integrating PCOS Research and Clinical Care for Adolescents
Integrating PCOS Research and Clinical Care for Adolescents 1024 575 Pam Georgiana
Black and white image of teen girl posing outside

Researchers at Nationwide Children’s are participating in building the first-ever national registry of adolescent Polycystic Ovary Syndrome (PCOS) patient data through a National Institutes of Health (NIH)-funded research grant. The grant will collect patient data from more than 12 multidisciplinary PCOS clinics, including Nationwide Children’s. PCOS is a hormonal imbalance that can cause irregular menstrual…

How Are Insulin Pumps Being Utilized for Patients with Type 1 Diabetes?
How Are Insulin Pumps Being Utilized for Patients with Type 1 Diabetes? 1024 683 Pam Georgiana

A multicenter observational study of 22,000 children and adults shows improving quality of life for patients with type 1 diabetes.    Type 1 diabetes diagnoses are increasing among children, particularly those in racial/ethnic minority groups. New technology, specifically insulin pumps and continuous glucose monitoring (CGM) systems, may improve quality of life and long-term outcomes. However,…