Shelby Sferra

59 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Featured statements

▶ Ep 17 · 10:15
I think that we talk about these disparities, um, and maybe you get one course in medical school on, um, treating racial and ethnic diverse patient populations, but I think that this needs to be something that started in medical school and then continues on in medical education and residency fellowship, um, and even at the attending level as well.
quote · Congenital Diaphragmatic Hernia
▶ Ep 17 · 9:50
I think that there needs to be more initiatives to bring more minority providers into the health care system and I think that that at least the data has shown has improved outcomes and improved survival in many um cases um and in CDH also
quote · Congenital Diaphragmatic Hernia

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Congenital Diaphragmatic Hernia 59 entries

BOB in Ped Surg 2023 - AAP Winner - Shelby Sferra, MD

▶ Ep 17 · 3:26
quote Health disparities driven by race and ethnicity are pervasive in healthcare and are known to impact all aspects of pediatric care. ↗
▶ Ep 17 · 3:26
epidemiological Health disparities driven by race and ethnicity are pervasive in healthcare and impact all aspects of pediatric care ↗
▶ Ep 17 · 3:40
clinical In CDH, disparities affect care from prenatal diagnosis and surveillance through postnatal management ↗
▶ Ep 17 · 3:50
quote Existing studies on disparities in CDH show that black race is an independent risk factor for mortality and is further compounded by low socioeconomic status. ↗
▶ Ep 17 · 3:50
host_summary Existing studies show that black race is an independent risk factor for mortality in CDH and is further compounded by low socioeconomic status ↗
▶ Ep 17 · 4:30
epidemiological The study cohort included 1,625 CDH patients from PHIS database 2015-2020 ↗
▶ Ep 17 · 4:50
clinical Hospital volume was defined as less than 10 CDH cases per year as low volume and 10 or more cases as high volume ↗
▶ Ep 17 · 5:05
clinical Institutional racial and ethnic diversity was defined as the percentage of black and/or Hispanic CDH patients treated at each institution, stratified from less than 20% to greater than 40% ↗
▶ Ep 17 · 5:40
epidemiological Household incomes of black and Hispanic patients were significantly lower than that for white patients ↗
▶ Ep 17 · 5:50
epidemiological White and Asian patients had primarily commercial insurance, whereas black and Hispanic patients had largely Medicaid payer status ↗
▶ Ep 17 · 6:10
clinical Black patients were born at significantly lower gestational ages and were more likely to be born preterm ↗
▶ Ep 17 · 6:20
clinical Black CDH patients had lower birth weights and lower Apgar scores compared to white patients ↗
▶ Ep 17 · 6:30
clinical Black patients were cannulated to extracorporeal life support more often than white patients ↗
▶ Ep 17 · 6:40
clinical Black CDH patients were mechanically ventilated for longer and required pulmonary anti-hypertensives for longer ↗
▶ Ep 17 · 6:50
clinical These differences in disease severity were not seen in Hispanic and Asian patients when compared to white patients ↗
▶ Ep 17 · 7:05
clinical Black CDH patients were admitted for significantly longer, discharged home less often, and were more likely to require a tracheostomy at discharge ↗
▶ Ep 17 · 7:20
epidemiological Black patients had decreased in-hospital survival rates of 79% compared to 88% in white patients ↗
▶ Ep 17 · 7:30
epidemiological Hispanic and Asian CDH patients had comparable survival rates to white patients at 88% and 92% respectively ↗
▶ Ep 17 · 7:45
epidemiological Low institutional diversity levels (less than 20% minority patients) were associated with decreased survival in white, black, and Hispanic CDH patients ↗
▶ Ep 17 · 8:00
epidemiological Higher levels of institutional diversity (between 31 and 40% minority patients) were associated with improved survival for white, black, and Hispanic CDH patients ↗
▶ Ep 17 · 8:15
epidemiological Differences in survival based on institutional diversity were not observed in Asian patients ↗
▶ Ep 17 · 8:22
epidemiological Cox regression analysis controlling for severity, socioeconomic status, and institutional covariants showed white patients had comparable outcomes regardless of institutional diversity ↗
▶ Ep 17 · 8:40
epidemiological Institutions with greater than 30% diversity conferred a protective effect against mortality for black CDH patients treated there ↗
▶ Ep 17 · 8:55
epidemiological Institutions with diversity greater than 20% conferred a protective effect for Hispanic CDH patients ↗
▶ Ep 17 · 9:05
clinical Treating a more racially and ethnically diverse patient population improves outcomes for black and Hispanic CDH patients without negatively impacting white patients ↗
▶ Ep 17 · 9:05
quote We demonstrate that treating a more racially and ethnically diverse patient population improves outcomes for black as well as Hispanic CDH patients without negatively impacting white patients. ↗
▶ Ep 17 · 9:50
host_summary Studies show that patient-physician concordance in race and ethnicity improves outcomes for minority patient populations ↗
▶ Ep 17 · 9:50
quote I think that there needs to be more initiatives to bring more minority providers into the health care system and I think that that at least the data has shown has improved outcomes and improved survival in many um cases um and in CDH also ↗
▶ Ep 17 · 10:05
host_summary Patient-physician concordance has been shown to improve outcomes and survival in CDH cases ↗
▶ Ep 17 · 10:15
quote I think that we talk about these disparities, um, and maybe you get one course in medical school on, um, treating racial and ethnic diverse patient populations, but I think that this needs to be something that started in medical school and then continues on in medical education and residency fellowship, um, and even at the attending level as well. ↗

BOB Ped Surg 2023 - Shelby Sferra, AAP - Presentation

▶ Ep 18 · 0:10
epidemiological Health disparities driven by race and ethnicity are pervasive in healthcare and impact all aspects of pediatric care. ↗
▶ Ep 18 · 0:10
quote Health disparities driven by race and ethnicity are pervasive in healthcare and are known to impact all aspects of pediatric care. ↗
▶ Ep 18 · 0:30
epidemiological In congenital diaphragmatic hernia (CDH), racial and ethnic disparities affect care from prenatal diagnosis and surveillance through postnatal management. ↗
▶ Ep 18 · 0:45
quote Existing studies on disparities in CDH show that black race is an independent risk factor for mortality and is further compounded by low socioeconomic status. ↗
▶ Ep 18 · 0:45
host_summary Existing studies on disparities in CDH show that Black race is an independent risk factor for mortality and is further compounded by low socioeconomic status. ↗
▶ Ep 18 · 1:30
clinical The study cohort included 1,625 CDH patients from the FIS database (2015-2020) admitted on day of life zero with ICD diagnosis code for CDH and procedure code for repair. ↗
▶ Ep 18 · 2:00
clinical Hospital volume was defined as less than 10 CDH cases per year (low volume) and 10 or more cases per year (high volume). ↗
▶ Ep 18 · 2:15
clinical Institutional racial and ethnic diversity was defined as the percentage of Black and/or Hispanic CDH patients treated at each institution, stratified into levels from less than 20% to greater than 40%. ↗
▶ Ep 18 · 2:30
epidemiological Household incomes of Black and Hispanic CDH patients were significantly lower than that for white patients. ↗
▶ Ep 18 · 2:40
epidemiological White and Asian CDH patients had primarily commercial insurance, whereas Black and Hispanic patients had largely Medicaid payer status. ↗
▶ Ep 18 · 2:50
clinical Black CDH patients were born at significantly lower gestational ages and were more likely to be born preterm compared to white patients. ↗
▶ Ep 18 · 3:00
clinical Black CDH patients had lower birth weights and lower Apgar scores compared to white patients. ↗
▶ Ep 18 · 3:05
clinical Black CDH patients were cannulated to extracorporeal life support (ECMO) more often than white patients. ↗
▶ Ep 18 · 3:12
clinical Black CDH patients were mechanically ventilated for longer and required pulmonary anti-hypertensives for longer compared to white patients. ↗
▶ Ep 18 · 3:20
clinical Disease severity differences observed in Black CDH patients were not seen in Hispanic and Asian patients when compared to white patients. ↗
▶ Ep 18 · 3:30
clinical Black CDH patients were admitted for significantly longer hospital stays compared to white patients. ↗
▶ Ep 18 · 3:35
clinical Black CDH patients were discharged home less often than white patients. ↗
▶ Ep 18 · 3:40
clinical Black CDH patients were more likely to require a tracheostomy at the time of discharge compared to white patients. ↗
▶ Ep 18 · 3:45
clinical Black CDH patients had decreased in-hospital survival rates of 79% compared to 88% in white patients. ↗
▶ Ep 18 · 3:45
quote Black patients had decreased in hospitals survival rates of 79% compared to 88% in white patients. ↗
▶ Ep 18 · 3:52
clinical Hispanic and Asian CDH patients had comparable survival rates to white patients at 88% and 92% respectively. ↗
▶ Ep 18 · 4:00
clinical Low institutional diversity levels (less than 20% Black and/or Hispanic patients) were associated with decreased survival in white, Black, and Hispanic CDH patients. ↗
▶ Ep 18 · 4:15
clinical Higher institutional diversity levels (31-40% Black and/or Hispanic patients) were associated with improved survival for white, Black, and Hispanic CDH patients. ↗
▶ Ep 18 · 4:25
clinical Institutional diversity effects on survival were not observed in Asian CDH patients. ↗
▶ Ep 18 · 4:30
clinical Cox regression analysis controlling for disease severity, socioeconomic status, and institutional covariates including hospital volume showed that white CDH patients had comparable outcomes regardless of institutional diversity level. ↗
▶ Ep 18 · 4:40
clinical Institutions with greater than 30% racial/ethnic diversity conferred a protective effect against mortality for Black CDH patients treated there. ↗
▶ Ep 18 · 4:48
clinical Institutions with diversity greater than 20% conferred a protective effect against mortality for Hispanic CDH patients treated there. ↗
▶ Ep 18 · 4:55
quote We demonstrate that treating a more racially and ethnically diverse patient population improves outcomes for black as well as Hispanic CDH patients without negatively impacting white patients. ↗
▶ Ep 18 · 4:55
clinical Treating a more racially and ethnically diverse CDH patient population improves outcomes for Black and Hispanic patients without negatively impacting white patients. ↗