From
Live Event Content
BOB in Ped Surg 2023 - AAP Winner - Shelby Sferra, MD
With Dr. Shelby Sferra · hosted by Dr. Todd Ponsky
Chapter 1 of 3 · Fundamentals
Session intro
Introduction and AAP presentation overview
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Improving Outcomes for Congenital Diaphragmatic Hernia (CDH): Protocol Changes at Cincinnati Children's
5 min · Published Jun 2026
Video
Inside a FETO Procedure: Fetoscopic Balloon Tracheal Occlusion with Dr. Beth Rymeski
4 min · Published Jul 2026
Podcast
IFMSS 2019 Clinical Studies
19 min · Published Nov 2022
Video
EUPSA - Circular RNA profiles isolated from amniotic fluidscan distinguish between CDH survivors and non-survivers - Richard Wagner
9 min · Published May 2022
Video
CDH - MIS vs. Open: Update Course 2015
5 min · Published Nov 2015
Podcast
Stay Current Journal Club: Episode 1 - Ventricular Dysfunction in CDH and...
16 min · Published Feb 2021
Video
Mental Health and Gun Safety in Pediatrics - Catherine Neyer - APP Conference 2026
48 min · Published May 2026
Video
Overview of the Surgical Management of Acute and Chronic Pancreatitis in Children with Dr. Juan Gurria
66 min · Published Apr 2026
Video
Clinical & Research Update: Pediatric Liver Tumors - A Case-Based Discussion with Drs. Katherine Somers & Alex Bondoc
69 min · Published Apr 2026
Video
Beyond ChatGPT_ AI Tools You’re Not Using (But Should) - Vail, CO
Dr. Todd Ponsky · 97 min · Published Jan 2026
Video
Beyond ChatGPT: AI Tools You’re Not Using (But Should)
Dr. Todd Ponsky · 109 min · Published Oct 2025
Video
2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
18 min · Published Aug 2025
What the experts said
Health disparities driven by race and ethnicity are pervasive in healthcare and impact all aspects of pediatric care
In CDH, racial and ethnic disparities affect care from prenatal diagnosis and surveillance through postnatal management
The study cohort included 1,625 CDH patients from the PIS database between 2015 and 2020
Hospital volume was defined as less than 10 CDH cases per year as low volume and 10 or more cases as high volume
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%
Household incomes of black and Hispanic CDH patients were significantly lower than that for white patients
White and Asian CDH patients had primarily commercial insurance, whereas black and Hispanic patients had largely Medicaid payer status
Black CDH patients were born at significantly lower gestational ages and were more likely to be born preterm
Black CDH patients had lower birth weights and lower Apgar scores compared to white patients
Black CDH patients were cannulated to ECMO more often than white patients
Black CDH patients were mechanically ventilated for longer and required pulmonary anti-hypertensives for longer compared to white patients
Hispanic and Asian CDH patients did not show the same differences in disease severity markers when compared to white patients
Black CDH patients were admitted for significantly longer, discharged home less often, and were more likely to require a tracheostomy at discharge
Cox regression analysis controlling for severity, socioeconomic status, and institutional covariants including hospital volume showed white patients had comparable outcomes regardless of institutional diversity
Black CDH patients had decreased in-hospital survival rates of 79% compared to 88% in white patients
Institutions with greater than 30% diversity conferred a protective effect against mortality for black CDH patients treated there
Hispanic and Asian CDH patients had comparable survival rates to white patients at 88% and 92% respectively
Institutions with diversity greater than 20% conferred a protective effect for Hispanic CDH patients
Low institutional diversity levels (less than 20%) were associated with decreased survival in white, black, and Hispanic CDH patients
Treating a more racially and ethnically diverse CDH patient population improves outcomes for black and Hispanic patients without negatively impacting white patients
Higher institutional diversity levels (between 31 and 40%) were associated with improved survival for white, black, and Hispanic CDH patients
Institutional diversity differences were not observed in Asian CDH patients
Many of the disparities in CDH outcomes are related to socioeconomic and other issues
Existing studies show that black race is an independent risk factor for mortality in CDH and is further compounded by low socioeconomic status
Studies show that patient-physician racial concordance improves outcomes for minority patient populations
Patient-physician racial concordance has been shown to improve outcomes and survival in CDH cases