2024
A Crisis in Scope: Recruitment and Retention Challenges Reported by VA Gastroenterology Section Chiefs.
von Rosenvinge E, Vela S, Paine E, Chang M, Hanson B, Taddei T, Smalley W, Dunbar K, Khan N, Kahng L, Anwar J, Zing R, Gawron A, Dominitz J, Baffy G. A Crisis in Scope: Recruitment and Retention Challenges Reported by VA Gastroenterology Section Chiefs. Federal Practitioner 2024, 41: 256-260. PMID: 39410921, PMCID: PMC11473028, DOI: 10.12788/fp.0504.Peer-Reviewed Original ResearchBarriers to recruitmentHuman resource challengesVeterans AffairsUS Department of Veterans AffairsDepartment of Veterans AffairsAdministrative burdenBarriers to retentionHealth of veteransVA Medical CenterSection chiefsLow salariesResource challengesRetention challengesMedical specialtiesSupport staffReducing administrative burdensMedical CenterStaffing supportUS DepartmentBurdenDigestive healthCurrent vacanciesSecond-mostRecruitmentSalary
2022
Using Telemedicine to Facilitate Patient Communication and Treatment Decision-Making Following Multidisciplinary Tumor Board Review for Patients with Hepatocellular Carcinoma
Choi DT, Sada YH, Sansgiry S, Kaplan DE, Taddei TH, Aguilar JK, Strayhorn M, Hernaez R, Davila JA. Using Telemedicine to Facilitate Patient Communication and Treatment Decision-Making Following Multidisciplinary Tumor Board Review for Patients with Hepatocellular Carcinoma. Journal Of Gastrointestinal Cancer 2022, 54: 623-631. PMID: 35773376, PMCID: PMC9247952, DOI: 10.1007/s12029-022-00844-w.Peer-Reviewed Original ResearchConceptsVA Medical CenterHepatocellular carcinomaTreatment recommendationsPerson visitsPatient's perspectiveTumor board recommendationsTumor board reviewCancer care deliveryUse of telemedicineDelivery of careTypes of cancerMTB recommendationsTelemedicine visitsTelemedicine interventionsTreatment referralMedical CenterSemi-structured qualitative interviewsPatientsPilot interventionCare deliveryPatient communicationCancer informationPilot studyAcceptable alternativeIntervention development
2021
SACRED: Effect of simvastatin on hepatic decompensation and death in subjects with high-risk compensated cirrhosis: Statins and Cirrhosis: Reducing Events of Decompensation
Kaplan D, Mehta R, Garcia-Tsao G, Albrecht J, Aytaman A, Baffy G, Bajaj J, Hernaez R, Hunt K, Ioannou G, Johnson K, Kanwal F, Lee T, Monto A, Pandya P, Schaubel D, Taddei T. SACRED: Effect of simvastatin on hepatic decompensation and death in subjects with high-risk compensated cirrhosis: Statins and Cirrhosis: Reducing Events of Decompensation. Contemporary Clinical Trials 2021, 104: 106367. PMID: 33771685, PMCID: PMC8422958, DOI: 10.1016/j.cct.2021.106367.Peer-Reviewed Original ResearchConceptsHepatic decompensationPortal hypertensionEvents of decompensationHepatic decompensation eventsLiver-related deathSignificant portal hypertensionAcceptable safety profileProspective human studiesRole of statinsChronic liver diseaseClasses of medicationsPatient-reported outcomesDevelopment of decompensationEffect of simvastatinVA Medical CenterCompensated cirrhosisDecompensation eventsStatin therapyVariceal hemorrhageCirrhotic patientsStandard therapyVascular reactivityExert pleiotropic effectsLiver diseaseRetrospective study
2020
Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven implementation strategies to improve cirrhosis care for Veterans
Rogal SS, Yakovchenko V, Morgan T, Bajaj JS, Gonzalez R, Park A, Beste L, Miech EJ, Lamorte C, Neely B, Gibson S, Malone PS, Chartier M, Taddei T, Garcia-Tsao G, Powell BJ, Dominitz JA, Ross D, Chinman MJ. Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven implementation strategies to improve cirrhosis care for Veterans. Implementation Science 2020, 15: 92. PMID: 33087156, PMCID: PMC7579930, DOI: 10.1186/s13012-020-01050-7.Peer-Reviewed Original ResearchConceptsVA Medical CenterCirrhosis careVeterans Health AdministrationEvidence-based practiceImplementation interventionsAim 1Stepped-wedge clusterBackground cirrhosisImplementation strategiesMedical CenterWedge clusterAim 3Health AdministrationEBP uptakeCirrhosisAim 2CareExpert recommendationsSuccessful implementation strategiesInterventionVeteransChange taxonomyImplementation support toolsProgram evaluationSemi-structured interviews