https://orcid.org/0000-0002-9053-9864
Overview
My research interests are broadly in the application of quantitative methods, especially mathematical modeling and decision analysis, to problems in women's health. Recent and current activities include integration of simulation modeling and systematic reviews to inform decisions surrounding cervical, ovarian, and breast cancer prevention and control, screening for postpartum depression, and management of uterine fibroids. We are also engaged in exploring methods for integrating guidelines development and research prioritization. In addition, I have ongoing collaborations using the tools of decision analysis with faculty in other clinical areas Research is conducted through the Division of Reproductive Sciences in the Department of Obstetrics and Gynecology, the Evidence Synthesis Group in the Duke Clinical Research Institute, and the Duke Cancer Institute. I'm also the course director for CRP 259, "Decision Sciences in Clinical Research", in Duke's Clinical Research Training Program.
Current Duke Appointments & Affiliations
Walter L. Thomas Distinguished Professor of Obstetrics and Gynecology in the School of Medicine
·
2012 - Present
Obstetrics and Gynecology, Women's Community & Population Health,
Obstetrics and Gynecology
Professor of Obstetrics and Gynecology
·
2019 - Present
Obstetrics and Gynecology, Women's Community & Population Health,
Obstetrics and Gynecology
Member of the Duke Cancer Institute
·
1996 - Present
Duke Cancer Institute,
Institutes and Centers
Core Faculty Member, Duke-Margolis Institute for Health Policy
·
2024 - Present
Duke-Margolis Institute for Health Policy,
University Institutes and Centers
Recent Scholarly Works
Perinatal Risk and Outcomes Among Individuals Insured by Medicare.
Journal article Am J Perinatol · September 17, 2026 OBJECTIVE: Pregnant Medicare beneficiaries are typically individuals with chronic conditions causing disability or end-stage organ disease, which may increase obstetric risk. Few studies have examined this population. We compared medical comorbidities and ... Full text Link to item CiteAssociation Between Opioid Use Disorder and Hysterectomy Outcomes.
Journal article Obstet Gynecol · August 6, 2026 OBJECTIVE: To evaluate the associations between opioid use disorder (OUD) and complications, length of stay, and costs of hysterectomy. METHODS: This retrospective cohort study evaluated patients with and without OUD who were aged 18 years or older and und ... Full text Link to item CiteEndometrial thickness in patients with postmenopausal bleeding and endometrial cancer: A retrospective cohort study.
Journal article Gynecol Oncol Rep · August 2026 OBJECTIVE: Updated ACOG guidelines recommend a combined approach of transvaginal ultrasound (TVUS) and endometrial sampling for evaluation of most postmenopausal bleeding (PMB). Although prior studies investigating the reliability of TVUS suggest that non- ... Full text Link to item CiteRecent Grants
Improving institutional processes to reduce patient harm using evidence-based standards
ResearchCo Investigator · Awarded by Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2025 - 20302/3 CTSA K12 Program at Duke University
ResearchMentor · Awarded by National Center for Advancing Translational Sciences · 2025 - 2030Development and pilot testing of a behavioral intervention to improve pelvic dilator therapy use among cancer survivors who received pelvic radiation
ResearchCo-Mentor · Awarded by National Institutes of Health · 2025 - 2030View All Grants
Education
University of North Carolina, Chapel Hill ·
1992
M.P.H.
University of Pennsylvania ·
1988
M.D.