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 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 Initiatives & Academic Support Units
Recent Publications
Ultrasound-based versus immediate biopsy-based management of postmenopausal bleeding in non-Hispanic Black and non-Hispanic White individuals.
Journal Article Gynecol Oncol · February 21, 2025 BACKGROUND: Ultrasound-based evaluation of endometrial thickness to rule out endometrial cancer in patients with postmenopausal bleeding (PMB) is not sufficiently validated in the non-Hispanic Black (NHB) population. Differences in ultrasound performance b ... Full text Link to item CiteTemporal changes in hospital readmissions for postpartum hypertension in the US, 2010 to 2019; a serial cross-sectional analysis.
Journal Article PLoS One · 2025 BACKGROUND: Hypertension is the most common primary diagnosis associated with postpartum readmissions within 42 days of delivery hospitalization. In the United States, nearly half of the cases of eclampsia, a severe form of preeclampsia, develop during the ... Full text Link to item CiteElectronic Clinical Decision Support Tools: Strategies to Improve the Management of Lower Respiratory Tract Infections in Low-Resource Settings.
Journal Article Am J Trop Med Hyg · December 4, 2024 Lower respiratory tract infection (LRTI) is a common reason for hospitalization and antibacterial use globally. There is considerable overlap in the clinical presentation of bacterial and viral LRTIs. Low- or middle-income countries (LMICs) face the dual c ... Full text Link to item CiteRecent Grants
Advancing Reproductive Rheumatology through Research Mentoring
ResearchCollaborator · Awarded by National Institutes of Health · 2024 - 2029UrogynCREST Program
ResearchCourse Faculty · Awarded by National Institutes of Health · 2019 - 2029Duke KURe Program
Inst. Training Prgm or CMEMentor · Awarded by National Institute of Diabetes and Digestive and Kidney Diseases · 2013 - 2028View All Grants
Education, Training & Certifications
University of North Carolina, Chapel Hill ·
1992
M.P.H.
University of Pennsylvania ·
1988
M.D.