Scholars@Duke
Haley A Moss

Haley A Moss

Associate Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Gynecologic Oncology
haley.moss@duke.edu
Box 3079 Med Center, Durham, NC 27710
Division of Gynecologic Oncology, DUMC 3079, Durham, NC 27710

Scholarly Works - Journal articles

Prevalence of Toxic Exposures Among Women Veterans With Breast or Gynecologic Cancers Receiving Veterans Affairs (VA) Care.

Journal article Mil Med · July 1, 2026 INTRODUCTION: Toxic exposures have been linked to hormonal disruption and DNA damage, increasing risk for hormone-sensitive cancers, such as breast and gynecologic cancers. However, the effect of toxic exposure on women Veteran cancer risk is unknown, espe ... Full text Link to item Cite

Atezolizumab in combination with neoadjuvant chemotherapy and interval cytoreductive surgery for patients with newly diagnosed advanced-stage epithelial ovarian cancer: the AdORN study.

Journal article Gynecol Oncol · July 2026 OBJECTIVE: Evaluate safety, efficacy, and response markers to atezolizumab, an immune checkpoint inhibitor, when combined with neoadjuvant chemotherapy (NACT) for primary epithelial ovarian, tubal, and peritoneal cancer (EOC). METHODS: Eligible patients ha ... Full text Link to item Cite

Prevalence of Veteran-reported treatment barriers from the breast and gynecologic oncology system of excellence.

Journal article Cancer Epidemiol · June 2026 BACKGROUND: There are many barriers to cancer care for patients with breast and gynecologic cancers. While much is known about barriers to breast and gynecologic cancer in the civilian population, less is known about barriers reported by Veterans. We addre ... Full text Link to item Cite

Tumor-infiltrating lymphocyte therapy in metastatic vulvar melanoma: A case report and review of the literature.

Journal article Gynecol Oncol Rep · June 2026 BACKGROUND: Vulvar melanoma is a rare and aggressive malignancy comprising less than 1% of all melanomas in women. Despite advances in immune checkpoint blockade, durable responses remain limited, and treatment of refractory disease poses a major challenge ... Full text Link to item Cite

Gynecologic cancers in veterans and military service members compared to non-veterans, 2004-2021: A National cancer database study.

Journal article Gynecol Oncol Rep · June 2026 OBJECTIVE: Women are the fastest growing demographic within the military-Veteran population in the United States. Our objective was to characterize gynecologic cancer occurrence, and trends over time, in Veterans and service members compared to non-veteran ... Full text Link to item Cite

A National Virtual Peer Support Group for Women Veterans Living with Breast Cancer: Lessons from the Field.

Journal article International journal of environmental research and public health · June 2026 Within the Veteran's Health Administration (VHA), peer support specialists (PSSs) have traditionally worked in mental health and behavioral health settings. PSS-facilitated cancer support groups are less common and underused in this setting. The purpose of ... Full text Cite

ACT-ON: Assisted cascade testing via outreach and navigation - Real-world experience with clinician-facilitated cascade testing.

Journal article Gynecol Oncol · April 2026 OBJECTIVES: Cascade genetic testing is a pragmatic, high-impact strategy for cancer prevention; however, under the current patient-mediated model, only one-third of relatives complete testing. Clinician-facilitated cascade testing represents a promising al ... Full text Link to item Cite

Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care.

Journal article JCO Oncol Pract · December 2025 PURPOSE: The Veterans Affairs Health Administration (VA) has experience using telehealth (TH) to deliver care to 10 million enrolled Veterans for many clinical care needs. The VA National TeleOncology Service (NTO) was established in 2020 to provide specia ... Full text Link to item Cite

Preferences of BRCA mutation carriers for attributes of risk-reducing surgical options for breast and ovarian cancer.

Journal article Cancer · November 15, 2025 BACKGROUND: Risk-reducing surgeries are the most effective strategies for cancer prevention in patients with germline pathogenic variants in the BRCA1/BRCA2 genes; these surgeries are associated with early menopause, loss of childbearing potential, and cos ... Full text Link to item Cite

Using Open-Source Large Language Models to Identify Access to Germline Genetic Testing in Veterans With Breast Cancer From Unstructured Text.

Journal article JCO Clin Cancer Inform · July 2025 PURPOSE: The ability of large language models (LLMs) to identify access to germline genetic testing from unstructured text remains unknown. The Department of Veterans Affairs (VA) assessed access in Veterans with breast cancer by implementing and evaluatin ... Full text Link to item Cite

Improving Cancer Care for Women Seeking Services in the Veterans Health Administration Through the Breast and Gynecological Oncology System of Excellence.

Journal article Mil Med · April 23, 2025 Women are the fastest growing population among Veterans and have substantial risk factors that increase their likelihood for developing cancer. To ensure that the Department of Veterans Affairs Veterans Health Administration (VHA) offers the best possible ... Full text Link to item Cite

Medicaid Expansion, Uninsurance Rates, and Catastrophic Costs at the Time of Emergency Gynecologic Surgery.

Journal article Obstet Gynecol · April 1, 2025 OBJECTIVE: To estimate the effect of Medicaid expansion on uninsurance rates and catastrophic charges from emergency surgical management of ectopic pregnancy and ovarian torsion using difference-in-difference analysis and to evaluate for racial and ethnic ... Full text Open Access Link to item Cite

Geographic and racial disparities in the quality of surgical care among patients with nonmetastatic uterine cancer.

Journal article Am J Obstet Gynecol · March 2025 BACKGROUND: Although the rates of minimally invasive surgery and sentinel lymph node biopsy have increased considerably over time in the surgical management of early-stage uterine cancer, practice varies significantly in the United States, and there are di ... Full text Link to item Cite

Summary and Roadmap of Breast Cancer Research in the Veterans Affairs.

Journal article Mil Med · January 16, 2025 Women are the largest growing population of Veterans within the U.S. Department of Veterans Affairs (VA) Health Care System. Among women Veterans, breast cancer is the most common malignancy (30% of all cancers), yet little is known about the unique needs ... Full text Link to item Cite

Characteristics of women Veterans with incident breast and gynecologic cancers in the Veterans Health Administration.

Journal article Womens Health (Lond) · 2025 BACKGROUND: There is an increase in breast and gynecologic cancer cases treated within Veterans Health Administration (VHA). OBJECTIVES: To describe the age and race of Veteran women diagnosed with breast and gynecologic cancers in VHA and compare with U.S ... Full text Link to item Cite

Incidence of induced abortion among commercially insured pregnant patients with cancer.

Journal article Contraception · October 2024 OBJECTIVES: This study aimed to characterize pregnancy outcomes and the incidence of induced abortion among pregnant people with a diagnosis of malignancy. STUDY DESIGN: We conducted a retrospective cohort study among privately insured people aged 12 to 55 ... Full text Link to item Cite

The doc versus the bot: A pilot study to assess the quality and accuracy of physician and chatbot responses to clinical questions in gynecologic oncology.

Journal article Gynecol Oncol Rep · October 2024 Artificial intelligence (AI) applications to medical care are currently under investigation. We aimed to evaluate and compare the quality and accuracy of physician and chatbot responses to common clinical questions in gynecologic oncology. In this cross-se ... Full text Link to item Cite

Early-career and fellow gynecologic oncologists perceive underpreparedness for the business of medicine: A Society of gynecologic oncology survey study

Journal article Gynecologic Oncology Reports · October 1, 2024 Objective: There is a research gap on the impact of payment, reimbursement, and academic productivity in career decision-making for early-career (EC) attendings in gynecologic oncology. We sought to assess gynecologic oncology fellows and EC attendings on ... Full text Cite

The Landscape of Care for Women Veterans with Cancer: An Evidence Map.

Journal article J Gen Intern Med · September 2024 BACKGROUND: Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique ne ... Full text Link to item Cite

ACO leakage among gynecologic cancer patients: Incidence, predictors, and impact on annual Medicare expenditure.

Journal article Gynecol Oncol · August 2024 OBJECTIVE: To examine patterns of Accountable Care Organizations (ACO) leakage, the receipt of healthcare by ACO-assigned patients from institutions outside assigned ACO network, among patients with gynecologic cancer. ACO leakage was estimated as rates of ... Full text Link to item Cite

Congressional Expansion of Enhancing Breast Cancer Screening and Care at the Veterans Health Administration.

Journal article Mil Med · July 3, 2024 Despite high screening rates, breast cancer disparities persist among women veterans because of occupational risks and barriers to access. Three essential bills recently passed in Congress seek to expand access to breast cancer screenings and cancer care w ... Full text Link to item Cite

Catastrophic health expenditures, insurance churn, and non-employment among women with breast cancer.

Journal article JNCI Cancer Spectr · February 29, 2024 BACKGROUND: Breast cancer treatment and survivorship entails a complex and expensive continuum of subspecialty care. Our objectives were to assess catastrophic health expenditures, insurance churn, and non-employment among women younger than 65 years who r ... Full text Link to item Cite

Cryocompression to Reduce Peripheral Neuropathy in Gynecologic Cancer: A Randomized Controlled Trial.

Journal article Obstet Gynecol · December 1, 2023 OBJECTIVE: To investigate the efficacy of cryocompression therapy to prevent chemotherapy-induced peripheral neuropathy. METHODS: This single-institution, randomized, self-controlled trial of cryocompression enrolled gynecologic cancer patients planned for ... Full text Link to item Cite

Radical hysterectomy case volume and cervical cancer treatment in the era of COVID-19: A multi-site analysis of National Cancer Institute-designated Comprehensive Cancer Centers.

Journal article Gynecol Oncol · December 2023 OBJECTIVE: To compare radical hysterectomy case volume, cancer stage, and biopsy-to-treatment time of invasive cervical cancer diagnosed before and after onset of the COVID-19 pandemic. METHODS: In a multi-institution retrospective cohort study conducted a ... Full text Link to item Cite

Geographic variation in the rate and route of hysterectomy for benign disease in the USA: A retrospective cross-sectional study.

Journal article BJOG · November 2023 OBJECTIVES: To describe population rate of hysterectomy for benign disease in the USA, including geographic variation across states and Hospital Service Areas (HSAs; areas defined by common patient flows to healthcare facilities). DESIGN: Cross-sectional s ... Full text Link to item Cite

The Clinical Trial Conundrum for Gynecologic Cancers.

Journal article Obstet Gynecol · September 1, 2023 Full text Link to item Cite

Insurance Coverage and Forgoing Medical Appointments Because of Cost Among Cancer Survivors After 2016.

Journal article JCO Oncol Pract · April 2023 PURPOSE: The uninsured rate began rising after 2016, which some have attributed to health policies undermining aspects of the Affordable Care Act. Our primary objectives were to assess the changes in insurance coverage and forgoing medical care because of ... Full text Link to item Cite

Treatments and outcomes in high-risk gestational trophoblastic neoplasia: A systematic review and meta-analysis.

Journal article BJOG · April 2023 BACKGROUND: High-risk gestational trophoblastic neoplasia (GTN) is rare and treated with diverse approaches. Limited published institutional data has yet to be systematically reviewed. OBJECTIVES: To compile global high-risk GTN (prognostic score ≥7) cohor ... Full text Link to item Cite

A Pilot Study of a Screening Program for Human Papillomavirus-Related Squamous Intraepithelial Lesion and Malignancy in Gynecologic Oncology Patients.

Journal article J Low Genit Tract Dis · April 1, 2023 OBJECTIVE: Human papillomavirus (HPV)-related squamous intraepithelial lesion (SIL) or malignancy is associated with a significantly increased risk of second-site SIL or malignancy. The primary objective of this study was to determine the feasibility and a ... Full text Link to item Cite

Factor Analysis of Health Care Access With Ovarian Cancer Surgery and Gynecologic Oncologist Consultation.

Journal article JAMA Netw Open · February 1, 2023 IMPORTANCE: Poor health care access (HCA) is associated with racial and ethnic disparities in ovarian cancer (OC) survival. OBJECTIVE: To generate composite scores representing health care affordability, availability, and accessibility via factor analysis ... Full text Link to item Cite

Financial Toxicity in the Post-Health Reform Era.

Journal article J Am Coll Radiol · January 2023 The Patient Protection and Affordable Care Act (ACA), enacted in March 2010, was comprehensive health care reform legislation aimed to improve health care access and quality of care and curb health care-related costs. This review focuses on key provisions ... Full text Link to item Cite

What happens in the long term: Uptake of cancer surveillance and prevention strategies among at-risk relatives with pathogenic variants detected via cascade testing.

Journal article Cancer · December 15, 2022 BACKGROUND: Cascade genetic testing for hereditary cancer syndromes offers affected relatives the opportunity to pursue cancer screening and risk-reducing surgery and thus reduces morbidity and mortality. The purpose of this study was to measure the long-t ... Full text Link to item Cite

Cascade Testing for Hereditary Cancer Syndromes: Should We Move Toward Direct Relative Contact? A Systematic Review and Meta-Analysis.

Journal article J Clin Oncol · December 10, 2022 PURPOSE: Evidence-based guidelines recommend cascade genetic counseling and testing for hereditary cancer syndromes, providing relatives the opportunity for early detection and prevention of cancer. The current standard is for patients to contact and encou ... Full text Link to item Cite

Associations of Healthcare Affordability, Availability, and Accessibility with Quality Treatment Metrics in Patients with Ovarian Cancer.

Journal article Cancer Epidemiol Biomarkers Prev · July 1, 2022 BACKGROUND: Differential access to quality care is associated with racial disparities in ovarian cancer survival. Few studies have examined the association of multiple healthcare access (HCA) dimensions with racial disparities in quality treatment metrics, ... Full text Link to item Cite

Malnutrition as a risk factor for post-operative morbidity in gynecologic cancer: Analysis using a national surgical outcomes database.

Journal article Gynecol Oncol · May 2022 OBJECTIVE: To assess, using a national surgical outcomes database, the association of various malnutrition definitions with post-operative morbidity in three gynecologic malignancies. METHODS: Patients undergoing resection of ovarian, uterine, or cervical ... Full text Link to item Cite

Out-of-network bills among privately insured patients undergoing hysterectomy.

Journal article Am J Obstet Gynecol · April 2022 BACKGROUND: In recent years, the issue of out-of-network billing for privately insured patients has been highlighted as a source of unexpected out-of-pocket charges for patients, even in the setting of an in-network primary surgeon. The Congress recently p ... Full text Link to item Cite

Evaluation of Surgical Morbidity After Hysterectomy During an Obesity Epidemic.

Journal article Obstet Gynecol · April 1, 2022 OBJECTIVE: To assess 30-day outcomes for hysterectomy by body mass index (BMI) classification and estimate trends in 30-day outcomes by BMI over time. METHODS: This is a retrospective cohort study of patients older than age 18 years undergoing hysterectomy ... Full text Link to item Cite

Catastrophic Health Expenditures With Pregnancy and Delivery in the United States.

Journal article Obstet Gynecol · April 1, 2022 OBJECTIVE: To describe prevalence, trends, and risk factors for catastrophic health expenditures in the year of delivery among birth parents (delivering people). METHODS: We conducted a retrospective, cross-sectional study of the Medical Expenditure Panel ... Full text Link to item Cite

Oncologists' Attitudes Toward Cancer Care Affordability.

Journal article JAMA Netw Open · April 1, 2022 This investigator-designed survey study evaluates oncologists’ attitudes about cancer treatment affordability for patients and acceptability of physician-based solutions. ... Full text Link to item Cite

Catastrophic health expenditures, insurance churn, and nonemployment among gynecologic cancer patients in the United States.

Journal article Am J Obstet Gynecol · March 2022 BACKGROUND: In recent years, there has been growing recognition of the financial burden of severe illness, including associations with higher rates of nonemployment, uninsurance, and catastrophic out-of-pocket health spending. Patients with gynecologic can ... Full text Link to item Cite

Employment outcomes among cancer patients in the United States.

Journal article Cancer Epidemiol · February 2022 BACKGROUND: Cancer diagnosis and treatment can lead to disruptions in employment, which can, in turn, lead to financial problems and uninsurance. We used a nationally representative survey to describe predictors of non-employment among cancer patients comp ... Full text Link to item Cite

Disparities in Genetic Testing for Heritable Solid-Tumor Malignancies.

Journal article Surg Oncol Clin N Am · January 2022 Genetic testing offers providers a potentially life saving tool for identifying and intervening in high-risk individuals. However, disparities in receipt of genetic testing have been consistently demonstrated and undoubtedly have significant implications f ... Full text Link to item Cite

Adjuvant treatment and outcomes for patients with stage IIIA grade 1 endometrioid endometrial cancer.

Journal article Int J Gynecol Cancer · December 2021 OBJECTIVE: The role and type of adjuvant therapy for patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIIA grade 1 endometrioid endometrial adenocarcinoma are controversial. This retrospective cohort study aimed to determine ... Full text Link to item Cite

Compliance With Price Transparency Rules at US National Cancer Institute-Designated Cancer Centers.

Journal article JAMA Oncol · December 1, 2021 This cross-sectional study analyzes whether cancer centers have complied with Centers for Medicare & Medicaid Services regulations for price transparency. ... Full text Link to item Cite

Surveillance for gestational trophoblastic neoplasia following molar pregnancy: a cost-effectiveness analysis.

Journal article Am J Obstet Gynecol · November 2021 BACKGROUND: Historically, published guidelines for care after molar pregnancy recommended monitoring human chorionic gonadotropin levels for the development of gestational trophoblastic neoplasia until normal and then for 6 months after the first normal hu ... Full text Link to item Cite

Adherence to PARP inhibitor therapy among women with ovarian cancer.

Journal article Gynecol Oncol · November 2021 OBJECTIVE: The objective of this study was to evaluate medical adherence for patients with ovarian cancer who initiated treatment with a PARP inhibitor therapy, and to identify factors associated with nonadherence. METHODS: We used the MarketScan Database ... Full text Link to item Cite

Neoadjuvant chemotherapy for advanced stage endometrial cancer: A systematic review.

Journal article Gynecol Oncol Rep · November 2021 OBJECTIVE: While primary cytoreductive surgery (PCS) is considered the standard of care for women who present with stage IV endometrial cancer, neoadjuvant chemotherapy (NACT) followed by interval cytoreductive surgery (ICS) has emerged as an alternative t ... Full text Link to item Cite

Real-world treatment patterns of maintenance therapy in platinum-sensitive recurrent ovarian cancer.

Journal article Gynecol Oncol · October 2021 OBJECTIVES: The clinical utility of maintenance therapy (MT) for patients with platinum-sensitive recurrent ovarian cancer has been validated in several clinical trials. We assessed "real-world" treatment patterns using an electronic health record (EHR) da ... Full text Link to item Cite

Primary cytoreductive surgery for advanced stage endometrial cancer: a systematic review and meta-analysis.

Journal article Am J Obstet Gynecol · September 2021 OBJECTIVE: Endometrial cancer uncommonly presents at an advanced stage and little prospective evidence exists to guide the management thereof. We aimed to summarize the evidence about primary cytoreductive surgery in the treatment of advanced stage endomet ... Full text Link to item Cite

Oocyte cryopreservation versus ovarian tissue cryopreservation for adult female oncofertility patients: a cost-effectiveness study.

Journal article J Assist Reprod Genet · September 2021 PURPOSE: In December 2019, the American Society for Reproductive Medicine designated ovarian tissue cryopreservation (OTC) as no longer experimental and an alternative to oocyte cryopreservation (OC) for women receiving gonadotoxic therapy. Anticipating in ... Full text Link to item Cite

Associations of Insurance Churn and Catastrophic Health Expenditures With Implementation of the Affordable Care Act Among Nonelderly Patients With Cancer in the United States.

Journal article JAMA Netw Open · September 1, 2021 IMPORTANCE: Health insurance coverage is dynamic in the United States, potentially changing from month to month. The Patient Protection and Affordable Care Act (ACA) aimed to stabilize markets and reduce financial burden, particularly among those with pree ... Full text Link to item Cite

Medicaid Expansion Reduced Uninsured Surgical Hospitalizations And Associated Catastrophic Financial Burden.

Journal article Health Aff (Millwood) · August 2021 An important function of health insurance is protecting enrollees from excessively burdensome charges for unanticipated medical events. Unexpected surgery can be financially catastrophic for uninsured people. By targeting the low-income uninsured populatio ... Full text Link to item Cite

Facilitated cascade testing (FaCT): a randomized controlled trial.

Journal article Int J Gynecol Cancer · May 2021 BACKGROUND: Identifying mutation-carrying relatives of patients with hereditary cancer syndromes via cascade testing is an underused first step in primary cancer prevention. A feasibility study of facilitated genetic testing of at-risk relatives of patient ... Full text Link to item Cite

Impact of Medicaid expansion on women with gynecologic cancer: a difference-in-difference analysis.

Journal article Am J Obstet Gynecol · February 2021 BACKGROUND: Women with gynecologic cancer face socioeconomic disparities in care that affect survival outcomes. The Affordable Care Act offered states the option to expand Medicaid enrollment eligibility criteria as a means of improving timely and affordab ... Full text Link to item Cite

Voter Registration among People with HIV in North Carolina

Journal article Open Forum Infectious Diseases · February 1, 2021 Persons with HIV (PWH) represent a socially and medically vulnerable population who often depend on public resources. We examined voter registration among PWH in North Carolina. Sixty-four percent were registered to vote. Registration was lower among PWH w ... Full text Cite

Cost-effectiveness analysis comparing "PARP inhibitors-for-all" to the biomarker-directed use of PARP inhibitor maintenance therapy for newly diagnosed advanced stage ovarian cancer.

Journal article Gynecol Oncol · November 2020 OBJECTIVES: Clinical trials evaluating universal PARP inhibitor (PARPi) frontline maintenance therapy for advanced stage ovarian cancer have reported progression-free survival (PFS) benefit. It is unclear whether PARPi maintenance therapy will universally ... Full text Link to item Cite

The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.

Journal article J Natl Cancer Inst · August 1, 2020 BACKGROUND: Health reform and the merits of Medicaid expansion remain at the top of the legislative agenda, with growing evidence suggesting an impact on cancer care and outcomes. A systematic review was undertaken to assess the association between Medicai ... Full text Link to item Cite

Lidocaine-Prilocaine Cream Compared With Injected Lidocaine for Vulvar Biopsy: A Randomized Controlled Trial.

Journal article Obstet Gynecol · February 2020 OBJECTIVE: To compare pain control during vulvar biopsy after either application of 5% lidocaine-prilocaine cream or injection of 1% lidocaine. METHODS: In a single-site randomized trial, patients who needed vulvar biopsy on a non-hair-bearing surface were ... Full text Link to item Cite

Simulated Costs of the ASCO Patient-Centered Oncology Payment Model in Medicare Beneficiaries With Newly Diagnosed Advanced Ovarian Cancer.

Journal article J Oncol Pract · December 2019 PURPOSE: Efforts to curb the rising costs of cancer care while improving quality include alternative payment models (APMs), which offer incentives to reduce avoidable spending and provide high-quality and cost-efficient care. The impact of proposed APMs ha ... Full text Link to item Cite

Impact of a documentation intervention on health-assessment metrics on an inpatient gynecologic oncology service.

Journal article Gynecol Oncol · May 2019 OBJECTIVE: Accurate documentation is critical for patient care and hospital reimbursement. We sought to improve the accuracy of severity of illness (SOI) and risk of mortality (ROM) scores through implementation of documentation initiatives. METHODS: We pe ... Full text Link to item Cite

U.S. Food and Drug Administration-Approved Poly (ADP-Ribose) Polymerase Inhibitor Maintenance Therapy for Recurrent Ovarian Cancer: A Cost-Effectiveness Analysis.

Journal article Obstet Gynecol · April 2019 OBJECTIVE: We sought to determine whether use of a poly (ADP-ribose) polymerase inhibitor is cost effective for maintenance treatment of platinum-sensitive recurrent ovarian cancer. METHODS: A decision analysis model compared four maintenance strategies: 1 ... Full text Link to item Cite

Measuring cause-and-effect relationships without randomized clinical trials: Quasi-experimental methods for gynecologic oncology research.

Journal article Gynecol Oncol · March 2019 Clinical research in gynecologic oncology has seen a proliferation of studies that investigate the effectiveness of treatments using existing data sources such as cancer registries, electronic health records, and insurance claims. These observational studi ... Full text Link to item Cite

Changes in insurance coverage for cancer patients receiving brachytherapy before and after enactment of the Affordable Care Act.

Journal article Brachytherapy · 2019 PURPOSE: The Patient Protection and Affordable Care Act called for expansion of Medicaid in 2014. As some states elected to expand Medicaid and others did not, the goal of this study was to determine the effect of Medicaid expansion on the insurance status ... Full text Link to item Cite

Hysterectomy with sentinel lymph node biopsy in the setting of pre-operative diagnosis of endometrial intraepithelial neoplasia: A cost-effectiveness analysis.

Journal article Gynecol Oncol · December 2018 OBJECTIVES: Sentinel lymph node biopsy (SLNB) may be considered in the setting of a pre-operative diagnosis of endometrial intraepithelial neoplasia (EIN) due to high rates of concurrent invasive cancer. The aim of this study is to compare the cost-effecti ... Full text Link to item Cite

Top Ten Tips Palliative Care Clinicians Should Know When Caring for Patients with Endometrial Cancer.

Journal article J Palliat Med · June 2018 Endometrial cancer incidence has been increasing over the last two decades, likely due to the obesity epidemic. The majority of these cancers are confined to the uterus at diagnosis and can be cured with surgery. Overall, five-year disease-specific surviva ... Full text Link to item Cite

Estimating the number of potential family members eligible for BRCA1 and BRCA2 mutation testing in a "Traceback" approach.

Journal article Genet Epidemiol · February 2018 U.S. guidelines recommend BRCA1/2 mutation testing for women diagnosed with high-grade ovarian cancer (HGOC) to increase recognition of carriers, but most remain unidentified and at risk. Accordingly, an approach termed "Traceback" has been proposed in whi ... Full text Link to item Cite

Estimating Cost-effectiveness of a Multimodal Ovarian Cancer Screening Program in the United States: Secondary Analysis of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

Journal article JAMA Oncol · February 1, 2018 IMPORTANCE: The United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) is the largest randomized clinical trial to evaluate screening's impact on ovarian cancer mortality, assigning women to multimodal screening (MMS) with serum cancer an ... Full text Link to item Cite

Top 10 Tips Palliative Care Clinicians Should Know When Caring for Patients with Ovarian Cancer.

Journal article J Palliat Med · February 2018 The vast majority of women diagnosed with ovarian cancer present with advanced-stage disease with a five-year survival rate less than 50%. Studies have shown that in the past, gynecologic oncologists were not routinely collaborating with palliative care ph ... Full text Link to item Cite

Trends in Insurance Status Among Patients Diagnosed With Cancer Before and After Implementation of the Affordable Care Act.

Journal article J Oncol Pract · February 2018 PURPOSE: The Affordable Care Act (ACA) aimed to increase insurance coverage through key provisions such as expansion of Medicaid eligibility and enforcement of an individual mandate. The objective of this study is to examine the impact of the ACA on insura ... Full text Link to item Cite

Geriatric Assessment: Precision Medicine for Older Adults With Cancer

Journal article Journal of Oncology Practice · February 2018 Full text Cite

The use of patient-reported outcome tools in Gynecologic Oncology research, clinical practice, and value-based care.

Journal article Gynecol Oncol · January 2018 Patient-reported outcomes (PRO) are defined as a report of a patient's symptoms, function and general well-being that comes directly from the patient, without interpretation of the response by a medical provider. As greater emphasis is placed on high-quali ... Full text Link to item Cite

Insurance coverage among women diagnosed with a gynecologic malignancy before and after implementation of the Affordable Care Act.

Journal article Gynecol Oncol · September 2017 OBJECTIVE: The Patient Protection and Affordable Care Act (ACA) included provisions to expand insurance coverage by expanding Medicaid eligibility, providing subsidies of private coverage and enforcing an individual mandate. The objective of this study is ... Full text Link to item Cite

Mortality reduction and cost-effectiveness of performing hysterectomy at the time of risk-reducing salpingo-oophorectomy for prophylaxis against serous/serous-like uterine cancers in BRCA1 mutation carriers.

Journal article Gynecol Oncol · June 2017 OBJECTIVE: To estimate the survival benefit and cost-effectiveness of performing hysterectomy during risk-reducing salpingo-oophorectomy (RRSO) for BRCA1 mutation carriers. METHODS: Based on a recent prospective cohort study indicating an elevated incidenc ... Full text Link to item Cite

Narrative Medicine Workshops for Obstetrics and Gynecology Residents and Association With Burnout Measures.

Journal article Obstet Gynecol · October 2016 OBJECTIVE: To determine whether a workshop Narrative Medicine curriculum can improve burnout among obstetrics and gynecology residents. METHODS: A Narrative Medicine curriculum was conducted at three obstetrics and gynecology training programs. An explanat ... Full text Link to item Cite

Availability and Scope of Integrated Screening for Patients with Lynch Syndrome

Journal article Obstetrical and Gynecological Survey · January 1, 2016 Full text Cite

Availability and scope of integrated screening for patients with Lynch syndrome.

Journal article Int J Gynaecol Obstet · November 2015 OBJECTIVE: To assess the availability and capacity of US-based integrated centers for the management of Lynch syndrome. METHODS: A cross-sectional survey of practice patterns in the care of patients with Lynch syndrome was conducted at 33 National Cancer I ... Full text Link to item Cite

Breast cancer in the setting of fertility-sparing treatment for endometrial cancer.

Journal article Gynecol Oncol Rep · December 2014 •Progesterone therapy is a commonly used alternative to surgical management for women with endometrial cancer who desire fertility preservation.•Prior research suggests that progestins may contribute to breast tumorigenesis.•We report a patient diagnosed w ... Full text Link to item Cite

Translating the hemoglobin A1C with more easily understood feedback: a randomized controlled trial.

Journal article J Gen Intern Med · July 2014 INTRODUCTION: Previous work has indicated that for patients with diabetes, there is value in understanding glycemic control. Despite these findings, patient understanding of the hemoglobin A1C value (A1C) is notably poor. In this study, we test the effect ... Full text Link to item Cite

Medical student perspective: working toward specific and actionable clinical clerkship feedback.

Journal article Med Teach · 2012 BACKGROUND: Feedback on the wards is an important component of medical student education. Medical schools have incorporated formalized feedback mechanisms such as clinical encounter cards and standardized patient encounters into clinical curricula. However ... Full text Link to item Cite