Overview
I am interested in using health economic models to inform decisions related to gynecologic cancers. Specific models have addressed the decision to administer intraperitoneal chemotherapy for newly diagnosed advanced ovarian cancer following optimal cytoreduction, the choice of chemotherapy regimen for recurrent platinum-sensitive ovarian cancer, and the exploration of screening strategies for ovarian cancer. The ovarian cancer screening model examines the effects of test cost, sensitivity, specificity, and screen frequency on ovarian cancer mortality, the lifetime false positive rate of testing, the positive predictive value of the test, and its cost effectiveness. This type of model is potentially useful in informing the design trials of novel screening tests for ovarian cancer. I am also conducting a prospective study to quantify the effects of screening for, diagnosis of, and treatment for ovarian cancer on the quality of life of women.
Current Duke Appointments & Affiliations
Professor of Obstetrics and Gynecology
·
2014 - Present
Obstetrics and Gynecology, Gynecologic Oncology,
Obstetrics and Gynecology
Professor in Population Health Sciences
·
2019 - Present
Population Health Sciences,
Basic Science Departments
Member of the Duke Cancer Institute
·
1995 - Present
Duke Cancer Institute,
Institutes and Centers
Recent Scholarly Works
Better at home: A quality improvement initiative to increase same day discharge after minimally invasive hysterectomies in gynecologic oncology.
Journal article Gynecol Oncol Rep · August 2026 OBJECTIVE: To increase the rate of same-day discharge after minimally invasive hysterectomy. METHODS: A quality improvement initiative was implemented at a large academic medical center for patients undergoing minimally invasive hysterectomy by a gynecolog ... 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 CiteA prospective algorithm for pre-operative risk stratification and individualized lymph node assessment in patients with endometrial intraepithelial neoplasia (EIN).
Journal article Gynecol Oncol Rep · August 2026 OBJECTIVES: The standard of care surgical management of endometrial intraepithelial neoplasia (EIN) is debated. Because EIN carries a 35-40% risk of underlying carcinoma, omission of lymph node sampling can result in incomplete staging. However, lymph node ... Full text Link to item CiteRecent Grants
Duke Women's Reproductive Health Research Scholars
Inst. Training Prgm or CMEMentor · Awarded by Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2020 - 2030Randomized trial of REVITALIZE: A telehealth intervention to reduce fatigue interference among late-stage ovarian cancer patients on PARP inhibitors
ResearchPrincipal Investigator · Awarded by Dana-Farber Cancer Institute · 2024 - 2029TDAN - Tissue and Data Acquisition Network
ResearchPrincipal Investigator · Awarded by Henry M. Jackson Foundation · 2025 - 2027View All Grants
Education
Duke University ·
1995
M.D.