Jennifer Plichta

Positions:

Associate Professor of Surgery

Surgical Oncology
School of Medicine

Associate Professor in Population Health Sciences

Population Health Sciences
School of Medicine

Member of the Duke Cancer Institute

Duke Cancer Institute
School of Medicine

Education:

B.A. 2002

Depauw University

M.D. 2008

Indiana University, School of Medicine

M.S. 2012

Loyola University Medical Center

General Surgery Resident, Surgery

Loyola University Medical Center

Breast Surgery Fellowship, Surgery

Brigham and Women's Hospital

Breast Surgery Fellowship, Surgery

Dana-Farber Cancer Institute

Breast Surgery Fellowship, Surgery

Massachusetts General Hospital

Grants:

Publications:

Mobile Health Application for Patients Undergoing Breast Cancer Surgery: Feasibility Study.

PURPOSE: Contemporary breast cancer surgery often requires hospital stays of 1 day or less, presenting challenges to delivery of high-quality care. Without sufficient time for proper education and guidance, patients may delay seeking care, experience anxiety, or seek unnecessary care, leading to poorer outcomes and increased costs. To address this, we evaluated the feasibility of a planning-, outcomes-, and analytics-based mobile health application called Manage My Surgery (MMS) for patients undergoing elective breast cancer surgery. METHODS: Patients undergoing breast cancer surgery at an academic health center were invited to use MMS. Those who used the application received pre- and postoperative surveys, which recorded and reported patient satisfaction and outcomes related to the application. RESULTS: Thirty-three female patients undergoing elective breast cancer surgery used MMS. The median age was 58 years. Nineteen patients underwent lumpectomy, and 14 underwent mastectomy. Users logged on to the application an average of 3.5 times. The median number of questions viewed was 12 (range 2-35). Of 17 patients who completed the feedback survey, 100% said that MMS was helpful during preparation for surgery, 82.3% said that MMS was helpful postoperatively, and 94.1% would recommend MMS to others. Preliminary data on patient-reported outcomes collected by MMS suggest improvements in anxiety and depression over time. CONCLUSION: Implementation of a digital care navigation tool in breast cancer surgery patients is feasible. Patients found the tool helpful in both the pre- and postoperative period. Additional ongoing work will focus on patients' self-management skills, long-term outcomes, and health system costs.
Authors
Ponder, M; Venkatraman, V; Charalambous, L; Ansah-Yeboah, AA; Adil, SM; Antezana, LA; Dharmapurikar, R; Gellad, ZF; Lad, SP; Hwang, ES; Plichta, JK
MLA Citation
Ponder, Madison, et al. “Mobile Health Application for Patients Undergoing Breast Cancer Surgery: Feasibility Study.Jco Oncol Pract, vol. 17, no. 9, Sept. 2021, pp. e1344–53. Pubmed, doi:10.1200/OP.20.01026.
URI
https://scholars.duke.edu/individual/pub1484539
PMID
34097502
Source
pubmed
Published In
Jco Oncol Pract
Volume
17
Published Date
Start Page
e1344
End Page
e1353
DOI
10.1200/OP.20.01026

ASO Visual Abstract: Mortality in Older Patients with Breast Cancer Undergoing Breast Surgery-How Low is "Low Risk"?

MLA Citation
Dillon, Jacquelyn, et al. “ASO Visual Abstract: Mortality in Older Patients with Breast Cancer Undergoing Breast Surgery-How Low is "Low Risk"?Ann Surg Oncol, Aug. 2021. Pubmed, doi:10.1245/s10434-021-10612-y.
URI
https://scholars.duke.edu/individual/pub1494138
PMID
34432191
Source
pubmed
Published In
Annals of Surgical Oncology
Published Date
DOI
10.1245/s10434-021-10612-y

Metastatic breast cancer: Who benefits from surgery?

BACKGROUND: We sought to identify characteristics of metastatic breast cancer (MBC) patients who may benefit most from primary tumor resection. METHODS: Recursive partitioning analysis (RPA) was used to categorize non-surgical patients with de novo MBC in the NCDB (2010-2015) into 3 groups (I/II/III) based on 3-year overall survival (OS). After bootstrapping (BS), group-level profiles were applied, and the association of surgery with OS was estimated using Cox proportional hazards models. RESULTS: All patients benefitted from surgery (median OS, surgery vs no surgery): 72.7 vs 42.9 months, 47.3 vs 30.4 months, 23.8 vs 14.4 months (all p < 0.001) in BS-groups I, II, and III, respectively. After adjustment, surgery remained associated with improved OS (HR 0.52, 95% CI 0.50-0.55). The effect of surgery on OS differed quantitatively across groups. CONCLUSION: Prognostic groups may inform the degree of benefit from surgery, with the greatest benefit seen in those with the most favorable survival.
MLA Citation
Marks, Caitlin E., et al. “Metastatic breast cancer: Who benefits from surgery?Am J Surg, July 2021. Pubmed, doi:10.1016/j.amjsurg.2021.07.018.
URI
https://scholars.duke.edu/individual/pub1493295
PMID
34325907
Source
pubmed
Published In
Am J Surg
Published Date
DOI
10.1016/j.amjsurg.2021.07.018

ASO Visual Abstract: Survival Outcomes Among Patients with Metastatic Breast Cancer: Review of 47,000 Patients.

Authors
Taskindoust, M; Thomas, SM; Sammons, S; Fayanju, OM; DiLalla, G; Hwang, ES; Plichta, JK
MLA Citation
Taskindoust, Mahsa, et al. “ASO Visual Abstract: Survival Outcomes Among Patients with Metastatic Breast Cancer: Review of 47,000 Patients.Ann Surg Oncol, July 2021. Pubmed, doi:10.1245/s10434-021-10296-4.
URI
https://scholars.duke.edu/individual/pub1488368
PMID
34255245
Source
pubmed
Published In
Annals of Surgical Oncology
Published Date
DOI
10.1245/s10434-021-10296-4

Improving the Patient Experience for Women Undergoing Breast Surgery: Yes, There's an App for That, Too!

Authors
Plichta, JK; Lin, L; Ponder, M; Reeve, BB; Dharmapurikar, R; Lad, SP; Gellad, ZF; Hwang, ES
MLA Citation
Plichta, Jennifer K., et al. “Improving the Patient Experience for Women Undergoing Breast Surgery: Yes, There's an App for That, Too!.” Annals of Surgical Oncology, vol. 28, no. SUPPL 2, 2021, pp. S364–65.
URI
https://scholars.duke.edu/individual/pub1483250
Source
wos-lite
Published In
Annals of Surgical Oncology
Volume
28
Published Date
Start Page
S364
End Page
S365