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Rachel Adams Greenup, MD, MPH

Associate Professor of Surgery
Associate Professor in Population Health Sciences
Campus Mail: DUMC DUMC 3513, Durham, NC 27710

I am a breast cancer surgeon and health services researcher with a clinical practice entirely focused on the treatment of breast disease. My prior research has revolved around two major themes: 1) the doctor-patient relationship within oncology, and 2) high-value breast cancer care (i.e. evidence-based breast cancer treatment translating into high quality cancer care at lower health care costs). 

My long-standing interest in high value oncology care was initially sparked when I completed my Masters in Public Health degree at the University of Wisconsin.  My prior research has demonstrated that adherence to evidence-based practice leads to a “win-win” of providing the best care for patients while naturally reducing health care spending. Through the BIRCWH Scholar program, I am currently working on better understanding how knowledge of health care costs and burden may impact patients' and doctors' treatment decisions.

Education and Training

  • Breast Surgical Oncology Fellow, Massachusetts General Hospital, 2011 - 2012
  • Internship/General Surgery Residency, Medical College of Wisconsin, 2004 - 2011
  • M.P.H., University of Wisconsin at Madison, 2009
  • M.D., Medical College of Wisconsin, 2004

Publications

Plichta, Jennifer K., Samantha M. Thomas, Amanda R. Sergesketter, Rachel A. Greenup, Oluwadamilola M. Fayanju, Laura H. Rosenberger, Nina Tamirisa, Terry Hyslop, and E Shelley Hwang. “Clinical and pathological stage discordance among 433,514 breast cancer patients..” Am J Surg 218, no. 4 (October 2019): 669–76. https://doi.org/10.1016/j.amjsurg.2019.07.016.

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Champion, Cosette D., Yi Ren, Samantha M. Thomas, Oluwadamilola M. Fayanju, Laura H. Rosenberger, Rachel A. Greenup, Carolyn S. Menendez, E Shelley Hwang, and Jennifer K. Plichta. “DCIS with Microinvasion: Is It In Situ or Invasive Disease?.” In Ann Surg Oncol, 26:3124–32, 2019. https://doi.org/10.1245/s10434-019-07556-9.

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Rosenberger, Laura H., Samantha M. Thomas, Jennifer K. Plichta, Oluwadamilola M. Fayanju, Terry Hyslop, Rachel A. Greenup, and E Shelley Hwang. “Decreasing rates of axillary lymph node dissections over time: Implications for surgical resident exposure and operative skills development..” In Am J Surg, 218:786–91, 2019. https://doi.org/10.1016/j.amjsurg.2019.07.013.

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Thornton, M. J., H. V. Williamson, K. E. Westbrook, R. A. Greenup, J. K. Plichta, L. H. Rosenberger, A. M. Gupta, T. Hyslop, E. S. Hwang, and O. M. Fayanju. “Neoadjuvant Endocrine Therapy Versus Neoadjuvant Chemotherapy in Node-Positive Invasive Lobular Carcinoma..” In Ann Surg Oncol, 26:3166–77, 2019. https://doi.org/10.1245/s10434-019-07564-9.

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Greenup, Rachel A., Christel N. Rushing, Laura J. Fish, Whitney O. Lane, Jeffrey M. Peppercorn, Emily Bellavance, Lisa Tolnitch, et al. “Perspectives on the Costs of Cancer Care: A Survey of the American Society of Breast Surgeons..” In Ann Surg Oncol, 26:3141–51, 2019. https://doi.org/10.1245/s10434-019-07594-3.

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Shammas, Ronnie L., Yi Ren, Samantha M. Thomas, Scott T. Hollenbeck, Rachel A. Greenup, and Rachel C. Blitzblau. “Immediate Breast Reconstruction Allows for the Timely Initiation of Postmastectomy Radiation Therapy..” Plast Reconstr Surg 144, no. 3 (September 2019): 347e-357e. https://doi.org/10.1097/PRS.0000000000005899.

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Sergesketter, Amanda R., Samantha M. Thomas, Oluwadamilola M. Fayanju, Carolyn S. Menendez, Laura H. Rosenberger, Rachel A. Greenup, Terry Hyslop, Edgardo R. Parrilla Castellar, E Shelley Hwang, and Jennifer K. Plichta. “The Influence of Age on the Histopathology and Prognosis of Atypical Breast Lesions..” J Surg Res 241 (September 2019): 188–98. https://doi.org/10.1016/j.jss.2019.03.047.

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Greenup, Rachel A., Christel Rushing, Laura Fish, Brittany M. Campbell, Lisa Tolnitch, Terry Hyslop, Jeffrey Peppercorn, et al. “Financial Costs and Burden Related to Decisions for Breast Cancer Surgery..” J Oncol Pract 15, no. 8 (August 2019): e666–76. https://doi.org/10.1200/JOP.18.00796.

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Tamirisa, Nina, Hannah V. Williamson, Samantha M. Thomas, Kelly E. Westbrook, Rachel A. Greenup, Jennifer K. Plichta, Laura H. Rosenberger, Terry Hyslop, Eun-Sil Shelley Hwang, and Oluwadamilola M. Fayanju. “The impact of chemotherapy sequence on survival in node-positive invasive lobular carcinoma..” J Surg Oncol 120, no. 2 (August 2019): 132–41. https://doi.org/10.1002/jso.25492.

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Shammas, Ronnie L., Yi Ren, Samantha M. Thomas, Scott T. Hollenbeck, Rachel A. Greenup, and Rachel C. Blitzblau. “Immediate Breast Reconstruction Allows for the Timely Initiation of Post-Mastectomy Radiation Therapy..” Plast Reconstr Surg, June 7, 2019. https://doi.org/10.1097/PRS.0000000000005899.

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