Vice Chair of Quality and Innovation - Duke Dept of Medicine Faculty Director of Primary Care Transformation, Duke Margolis Health Policy Institute
Joined July 2009
- Tweets 4,137
- Following 1,223
- Followers 977
- Likes 12,947
177 Photos and videos
Michael Pignone retweeted
Jun 11
A new analysis of clinical trial data led by Lineberger's Anisha P. Ganguly, MD, MPH, has proven that mailed fecal immunochemical tests can drastically increase colorectal cancer screening by 18% across multiple racial/ethnic groups.
news.unchealthcare.org/2026/…
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Michael Pignone retweeted
If you haven't been considering mailed FIT testing for CRC screening for your patients, maybe it's time you did.
Why? Read in #JGIM: buff.ly/lnNvxWc
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Michael Pignone retweeted
Had REM been mugged in the studio by Motorhead, it might've ended up sounding something like Husker Du's 1986 major-label debut 'Candy Apple Grey': thirty-seven minutes of abrasive guitars, brilliant hooks and zero concessions to mass appeal. The night before the Daydream Nation.
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Michael Pignone retweeted
May 20
Alcohol policies reduce alcohol consumption. Reduced alcohol consumption prevents cancer cases. 🎗️
Learn more: bit.ly/4dkdIK1
#IARC60 #CancerResearchIntoAction
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May 19
Screening for unhealthy alcohol use is one of most under-utilized preventive care interventions- I’m presenting a summary of our @CPRITTexas funded work on developing linked inpatient and outpatient screening and treatment programs as a strategy for cancer prevention at IARC!
Mar 27
Alcohol is one of the most common, yet least discussed, risk factors in primary health care.
WHO/Europe and WONCA have published a fact sheet on #SBI – an approach that involves asking patients about their alcohol use and offering advice when needed.
bit.ly/3NI399G
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Michael Pignone retweeted
Apr 16
Dad passed away two years ago today. Every day of my life I have been and will be proud to be his daughter.
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Michael Pignone retweeted
Alcohol use disorder (AUD) is associated with lower adherence and continuation of PrEP. Additional interventions are likely needed to help individuals with AUD to use PrEP as advised and achieve full protection from HIV. @UTexasPharmacy
Read in #JGIM: buff.ly/y7sPp35
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Michael Pignone retweeted
Apr 5
In honor of a very successful Opening Weekend at PNC Park, we're giving away this team-autographed poster.
RT for your chance to win! 🏴☠️
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Michael Pignone retweeted
Apr 2
#CISTO study: Patient preferences drive #BladderCancer treatment choice, shaping quality of life outcomes. @angiesmith_uro @UNCurology joins @UroCancerMD @VUMCurology to discuss:
🧠 Preferences for bladder-sparing vs cystectomy varied widely and were not predicted by treatment choice alone.
✅ Patients who received their preferred treatment had better QoL—highlighting the power of shared decision-making in high-risk #NMIBC
#WatchNow on UroToday > bit.ly/4pNwKeY
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Mar 23
J. Michael Bishop, Nobel Prize Winner for Cancer Research, Dies at 90 nytimes.com/2026/03/22/obitu… via @NYTimes
I feel fortunate to have arrived at UCSF in 1989 when Drs Bishop and Varmus were honored with the Nobel Prize - and to have them lecture in our second year classes! RIP!
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Mar 10
As a former @CPRITTexas CRC screening program leader, I can attest to the tremendous impact @CPRITTexas has had on the health of Texans!
Mar 10
March is #ColorectalCancerAwareness Month.
By investing $150M into CRC screenings, #CPRIT reached nearly 200k previously unscreened Texans & detected 30k cancers & cancer precursors. Prevention isn’t measured in stats; but in lives saved.
Together, #TexansConquerCancer
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Nearly Half of Colorectal Cancers Now Occur in Younger Patients, Study Shows nytimes.com/2026/03/02/well/… via @NYTimes
Very misleading headline @nytimes - early onset colorectal cancer (under age 50) is a certainly worthy of attention- but this is calling “younger” under 65
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Just to expand on this: 16% of colorectal cancers occur in those under 50- that’s not “nearly half” @nytimes writers don’t always write their own headlines but @AgrawalNina we should be clear about the extent of early onset CRC
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Michael Pignone retweeted
31 Dec 2025
Cycle time has become the new competitive advantage. Those who iterate fastest can now win on an unprecedented scale.
31 Dec 2025
High performers freeze chasing perfection, when what actually builds them is speed and iteration.
Aim for cycle time over perfection.
Run the experiment. Miss the mark. Adjust.
Don’t take existential risks — nothing that can wipe you out.
Be bold, yes. But pick the risks that line up with your unique strengths and tolerances.
You’re not paid to avoid mistakes. You’re paid to learn faster than everyone else without destroying the game board in the process.
@dklineii
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Michael Pignone retweeted
17 Dec 2025
📣 Congrats to Drs. Sinclair, Niess and Navuluri on receiving CACHE 2025–2026 awards! Their projects advance kidney disease care, improve transitions for opioid use disorder treatment, and boost lung cancer screening. Read more at the link! aihealth.duke.edu/cache-2025…
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Michael Pignone retweeted
12 Dec 2025
In WISDOM, researchers compared risk-based breast cancer screening to standard annual mammography among more than 28 000 US women aged 40 to 74 across all 50 states.
#SABCS25 @SABCSSanAntonio
ja.ma/3Mwv6Ah
ALT JAMA Research Summary: Risk-Based vs Annual Breast Cancer Screening. The trial assesses if risk-based screening is as safe as annual screening. Risk-based screening: 14,212 patients. Annual screening: 14,160 patients.
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Michael Pignone retweeted
12 Dec 2025
Important new, large (N>28,000 women) randomized clinical trial of breast cancer screening: age-based vs risk-based by polygenic risk score, genomics
"opportunity to modernize screening"
jamanetwork.com/journals/jam… @JAMA_current
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Michael Pignone retweeted
This outstanding work by @carolinesloanIM and team qualitatively explored the lived experiences of adults with multimorbidity to develop a framework to describe financial strain!
Full text 👉 buff.ly/GhZovmi and visual abstract below!
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Michael Pignone retweeted
19 Nov 2025
Primary care needs a triple double by 2030.
The playbook:
💲 Double PHC spend as a share of all healthcare expenditures
🏥 Double the number of people cared for at community health centers
👩🏾⚕️ Double the percentage of new physicians choosing primary care
milbank.org/2025/11/primary-…
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