Dr. Boulware is an Associate Professor of Medicine and Epidemiology. She is also a core faculty member of the Welch Center for Prevention, Epidemiology and Clinical Research. Her major research interests include chronic disease epidemiology and prevention, eliminating racial disparities in access to appropriate care for persons with chronic diseases, and identifying barriers to the delivery of appropriate care for persons with chronic diseases.

Dr. Boulware’s research focuses on improving the delivery of care for patients with chronic kidney disease through the study of patient and physician attitudes and behaviors. Her work has identified patient and physician barriers to the delivery of guideline concordant care for patients with chronic kidney disease as well as patient, physician, and population factors affecting the receipt of optimal therapies for kidney disease such as kidney transplants. Her most recent studies include 1) studies on physicians’ management and coordination of care for patients with chronic kidney disease and 2) studies to develop and test educational and behavioral interventions to improve patient decision-making about treatment options for chronic kidney disease.

Epidemiology, Medicine, Chronic Kidney Disease; Transplantation; Organ Donation; Racial Disparities

Boulware LE, Carson KA, Troll MU, Powe NR, Cooper LA. Perceived Susceptibility to Chronic Kidney Disease among High-Risk Patients Seen in Primary Care Practices. Journal of General Internal Medicine. In Press 2009.

Waterman AD, Rodrique JR, Purnell TS, Ladin K, Boulware LE. Addressing racial disparities in live donor kidney transplantation: priorities for research and intervention. Seminars in Nephrology, In Press 2009.

Charles RF, Powe NR, Jaar BG, Troll MU, Parekh RS, Boulware LE. Clinical testing patterns and cost implications of variation in the evaluation of chronic kidney disease among U.S. physicians. American Journal of Kidney Diseases, 2009 Aug;54(2):227-37.

Segev DL, Kucirka LM, Oberai PC, Parekh RS, Boulware LE, Powe NR, MontgomeryRA. Older age and comorbidities affect gender disparities in access to transplantation. Journal of the American Society of Nephrology, 2009 Mar;20(3):621-8.

Powe NR, Boulware LE. Population-based Screening for Chronic Kidney Disease. American Journal of Kidney Diseases, 2009 Mar;53 (3 Suppl 3):S64-70.

Plantinga LC, Boulware LE, Coresh J, Stevens LA, Miller III ER, Saran R, Messer K, Levey AS, Powe NR. Patient awareness in chronic kidney disease: trends and predictors. Archives of Internal Medicine, 2008; 168:2268-2275.

Boulware LE, Troll MU, Powe, NR. The effect of state and national legislation on living kidney donation rates in the United States: a national study. American Journal of Transplantation, 2008: 8: 1451-1470.

Boulware LE, Troll MU, Wang NY, Powe NR. Perceived Transparency and Fairness of the Organ Allocation System and Willingness to Donate Organs: A National Study. American Journal of Transplantation, 2007: 7: 1778-1787.

Boulware LE, Marinopoulos S, Phillips KA, Hwang CW, Maynor K, Merenstein D, Wilson RF, Barnes GJ, Bass EB, Powe NR, Daumit GL. The Value of a Periodic Health Evaluation: A Systematic Review. Annals of Internal Medicine, 2007; 146: 289-300.

Boulware LE, Troll MU, Wang NY, Powe NR. Public Attitudes toward Incentives for Organ Donation: A National Study of Different Racial/Ethnic and Income Groups. American Journal of Transplantation, 2006 Nov;6(11):2774-85.

Boulware LE, Troll MU, Jaar BG, Myers DI, Powe NR. Identification and Referral of Patients with Progressive Chronic Kidney Disease: A National Study. American Journal of Kidney Diseases, 2006 48 No. 2 (August): 192-204.

Boulware LE, Liu Y, Fink NE, Coresh J, Ford DE, Klag MJ, Powe NR. Temporal relation among depression symptoms, cardiovascular disease events, and mortality in end-stage renal disease: contribution of reverse causality. Clinical Journal of the American Society of Nephrology, 2006 1: 496-504.

Friedman AL, Peters TJ, Jones KW, Boulware LE, Ratner LE. Fatal and Non-Fatal Hemorrhagic Complications of Living Kidney Donation. Annals of Surgery, 2006 Jan;243(1):126-30

Jee SH, Boulware LE, Guallar E, Suh I, Appel LJ, Miller ER. Direct, progressive association of cardiovascular risk factors with incident proteinuria: results from the Korea Medical Insurance Corporation (KMIC) Study. Archives of Internal Medicine, 2005 165: 2299-2304

Boulware LE, Ratner LE, Troll MU, Chaudron A, Yeung E, Chen S, Klein AS, Hiller J, Powe NR. Attitudes, psychology, and risk taking of potential live kidney donors: strangers, relatives, and the general public. Am J Transplant. 2005 Jul;5(7):1671-80.

Boulware LE, Meoni LA, Fink NE, Parekh RS, Kao WH, Klag MJ, Powe NR. Preferences, knowledge, communication and patient-physician discussion of living kidney transplantation in African American families. Am J Transplant. 2005 Jun;5(6):1503-12.

Boulware LE, Ratner LE, Cooper LA, LaVeist TA, Powe NR. Whole body donation for medical science: a population-based study. Clinical Anatomy, 2004; 17;570-577.

Golden S, Boulware LE, Berkenblit G, Brancati F, Chander G, Marinopoulos S,Paasche-Orlow M, Powe N, Rami T Use of glycated hemoglobin and microalbuminuria in the monitoring of diabetes mellitus. Evid Rep Technol Assess, 2003; (Summ) Jul(84):1-6.

Boulware LE, Daumit GL, Frick KD, Minkovitz CS, Lawrence RS, Powe NR. An Evidence-Based Review of Patient-Centered Behavioral Interventions for Hypertension. American Journal of Preventive Medicine, 2001; 21(3): 221-232.

Golden S, Boulware LE, Berkenblit G, Brancati F, Chander G, Marinopoulos S, Paasche-Orlow M, Powe N, Rami T. Use of Glycated Hemoglobin and Microalbuminuria in the Monitoring of Diabetes Mellitus (Evidence Report/Technology Assessment No. 84 (Prepared by Johns Hopkins Evidence-based Practice Center under Contract No. 290-97-0006). AHRQ Publication No. 04-E001. Rockville, MD: Agency for Healthcare Research and Quality, U. S. Department of Health and Human Services. October 2003.

Boulware LE, Jaar BG, Tarver-Carr ME, Brancati FL, Powe NR. Screening for proteinuria in U.S. adults: a cost-effectiveness analysis. JAMA, 2003; 290:3101-3114.

Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR. Race and trust in the health care system. Public Health Reports, 2003; 118: 358-365.

Powe NR, Boulware LE. The uneven distribution of kidney transplants: Getting at the root causes and improving care. American Journal of Kidney Diseases, 2002; 40:861-3.

Boulware LE, Ratner LE, Ness PM, Cooper LA, Campbell- Lee S, LaVeist TA, Powe NR. The Contribution of Sociodemographic, Medical, and Attitudinal Factors to Blood Donation among the General Public. Transfusion, 2002; 42:669-678.

Boulware LE, Ratner LE, Sosa JA, Cooper LA, Laveist TA, Powe NR. Determinants of Willingness to Donate Live and Cadaveric Organs: Identifying Opportunities for Intervention. Transplantation, 2002; 73 (10):1683-1691.

Boulware LE, Daumit GL, Frick KD, Minkovitz CS, Lawrence RL, Powe NR. Quality of Clinical Reports on Behavioral Interventions for Hypertension. Preventive Medicine, 2002; 34(4):463-75.

Boulware LE , Ratner LE, Sosa JA, Tu AH, Nagula S, Simpkins CE, Durant RW, Powe NR. The Public’s Concerns about Clinical Risk in Live Kidney Donation. American Journal of Transplantation, 2002; 2:186-193.

Boulware LE, Ratner, LE, Cooper, LA, Sosa, JA, Laveist, TA, Powe, NR. Understanding Disparities in Donor Behavior: Race and Gender Differences in Willingness to Donate Blood and Cadaveric Organs. Medical Care, 2002; 40: 85-95.

Daumit GL, Boulware LE, Powe, NR, Frick KD, Minkovitz CS, Anderson L, Janes, G, Lawrence, R. A Computerized Tool for Evaluating the Effectiveness of Preventive Interventions. Public Health Reports, 2001; 116 (S1): 244-253.