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Faculty
Neil R. Powe
Professor
- Adjunct
Academic Degrees
MD, MPH, MBA
Departmental Affiliation
Epidemiology
Joint Departmental Affiliations
Health Policy and Management
Departmental Address
SFGH, 1001 Potrero Ave 5F38
San Francisco, CA 94110
Phone: 415-206-3465
Research and Professional Experience

Dr. Powe's work unites Medicine and Public Health with the goals of saving and improving quality of human lives. It involves the knowledge of fundamental discoveries in biology and clinical medicine to advance the health of patients who ultimately make up a larger population of patients affected by a disease. Dr. Powe has worked in the areas of prevention and screening, clinical epidemiology, patient outcomes research, technology assessment, and cost-effectiveness analysis. He has worked on many important diseases with substantial morbidity including kidney diseas as well as cardiovascular disease, diabetes, thyroid disease, depression, and eye disease. He has also conducted projects on health disparities, care management, access to care, and quality of care. His has used prospective methods of randomized controlled trials and cohort studies, cost-effectiveness analysis, meta-analysis, retrospective analyses of administrative databases, and survey research.

Dr. Powe is principal investigator of a Center for Disease Control and Prevention sponsored study to establish a national surveillance system for chronic kidney disease in the United States. He also led the CHOICE study, a national study of patient outcomes in chronic kidney disease funded by the agency for Healthcare Research and Quality (AHRQ) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). He has extensive experience in developing and measuring outcomes in this population using data from prospective studies, the United States Renal Data System (USRDS), Medicare records, and patient surveys. Dr. Powe has also studied resource allocation issues in health and health care disparities.

Keywords

Prevention and Screening, Epidemiology and Health Services Research of Chronic Kidney Disease and other Chronic Disease: (Cardiovascular Disease, Endocrine and Related Disorders); Disparities in Health and Health Care; Decision Making Regarding Resource Allocation in Health and Health Care; Value of Preventive Interventions; Quality of Health Care; Biotechnology (recombinant human erythropoietin) and Imaging Technology; Effectiveness and Outcomes; Technology Assessment; Cost-effectiveness Analysis and Economic Evaluations; Evidence-based Practice and Meta-analysis

Honors and Awards

1995 - Honorable Mention: Article of the Year, AcademyHealth. (The Relationship of Provider Organizational Status and Erythropoietin Dosing in ESRD Patients. Medical Care 1994;32:130-140.) 2000 American Society of Clinical Investigation 2001 - Article of the Year, AcademyHealth (The Relation Between Pre-publication Release of Clinical Trials Results and the Diffusion of Carotid Endarterectomy. JAMA 2000; 284(22): 2886-2893) 2003 - Institute of Medicine 2004 - Garabed Eknoyan Award, National Kidney Foundation 2005 - John M. Eisenberg National Award for Career Acheivement in Research, Society of General Internal Medicine 2005 - Association of American Physicians 2006 - Delta Omega Honorary Society 2007 - Distinguished Educator Award, Association for Clinical Research Training 2008 - University Distinguished Service Professor 2008- James F. Fries Professorship (inaugural recipient) 2010 - Association of Professors of Medicine Diversity Award

Selected Publications

Merkin S, Cavanaugh K, Longenecker JC, Fink NE, Levey AS, Powe NR. Agreement of Self-reported Comorbid Conditions With Medical And Physician Reports Varied By Disease Among End-stage Renal Disease Patients. Journal of Clinical Epidemiology 2007 (in press)

Plantinga L, Fink NE, Bass EB, Boulware, LE, Meyer, KB, Powe NR. Preferences for Current Health and Their Association with Outcomes in Kidney Disease Patients. Medical Care 2007 (in press)

Hwang CW, Anderson GF, Diener-West M, Powe NR. Comorbidity and Outcomes of Coronary Artery Bypass Graft (CABG) Surgery at Cardiac Specialty Hospitals versus General Hospitals. Medical Care 2007 (in press)

Ding EL, Powe NR, Manson JE, Sherber NS, Braunstein JB. Gender Differences in Perceived Risks, Distrust, and Willingness to Participate in Clinical Trials: A Randomized Study of Cardiovascular Prevention Trials. Archives of Internal Medicine. 2007 (In press).

Boulware LE, Marinopoulos S, Phillips KA, Hwang CW, Maynor K, Mersnstein D, Wilson RF, Barnes GJ, Bass EB, Powe NR, Daumit GL. The Value of the Periodic Health Evaluation: A systematic review. Annals of Internal Medicine 2007 (in press).

Amarasingham R, Diener-West M, Lehmann H, Weiner M, Herbers J, Powe NR. Clinical Information Technology Capabilities in Four U.S. Hospitals: Testing a New Structural Performance Measure. Medical Care 2006; 44:216-224.

Beach MC, Price EG, Gary TL, Robinson KA, Gozu A, Palacio A, Smarth C, Jenckes MW, Feuerstein C, Bass EB, Powe NR, Cooper LA. Cultural Competence: A Systematic Review of Health Care Provider Educational Interventions. Medical Care. 2005;43:356-373.

Powe NR, Tarver-Carr ME, Eberhardt MS, Brancati FL. Receipt of Renal Replacement Therapy in the United States: A population-based study of sociodemographic disparities from the Second National Health and Nutrition Examination Survey (NHANES II). American Journal of Kidney Diseases 2003; 42:249-55.

Boulware LE, Jaar BG, Tarver-Carr ME, Brancati FL, Powe NR. Screening for Proteinuria in U.S. Adults: A cost-effectiveness analysis. Journal of the American Medical Association 2003; 290:3101-14

Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered Communication in Race-concordant and Race-discordant Primary Care Visits. Annals of Internal Medicine 2003; 139:907-915

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.

Mahadevia PJ, Fleisher LA, Frick KD, Eng J, Goodman SN, Powe NR. Lung cancer screening with helical computed tomography in older adult smokers: a decision and cost-effectiveness analysis. JAMA. 2003;289:313-22.

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.

Merkin SS, Stevenson L, Powe NR. Geographic Socioeconomic Status, Race, and Advanced-stage Breast Cancer in New York City. American Journal of Public Health 2002; 92:64-70.

Cooper LA, Hill MN, Powe NR. Designing and Evaluating Interventions to Eliminate Disparities in Health Care. Journal of General Internal Medicine 2002; 17:477-486.

Tarver-Carr ME, Powe NR, Eberhardt MS, LaVeist T, Kington RL, Coresh J, Brancati FL. Excess Risk of Chronic Kidney Disease in African Americans Versus Whites in the United States: A Population-based Study of Potential Explanatory Factors. Jour American Society of Nephrology 2002; 13:2363-70.

Kinchen KS, Sadler JH, Fink NE, Brookmeyer R, Klag MJ, Levey AS, Powe NR. The Timing of Specialist Evaluation in Chronic Kidney Disease and Mortality. Annals of Internal Medicine 2002;137: 479-86.

Furth SL, Hwang W, Yang C, Mallare J, Neu AM, Fivush BA, Powe NR. The Relation Between Pediatric Experience and Treatment Recommendations for Children and Adolescents with Kidney Failure. JAMA 2001; 285:1027-1033

Gross CP, Steiner CA, Bass EB, Powe NR. The Relation Between Pre-publication Release of Clinical Trials Results and the Diffusion of Carotid Endarterectomy. JAMA 2000; 284:2886-2893.

Longenecker JC, Klag MJ, Coresh J, Levey AS, Martin AA, Fink NE, Powe NR. Validation of Comorbid Conditions on the ESRD Medical Evidence Report: The CHOICE Study. Journal of the American Society of Nephrology 2000; 11:520-529.

Daumit GD, Hermann JA, Coresh J, Powe NR. Use of Cardiovascular Procedures among Black Persons and White Persons: A 7-year Nationwide Study. Ann Intern Med 1999; 130:173-182.

Gross CD, Anderson GF, Powe NR. The Relation Between Funding by the National Institutes of Health and the Burden of Disease. New England Journal of Medicine 1999;340:1881-1887

Garg PP, Frick KD, Diener-West M, Powe NR. Effect of the Ownership of Dialysis Facilities on Patient Survival and Referral for Transplantation. New England Journal of Medicine 1999; 341:1653-60.

Thiemann DR, Coresh J, Octgen WJ, Powe NR. The Association Between Hospital Volume and Survival after Acute Myocardial Infarction in Elderly Patients. New England Journal of Medicine 1999;340:640-48

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