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Seattle-Denver Center of Innovation (COIN)


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COIN Investigators

COIN Investigators


Catherine "Kate" Butler, MD, MA
Title: Acting Instructor, Division of Nephrology, University of Washington
Location: Seattle
University of Washington webpage
See Dr. Butler's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials

Dr. Butler is an Acting Instructor in the Division of Nephrology at the University of Washington and an HSR&D research fellow working under the primary mentorship of Dr. Ann O’Hare. Her research interests include healthcare intensity at the end-of-life for older adults with advanced kidney disease, opportunities to support person-centeredness and equity in the kidney transplant evaluation, and healthcare resource allocation during the COVID-19 pandemic. She received her BA from Tufts University, her MD from Washington University in St. Louis School of Medicine, and completed her internal medicine residency, research nephrology fellowship, and Masters’ degree in bioethics at the University of Washington. She is a recipient of the University of Washington Chair of Medicine Scholars Award.

The following images visualize Dr. Butler's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Butler's publication titles indicate his primary work is kidney disease
Word cloud from pub titles
Dr. Butler's collaborations are primarily from the University of Washington
Research collaboration map
The following research fields have been used to summarize Dr. Butler's publications and grants. The categories are based on 25 publications and 1 grant.
Publications Grants
Clinical Research Aging
Kidney Disease Organ Transplantation
Organ Transplantation Clinical Research
Transplantation Kidney Disease
Patient Safety Transplantation
Health Services  
Clinical Trials and Supportive Activities  
Behavioral and Social Science  

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Recent Publications



Kattah AG, Butler CR. The nephrologist's role in supporting people with chronic kidney disease and unplanned pregnancy post-Dobbs. J Am Soc Nephrol. 2023 Jan 17. doi: 10.1681/ASN.0000000000000081. Epub ahead of print. PMID: 36749205
Learn more about this publication at Dimensions



O'Hare AM, Vig EK, Iwashyna TJ, Fox A, Taylor JS, Viglianti EM, Butler CR, Vranas KC, Helfand M, Tuepker A, Nugent SM, Winchell KA, Laundry RJ, Bowling CB, Hynes DM, Maciejewski ML, Bohnert ASB, Locke ER, Boyko EJ, Ioannou GN; VA COVID Observational Research Collaboratory (CORC). Complexity and Challenges of the Clinical Diagnosis and Management of Long COVID. JAMA Netw Open. 2022 Nov 1;5(11):e2240332. doi: 10.1001/jamanetworkopen.2022.40332. PMID: 36326761
Learn more about this publication at Dimensions

Butler CR. Understanding Public Perspectives on Opt-Out Deceased Donor Transplant Policy: Ethically Obligatory and Practically Necessary. Clin J Am Soc Nephrol. 2022 Oct 26:CJN.11230922. doi: 10.2215/CJN.11230922. Epub ahead of print. PMID: 36288932
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Butler CR, Wachterman MW, O'Hare AM. Concurrent Hospice and Dialysis: Proof of Concept. J Am Soc Nephrol. 2022 Sep 12:ASN.2022080919. doi: 10.1681/ASN.2022080919. Epub ahead of print. PMID: 36096635
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Struthers SA, Kribs Z, Butler CR. Policy and Kidney Community Engagement to Advance toward Greener Kidney Care. J Am Soc Nephrol. 2022 Aug 18:ASN.2022070741. doi: 10.1681/ASN.2022070741. Epub ahead of print. PMID: 35981765.
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Watnick S, Butler CR. Difelikefalin: A Novel Therapy for Dialysis Patient Care. Kidney Med. 2022 Jul 7;4(8):100519. doi: 10.1016/j.xkme.2022.100519. PMCID: PMC9386091. PMID: 35991692.
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Butler CR, Sharma RK, Eneanya ND, Bernacki GM, Ghuman JK, Curtis JR, O'Hare AM. Differences Among Racial and Ethnic Minority Groups in the Unmet Existential and Supportive Care Needs of People Receiving Dialysis. JAMA Intern Med. 2022 Jul 11. doi: 10.1001/jamainternmed.2022.1677. Epub ahead of print. PMID: 35816354.
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Butler CR, Webster LB, Diekema DS. Staffing crisis capacity: a different approach to healthcare resource allocation for a different type of scarce resource. J Med Ethics. 2022 Jul 1:medethics-2022-108262. doi: 10.1136/jme-2022-108262. Epub ahead of print. PMID: 35777960.
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Butler CR, Watnick S. The Role of Dialysis Organizations in Promoting and Facilitating Access to Nondialytic Treatment Options. Kidney Med. 2022 May 13;4(6):100480. doi: 10.1016/j.xkme.2022.100480. PMCID: PMC9142681. PMID: 35637926.
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Butler CR, O'Hare AM, Wong SPY. Supporting scholarship in palliative care across the medical specialties. J Pain Symptom Manage. 2022 Jun;63(6):e665-e666. doi: 10.1016/j.jpainsymman.2022.02.007. PMID: 35595386.
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O'Hare AM, Butler CR, Laundry RJ, Showalter W, Todd-Stenberg J, Green P, Hebert PL, Wang V, Taylor JS, Van Eijk M, Matthews KL, Crowley ST, Carey E. Implications of Cross-System Use Among US Veterans With Advanced Kidney Disease in the Era of the MISSION Act: A Qualitative Study of Health Care Records. JAMA Intern Med. 2022 May 16. doi: 10.1001/jamainternmed.2022.1379. Epub ahead of print. PMID: 35576068.
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Butler CR, Webster LB, Diekema DS, Gray MM, Sakata VL, Tonelli MR, Vranas KC. Perspectives of Triage Team Members Participating in Statewide Triage Simulations for Scarce Resource Allocation During the COVID-19 Pandemic in Washington State. JAMA Netw Open. 2022 Apr 1;5(4):e227639. doi: 10.1001/jamanetworkopen.2022.7639. PMID: 35435971.
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Gray MM, Butler CR, Webster LB, Tonelli MR, Sakata VL, Diekema DS. Patient Information Items Needed to Guide the Allocation of Scarce Life-Sustaining Resources: A Delphi Study of Multidisciplinary Experts. Disaster Med Public Health Prep. 2022 Feb 10:1-7. doi: 10.1017/dmp.2021.351. Epub ahead of print. PMID: 35139979.
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Butler CR. A Critical Role for Shared Decision-Making about Referral and Evaluation for Kidney Transplant. Kidney360. 2022 Jan 27;3(1):14-16. doi: 10.34067/KID.0007642021. PMCID: PMC8967623. PMID: 35368579.
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Butler CR, Webster LB, Sakata VL, Tonelli MR, Diekema DS, Gray MM. Functionality of Scarce Healthcare Resource Triage Teams During the COVID-19 Pandemic: A Multi-Institutional Simulation Study. Crit Care Explor. 2022 Jan 21;4(1):e0627. doi: 10.1097/CCE.0000000000000627. PMCID: PMC8785932. PMID: 35083438.
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Butler CR, Appelbaum PS, Ascani H, Aulisio M, Campbell CE, de Boer IH, Dighe AL, Hall DE, Himmelfarb J, Knight R, Mehl K, Murugan R, Rosas SE, Sedor JR, O'Toole JF, Tuttle KR, Waikar SS, Freeman M; Kidney Precision Medicine Project. A Participant-Centered Approach to Understanding Risks and Benefits of Participation in Research Informed by the Kidney Precision Medicine Project. Am J Kidney Dis. 2021 Dec 4:S0272-6386(21)01008-8. doi: 10.1053/j.ajkd.2021.10.006. Epub ahead of print.
PMID: 34871700.
Learn more about this publication at Dimensions

Saeed F, Butler C, Clark C, O'Loughlin K, Engelberg R, Hebert P, Lavallee D, Vig E, Kurella Tamura M, Curtis JR, O'Hare A. Family Members' Understanding of the End-of-Life Wishes of People Undergoing Maintenance Dialysis. Clin J Am Soc Nephrol. 2021 Sep 10:CJN.04860421. doi: 10.2215/CJN.04860421. Epub ahead of print.
PMID: 34507967.

Butler CR, O'Hare AM, Kestenbaum BR, Sayre GG, Wong SPY. An Introduction to Qualitative Inquiry. J Am Soc Nephrol. 2021 Jun 1;32(6):1275-1278. doi: 10.1681/ASN.2021040473. Epub 2021 May 26.
PMID: 34039668.

Butler CR, Wong SPY, Vig EK, et al. Professional roles and relationships during the COVID-19 pandemic: a qualitative study among US clinicians. BMJ Open 2021;11:e047782.



Butler CR, Wightman A, Richards CA, Laundry RS, Taylor JS, Hebert PL, Liu CF, O'Hare AM. Thematic Analysis of the Health Records of a National Sample of US Veterans With Advanced Kidney Disease Evaluated for Transplant. JAMA Intern Med. 2020 Nov 23:e206388. doi: 10.1001/jamainternmed.2020.6388. Epub ahead of print. PMCID: PMC7684522.
PMID: 33226419.

Butler CR, Wong SPY, Wightman AG, O'Hare AM. US Clinicians' Experiences and Perspectives on Resource Limitation and Patient Care During the COVID-19 Pandemic. JAMA Netw Open. 2020 Nov 2;3(11):e2027315. doi: 10.1001/jamanetworkopen.2020.27315. PMCID: PMC7648254.
PMID: 33156349.

O'Hare AM, Butler CR, Taylor JS, Wong SPY, Vig EK, Laundry RS, Wachterman MW, Hebert PL, Liu CF, Rios-Burrows N, Richards CA. Thematic Analysis of Hospice Mentions in the Health Records of Veterans with Advanced Kidney Disease. J Am Soc Nephrol. 2020 Nov;31(11):2667-2677. doi: 10.1681/ASN.2020040473. Epub 2020 Aug 6. PMCID: PMC7608965.
PMID: 32764141.

Butler CR, Reese PP, Perkins JD, Hall YN, Curtis JR, Kurella Tamura M, O'Hare AM. End-of-Life Care among US Adults with ESKD Who Were Waitlisted or Received a Kidney Transplant, 2005-2014. J Am Soc Nephrol. 2020 Oct;31(10):2424-2433. doi: 10.1681/ASN.2020030342. Epub 2020 Sep 9. PMCID: PMC7608994.
PMID: 32908000.

Butler CR, Taylor JS, Reese PP, O'Hare AM. Thematic analysis of the medical records of patients evaluated for kidney transplant who did not receive a kidney. BMC Nephrol. 2020 Jul 25;21(1):300. doi: 10.1186/s12882-020-01951-1. PMCID: PMC7382039.
PMID: 32711468.



Butler CR, Vig EK, O'Hare AM, Liu CF, Hebert PL, Wong SPY. Ethical Concerns in the Care of Patients with Advanced Kidney Disease: a National Retrospective Study, 2000-2011. J Gen Intern Med. 2020 Apr;35(4):1035-1043. doi: 10.1007/s11606-019-05466-w. Epub 2019 Oct 25. PMCID: PMC7174459.
PMID: 31654358.

O'Hare AM, Murphy E, Butler CR, Richards CA. Achieving a person-centered approach to dialysis discontinuation: An historical perspective. Semin Dial. 2019 Sep;32(5):396-401. doi: 10.1111/sdi.12808. Epub 2019 Apr 10.
PMID: 30968459.

Butler CR, O'Hare AM. Complex Decision Making about Dialysis in Critically Ill Older Adults with AKI. Clin J Am Soc Nephrol. 2019 Apr 5;14(4):485-487. doi: 10.2215/CJN.01870219. Epub 2019 Mar 21. PMC6450338
PMID: 30898871.

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Recent Grants & Fundings


Strengthening Shared Decision-Making for Older Adults with Kidney Failure Considering Kidney Transplant

NIH Reporter: