Karen Wernli, PhD, is a cancer epidemiologist and health services researcher whose work focuses on incorporating patient-centered outcomes to improve care along the cancer care continuum, from prevention to survivorship. Her work spans several cancer types, including lung, breast, and colorectal, and also explores the impact of cancer in special populations, such as adolescents and young adults. Her research strives to answer critical questions at the confluence of patients’ needs and clinical priorities. Overall, her research has resulted in more than $38 million in research funding, more than 170 peer-reviewed publications (h-index 42), and over 85 presentations at national conferences, symposia, and other public venues.
Dr. Wernli is a leader in lung cancer screening research. She is currently conducting a pragmatic clinical trial funded by the National Cancer Institute (NCI) to test 2 multilevel interventions to improve adherence to annual lung cancer screening at Kaiser Permanente Washington. Study interventions were developed using a mixed-methods approach — including patient and stakeholder engagement and human-centered design methods — to determine gaps for interventions, relevant features of interventions, and design concepts. Dr. Wernli is also leading NCI-funded research in expanding lung cancer screening in federally-qualified healthcare systems through the National Cancer Institute SUMMIT Initiative.
Dr. Wernli is a leader in the use of breast imaging in women with prior breast cancer, including in the use of breast magnetic resonance imaging (MRI). Dr. Wernli recently completed a Patient-Centered Outcomes Research Institute (PCORI) project that compared breast MRI to mammography for women already treated for breast cancer. Called Surveillance Imaging Modalities for Breast Cancer Assessment (SIMBA), the study used data from the Breast Cancer Surveillance Consortium (BCSC) and engaged patients and stakeholders to determine the best information for patient and physician decision-making. Dr. Wernli’s team translated that information into a new decision aid for breast cancer survivors. PCORI has recognized this work nationally and pointed to SIMBA as a model for effective patient engagement.
Dr. Wernli is leading patient-centered research in adolescent and young adult (AYA) populations. She is a project co-lead with Kaiser Permanente Southern California researcher Erin Hahn, PhD, MPH, and Veterans Affairs researcher Neetu Chawla, PhD, MPH, in an NCI-funded project to evaluate health service utilization in early survivorship for AYA populations. The research is intended to identify multilevel gaps in health care utilization in AYA early-cancer survivors for forthcoming interventions.
Finally, Dr. Wernli also leads clinical research studies beyond oncology. She is principal investigator of a multisite study of flu and COVID-19 vaccine effectiveness funded by the Centers for Disease Control and Prevention from 2022 to 2027. Her study team annually enrolls about 1,200 participants with flu-like symptoms into her research.
Dr. Wernli is a member of the American Society for Preventive Oncology, the Society for Epidemiologic Research, the American Society for Clinical Oncology, and the American Association for Cancer Research. She is an affiliate professor of epidemiology and health systems and population health at the University of Washington and a professor of health system science at the Kaiser Permanente Bernard J. Tyson School of Medicine.
Breast, lung, colorectal, ovarian, skin, and endometrial cancer; screening and surveillance; survivorship; patient-centered care; biostatistics; low-dose CT (LDCT); mammography; surveillance imaging; breast magnetic resonance imaging (MRI); systematic reviews; multilevel intervention studies; pragmatic clinical trials
Comparative effectiveness research, health outcomes research, patient-centered outcomes, health care quality, implementation science
Cancer screening and surveillance
Patient engagement, stakeholder engagement, qualitative research methods, mixed-methods, human-centered design
Sethi R, Buchlak QD, Yanamadala V, Anderson ML, Baldwin EA, Mecklenburg RS, Leveque JC, Edwards AM, Shea M, Ross L, Wernli KJ A systematic multidisciplinary initiative for reducing the risk of complications in adult scoliosis surgery 2017 Jun;26(6):744-750. doi: 10.3171/2016.11.SPINE16537. Epub 2017-03-31. PubMed
Knerr S, Wernli KJ, Leppig K, Ehrlich K, Graham AL, Farrell D, Evans C, Luta G, Schwartz MD, O'Neill SC A web-based personalized risk communication and decision-making tool for women with dense breasts: Design and methods of a randomized controlled trial within an integrated health care system 2017 May;56:25-33. doi: 10.1016/j.cct.2017.02.009. Epub 2017-02-28. PubMed
Carter-Harris L, Brandzel S, Wernli KJ, Roth JA, Buist DSM A qualitative study exploring why individuals opt out of lung cancer screening 2017 Apr;34(2):239-244. doi: 10.1093/fampra/cmw146. PubMed
Balasubramanian BA, Garcia MP, Corley DA, Doubeni CA, Haas JS, Kamineni A, Quinn VP, Wernli K, Zheng Y, Skinner CS. Racial/ethnic differences in obesity and comorbidities between safety-net- and non safety-net integrated health systems. Medicine (Baltimore). 2017;96(11):e6326. doi: 10.1097/MD.0000000000006326. PubMed
Brandzel S, Rosenberg DE, Johnson D, Bush M, Kerlikowske K, Onega T, Henderson L, Nekhlyudov L, DeMartini W, Wernli KJ Women's experiences and preferences regarding breast imaging after completing breast cancer treatment 2017 Jan;11:199-204. doi: 10.2147/PPA.S122244. Epub 2017-02-01. PubMed
Sethi R, Bucklak QD, Yanamadala V, Anderson ML, Baldwin EA, Mecklenburg RS, Leveque JC, Edwards AM, Shay M, Ross L, Wernli KJ. A systematic multidisciplinary initiative reduces the risk of complications in adult scoliosis surgery. J Neurosurg Spine. PubMed
Wernli KJ, Brenner A, Rutter CM, Inadomi JM. Response to sedation and colonoscopy. Gastroenterology. 2016;151(3):564 PubMed
Lavallee DC, Gore JL, Lawrence SO, Lindsay J, Marsh S, Scott MR, Wernli K. Initiative to support patient involvement in research (INSPIRE): community workshop report [internet]. PubMed
Lavallee DC, Gore JL, Lawrence SO, Lindsay J, Marsh S, Scott MR, Wernli K. Initiative to Support Patient Involvement in Research (INSPIRE): findings from phase I interviews [internet]. PubMed
Wernli KJ, Brenner AT, Rutter CM, Inadomi J. Reply. Gastroenterology. 2016 Aug 2. pii: S0016-5085(16)34888-0. doi: 10.1053/j.gastro.2016.07.041. [Epub ahead of print]. PubMed
Well-timed outreach in print and video can boost awareness of repeat screening for lung cancer, study finds.
Researchers Karen Wernli and Erika Kiniry share insights on an exceptional 2024-2025 flu season.
Kudos emphasized dedication to helping coworkers grow, providing opportunities.
Understanding emergency department use among adolescent and young adult cancer survivors can help address care gaps.
Interim data for the 2023-2024 flu season shows that the vaccine has protected all age groups.
How KPWHRI is contributing to better cancer screening and better outcomes for patients.
KPWHRI receives $10 million to continue vaccine effectiveness research for flu, COVID-19, and other respiratory diseases.
Cure, May 10, 2024