Karen J. Wernli, PhD

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“I consider patients the core of my research.”

Karen J. Wernli, PhD

Senior Scientific Investigator, Kaiser Permanente Washington Health Research Institute
Professor, Department of Health System Science, Kaiser Permanente Bernard J. Tyson School of Medicine
Affiliate Professor, Department of Epidemiology and Department of Health Systems and Population Health, University of Washington

Karen.J.Wernli@kp.org
206-287-2934
Twitter: @wernlikarenj

Biography

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.

Research interests and experience

  • Cancer

    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

  • Health Services & Economics

    Comparative effectiveness research, health outcomes research, patient-centered outcomes, health care quality, implementation science

    Preventive Medicine

    Cancer screening and surveillance

  • Patient-Centeredness

    Patient engagement, stakeholder engagement, qualitative research methods, mixed-methods, human-centered design

  • Vaccines & Infectious Diseases

  • Aging & Geriatrics

Recent publications

Wernli KJ, Knerr S, Li T, Leppig K, Ehrlich K, Farrell D, Gao H, Bowles EJA, Graham AL, Luta G, Jayasekera J, Mandelblatt JS, Schwartz MD, O'Neill SC Effect of Personalized Breast Cancer Risk Tool on Chemoprevention and Breast Imaging: ENGAGED-2 Trial 2021 Feb;5(1). doi: 10.1093/jncics/pkaa114. Epub 2021-01-14. PubMed

Wernli KJ, Callaway KA, Henderson LM, Kerlikowske K, Lee JM, Ross-Degnan D, Wallace JK, Wharam JF, Zhang F, Stout NK Trends in screening breast magnetic resonance imaging use among US women, 2006 to 2016 2020 Dec 15;126(24):5293-5302. doi: 10.1002/cncr.33140. Epub 2020-09-28. PubMed

Wernli KJ, Bowles EA, Knerr S, Leppig KA, Ehrlich K, Gao H, Schwartz MD, O'Neill SC Characteristics Associated with Participation in ENGAGED 2 - A Web-based Breast Cancer Risk Communication and Decision Support Trial 2020 Dec;24:1-4. doi: 10.7812/TPP/19.205. PubMed

Haas CB, Nekhlyudov L, Lee JM, Javid SH, Bush M, Johnson D, Gleason T, Kaufman C, Specht J, Stitham S, Wernli KJ Surveillance for second breast cancer events in women with a personal history of breast cancer using breast MRI: a systematic review and meta-analysis 2020 Jun;181(2):255-268. doi: 10.1007/s10549-020-05637-y. Epub 2020-04-17. PubMed

Schifferdecker KE, Tosteson ANA, Kaplan C, Kerlikowske K, Buist DSM, Henderson LM, Johnson D, Jaworski J, Jackson-Nefertiti G, Ehrlich K, Marsh MW, Vu L, Onega T, Wernli KJ Knowledge and Perception of Breast Density, Screening Mammography, and Supplemental Screening: in Search of "Informed" 2020 Jun;35(6):1654-1660. doi: 10.1007/s11606-019-05560-z. Epub 2019-12-02. PubMed

Buist DSM, Ichikawa L, Wernli KJ, Lee CI, Henderson LM, Kerlikowske K, Bowles EJA, Miglioretti DL, Specht J, Rauscher GH, Sprague BL, Onega T, Lee JM Facility Variability in Examination Indication Among Women With Prior Breast Cancer: Implications and the Need for Standardization 2020 Jun;17(6):755-764. doi: 10.1016/j.jacr.2019.12.020. Epub 2020-01-28. PubMed

Mahorter SS, Knerr S, Bowles EJA, Wernli KJ, Gao H, Schwartz MD, O'Neill SC Prior breast density awareness, knowledge, and communication in a health system-embedded behavioral intervention trial 2020 Apr 15;126(8):1614-1621. doi: 10.1002/cncr.32711. Epub 2020-01-24. PubMed

Warner ET, Kennedy M, Maschke A, Hopkins MF, Wernli K, Gunn CM Evaluation of existing patient educational materials and development of a brochure for women with dense breasts 2020 Apr;50:81-84. doi: 10.1016/j.breast.2020.02.001. Epub 2020-02-05. PubMed

Henderson LM, Ichikawa L, Buist DSM, Lee JM, Bush M, Johnson D, Onega T, Nekhlyudov L, Kerlikowske K, Miglioretti DL, Sprague BL, Wernli KJ Patterns of Breast Imaging Use Among Women with a Personal History of Breast Cancer 2019 Oct;34(10):2098-2106. doi: 10.1007/s11606-019-05181-6. Epub 2019-08-13. PubMed

Knerr S, Bowles EJA, Leppig KA, Buist DSM, Gao H, Wernli KJ Trends in BRCA Test Utilization in an Integrated Health System, 2005-2015 2019 Aug;111(8):795-802. doi: 10.1093/jnci/djz008. PubMed

 

Research

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Helping first-time screeners know when to return

Well-timed outreach in print and video can boost awareness of repeat screening for lung cancer, study finds.

Healthy Findings Blog

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On the ground with KPWHRI’s flu trackers

Researchers Karen Wernli and Erika Kiniry share insights on an exceptional 2024-2025 flu season.

News

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2023 KPWHRI mentorship awards go to Claire Allen and Karen Wernli

Kudos emphasized dedication to helping coworkers grow, providing opportunities.

Research

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Study sheds light on needs of young people with cancer

Understanding emergency department use among adolescent and young adult cancer survivors can help address care gaps.

Research

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KPWHRI contributes to flu vaccine effectiveness results

Interim data for the 2023-2024 flu season shows that the vaccine has protected all age groups.

Research

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Improving cancer prevention and early detection

How KPWHRI is contributing to better cancer screening and better outcomes for patients.

News

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KPWHRI begins new phase of flu surveillance

KPWHRI receives $10 million to continue vaccine effectiveness research for flu, COVID-19, and other respiratory diseases.

KPWHRI in the media

Understanding the needs of young cancer survivors

Emergency department use common among AYA cancer survivors

Cure, May 10, 2024