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Kimberly K Vesco, MD, MPH

TitleSenior Investigator
InstitutionKaiser Permanente Northwest
DepartmentCenter for Health Research - Northwest
Address3800 N. Interstate Avenue
Portland OR 97227
ORCID ORCID Icon0000-0001-9934-6383 Additional info
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    Collapse Overview 
    Collapse overview
    Dr. Kimberly Vesco is a board-certified, practicing obstetrician-gynecologist with Kaiser Permanente Northwest (KNPW) whose clinical work has strongly influenced her research on women’s health issues.

    Along with CHR Senior Investigator Victor Stevens, Dr. Vesco led the Healthy Moms Study, a randomized trial of a group-based diet and lifestyle weight management program for pregnant women. That led to two studies on which she is the primary investigator, one examining the relationship between visceral and liver fat stores in pregnancy and metabolic changes, placental function, and fetal growth, and the other a randomized trial of a preconception intervention for overweight and obese women planning pregnancies.

    Dr. Vesco is a co-investigator on a trial testing two screening strategies for gestational diabetes mellitus among more than 17,500 pregnant women and their babies to determine how diagnosis and treatment in routine clinical care affect complications for the baby and mother. She is the lead investigator on a trial at KPNW that aims to improve the diagnosis and management of vulvovaginal atrophy and a co-investigator on the Study of Osteoporotic Fractures.

    She has worked extensively with the Oregon Evidence-based Practice Center, conducting systematic evidence reviews for the U.S. Preventive Services Task Force on topics including management of menopausal symptoms, screening for gestational diabetes mellitus, and cervical cancer screening.

    Dr. Vesco joined the Permanente Medical Group in 2001 after earning her medical degree from the University of California, San Diego, School of Medicine. She trained in obstetrics and gynecology at the University of Utah, Salt Lake City, and completed a women’s health fellowship and an MPH degree with a focus in epidemiology and biostatistics at Oregon Health & Science University.

    Collapse Research 
    Collapse research activities and funding
    R01DK098707     (VESCO, KIMBERLY KRISTINE)May 15, 2014 - Apr 30, 2017
    NIH/NIDDK
    Role of liver and visceral fat in glucose and lipid metabolism during pregnancy
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Kharbanda EO, Haapala J, DeSilva M, Vazquez-Benitez G, Vesco KK, Naleway AL, Lipkind HS. Spontaneous Abortion Following COVID-19 Vaccination During Pregnancy. JAMA. 2021 Sep 08. PMID: 34495304.
      Citations:    
    2. Sharma AJ, Ford ND, Bulkley JE, Jenkins LM, Vesco KK, Williams AM. Use of the Electronic Health Record to Assess Prevalence of Anemia and Iron Deficiency in Pregnancy. J Nutr. 2021 Aug 12. PMID: 34386820.
      Citations:    
    3. Hillier TA, Pedula KL, Ogasawara KK, Vesco KK, Oshiro CES, Lubarsky SL, Van Marter J. Further Implications from a Pragmatic Randomized Clinical Trial of Gestational Diabetes Screening: Per-Protocol and As-Treated Estimates. Am J Obstet Gynecol. 2021 Aug 09. PMID: 34384772.
      Citations:    
    4. Leblanc ES, Smith NX, Vesco KK, Hillier TA, Stevens VJ. Weight Loss Prior to Pregnancy and Early Gestational Glycemia: Prepare, a Randomized Clinical Trial. J Clin Endocrinol Metab. 2021 Jul 27. PMID: 34313765.
      Citations:    
    5. Razzaghi H, Meghani M, Pingali C, Crane B, Naleway A, Weintraub E, Kenigsberg TA, Lamias MJ, Irving SA, Kauffman TL, Vesco KK, Daley MF, DeSilva M, Donahue J, Getahun D, Glenn S, Hambidge SJ, Jackson L, Lipkind HS, Nelson J, Zerbo O, Oduyebo T, Singleton JA, Patel SA. COVID-19 Vaccination Coverage Among Pregnant Women During Pregnancy - Eight Integrated Health Care Organizations, United States, December 14, 2020-May 8, 2021. MMWR Morb Mortal Wkly Rep. 2021 Jun 18; 70(24):895-899. PMID: 34138834; PMCID: PMC8220952.
      Citations:    
    6. Naleway AL, Crane B, Irving SA, Bachman D, Vesco KK, Daley MF, Getahun D, Glenn SC, Hambidge SJ, Jackson LA, Klein NP, McCarthy NL, McClure DL, Panagiotakopoulos L, Panozzo CA, Vazquez-Benitez G, Weintraub ES, Zerbo O, Kharbanda EO. Vaccine Safety Datalink infrastructure enhancements for evaluating the safety of maternal vaccination. Ther Adv Drug Saf. 2021; 12:20420986211021233. PMID: 34178302; PMCID: PMC8207278.
      Citations:    
    7. Black CM, Vesco KK, Mehta V, Ohman-Strickland P, Demissie K, Schneider D. Hospital Readmission Following Delivery with and Without Severe Maternal Morbidity. J Womens Health (Larchmt). 2021 May 11. PMID: 33978478.
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    8. Sharma AJ, Bulkley JE, Stoneburner AB, Dandamudi P, Leo M, Callaghan WM, Vesco KK. Bias in Self-reported Prepregnancy Weight Across Maternal and Clinical Characteristics. Matern Child Health J. 2021 Aug; 25(8):1242-1253. PMID: 33929655.
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    9. Black CM, Vesco KK, Mehta V, Ohman-Strickland P, Demissie K, Schneider D. Incidence of Severe Maternal Morbidity During Delivery Hospitalization in U.S. Commercially Insured and Medicaid Populations. J Womens Health (Larchmt). 2021 Apr 22. PMID: 33891488.
      Citations:    
    10. Hillier TA, Pedula KL, Ogasawara KK, Vesco KK, Oshiro CES, Lubarsky SL, Van Marter J. A Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening. N Engl J Med. 2021 03 11; 384(10):895-904. PMID: 33704936.
      Citations:    
    11. Harrod CS, Elman MR, Vesco KK, Wolfe BM, Mitchell JE, Pories WJ, Pomp A, Boone-Heinonen J, Purnell JQ. Associations of Pregnancy After Bariatric Surgery with Long-Term Weight Trajectories and Birth Weight: LABS-2 Study. Obesity (Silver Spring). 2020 11; 28(11):2209-2215. PMID: 32918404; PMCID: PMC7650043.
      Citations:    
    12. LeBlanc ES, Smith NX, Vesco KK, Paul IM, Stevens VJ. Weight loss prior to pregnancy and subsequent gestational weight gain: Prepare, a randomized clinical trial. Am J Obstet Gynecol. 2021 01; 224(1):99.e1-99.e14. PMID: 32687819.
      Citations:    
    13. Vesco KK, Leo MC, Bulkley JE, Beadle KR, Stoneburner AB, Francisco M, Clark AL. Improving management of the genitourinary syndrome of menopause: evaluation of a health system-based, cluster-randomized intervention. Am J Obstet Gynecol. 2021 01; 224(1):62.e1-62.e13. PMID: 32693097.
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    14. Hillier TA, Ogasawara KK, Pedula KL, Vesco KK, Oshiro CES, Van Marter JL. Timing of Gestational Diabetes Diagnosis by Maternal Obesity Status: Impact on Gestational Weight Gain in a Diverse Population. J Womens Health (Larchmt). 2020 08; 29(8):1068-1076. PMID: 32330405; PMCID: PMC7461990.
      Citations:    
    15. Vesco KK, Ferrante S, Chen Y, Rhodes T, Black CM, Allen-Ramey F. Costs of Severe Maternal Morbidity During Pregnancy in US Commercially Insured and Medicaid Populations: An Observational Study. Matern Child Health J. 2020 Jan; 24(1):30-38. PMID: 31655962.
      Citations:    
    16. Pedula KL, Hillier TA, Ogasawara KK, Vesco KK, Lubarsky S, Oshiro CES, VanMarter J. A randomized pragmatic clinical trial of gestational diabetes screening (ScreenR2GDM): Study design, baseline characteristics, and protocol adherence. Contemp Clin Trials. 2019 10; 85:105829. PMID: 31425751; PMCID: PMC6939663.
      Citations:    
    17. Clark A, Leo M, Bulkley J, Beadle K, Vesco K. To the Editor. Menopause. 2019 08; 26(8):940-941. PMID: 31356493.
      Citations:    
    18. Vesco KK, Sharma AJ, Bulkley J, Kimes T, Callaghan WM, England LJ, Hornbrook MC. Association of glucose levels in pregnancy with use of health care services. Diabetes Res Clin Pract. 2019 Jun; 152:146-155. PMID: 31063853; PMCID: PMC6703164.
      Citations:    
    19. Vesco KK, Beadle K, Stoneburner A, Bulkley J, Leo MC, Clark AL. Clinician knowledge, attitudes, and barriers to management of vulvovaginal atrophy: variations in primary care and gynecology. Menopause. 2019 Mar; 26(3):265-272. PMID: 30153218.
      Citations:    
    20. Vesco KK. Reducing Postpartum Weight Retention and Interpregnancy Weight Gain, an Important Goal Not Yet Realized. Obesity (Silver Spring). 2019 Feb; 27(2):188. PMID: 30624865.
      Citations:    
    21. Sharma AJ, Vesco KK, Bulkley J, Callaghan WM, Bruce FC, Staab J, Hornbrook MC, Berg CJ. Rate of Second and Third Trimester Weight Gain and Preterm Delivery Among Underweight and Normal Weight Women. Matern Child Health J. 2016 10; 20(10):2030-6. PMID: 27329188.
      Citations:    
    22. Vesco KK, Leo MC, Karanja N, Gillman MW, McEvoy CT, King JC, Eckhardt CL, Smith KS, Perrin N, Stevens VJ. One-year postpartum outcomes following a weight management intervention in pregnant women with obesity. Obesity (Silver Spring). 2016 Oct; 24(10):2042-9. PMID: 27670399.
      Citations:    
    23. Hillier TA, Pedula KL, Vesco KK, Oshiro CE, Ogasawara KK. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants. Matern Child Health J. 2016 08; 20(8):1559-68. PMID: 27154523.
      Citations:    
    24. LeBlanc ES, Vesco KK, Funk KL, Karanja N, Smith N, Stevens VJ. Prepare, a randomized trial to promote and evaluate weight loss among overweight and obese women planning pregnancy: Study design and rationale. Contemp Clin Trials. 2016 07; 49:174-80. PMID: 27394386.
      Citations:    
    25. MacDonald KD, Vesco KK, Funk KL, Donovan J, Nguyen T, Chen Z, Lapidus JA, Stevens VJ, McEvoy CT. Maternal body mass index before pregnancy is associated with increased bronchodilator dispensing in early childhood: A cross-sectional study. Pediatr Pulmonol. 2016 08; 51(8):803-11. PMID: 26797879.
      Citations:    
    26. Sharma AJ, Vesco KK, Bulkley J, Callaghan WM, Bruce FC, Staab J, Hornbrook MC, Berg CJ. Associations of Gestational Weight Gain with Preterm Birth among Underweight and Normal Weight Women. Matern Child Health J. 2015 Sep; 19(9):2066-73. PMID: 25652068.
      Citations:    
    27. Funk KL, LeBlanc ES, Vesco KK, Stevens VJ. Women's attitudes towards a pre-conception healthy lifestyle programme. Clin Obes. 2015 Apr; 5(2):67-71. PMID: 25735259.
      Citations:    
    28. Vesco KK, Karanja N, King JC, Gillman MW, Leo MC, Perrin N, McEvoy CT, Eckhardt CL, Smith KS, Stevens VJ. Efficacy of a group-based dietary intervention for limiting gestational weight gain among obese women: a randomized trial. Obesity (Silver Spring). 2014 Sep; 22(9):1989-96. PMID: 25164259.
      Citations:    
    29. Eden KB, Perrin NA, Vesco KK, Guise JM. A randomized comparative trial of two decision tools for pregnant women with prior cesareans. J Obstet Gynecol Neonatal Nurs. 2014 Sep-Oct; 43(5):568-79. PMID: 25123822.
      Citations:    
    30. Leo MC, Lindberg NM, Vesco KK, Stevens VJ. Validity of medical chart weights and heights for obese pregnant women. EGEMS (Wash DC). 2014; 2(1):1051. PMID: 25848585.
      Citations:    
    31. Dietz PM, Rizzo JH, England LJ, Callaghan WM, Vesco KK, Bruce FC, Bulkley JE, Sharma AJ, Hornbrook MC. Health care utilization in the first year of life among small- and large- for-gestational age term infants. Matern Child Health J. 2013 Aug; 17(6):1016-24. PMID: 22855007.
      Citations:    
    32. Hillier TA, Ogasawara KK, Pedula KL, Vesco KK. Markedly different rates of incident insulin treatment based on universal gestational diabetes mellitus screening in a diverse HMO population. Am J Obstet Gynecol. 2013 Nov; 209(5):440.e1-9. PMID: 23816844.
      Citations:    
    33. Farr SL, Dietz PM, Rizzo JH, Vesco KK, Callaghan WM, Bruce FC, Bulkley JE, Hornbrook MC, Berg CJ. Health care utilisation in the first year of life among infants of mothers with perinatal depression or anxiety. Paediatr Perinat Epidemiol. 2013 Jan; 27(1):81-8. PMID: 23215715.
      Citations:    
    34. Vesco KK, Dietz PM, Bulkley J, Bruce FC, Callaghan WM, England L, Kimes T, Bachman DJ, Hartinger KJ, Hornbrook MC. A system-based intervention to improve postpartum diabetes screening among women with gestational diabetes. Am J Obstet Gynecol. 2012 Oct; 207(4):283.e1-6. PMID: 23021689.
      Citations:    
    35. Vesco KK, Marshall LM, Nelson HD, Humphrey L, Rizzo J, Pedula KL, Cauley JA, Ensrud KE, Hochberg MC, Antoniucci D, Hillier TA. Surgical menopause and nonvertebral fracture risk among older US women. Menopause. 2012 May; 19(5):510-6. PMID: 22547252.
      Citations:    
    36. Vesco KK, Karanja N, King JC, Gillman MW, Perrin N, McEvoy C, Eckhardt C, Smith KS, Stevens VJ. Healthy Moms, a randomized trial to promote and evaluate weight maintenance among obese pregnant women: study design and rationale. Contemp Clin Trials. 2012 Jul; 33(4):777-85. PMID: 22465256.
      Citations:    
    37. Dietz PM, Rizzo JH, England LJ, Callaghan WM, Vesco KK, Bruce FC, Bulkley JE, Sharma AJ, Hornbrook MC. Early term delivery and health care utilization in the first year of life. J Pediatr. 2012 Aug; 161(2):234-9.e1. PMID: 22421263.
      Citations:    
    38. Hillier TA, Lui LY, Kado DM, LeBlanc ES, Vesco KK, Bauer DC, Cauley JA, Ensrud KE, Black DM, Hochberg MC, Cummings SR. Height loss in older women: risk of hip fracture and mortality independent of vertebral fractures. J Bone Miner Res. 2012 Jan; 27(1):153-9. PMID: 22072593.
      Citations:    
    39. Vesco KK, Whitlock EP, Eder M, Burda BU, Senger CA, Lutz K. Risk factors and other epidemiologic considerations for cervical cancer screening: a narrative review for the U.S. Preventive Services Task Force. Ann Intern Med. 2011 Nov 15; 155(10):698-705, W216. PMID: 22006929.
      Citations:    
    40. Whitlock EP, Vesco KK, Eder M, Lin JS, Senger CA, Burda BU. Liquid-based cytology and human papillomavirus testing to screen for cervical cancer: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2011 Nov 15; 155(10):687-97, W214-5. PMID: 22006930.
      Citations:    
    41. Hillier TA, Cauley JA, Rizzo JH, Pedula KL, Ensrud KE, Bauer DC, Lui LY, Vesco KK, Black DM, Donaldson MG, Leblanc ES, Cummings SR. WHO absolute fracture risk models (FRAX): do clinical risk factors improve fracture prediction in older women without osteoporosis? J Bone Miner Res. 2011 Aug; 26(8):1774-82. PMID: 21351144.
      Citations:    
    42. Vesco KK, Sharma AJ, Dietz PM, Rizzo JH, Callaghan WM, England L, Bruce FC, Bachman DJ, Stevens VJ, Hornbrook MC. Newborn size among obese women with weight gain outside the 2009 Institute of Medicine recommendation. Obstet Gynecol. 2011 Apr; 117(4):812-8. PMID: 21422851.
      Citations:    
    43. Vesco KK, Dietz PM, Rizzo J, Stevens VJ, Perrin NA, Bachman DJ, Callaghan WM, Bruce FC, Hornbrook MC. Excessive gestational weight gain and postpartum weight retention among obese women. Obstet Gynecol. 2009 Nov; 114(5):1069-75. PMID: 20168109.
      Citations:    
    44. Hillier TA, Pedula KL, Vesco KK, Schmidt MM, Mullen JA, LeBlanc ES, Pettitt DJ. Excess gestational weight gain: modifying fetal macrosomia risk associated with maternal glucose. Obstet Gynecol. 2008 Nov; 112(5):1007-14. PMID: 18978099.
      Citations:    
    45. Mehra R, Stone KL, Ancoli-Israel S, Litwack-Harrison S, Ensrud KE, Redline S. Interpreting wrist actigraphic indices of sleep in epidemiologic studies of the elderly: the Study of Osteoporotic Fractures. Sleep. 2008 Nov; 31(11):1569-76. PMID: 19014077.
      Citations:    
    46. Dietz PM, Vesco KK, Callaghan WM, Bachman DJ, Bruce FC, Berg CJ, England LJ, Hornbrook MC. Postpartum screening for diabetes after a gestational diabetes mellitus-affected pregnancy. Obstet Gynecol. 2008 Oct; 112(4):868-74. PMID: 18827130.
      Citations:    
    47. Hillier TA, Vesco KK, Pedula KL, Beil TL, Whitlock EP, Pettitt DJ. Screening for gestational diabetes mellitus: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008 May 20; 148(10):766-75. PMID: 18490689.
      Citations:    
    48. Vesco KK, Haney EM, Humphrey L, Fu R, Nelson HD. Influence of menopause on mood: a systematic review of cohort studies. Climacteric. 2007 Dec; 10(6):448-65. PMID: 18049938.
      Citations:    
    49. Nelson HD, Vesco KK, Haney E, Fu R, Nedrow A, Miller J, Nicolaidis C, Walker M, Humphrey L. Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis. JAMA. 2006 May 03; 295(17):2057-71. PMID: 16670414.
      Citations:    
    50. Nelson HD, Haney E, Humphrey L, Miller J, Nedrow A, Nicolaidis C, Vesco K, Walker M, Bougatsos C, Nygren P. Management of menopause-related symptoms. Evid Rep Technol Assess (Summ). 2005 Mar; (120):1-6. PMID: 15910013.
      Citations:    
    51. Antoniucci DM, Sellmeyer DE, Cauley JA, Ensrud KE, Schneider JL, Vesco KK, Cummings SR, Melton LJ. Postmenopausal bilateral oophorectomy is not associated with increased fracture risk in older women. J Bone Miner Res. 2005 May; 20(5):741-7. PMID: 15824846.
      Citations:    
    52. Vesco KK, Carney ME. Granulosa cell tumor of the ovary: extensive late recurrence after initial occult microscopic disease. Obstet Gynecol. 2002 May; 99(5 Pt 2):888-91. PMID: 11975947.
      Citations:    
    53. Vesco KK, Bone RC, Ryan JC, Polich J. P300 in young and elderly subjects: auditory frequency and intensity effects. Electroencephalogr Clin Neurophysiol. 1993 Jul-Aug; 88(4):302-8. PMID: 7688285.
      Citations:    
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