Research Topics
| Kevin J BozicSummaryAffiliation: University of California Country: USA Publications
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Publications
Factors that influence provider selection for elective total joint arthroplastyKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA, 94143 0728, USA
Clin Orthop Relat Res 471:1865-72. 2013..However, the factors that influence patients' choice of provider when pursuing elective orthopaedic care, such as TJA, are poorly understood...
Estimating risk in Medicare patients with THA: an electronic risk calculator for periprosthetic joint infection and mortalityKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus, MU 320W, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 471:574-83. 2013..Therefore, it is difficult for surgeons to counsel patients on their individual risk of PJI or mortality after THA...- Is administratively coded comorbidity and complication data in total joint arthroplasty valid?Kevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA
Clin Orthop Relat Res 471:201-5. 2013..However, the concordance between administrative claims data and the clinical record in lower extremity total joint arthroplasty (TJA) is unknown... - Patient-related risk factors for periprosthetic joint infection and postoperative mortality following total hip arthroplasty in Medicare patientsKevin J Bozic
Department of Orthopaedic Surgery, University of California San Francisco, 500 Parnassus, MU 320W, San Francisco, CA 94143 0728, USA
J Bone Joint Surg Am 94:794-800. 2012..S. Medicare patients undergoing total hip arthroplasty... - Resource utilization and costs before and after total joint arthroplastyKevin J Bozic
University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA 94143 0728, USA
BMC Health Serv Res 12:73. 2012..The purpose of this study was to compare pre- and post-surgical healthcare costs in commercially insured total joint arthroplasty (TJA) patients with osteoarthritis (OA) in the United States (U.S.)... - Patient-related risk factors for postoperative mortality and periprosthetic joint infection in medicare patients undergoing TKAKevin J Bozic
UCSF Department of Orthopaedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California, 500 Parnassus, MU 320W, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 470:130-7. 2012..The impact of specific baseline comorbid conditions on the relative risk of postoperative mortality and periprosthetic joint infection (PJI) in elderly patients undergoing TKA has not been well defined... 
Economic considerations in minimally invasive total joint arthroplastyKevin J Bozic
Department of Orthopaedic Surgery, University of California San Francisco, 500 Parnassus, San Francisco, CA 94143, USA
Clin Orthop Relat Res 463:20-5. 2007....- The influence of procedure volumes and standardization of care on quality and efficiency in total joint replacement surgeryKevin J Bozic
Department of Orthopaedic Surgery, Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, CA 94143 0728, USA
J Bone Joint Surg Am 92:2643-52. 2010.... - Risk of complication and revision total hip arthroplasty among Medicare patients with different bearing surfacesKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 468:2357-62. 2010..These bearing surfaces are associated with unique risks and benefits and higher costs. However the relative risks of these three bearings in an older population is unknown... - Emerging ideas: Shared decision making in patients with osteoarthritis of the hip and kneeKevin J Bozic
Department of Orthopaedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California San Francisco, 500 Parnassus, MU 320 W, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 469:2081-5. 2011.... - The epidemiology of bearing surface usage in total hip arthroplasty in the United StatesKevin J Bozic
Department of Orthopaedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143 0728
J Bone Joint Surg Am 91:1614-20. 2009..The purpose of this study was to characterize the epidemiology of bearing surface utilization in total hip arthroplasty in the United States with respect to patient, hospital, geographic, and payer characteristics... - The epidemiology of revision total knee arthroplasty in the United StatesKevin J Bozic
Department of Orthopaedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, 500 Parnassus Ave, MU320W, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 468:45-51. 2010..LEVEL OF EVIDENCE: Level II, economic and decision analysis. See Guidelines for Authors for a complete description of levels of evidence... - Do the potential benefits of metal-on-metal hip resurfacing justify the increased cost and risk of complications?Kevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus, MU 320W, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 468:2301-12. 2010..However, the cost effectiveness of MoM HRA compared with THA is unclear... - Comparative effectiveness of metal-on-metal and metal-on-polyethylene bearings in Medicare total hip arthroplasty patientsKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, MUW320, San Francisco, California 94143 0728, USA
J Arthroplasty 27:37-40. 2012..The benefits of hard-on-hard bearings in Medicare patients remain unproven, and further study is needed to compare long-term complication and revision rates in Medicare THA patients with different bearing types... - The 2007 ABJS Marshall Urist Award: The impact of direct-to-consumer advertising in orthopaedicsKevin J Bozic
Department of Orthopaedic Surgery, University of California San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 458:202-19. 2007..Future efforts should be aimed at improving the quality and accuracy of information contained in consumer-directed advertisements related to orthopaedic implants and procedures... - An analysis of medicare payment policy for total joint arthroplastyKevin J Bozic
Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California 94143 0728, USA
J Arthroplasty 23:133-8. 2008.... - Does aspirin have a role in venous thromboembolism prophylaxis in total knee arthroplasty patients?Kevin J Bozic
Department of Orthopedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California 94143 0728, USA
J Arthroplasty 25:1053-60. 2010..Our results suggest that aspirin, when used in conjunction with other clinical care protocols, may be effective VTEP for certain TKA patients... - The epidemiology of revision total hip arthroplasty in the United StatesKevin J Bozic
Department of Orthopaedic Surgery and Philip R Lee Institute for Health Policy Studies, University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143 0278, USA
J Bone Joint Surg Am 91:128-33. 2009.... - Health state utility in patients with osteoarthritis of the hip and total hip arthroplastyKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, California 94143 0728, USA
J Arthroplasty 26:129-132.e1-2. 2011..However, health state utility is significantly worse after revision THA than primary THA, and failed primary or revision THA results in substantially reduced health state utility, similar to or worse than chronic OA... - Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty: a multicenter studyKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, California 94143-0728, USA
J Arthroplasty 20:17-25. 2005.... - Comparison of cemented and uncemented fixation in total hip replacement: a meta-analysisSaam Morshed
Department of Orthopaedic Surgery, School of Medicine, University of California San Francisco, San Francisco, CA 94143, USA
Acta Orthop 78:315-26. 2007..The choice of optimal implant fixation in total hip replacement (THR)--fixation with or without cement--has been the subject of much debate... - The economics of minimally invasive total knee arthroplastyKevin J Bozic
University of California, San Francisco, Department of Orthopedic Surgery, CA 94143-0728, USA
J Knee Surg 19:149-52. 2006 - Predictors of discharge to an inpatient extended care facility after total hip or knee arthroplastyKevin J Bozic
Department of Orthopaedic Surgery and Institute for Health Policy Studies, University of California, San Francisco, CA, USA
J Arthroplasty 21:151-6. 2006..Significant differences in practice patterns were found across hospitals with respect to discharge disposition after TJA. Further study is necessary to determine the appropriate criteria for discharge to an ECF after TJA... - Patient preferences and willingness to pay for arthroplasty surgery in patients with osteoarthritis of the hipKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA
J Arthroplasty 27:503-506.e2. 2012..These results may have important policy implications as patients are asked to share a greater burden of the cost of their care for chronic conditions such as OA... - Medicare physician reimbursement: past, present, and futureSanaz Hariri
Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, YCOC, Suite 3700, Boston, MA 02114-2696, USA
J Bone Joint Surg Am 89:2536-46. 2007 - Repeat 2-stage revision for recurrent infection of total hip arthroplastyKunal P Kalra
University of California, San Francisco, CA 94131, USA
J Arthroplasty 25:880-4. 2010..Repeat 2-stage treatment of infected THA is associated with a high failure rate. However, successful results can be achieved particularly if the host is not immunocompromised and healthy soft tissue coverage is present... - The impact of disruptive innovations in orthopaedicsErik Hansen
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 467:2512-20. 2009.... - The impact of infection after total hip arthroplasty on hospital and surgeon resource utilizationKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, California 94143 0728, USA
J Bone Joint Surg Am 87:1746-51. 2005.... - Variability in costs associated with total hip and knee replacement implantsJames C Robinson
University of California, Berkeley, Berkeley, CA, USA
J Bone Joint Surg Am 94:1693-8. 2012..The present study quantifies the patient, hospital, and market characteristics associated with variation in implant and total procedure costs for hip and knee arthroplasty... - Cost drivers in total hip arthroplasty: effects of procedure volume and implant selling priceMichael P Kelly
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143, USA
Am J Orthop (Belle Mead NJ) 38:E1-4. 2009..This study reinforces the need for a US total joint arthroplasty registry and for careful clinical and economic analyses of new technologies in orthopedics... - Treatment of early postoperative infections after THA: a decision analysisHany Bedair
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Clin Orthop Relat Res 469:3477-85. 2011..Although common treatments include irrigation and débridement with component retention, a one-stage exchange, or a two-stage exchange, it is unclear whether any of these provides a higher quality of life after the control of infection... - Modern metal-on-metal hip implantsKevin J Bozic
Department of Orthopaedic Surgery, Philip R Lee Institute for Health Policy Studies, University of California, San Francisco Medical Center, San Francisco, CA, USA
J Am Acad Orthop Surg 20:402-6. 2012..In addition, several studies reported elevated serum metal ion concentrations in patients with metal-on-metal hip articulations, although the clinical significance of these elevated ion concentrations remains unknown... - The validity of using administrative claims data in total joint arthroplasty outcomes researchKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, California, USA
J Arthroplasty 25:58-61. 2010..Total (all-component) revisions were overcoded for hips (00.70) and undercoded for knees (00.80). Improved clinical documentation and continued education are needed to enhance the value of these codes... - Assessment of tibiofemoral position in total knee arthroplasty using the active flexion lateral radiographMichael S Laidlaw
Department of Orthopaedic Surgery, University of California in San Francisco, San Francisco, CA 94103, United States
Knee 17:38-42. 2010..Our findings indicate that tibiofemoral AP translation during knee flexion can be assessed on an active flexion lateral knee radiograph and provide additional information that is not available from a routine lateral radiograph... - Impact of hospital volume on the economic value of computer navigation for total knee replacementJames D Slover
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, Suite 1616, New York, NY 10010, USA
J Bone Joint Surg Am 90:1492-500. 2008..The purpose of this study was to examine the impact of hospital volume on the cost-effectiveness of this new technology in order to determine its feasibility and the level of evidence that should be sought prior to its adoption... - Advances in orthopaedic outcomes researchErik J Novak
Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA 94143 0728, USA
J Surg Orthop Adv 17:200-3. 2008.... - Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics. The case of alternative bearing surfaces in total hip arthroplastyKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus, MU 320W, San Francisco, CA 94143 0728, USA
J Bone Joint Surg Am 88:706-14. 2006..The purpose of this study was to evaluate the cost-effectiveness of the use of alternative bearings in total hip arthroplasty... - Hospital resource utilization for primary and revision total hip arthroplastyKevin J Bozic
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143 0728, USA
J Bone Joint Surg Am 87:570-6. 2005.... - Intrapelvic displacement of a trial femoral head during total hip arthroplasty and a method to retrieve itKunal Kalra
Division of Arthroplasty, University of California, San Francisco, California, USA
J Arthroplasty 26:338.e21-3. 2011..This was retrieved via a posterior approach through the same incision by manipulating the trial head through the pelvis from the anterior to posterior direction. To our knowledge, this technique has not been described previously... - Pay-for-performance in orthopedics: implications for clinical practiceKevin J Bozic
Department of Orthopaedic Surgery and Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California 94143 0728, USA
J Arthroplasty 22:8-12. 2007..Future efforts should involve collaboration among providers, payers, and policy makers to ensure that P4P programs are implemented safely and effectively... - Extensor mechanism complications after total knee arthroplastyJay Patel
Department of Orthopaedic Surgery, University of California, Irvine, Orange, California, USA
Instr Course Lect 57:283-94. 2008.... - Impact of payer type on resource utilization, outcomes and access to care in total hip arthroplastyAdrian Hinman
Department of Orthopaedic Surgery, University of California, San Francisco, California, USA
J Arthroplasty 23:9-14. 2008..Decreased access to health care and increased time to presentation may account for the decreased functional scores and poorer clinical outcomes observed in Medicaid patients when compared with Medicare and commercially insured patients... - The cost-effectiveness of computer-assisted navigation in total knee arthroplastyErik J Novak
Department of Orthopaedic Surgery, University of California San Francisco, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143 0728, USA
J Bone Joint Surg Am 89:2389-97. 2007.... - Using financial incentives to improve value in orthopaedicsDavid Lansky
Pacific Business Group on Health, San Francisco, CA, USA
Clin Orthop Relat Res 470:1027-37. 2012..There is increasing interest in applying these financial incentives to orthopaedics, although it is unclear whether and to what extent they have been implemented and whether they increase quality or reduce costs... - Cost and effectiveness of postoperative fever diagnostic evaluation in total joint arthroplasty patientsDerek T Ward
Department of Orthopedic Surgery, University of California, San Francisco, California, USA
J Arthroplasty 25:43-8. 2010..Fever is a common occurrence after hip and knee arthroplasty, and many elements of an infectious evaluation are costly and clinically unnecessary... - Porous tantalum patellar augmentation: the importance of residual bone stockMichael D Ries
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143, USA
Clin Orthop Relat Res 452:166-70. 2006..Our results suggest stable fixation of a trabecular metal patellar component can be achieved when residual bone is present for implant fixation, but early loosening is likely to occur when soft tissue is used for fixation to the implant... - Cost minimization analysis of preoperative erythropoietin vs autologous and allogeneic blood donation in total joint arthroplastyWilliam Scott Green
Department of Orthopedic Surgery, University of California San Francisco, San Francisco, California 94143, USA
J Arthroplasty 25:93-6. 2010..A strategy that combines autologous blood donation with EPO for patients who cannot donate autologous blood may provide the greatest cost savings and minimize allogeneic blood transfusion... - Quality measurement and public reporting in total joint arthroplastyKevin J Bozic
Department of Orthopedic Surgery, University of California, San Francisco, San Francisco, California 94143 0728, USA
J Arthroplasty 23:146-9. 2008..Adherence to payer-defined guidelines had little or no correlation with either patient outcomes or costs of care. These findings underscore the need to define evidence-based performance measures for use in TJA public reporting programs... - Medial gastrocnemius flap coverage for treatment of skin necrosis after total knee arthroplastyMichael D Ries
Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 0728, USA
Clin Orthop Relat Res 446:186-92. 2006..Level of Evidence: Therapeutic study, level IV (case series). See Author Guidelines for a complete description of levels of evidence... - Pay for performance in orthopaedic surgeryRead G Pierce
University of California, San Francisco, CA, USA
Clin Orthop Relat Res 457:87-95. 2007..As pay for performance will likely be a long-term change that will have an impact on every orthopaedic surgeon, clinician awareness and participation will be fundamental in creating successful pay for performance programs... - Economic evaluation in orthopaedicsKevin J Bozic
Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Hospital, Midwest Orthopaedics, Chicago, IL 60612, USA
J Bone Joint Surg Am 85:129-42. 2003 - The emerging case for shared decision making in orthopaedicsJiwon Youm
Medical Student, Department of Orthopaedics, University of California, San Francisco, California
Instr Course Lect 62:587-94. 2013..It is helpful to examine the benefits of shared decision making, along with incentives to encourage adoption and implementation of this important philosophy... - Is hip arthroscopy cost-effective for femoroacetabular impingement?David W Shearer
Department of Orthopaedic Surgery, University of California, San Francisco, 500 Parnassus Avenue, MU 320 W, San Francisco, CA 94143, USA
Clin Orthop Relat Res 470:1079-89. 2012.... - Economic evaluation in total hip arthroplasty: analysis and review of the literatureKevin J Bozic
Department of Orthopaedic Surgery, University of California San Francisco, 94143-0728, USA
J Arthroplasty 19:180-9. 2004..Future studies should employ sound healthcare economic techniques to properly evaluate and assess the true social and economic value of THA... - Health care technology assessment. Basic principles and clinical applicationsKevin J Bozic
Department of Orthopaedic Surgery, School of Medicine, University of California, San Francisco, San Francisco, California 94143 0728, USA
J Bone Joint Surg Am 86:1305-14. 2004.... - An evaluation of information available on the internet regarding minimally invasive hip arthroplastyRyan Scott Labovitch
Department of Orthopaedic Surgery, University of California, San Francisco, California 94143, USA
J Arthroplasty 21:1-5. 2006..More than 91% made specific claims regarding the advantages of minimally invasive surgery. Our study suggests the information on the Internet regarding minimally invasive total hip arthroplasty is misleading and of poor quality... - AOA 2005 John J. Fahey, MD, Memorial North American Traveling Fellowship: Fellows' Travel DiaryMatthew T Provencher
Department of Orthopaedic Surgery, Division of Shoulder and Sports Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-1112, USA
J Bone Joint Surg Am 90:205-7. 2008 - Direct to consumer advertising in healthcare: history, benefits, and concernsSanjo Adeoye
Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY, USA
Clin Orthop Relat Res 457:96-104. 2007..Therefore, physicians, including orthopaedic surgeons, must take a leadership role on this issue to ensure the integrity of information provided to patients and to protect the sanctity of the doctor-patient relationship... - Health care technology assessment: implications for modern medical practice. Part II. Decision making on technology adoptionRead G Pierce
Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Am J Orthop (Belle Mead NJ) 36:71-6. 2007..Part II presents the factors that drive the technology choices made by patients, by individual physicians, by provider groups, and by hospital administrators... - Health care technology assessment: implications for modern medical practice. Part I. Understanding technology adoption and analysesRead G Pierce
Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Am J Orthop (Belle Mead NJ) 36:11-4. 2007..Part I discusses the difficult challenges posed by assessment and provides a guide to the methodologies used... - Technology assessment and adoption in orthopaedics: lessons learnedKevin J Bozic
J Bone Joint Surg Am 90:689-90. 2008 - An overview of economic issues in computer-assisted total joint arthroplastyDon C Beringer
Department of Surgery, Mercer University School of Medicine, Forsyth Street Orthopaedics, 1600 Forsyth Street, Macon, GA 31201, USA
Clin Orthop Relat Res 463:26-30. 2007.... - Medicare part B: physician participation optionsSanaz Hariri
Massachusetts General Hospital, Boston, MA 02114-2696, USA
J Bone Joint Surg Am 90:2282-91. 2008 - Health policy and practice management issues in orthopaedic surgery: editorial commentKevin J Bozic
Clin Orthop Relat Res 457:2. 2007 - AOA symposium. Direct-to-consumer marketing in orthopaedic surgery: boon or boondoggle?Jonathan L Schaffer
Advanced Operative Technology Group, Cleveland Clinic, 9500 Euclid Avenue, Desk A 41, Cleveland, OH 44195, USA
J Bone Joint Surg Am 90:2534-43. 2008