Research Topics
| Kevin J BozicSummaryAffiliation: University of California Country: USA Publications
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Publications
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...
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...
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...
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...
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...
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 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....
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...
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....
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...
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.)...
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...
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...
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....
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 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....
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...
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...
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...
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....
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
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...
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...
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....
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....
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....
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...
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...
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....
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...
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...
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
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...
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...
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...
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...
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....
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...
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....
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...
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...
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...
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
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...
