Faculty and Staff Profile

Sarah Floyd

Educational Background

PhD Health Services Research
University of Florida 2016

MPH Epidemiology
University of Georgia 2012

BSHP Health Promotion
University of Georgia 2010

Courses Taught

HLTH 2030: Overview of Health Care Systems
HLTH 8120: Clinical and Translational Science

Profile

I am a health services researcher with research interests surrounding treatment variation and treatment effectiveness in musculoskeletal medicine. I also am interested in health care quality and health system performance. I was a Junior Service Fellow at the Agency for Healthcare Research and Quality in the summer of 2013 and earned my Ph.D. from the University of Florida in 2016. I served as a postdoctoral fellow and research assistant professor at the University of South Carolina and the Center for Effectiveness Research in Orthopaedics (CERortho) from 2016-2020. My current research is focused on generating personalized comparative effectiveness evidence and using “practice-based evidence” to develop rapid learning or clinical decision support tools which can summarize personalized evidence during the clinical encounter. My long-term research goal is to discover ways in which we can deliver the best evidence to physicians and patients to inform treatment decisions and improve clinical practice and patient outcomes. I am a PI on an AHRQ-funded research study using natural language processing to develop a measure of treatment success using clinical notes, in addition to being a co-investigator on an AHRQ-funded R01, R18, and SAMHSA awards. I enjoy leading research projects within the health system and working collaboratively with clinicians and other researchers. I have ongoing research partnerships with Prisma Health, MUSC, and Shriners Hospital for Children.

Research Interests

Comparative effectiveness research, practice-based evidence for clinical practice improvement, health system performance, orthopaedic/musculoskeletal medicine, personalized treatment evidence, clinical decision support, health informatics, patient outcomes

Research Publications

Brooks, J.M., Chapman, C., Floyd, S.B., Chen, B. (2024) Assessing the Properties of Patient-Specific Treatment Effect Estimates from Causal Forest Algorithms Under Essential Heterogeneity. BMC Medical Research Methodology. 24(66). https://doi.org/10.1186/s12874-024-02187-5

Floyd, S.B., Walker, T., Smith, J.T., Jones, P., Boes, N., Lindros, S.H., Carroll, M., Brooks, J.M., Thigpen, C.A., Pill, S., Kissenberth, M., (2023) Diagnostic Coding for Proximal Humerus Fracture Does Not Accurately Reflect Fracture Complexity Required for Comparative Effectiveness Research. Journal of Shoulder and Elbow Surgery. 33(2); 417-424. DOI:https://doi.org/10.1016/j.jse.2023.08.022

Singh, A., Schooley, B., Floyd, S. B., Pill, S. G., & Brooks, J. M. (2023) Patient preferences as human factors for health data recommender systems and shared decision making in orthopaedic practice. Frontiers in Digital Health, 5. doi:10.3389/fdgth.2023.1137066

Floyd S.B., NcGarby S, Cordero Romero S, Garrison S, Walker K, Hendry W, Moschella PC. (2023) Emergency Department Alternatives to Opioids: Adapting and Implementing Proven Therapies in Practice. International Journal of Environmental Research and Public Health. 20(2):1206. https://doi.org/10.3390/ijerph20021206

Lindros S.H., Warren J.A., Carbonell A.M. 2nd, Cobb W.S. 4th, Floyd S.B. (2023) Implementation of a Patient-Tailored Opioid Prescribing Guideline in Ventral Hernia Surgery. J Surg Res. Feb;282:109-117. doi: 10.1016/j.jss.2022.09.021. Epub 2022 Oct 18. PMID: 36270120.

Brooks, J.M., Chapman C.G., Floyd, S.B., Chen, B.K., Thigpen, C.A., Kissenberth, M. (2022) Assessing the ability of an instrumental variable causal forest algorithm to personalize treatment evidence using observational data: the case of early surgery for shoulder fracture. BMC Med Res Methodol. 11;22(1):190. doi: 10.1186/s12874-022-01663-0. PMID: 35818028; PMCID: PMC9275148.

Floyd, S.B., Sarasua, S.M., Pill, S.G.et al.(2022). Factors Related to Initial TreatmentforAdhesive Capsulitis in the Medicare Population.BMC Geriatr22,548. https://doi.org/10.1186/s12877-022-03230-0

Brooks,J.M., Chapman C.G., Floyd,S.B., Chen,B.K., Thigpen,C.A., Kissenberth,M. (2022) Assessing the ability of an instrumental variable causal forest algorithm to personalize treatment evidence using observational data: the case of early surgery for shoulder fracture. BMC Med Res Methodol. 11;22(1):190. doi: 10.1186/s12874-022-01663-0. PMID: 35818028; PMCID: PMC9275148.

Chen,B., Floyd,S., Jindal,D., Chapman,C., Brooks,J. (2022), What are the health consequences associated with differences in medical malpractice liability laws? An instrumental variable analysis of surgery effects on health outcomes for proximal humeral fracture across states with different liability rules. BMC Health Serv Res.22(1):590. doi: 10.1186/s12913-022-07839-0. PMID: 35505315; PMCID: PMC9063084.

Sarasua, S. Floyd, S.B., Bridges, W.C., Pill, S.(2021). The Epidemiology and Etiology of Adhesive Capsulitis in the U.S. Medicare Population. BMC Musculoskelet Disord. 22(1):828. doi: 10.1186/s12891-021-04704-9. PMID: 34579697; PMCID: PMC8474744.

Neal, C., Shuffler, M., Pegram, R., Floyd, S.B., Kennedy, A.B., Britt, T., Albano, A., Sherrill, W., Wiper, D., Kelly, D. (2021) Enhancing the Practice of Medicine with Embedded Multi-disciplinary Researchers in a Model of Change. Healthcare.8: 100492.

Chen, B. Chapman, C., Floyd, S.B., Brooks, J.M. (2021) State Tort Reform and Utilization of Surgical Treatment for Rotator Cuff Tear and Proximal Humerus Fracture.BMC Health Services Research. 21(516).https://doi.org/10.1186/s12913-021-06544-8.

Floyd, S.B., Oostdyk, A., Cozad, M., Brooks, J.M., Siffri, P., Burnikel, B. (2021) Assessing the Value of Orthopaedic Outcome Improvement for Patients with Knee Disability. Journal of Patient-Centered Research and Reviews. 8(2), 98-106.

Chapman, C., Hudspeth, J., Floyds, S.B., Carnahan, R., Thigpen, C., Kissenberth, M. (2020) Increased Opioid Use Following Rotator Cuff Repair Associated with Prior Opioid Use and Surgeons PrescribingPatterns. Journal of Shoulder and Elbow Surgery.29 (7), supplement S115-125.

Floyd, S.B., Thigpen, C., Kissenberth, M., & Brooks, J.M. (2020) Association of Surgical Treatment with Adverse Events and Mortality among Medicare Beneficiaries with Proximal Humerus Fracture. JAMA Network Open.3(1):e1918663. doi:10.1001/jamanetworkopen.2019.18663

Floyd, S.B., Campbell, J., Chapman, C., Thigpen, C., Kissenberth, M., & Brooks, J.M. (2019) Geographic Variation in the Treatment and of Proximal Humerus Fracture in the Medicare Population. Journal of Orthopaedic Surgery and Research.14(22). DOI: 10.1186/s13018-018-1052-2.

Floyd, S.B., Chapman, C., Shanley, E., Ruffrage, L., Matthias, E., Cooper, P., & Brooks, J.M. (2018) A comparison of treatment utilization for patients with shoulder osteoarthritis initiating care with non-orthopaedic physicians and orthopaedic specialists. BMC Musculoskeletal Disorders.19(1), 349. DOI: 10.1186/s12891-018-2268-3.

Thigpen, C., Floyd, S.B., Chapman, C., Tokish, J.M., Kissenberth, M., Hawkins, R., Brooks, J.M. (2018) Comparing Surgeon Performance of Rotator Cuff Repair: Risk Adjustment toward a More Accurate Performance Measure. The Journal of Bone and Joint Surgery.100(24):2110-2117.DOI: 10.2106/JBJS.18.00211.

Chapman,C., Thigpen,C., Floyd,S.B., Brooks,J., Chen,B., & Tokish,J. (2018) Treatment for Rotator Cuff Tear Influenced More by Where Patients Live Than Clinical Characteristics. The Journal of Bone & Joint Surgery Open Access.3(3), p. e0005. DOI: 10.2106/JBJS.OA.18.00005

Floyd,S.B., Chapman,C.G., Thigpen,C., Tokish,J.M., Hawkins,R., Brooks,J.M. (2018). Shoulder Arthroplasty in the US Medicare Population: One year evaluation of surgical complications, readmissions and revision surgery. The Journal of Shoulder and Elbow SurgeryOpen Access.2(1), 40-47. https://doi.org/10.1016/j.jses.2017.10.002

Honors and Awards

COBRE SC-TRIMH Research Project Leader
Orthopaedic Research Society Junior Investigator