Marcia Bouton
@midwestern.edu
Assistant Professor, Physician Assistant Program
midwestern university
RESEARCH, TEACHING, or OTHER INTERESTS
Health Professions, Multidisciplinary
Scopus Publications
Scopus Publications
Marcia Bouton and Michael Halasy
Ovid Technologies (Wolters Kluwer Health)
ABSTRACT Objective: Highly published physician associate/assistant (PA) researchers were surveyed to quantify experienced support patterns that may inform increased support of PA-led research. Methods: Publication volume of authors of research articles published in JAAPA and the Journal of Physician Assistant Education (JPAE) between 2011 and 2020 was recorded. PAs in the upper quartile were emailed surveys containing demographics and 25 Likert-scale questions. Descriptive statistics and binomial exact test were completed. Results: Sixty-five of the 73 PAs were contacted by email; 26 participated; and 35% were female. Social support measures were high; respondents were mentors and mentees, who work collaboratively. Material support and educational support measures were lower and most reported no funding nor pay for research; they did not learn research skills in PA school. However, they feel recognized, and find joy in research. Conclusions: Successful PA researchers find joy despite low material support regarding funding, pay, and protected time. Women and racial minorities were underrepresented; research is needed to examine potential barriers.
Marcia Bouton and Michael Halasy
Ovid Technologies (Wolters Kluwer Health)
Introduction The purpose of this study was to analyze bibliometric data and trends of author contributions to the Journal of Physician Assistant Education (JPAE) from 2011-2020. Methods Author data were collected from JPAE research articles published from 2011-2020. Publication history and h-index were obtained from Scopus. Data collected included first authors, last authors, and PA authors as well as trends in publications in JPAE. Descriptive statistics, ANOVA, and Wilcoxon rank-sum tests were completed. Results From 2011-2020, 200 research articles were published in JPAE; the volume was constant. Of 698 authors listed, 374 were physician assistants (PAs). Overall, contributing authors had a mean publication number of 19.6 (1-327) compared to 12.1 (1-163) for PAs. First and last PA authors had mean publication numbers of 13.2 and 16.1, respectively, and an average h-index of 3.2 and 4.4, respectively. The overall author h-index was 5.2. The mean number of publications for non-PA last authors was 32.9. Publication to h-index proportion was similar between PAs and other authors. The top 25th percentile of PA authors published >9 indexed documents, 3 times the number published by those in the 1-75th percentile. Discussion PA author articles in JPAE from 2011 to 2020 were fewer than those by non-PAs but were as likely to have a proportionate h-index. PAs listed as first and last author were highly published. Trends suggest that when PA first authors work with PA last authors, there may be a more egalitarian relationship, and mentorship patterns may also exist within these groups. Increasing publication numbers from 2011 to 2020 for PA first and last authors indicates increasing academic contribution.
John Davis, Daniela Cocco, Samantha Matz, Chiu-Hsieh Hsu, Morgan J. Brown, Jennifer Lee, Marcia E. Bouton, Daniel M. Caruso, and Ian K. Komenaka
Elsevier BV
Jesse N. Nodora, Ian K. Komenaka, Marcia E. Bouton, Lucila Ohno-Machado, Richard Schwab, Hyeon-eui Kim, Claudiu Farcas, Giovanna Perez, and Maria Elena Martinez
Oxford University Press (OUP)
Biospecimen donation is key to the Precision Medicine Initiative, which pioneers a model for accelerating biomedical research through individualized care. Personalized medicine should be made available to medically underserved populations, including the large and growing US Hispanic population. We present results of a study of 140 Hispanic women who underwent a breast biopsy at a safety-net hospital and were randomly assigned to receive information and request for consent for biospecimen and data sharing by the patient’s physician or a research assistant. Consent rates were high (97.1% and 92.9% in the physician and research assistant arms, respectively) and not different between groups (relative risk [RR] = 1.05, 95% confidence interval [CI] = 0.96 to 1.10). Consistent with a small but growing literature, we show that perceptions of Hispanics’ unwillingness to participate in biospecimen sharing for research are not supported by data. Safety-net clinics and hospitals offer untapped possibilities for enhancing participation of underserved populations in the exciting Precision Medicine Initiative.
Meredith A Heberer, Ian K Komenaka, Jesse N Nodora, Chiu-Hsieh Hsu, Sonal G Gandhi, Lauren E Welch, Marcia E Bouton, Paula Aristizabal, Barry D Weiss, and Maria Elena Martinez
Baishideng Publishing Group Inc.
AIM To identify factors associated with Papanicolaou-smear (Pap-smear) cervical cancer screening rates in a safety net population. METHODS From January 2012 to May 2013, the use of Pap-smear was determined for all patients seen at the breast clinic in a safety net hospital. Health literacy assessment was performed using the validated Newest Vital Sign. The records of patients were reviewed to determine if they had undergone Pap-smears for cervical cancer screening. Sociodemographic information was collected included age, education, monthly income, race/ethnicity, employment, insurance status, and primary care provider of the patient. Logistic regression analysis was then performed to determine factors associated with utilization of Pap-smears. Crude and adjusted odds ratios derived from multivariate logistic regression models were calculated as well as the associated 95%CIs and P-values. RESULTS Overall, 39% had Pap-smears in the prior 15 mo, 1377 consecutive women were seen during the study period and their records were reviewed. Significantly more patients with adequate health literacy underwent Pap-smears as compared to those with limited health literacy (59% vs 34%, P < 0.0001). In multivariate analysis, patients with adequate health literacy, younger patients, and those with later age of first live birth were more likely to undergo Pap-smears. Patients whose primary care providers were gynecologists were also significantly more likely to have Pap-smears compared to other specialties (P < 0.0001). Patients younger than 21 years or older than 65 years underwent screening less frequently (11% and 11%, respectively) than those 21-64 years (41%, P < 0.0001). Race, ethnicity, language, and insurance status were not associated with Pap-smear screening rates. CONCLUSION Patient health literacy and primary care physician were associated with Pap-smear utilization. Development of interventions to target low health literacy populations could improve cervical cancer screening.
Joshua B. Knolhoff, Brano Djenic, Chiu-Hsieh Hsu, Marcia E. Bouton, and Ian K. Komenaka
Elsevier BV
Gina R. Shirah, Chiu-Hsieh Hsu, Meredith A. Heberer, Lauren I. Wikholm, Jonathan J. Goodman, Marcia E. Bouton, and Ian K. Komenaka
Springer Science and Business Media LLC
Lisa M. Winton, Jesse N. Nodora, Maria Elena Martinez, Chiu-Hsieh Hsu, Brano Djenic, Marcia E. Bouton, Paula Aristizabal, Elizabeth M. Ferguson, Barry D. Weiss, and Ian K. Komenaka
Elsevier BV
Marcia E. Bouton, Lakshmi Jayaram, Patrick J. O'Neill, Chiu-Hsieh Hsu, and Ian K. Komenaka
Elsevier BV
Ian K. Komenaka, Meredith A. Heberer, Patrick J. O’Neill, Chiu-Hsieh Hsu, Elizabeth M. Nesset, Ross F. Goldberg, Lisa M. Winton, Marcia E. Bouton, and Daniel M. Caruso
Elsevier BV
Ian K. Komenaka, Lisa M. Winton, Marcia E. Bouton, Chiu-Hsieh Hsu, Jesse N. Nodora, Loyd Olson, Terry R. Maffi, Elizabeth M. Nesset, and Maria Elena Martinez
Springer Science and Business Media LLC
Anne E. Klemens, Lyndsay Olsen-Deeter, Chiu-Hsieh Hsu, Marcia E. Bouton, Brano Djenic, Lisa M. Winton, and Ian K. Komenaka
Elsevier BV
Ian K. Komenaka, Jesse N. Nodora, Chiu-Hsieh Hsu, Maria Elena Martinez, Sonal G. Gandhi, Marcia E. Bouton, Anne E. Klemens, Lauren I. Wikholm, and Barry D. Weiss
Ovid Technologies (Wolters Kluwer Health)
OBJECTIVE: To investigate the relationship of health literacy and screening mammography. METHODS: All patients seen at a breast clinic underwent prospective assessment of health literacy from January 2010 to April 2013. All women at least 40 years of age were included. Men and women diagnosed with breast cancer before age 40 years were excluded. Routine health literacy assessment was performed using the Newest Vital Sign. Demographic data were also collected. Medical records were reviewed to determine if patients had undergone screening mammography: women aged 40–49 years were considered to have undergone screening if they had another mammogram within 2 years. Women 50 years or older were considered to have undergone screening mammography if they had another mammogram within 1 year. RESULTS: A total of 1,664 consecutive patients aged 40 years or older were seen. No patient declined the health literacy assessment. Only 516 (31%) patients had undergone screening mammography. Logistic regression analysis that included ethnicity, language, education, smoking status, insurance status, employment, income, and family history found that only three factors were associated with not obtaining a mammogram: low health literacy (odds ratio [OR] 0.27, 95% confidence interval [CI] 0.19–0.37; P<.001), smoking (OR 0.64, 95% CI 0.47–0.85; P=.002), and being uninsured (OR 0.66, 95% CI 0.51–0.85; P=.001). CONCLUSION: Of all the sociodemographic variables examined, health literacy had the strongest relationship with use of screening mammography. LEVEL OF EVIDENCE: III
Marcia E. Bouton, Lisa M. Winton, Sonal G. Gandhi, Lakshmi Jayaram, Prahladbhai N. Patel, Patrick J. O’ Neill, and Ian K. Komenaka
Elsevier BV
Ian K. Komenaka, Jesse N. Nodora, Lorenzo Machado, Chiu-Hsieh Hsu, Anne E. Klemens, Maria Elena Martinez, Marcia E. Bouton, Krista L. Wilhelmson, and Barry D. Weiss
Elsevier BV
Lyndsay Olsen-Deeter, Chiu-Hsieh Hsu, Jesse N. Nodora, Marcia E. Bouton, Justin Nalagan, Maria Elena Martinez, and Ian K. Komenaka
Elsevier BV
Rozbeh Torabi, Chiu-Hsieh Hsu, Prahladbhai N. Patel, Harikrishna Dave, Marcia E. Bouton, and Ian K. Komenaka
Springer Science and Business Media LLC
Marcia E. Bouton, Gina R. Shirah, Jesse Nodora, Erika Pond, Chiu‐Hsieh Hsu, Anne E. Klemens, Maria Elena Martinez, and Ian K. Komenaka
Wiley
AbstractBackgroundThe purpose of this study was to evaluate the effect of a video on patient understanding of basic breast cancer concepts.MethodsAn 11 item tool of breast cancer concepts was devised. A previous study obtained baseline information on patient knowledge. Subsequently an 8 min video was designed to facilitate the understanding of these concepts. The next 40 consecutive patients who saw the video were then administered the same 11 item questionnaire.ResultsEighty‐one women agreed to participate in the study, 41 before and 40 after the implementation of the video. Fifty‐one percent had less than a high school education. The group who saw the video had a higher mean number of questions correct (6.7 vs. 8.9, P = 0.0007). Interestingly 90% of all respondents correctly answered the question on the value of screening mammography, however, only 37% of these patients underwent screening mammograms. A multiple linear regression model adjusting for years of education, language, and seeing the video, revealed that having seen the video (P = 0.0029) and years of education (P = 0.0002) remained significantly associated with higher score.ConclusionsImplementation of an educational video significantly improved understanding of breast cancer concepts in an undereducated population. J. Surg. Oncol. 2012; 105:48–54. © 2011 Wiley Periodicals, Inc.
Ian K. Komenaka, Michael L. Hibbard, Chiu-Hsieh Hsu, Boo Ghee Low, Jason A. Salganick, Marcia E. Bouton, and Chandra Jha
Oxford University Press (OUP)
Abstract Background. Preoperative chemotherapy (PC) for operable breast cancer has demonstrated significant benefits in clinical trials. Many patients are treated in the community setting and some may question the applicability of PC outside the university setting. The potential benefits of PC in terms of surgical outcomes in a community practice were examined. Methods. A retrospective review was performed of stage II and stage IIIA breast cancer patients from January 1, 2002 to July 31, 2009. Surgical outcomes of margin status, volume of lumpectomy, rate of lumpectomy, and re-excision lumpectomy were evaluated. Results. There were 212 patients included. Seventy-nine percent of patients who underwent PC had a clinical response and 25% had a pathologic complete response. For clinical stage T2 and stage T3 tumors, the PC group underwent lumpectomy more often than patients in the adjuvant chemotherapy (AC) group (78% versus 50%; p = .016 and 60% versus 29%; p = .015, respectively). The rate of close or positive margins in the PC group was half the rate in the AC group (23% versus 46%; p = .04) and this resulted in fewer re-excisions (p = .01). The volume of tissue removed was also smaller in the PC group (143.6 cm3 versus 273.9 cm3; p = .003). Conclusions. PC for operable breast cancer can significantly improve surgical outcomes in community-based practice.
Ian K. Komenaka, Chiu-Hsieh Hsu, Maria Elena Martinez, Marcia E. Bouton, Boo Ghee Low, Jason A. Salganick, Jesse Nodora, Michael L. Hibbard, and Chandra Jha
Oxford University Press (OUP)
Abstract Introduction. Preoperative chemotherapy (PC) for operable breast cancer has shown significant benefits in prospective trials. Many patients are treated in the community setting and some may question the applicability of PC outside the university setting. Methods. Retrospective review was performed of stage II and IIIA breast cancer patients treated from January 2002 to July 2009. Fifty-three of 57 patients who underwent PC were matched based on age, tumor size, and hormone receptor status with 53 patients who did not undergo PC. Differences in patient compliance with physician recommendations for all types of adjuvant therapy were evaluated. Crude odds ratios and adjusted odds ratios derived from conditional logistic regression models were calculated. Results. There were 106 patients included. Patient compliance with chemotherapy was better in the PC group than in the adjuvant chemotherapy (AC) group (100% versus 70%; p = .0001). Similarly, more patients in the PC group completed radiation therapy (96% versus 65%; p = .0003) and initiated hormonal therapy (100% versus 62%; p = .0001). Conditional logistic regression revealed that higher pathologic stage and current cigarette smoking were associated with poorer compliance with chemotherapy. For radiation therapy, the univariate model revealed that compliance with chemotherapy and being employed were associated with completion of radiation, whereas current cigarette smoking and larger pathologic size were associated with poorer compliance with radiation. For hormonal therapy, current cigarette smokers were more likely to be noncompliant with initiation of hormonal therapy. Conclusions. PC for operable breast cancer can improve patient compliance with chemotherapy. Current cigarette smokers were more likely to be noncompliant with all types of adjuvant therapy.
Gina R. Shirah, Sean K. Lau, Lakshmi Jayaram, Marcia E. Bouton, Prahladbhai N. Patel, and Ian K. Komenaka
Hindawi Limited