Cancer investigation · 2016
Physicians' Perspectives and Practice Patterns Toward Opportunistic Salpingectomy in High- and Low-Risk Women.
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Jones Nathaniel L, Schulkin Jay, Urban Renata R, Wright Jason D, Burke William M, Hou June Y, McElwain Cora A, Tergas Ana I
Аннотация
BACKGROUND: Opportunistic bilateral salpingectomy (OBS) has been proposed as an ovarian cancer risk-reducing strategy.
METHODS: A survey was emailed to 300 members of the American College of Obstetricians and Gynecologists.
RESULTS: 125 (42%) surveys were returned: 60% female, 88% generalists, 67% private practice. Only 36% correctly identified the lifetime risk of ovarian cancer, only 23% understood the risk-reducing benefit of bilateral salpingo-oophorectomy. 75% perform salpingectomy during hysterectomy, 26-53% use for sterilization depending on approach. Concerns were increased operative time and complications. For BRCA mutations, 64% recommend BSO, 12% recommend a two-step risk-reducing strategy, and 14% refer to gynecologic oncology.
CONCLUSIONS: We identified broad support and factors limiting willingness to perform OBS.
METHODS: A survey was emailed to 300 members of the American College of Obstetricians and Gynecologists.
RESULTS: 125 (42%) surveys were returned: 60% female, 88% generalists, 67% private practice. Only 36% correctly identified the lifetime risk of ovarian cancer, only 23% understood the risk-reducing benefit of bilateral salpingo-oophorectomy. 75% perform salpingectomy during hysterectomy, 26-53% use for sterilization depending on approach. Concerns were increased operative time and complications. For BRCA mutations, 64% recommend BSO, 12% recommend a two-step risk-reducing strategy, and 14% refer to gynecologic oncology.
CONCLUSIONS: We identified broad support and factors limiting willingness to perform OBS.