Медицинская библиотека · Cancer investigation · 2016

Physicians' Perspectives and Practice Patterns Toward Opportunistic Salpingectomy in High- and Low-Risk Women.

Jones Nathaniel L, Schulkin Jay, Urban Renata R, Wright Jason D, Burke William M, Hou June Y, McElwain Cora A, Tergas Ana I

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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.

Для цитирования: Jones Nathaniel L, Schulkin Jay, Urban Renata R, Wright Jason D, Burke William M, Hou June Y, McElwain Cora A, Tergas Ana I. Physicians' Perspectives and Practice Patterns Toward Opportunistic Salpingectomy in High- and Low-Risk Women.. Cancer investigation. 2016. DOI: 10.1080/07357907.2016.1242597.

Предметные рубрики MeSH

Female Humans Hysterectomy Male Mutation Ovarian Neoplasms Practice Patterns, Physicians'Private Practice Salpingectomy Surveys and Questionnaires

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