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

被引：21

作者：

Jones, Nathaniel L. ^{[1
,2
]}

Schulkin, Jay ^{[3
,4
]}

Urban, Renata R. ^{[3
]}

Wright, Jason D. ^{[1
,2
,5
]}

Burke, William M. ^{[1
,2
,5
]}

Hou, June Y. ^{[1
,2
,5
]}

McElwain, Cora A. ^{[4
]}

Tergas, Ana I. ^{[1
,2
,5
,6
]}

机构：

[1] Columbia Univ, Coll Phys & Surg, Dept Obstet & Gynecol, 161 Ft Washington Ave,4th Floor, New York, NY 10032 USA

[2] New York Presbyterian Hosp, New York, NY USA

[3] Univ Washington, Dept Obstet & Gynecol, Seattle, WA USA

[4] Amer Coll Obstetricians & Gynecologists, Res Dept, Washington, DC 20024 USA

[5] Columbia Univ, Coll Phys & Surg, Herbert Irving Comprehens Canc Ctr, New York, NY USA

[6] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA

来源：

CANCER INVESTIGATION | 2017年 / 35卷 / 01期

关键词：

Ovarian cancer prevention; risk-reducing surgery; practice patterns; salpingectomy; TUBAL INTRAEPITHELIAL CARCINOMA; BRCA2 MUTATION CARRIERS; OVARIAN-CANCER; BILATERAL SALPINGECTOMY; FALLOPIAN-TUBE; HYSTERECTOMY; OOPHORECTOMY; ORIGIN; TIME; LIGATION;

D O I：

10.1080/07357907.2016.1242597

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

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 riskreducing strategy, and 14% refer to gynecologic oncology. Conclusions: We identified broad support and factors limiting willingness to perform OBS.

引用

页码：51 / 61

页数：11

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