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
收藏
页码：51 / 61
页数：11
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