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Opportunistic and interventional salpingectomy in women at risk: a strategy for preventing pelvic serous cancer (PSC)
Abstract Objective Salpingectomy is proposed as a prophylactic measure to reduce the incidence of tubo-ovarian/pelvic serous cancers. We surveyed the attitudes of obstetrician/gynecologists to incorporating salpingectomy opportunistically into surgery for benign conditions, and electively for young...
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Published in: | European journal of obstetrics & gynecology and reproductive biology 2013-09, Vol.170 (1), p.251-254 |
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creator | Kamran, M.W Vaughan, D Crosby, D Wahab, N.A Saadeh, F.A Gleeson, N |
description | Abstract Objective Salpingectomy is proposed as a prophylactic measure to reduce the incidence of tubo-ovarian/pelvic serous cancers. We surveyed the attitudes of obstetrician/gynecologists to incorporating salpingectomy opportunistically into surgery for benign conditions, and electively for young BRCA mutation carriers. Study design A questionnaire, designed to assess current standard clinical practice and willingness to perform salpingectomy for female sterilization at abdominal hysterectomy for benign disease (ABH), vaginal benign hysterectomy (VBH) and electively for women with BRCA mutations who wish to postpone oophorectomy was mailed to obstetrician/gynecologists working in Irish hospitals. Results In their current practice of interval female sterilization 96% of gynecologists applied clips at laparoscopy and 4% performed salpingectomy, and 73% were willing to consider salpingectomy. Eighty-one percent were willing to consider salpingectomy for sterilization at cesarean section. Gynecologists performing hysterectomy (without oophorectomy) for benign conditions did salpingectomy in 26% at ABH and 5.4% at VBH, and now 90% would consider salpingectomy at ABH and 66% at VBH. Two-thirds of respondents would consider salpingectomy for women at genetic risk of ovarian cancer who want to postpone oophorectomy. Conclusion Changing general gynecological practice to include more opportunistic salpingectomy has the potential to reduce the incidence of serous cancers. The majority of gynecologists are willing to incorporate more salpingectomies into their surgical practices and consider elective salpingectomy as an interim measure for women with defined genetic risk of pelvic serous cancer. |
doi_str_mv | 10.1016/j.ejogrb.2013.06.030 |
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We surveyed the attitudes of obstetrician/gynecologists to incorporating salpingectomy opportunistically into surgery for benign conditions, and electively for young BRCA mutation carriers. Study design A questionnaire, designed to assess current standard clinical practice and willingness to perform salpingectomy for female sterilization at abdominal hysterectomy for benign disease (ABH), vaginal benign hysterectomy (VBH) and electively for women with BRCA mutations who wish to postpone oophorectomy was mailed to obstetrician/gynecologists working in Irish hospitals. Results In their current practice of interval female sterilization 96% of gynecologists applied clips at laparoscopy and 4% performed salpingectomy, and 73% were willing to consider salpingectomy. Eighty-one percent were willing to consider salpingectomy for sterilization at cesarean section. Gynecologists performing hysterectomy (without oophorectomy) for benign conditions did salpingectomy in 26% at ABH and 5.4% at VBH, and now 90% would consider salpingectomy at ABH and 66% at VBH. Two-thirds of respondents would consider salpingectomy for women at genetic risk of ovarian cancer who want to postpone oophorectomy. Conclusion Changing general gynecological practice to include more opportunistic salpingectomy has the potential to reduce the incidence of serous cancers. The majority of gynecologists are willing to incorporate more salpingectomies into their surgical practices and consider elective salpingectomy as an interim measure for women with defined genetic risk of pelvic serous cancer.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2013.06.030</identifier><identifier>PMID: 23880597</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Attitude of Health Personnel ; Clinician attitudes ; Cystadenocarcinoma, Serous - prevention & control ; Female ; Genital Neoplasms, Female - prevention & control ; Humans ; Obstetrics and Gynecology ; Pelvic serous cancer ; Salpingectomy ; Salpingectomy - psychology</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2013-09, Vol.170 (1), p.251-254</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-3adf1148adc001404cf28f8be75b84046563a5c93c903954a771f385ffceeb8c3</citedby><cites>FETCH-LOGICAL-c417t-3adf1148adc001404cf28f8be75b84046563a5c93c903954a771f385ffceeb8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23880597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamran, M.W</creatorcontrib><creatorcontrib>Vaughan, D</creatorcontrib><creatorcontrib>Crosby, D</creatorcontrib><creatorcontrib>Wahab, N.A</creatorcontrib><creatorcontrib>Saadeh, F.A</creatorcontrib><creatorcontrib>Gleeson, N</creatorcontrib><title>Opportunistic and interventional salpingectomy in women at risk: a strategy for preventing pelvic serous cancer (PSC)</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Abstract Objective Salpingectomy is proposed as a prophylactic measure to reduce the incidence of tubo-ovarian/pelvic serous cancers. We surveyed the attitudes of obstetrician/gynecologists to incorporating salpingectomy opportunistically into surgery for benign conditions, and electively for young BRCA mutation carriers. Study design A questionnaire, designed to assess current standard clinical practice and willingness to perform salpingectomy for female sterilization at abdominal hysterectomy for benign disease (ABH), vaginal benign hysterectomy (VBH) and electively for women with BRCA mutations who wish to postpone oophorectomy was mailed to obstetrician/gynecologists working in Irish hospitals. Results In their current practice of interval female sterilization 96% of gynecologists applied clips at laparoscopy and 4% performed salpingectomy, and 73% were willing to consider salpingectomy. Eighty-one percent were willing to consider salpingectomy for sterilization at cesarean section. Gynecologists performing hysterectomy (without oophorectomy) for benign conditions did salpingectomy in 26% at ABH and 5.4% at VBH, and now 90% would consider salpingectomy at ABH and 66% at VBH. Two-thirds of respondents would consider salpingectomy for women at genetic risk of ovarian cancer who want to postpone oophorectomy. Conclusion Changing general gynecological practice to include more opportunistic salpingectomy has the potential to reduce the incidence of serous cancers. The majority of gynecologists are willing to incorporate more salpingectomies into their surgical practices and consider elective salpingectomy as an interim measure for women with defined genetic risk of pelvic serous cancer.</description><subject>Attitude of Health Personnel</subject><subject>Clinician attitudes</subject><subject>Cystadenocarcinoma, Serous - prevention & control</subject><subject>Female</subject><subject>Genital Neoplasms, Female - prevention & control</subject><subject>Humans</subject><subject>Obstetrics and Gynecology</subject><subject>Pelvic serous cancer</subject><subject>Salpingectomy</subject><subject>Salpingectomy - psychology</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFkUtv1DAUhS0EokPLP0DIy7JI6kceDgukasRLqlSkFomd5TjXI6eJHWxn0Px7PExhwabeWLbPPdf3Owi9oaSkhDZXYwmj34W-ZITykjQl4eQZ2lDRsqJt6uo52uQbWjBK6zP0KsaR5MV59xKdMS4Eqbt2g9bbZfEhrc7GZDVWbsDWJQh7cMl6pyYc1bRYtwOd_HzIj_iXn8FhlXCw8eE9VjimoBLsDtj4gJcAf2rdDi8w7bNnhODXiLVyGgK-_Ha3fXeBXhg1RXj9uJ-j758-3m-_FDe3n79ur28KXdE2FVwNhtJKqEETQitSacOEET20dS_ysakbrmrdcd0R3tWValtquKiN0QC90PwcXZ58l-B_rhCTnG3UME3KQf6TpBUTrGUN77K0Okl18DEGMHIJdlbhICmRR-BylCfg8ghckkZmvLns7WOHtZ9h-Ff0l3AWfDgJIM-5txBk1BYyisGGzFQO3j7V4X8DPVlntZoe4ABx9GvIMeVZZGSSyLtj6MfMKSeEdeQH_w1WCKnu</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Kamran, M.W</creator><creator>Vaughan, D</creator><creator>Crosby, D</creator><creator>Wahab, N.A</creator><creator>Saadeh, F.A</creator><creator>Gleeson, N</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Opportunistic and interventional salpingectomy in women at risk: a strategy for preventing pelvic serous cancer (PSC)</title><author>Kamran, M.W ; Vaughan, D ; Crosby, D ; Wahab, N.A ; Saadeh, F.A ; Gleeson, N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-3adf1148adc001404cf28f8be75b84046563a5c93c903954a771f385ffceeb8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Attitude of Health Personnel</topic><topic>Clinician attitudes</topic><topic>Cystadenocarcinoma, Serous - prevention & control</topic><topic>Female</topic><topic>Genital Neoplasms, Female - prevention & control</topic><topic>Humans</topic><topic>Obstetrics and Gynecology</topic><topic>Pelvic serous cancer</topic><topic>Salpingectomy</topic><topic>Salpingectomy - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamran, M.W</creatorcontrib><creatorcontrib>Vaughan, D</creatorcontrib><creatorcontrib>Crosby, D</creatorcontrib><creatorcontrib>Wahab, N.A</creatorcontrib><creatorcontrib>Saadeh, F.A</creatorcontrib><creatorcontrib>Gleeson, N</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamran, M.W</au><au>Vaughan, D</au><au>Crosby, D</au><au>Wahab, N.A</au><au>Saadeh, F.A</au><au>Gleeson, N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opportunistic and interventional salpingectomy in women at risk: a strategy for preventing pelvic serous cancer (PSC)</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>170</volume><issue>1</issue><spage>251</spage><epage>254</epage><pages>251-254</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>Abstract Objective Salpingectomy is proposed as a prophylactic measure to reduce the incidence of tubo-ovarian/pelvic serous cancers. We surveyed the attitudes of obstetrician/gynecologists to incorporating salpingectomy opportunistically into surgery for benign conditions, and electively for young BRCA mutation carriers. Study design A questionnaire, designed to assess current standard clinical practice and willingness to perform salpingectomy for female sterilization at abdominal hysterectomy for benign disease (ABH), vaginal benign hysterectomy (VBH) and electively for women with BRCA mutations who wish to postpone oophorectomy was mailed to obstetrician/gynecologists working in Irish hospitals. Results In their current practice of interval female sterilization 96% of gynecologists applied clips at laparoscopy and 4% performed salpingectomy, and 73% were willing to consider salpingectomy. Eighty-one percent were willing to consider salpingectomy for sterilization at cesarean section. Gynecologists performing hysterectomy (without oophorectomy) for benign conditions did salpingectomy in 26% at ABH and 5.4% at VBH, and now 90% would consider salpingectomy at ABH and 66% at VBH. Two-thirds of respondents would consider salpingectomy for women at genetic risk of ovarian cancer who want to postpone oophorectomy. Conclusion Changing general gynecological practice to include more opportunistic salpingectomy has the potential to reduce the incidence of serous cancers. The majority of gynecologists are willing to incorporate more salpingectomies into their surgical practices and consider elective salpingectomy as an interim measure for women with defined genetic risk of pelvic serous cancer.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>23880597</pmid><doi>10.1016/j.ejogrb.2013.06.030</doi><tpages>4</tpages></addata></record> |
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subjects | Attitude of Health Personnel Clinician attitudes Cystadenocarcinoma, Serous - prevention & control Female Genital Neoplasms, Female - prevention & control Humans Obstetrics and Gynecology Pelvic serous cancer Salpingectomy Salpingectomy - psychology |
title | Opportunistic and interventional salpingectomy in women at risk: a strategy for preventing pelvic serous cancer (PSC) |
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