Advanced search
Publication Cover
Cancer Investigation Volume 35, 2017 - Issue 1
Submit an article Journal homepage
306
Views
19
CrossRef citations to date
0
Altmetric
Articles

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

Nathaniel L. JonesDepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York, USA;New York Presbyterian Hospital, New York, New York, USA
,
Jay SchulkinDepartment of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA;Research Department, American College of Obstetricians and Gynecologists, Washington, DC, USA
,
Renata R. UrbanDepartment of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA
,
Jason D. WrightDepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York, USA;New York Presbyterian Hospital, New York, New York, USA;Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, New York, USA
,
William M. BurkeDepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York, USA;New York Presbyterian Hospital, New York, New York, USA;Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, New York, USA
,
June Y. HouDepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York, USA;New York Presbyterian Hospital, New York, New York, USA;Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, New York, USA
,
Cora A. McElwainResearch Department, American College of Obstetricians and Gynecologists, Washington, DC, USA
&
Ana I. TergasDepartment of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York, USA;New York Presbyterian Hospital, New York, New York, USA;Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, New York, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USACorrespondence[email protected]
 show all
Pages 51-61 | Received 20 Jun 2016, Accepted 27 Sep 2016, Published online: 28 Dec 2016
 
Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days

ABSTRACT

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.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Funding

This work was supported through grants to Jason Wright (National Cancer Institute; R01CA169121-01A1) and Jay Schulkin (Health Resources and Services Administration; UA6MC19010).

Log in via your institution

Access through your institution

Log in to Taylor & Francis Online

Restore content access

Restore content access for purchases made as guest
Purchase options * Save for later

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 1,193.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.