PMID- 34295957 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220425 IS - 2352-5789 (Print) IS - 2352-5789 (Electronic) IS - 2352-5789 (Linking) VI - 37 DP - 2021 Aug TI - Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients. PG - 100824 LID - 10.1016/j.gore.2021.100824 [doi] LID - 100824 AB - PURPOSE: Eighty percent of the approximately 500,000 hysterectomies performed annually in the US are for benign indications. There is lack of consensus regarding concurrent removal of fallopian tubes and/or ovaries. Ovarian cancer risk reduction is the principal benefit but the adverse consequences of ovarian removal can include vasomotor disturbance, vaginal dryness, cardiovascular disease, osteoporosis, and cognitive decline. Emerging evidence on the role of fallopian tubes in ovarian carcinogenesis and the consequences of oophorectomy have led the American College of Obstetricians-Gynecologists (ACOG) to recommend bilateral salpingectomy with ovarian conservation during benign hysterectomy for women at population risk for ovarian cancer. METHODS: Five hundred members of the ACOG Collaborative Ambulatory Research Network (CARN) were randomly selected to participate in this survey study. RESULTS: 165 completed the survey (35.3% response rate). Most respondents reported that a family history of breast, ovarian or colon cancer and patient age influence their decision to offer salpingectomy more than 75% of the time. Factors that a majority of respondents reported discussing during counseling included possible ovarian cancer risk reduction, surgical menopause, severity of symptoms, and the effects on bone and cardiovascular health. The respondents mean score for the knowledge-based questions was only 1.7 (+/-0.92) out of 4 points. CONCLUSION: Several factors may affect decision making for prophylactic salpingectomy at the time of hysterectomy however paramount among these is cancer risk reduction. Most physicians found it difficult to discuss and implement a change in care for patients with preconceived notions of ovarian preservation or removal. CI - (c) 2021 The Authors. FAU - Fialkow, Michael AU - Fialkow M AD - Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, USA. FAU - Castleberry, Neko AU - Castleberry N AD - The American College of Obstetricians and Gynecologists, Washington, DC, USA. FAU - Wright, Jason D AU - Wright JD AD - Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA. FAU - Schulkin, Jay AU - Schulkin J AD - Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, USA. FAU - Desai, Vrunda B AU - Desai VB AD - CooperSurgical, Trumbull, CT, USA. LA - eng PT - Journal Article DEP - 20210630 PL - Netherlands TA - Gynecol Oncol Rep JT - Gynecologic oncology reports JID - 101652231 PMC - PMC8281582 OTO - NOTNLM OT - Hysterectomy counseling OT - Opportunistic salpingectomy COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/07/24 06:00 MHDA- 2021/07/24 06:01 PMCR- 2021/06/30 CRDT- 2021/07/23 06:53 PHST- 2021/05/02 00:00 [received] PHST- 2021/06/22 00:00 [revised] PHST- 2021/06/27 00:00 [accepted] PHST- 2021/07/23 06:53 [entrez] PHST- 2021/07/24 06:00 [pubmed] PHST- 2021/07/24 06:01 [medline] PHST- 2021/06/30 00:00 [pmc-release] AID - S2352-5789(21)00128-4 [pii] AID - 100824 [pii] AID - 10.1016/j.gore.2021.100824 [doi] PST - epublish SO - Gynecol Oncol Rep. 2021 Jun 30;37:100824. doi: 10.1016/j.gore.2021.100824. eCollection 2021 Aug.