Ovarian Cancer, Risk Reduction
Conditions
Keywords
Ovarian cancer, Opportunistic Salpingectomy, Prevention, Female sterilization, Risk reduction, Implementation
Brief summary
The aim of this study is to optimize implementation of the opportunistic salpingectomy throughout the Netherlands.
Detailed description
The investigators aim to optimize implementation of opportunistic salpingectomy throughout the Netherlands. The investigators will evaluate the implementation by enrolling patients in a database to evaluate healthcare experiences and to register EOC diagnosis and vital status through yearly PALGA (the nationwide network and registry of histopathology and cytopathology in the Netherlands) and municipal administration searches. In addition, the investigators will perform medical record check to assess which percentage of eligible women have been offered OS. The investigators expect that a decision aid will be a necessary tool for the decision whether women opt for an OS or not, based on their personal values. After development of the tool(s), the investigators will evaluate the implementation process.
Interventions
PROCEDUREOpportunistic Salpingectomy
An opportunistic salpingectomy refers to removal of the fallopian tubes without the ovaries during (laparoscopic) interventions for benign (gynaecological) disease to reduce the number of ovarian cancer cases.
Sponsors
Catharina Ziekenhuis Eindhoven
Radboud University Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age from 30 years * Undergoing gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved * Childbearing completed * Able to understand the written or spoken Dutch language * Consent for enrolment in database * Consent for yearly checks of PALGA database and municipal administration
Exclusion criteria
* Age under 30 years * Undergoing surgery without residual ovarian tissue * Child wish * Unable to understand the written or spoken Dutch language * Previous bilateral salpingectomy * Previous bilateral salpingo-oophorectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Offered Opportunistic Salpingectomy (OS) | 2019 - 2023 | Number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands. |
| Implementation effect of Opportunistic Salpingectomy (OS) | 2019-2023 | The effect of our implementation efforts on the number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Influencing factors implementation Opportunistic Salpingectomy (OS) | 2019-2020 | Determine factors that impede and facilitate nationwide implementation of Opportunistic Salpingectomy. |
| Implementation tools | 2019-2020 | Implementation tools, developed based on the barriers and facilitators of the influencing factors. |
Countries
Netherlands
Outcome results
None listed