Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey / 부인종양
Journal of Gynecologic Oncology
; : e2-2019.
Article
en En
| WPRIM
| ID: wpr-719306
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE:
To explore current practice and influencing factors on adoption of the opportunistic salpingectomy (OS), particularly regarding the decision making, to eventually enhance the development and implementation of clear guidelines.METHODS:
This nationwide cross-sectional survey study was conducted in all hospitals in the Netherlands. An anonymous online survey was sent to gynecologists with special interest in gynecological oncology, gynecological endoscopy or urogynecology and all Dutch gynecology trainees. The survey mainly focused on current practice regarding OS and identification of influencing factors on the level of innovation, organization, healthcare professional and individual patient.RESULTS:
The response rate was 348 out of 597 gynecologists (58.3%) and 142 out of 340 trainees (41.8%). Current practice of discussing and performing the OS varied widely, with ovarian cancer (OC) risk reduction as most important supportive factor on innovation level. Supportive factors on the level of organization and healthcare provider were; working in a non-training hospital, knowledge of current literature and extensive work experience (in years and annual number of hysterectomies). On individual patient level, a vaginal approach of hysterectomy, negative family history for OC and the presence of firm adhesions were suppressive factors for the OS.CONCLUSION:
In this study we evaluated the current practice regarding the opportunistic salpingectomy in the Netherlands and identified influencing factors on different levels to raise awareness and attribute to development of a targeted implementation strategy, on both national and international level.Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Neoplasias Ováricas
/
Prevención Primaria
/
Estudios Transversales
/
Personal de Salud
/
Toma de Decisiones
/
Atención a la Salud
/
Conducta de Reducción del Riesgo
/
Endoscopía
/
Salpingectomía
/
Ginecología
Tipo de estudio:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Journal of Gynecologic Oncology
Año:
2019
Tipo del documento:
Article