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Opportunistic salpingectomy between 2011 and 2016: a descriptive analysis.
Gillian E Hanley1, Jin Niu2, Jihee Han2
1Division of Gynaecologic Oncology (Hanley, Kwon, Huntsman, Finlayson, McAlpine, Miller), Department of Gynaecology and Obstetrics, and Department of Pathology and Laboratory Medicine (Huntsman), University of British Columbia; Vancouver Coastal Health (Finlayson), Vancouver, BC; Canadian Partnership Against Cancer (Niu, Han, Fung, Bryant, Huntsman, Earle), Toronto, Ont.; Department of Community Health Sciences (Bryant) and Department of Oncology (Bryant), University of Calgary, Calgary, Alta. Gillian.hanley@vch.ca.
Opportunistic salpingectomy (OS) rates increased significantly between 2011 and 2016 for both hysterectomy and tubal sterilization procedures across Canada. However, considerable regional variations highlight opportunities to further increase OS adoption for ovarian cancer prevention.
Area of Science:
- Gynecologic Oncology
- Surgical Oncology
- Public Health
Background:
- Opportunistic salpingectomy (OS) involves fallopian tube removal during hysterectomy or tubal sterilization.
- The primary aim of OS is ovarian cancer risk reduction.
- Understanding current OS rates and trends is crucial for public health initiatives.
Purpose of the Study:
- To determine the rates of opportunistic salpingectomy (OS) during hysterectomy and tubal sterilization in Canada.
- To examine the trends in OS utilization from 2011 to 2016.
- To identify variations in OS rates across Canadian jurisdictions.
Main Methods:
- Descriptive analysis of Canadian administrative health data (2011-2016).
- Inclusion of patients aged 15+ undergoing hysterectomy or tubal sterilization.
- Exclusion of patients with gynecologic cancer or unilateral salpingectomy.
Main Results:
- The proportion of hysterectomies involving OS rose from 15.4% (2011) to 35.5% (2016).
- OS utilization in tubal sterilizations increased from 6.5% to 22.0% during the study period.
- Significant jurisdictional variations in OS rates were observed in 2016.
Conclusions:
- Opportunistic salpingectomy rates have increased nationally but show considerable geographic disparity.
- There is substantial potential to increase OS adoption in many Canadian regions.
- Further implementation efforts are warranted to maximize ovarian cancer prevention through OS.
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