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Opportunistic Salpingectomy Between 2017 and 2020: A Descriptive Analysis.
Paramdeep Kaur1, Khaye Rufin1, Sarah J Finlayson1
1Department of Gynaecology and Obstetrics, Division of Gynaecologic Oncology, University of British Columbia, Vancouver, BC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|November 9, 2023
Summary
Opportunistic salpingectomy (OS) rates increased for hysterectomies and tubal sterilizations in Canada from 2017-2020. Despite this rise, thousands of opportunities for ovarian cancer prevention were missed.
Area of Science:
- Gynecologic Oncology
- Public Health
- Surgical Innovation
Background:
- Opportunistic salpingectomy (OS) is a surgical procedure for ovarian cancer prevention.
- The Society of Obstetricians and Gynaecologists of Canada recommended considering OS in 2015.
- Understanding OS adoption rates is crucial for evaluating its impact on cancer prevention strategies.
Purpose of the Study:
- To describe the rates of opportunistic salpingectomy (OS) performed during hysterectomy and tubal sterilization procedures in Canada between 2017 and 2020.
- To analyze trends in OS utilization across different Canadian jurisdictions.
- To identify potential missed opportunities for ovarian cancer prevention.
Main Methods:
- Utilized the Canadian Institute of Health Information's Discharge Abstract Database and National Ambulatory Care Reporting System (excluding Quebec) for fiscal years 2017-2020.
- Conducted a descriptive analysis of individuals aged 15+ undergoing hysterectomy or tubal sterilization.
- Calculated the proportion of hysterectomies including bilateral salpingectomy (OS) and compared OS rates to tubal ligation for sterilizations.
Main Results:
- Over 174,000 procedures were analyzed.
- The proportion of hysterectomies with OS increased from 31.7% (2017) to 39.9% (2020).
- Tubal sterilizations with OS rose from 26.3% (2017) to 42.5% (2020), with significant increases noted in many regions, especially for sterilization.
Conclusions:
- Opportunistic salpingectomy rates have risen across Canada following the 2015 recommendation.
- An estimated 76,932 opportunities for ovarian cancer prevention may have been missed.
- Further efforts are needed to maximize OS utilization for ovarian cancer prevention.
