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Evaluating Ovarian Cancer Risk-Reducing Salpingectomy Acceptance: A Survey.

Alexandra Lukey^1,2, Ramlogan Sowamber^2,3,4, David Huntsman^2,3,4,5

¹Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada.

Cancer Research Communications

|January 9, 2025

Summary

Many individuals at higher risk for ovarian cancer are open to risk-reducing salpingectomy (RSS) for prevention. This suggests potential uptake for the procedure, even without genetic risk factors.

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Area of Science:

Gynecologic Oncology
Preventive Medicine
Public Health

Background:

Salpingectomy demonstrates effectiveness in preventing high-grade serous carcinoma.
There's a need to explore preventive strategies for individuals with elevated ovarian cancer risk, beyond those with known genetic predispositions.
The acceptability of risk-reducing salpingectomy (RSS) among the target population is currently unknown.

Purpose of the Study:

To assess the acceptability of risk-reducing salpingectomy (RSS) as an ovarian cancer prevention strategy.
To determine the risk thresholds at which individuals would consider undergoing RSS.
To identify factors influencing the willingness to consider RSS.

Main Methods:

An online survey was administered to adults in British Columbia, Canada, identified as being at risk for ovarian cancer.
Participants provided information on demographics, personal risk factors, and concerns regarding RSS.
The survey queried acceptable risk levels for considering RSS.

Main Results:

Over half (51%) of the 211 participants indicated willingness to consider RSS at various risk levels, with 42% open to it at any risk or above average risk.
A small percentage (6%) were unwilling to consider the procedure regardless of risk.
No demographic or risk-related factors were found to be associated with the likelihood of accepting RSS.

Conclusions:

The study indicates broad interest in risk-reducing salpingectomy (RSS) as a method for ovarian cancer prevention.
These findings suggest that RSS could see significant patient uptake if offered as a preventive measure.
Further research is recommended to optimize the implementation of RSS for ovarian cancer prevention.