Evaluation of a patient decision aid for opportunistic salpingectomy and salpingectomy as sterilization method to prevent ovarian cancer

Malou E Gelderblom ¹, Charlotte Fisch ¹, Jurgen M J Piek ²

¹Department of Obstetrics and Gynecology, Radboud University Medical Centre, Nijmegen, The Netherlands.
²Department of Obstetrics and Gynecology, Catharina Cancer Institute, Catharina Hospital, Eindhoven, The Netherlands.
³Department of Obstetrics and Gynecology, ZGT, Almelo, The Netherlands.
⁴Department of Obstetrics and Gynecology, Streekziekenhuis Koningin Beatrix, Winterswijk, The Netherlands.
⁵Department of Obstetrics and Gynecology, Maxima Medical Center, Veldhoven/Eindhoven, The Netherlands.
⁶Department of Obstetrics and Gynecology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
⁷Department of Obstetrics and Gynecology, Rijnstate Hospital, Arnhem, The Netherlands.
⁸Department of Obstetrics and Gynecology, VieCuri Hospital, Venlo, The Netherlands.
⁹Department of Obstetrics and Gynecology, Isala Hospital, Zwolle, The Netherlands.
¹⁰Department of Obstetrics and Gynecology, Medisch Spectrum Twente Hospital, Enschede, The Netherlands.
¹¹Department of Obstetrics and Gynecology, Elkerliek Hospital, Helmond, The Netherlands.
¹²Department of Obstetrics and Gynecology, Bernhoven Hospital, Uden, The Netherlands.
¹³Department of Obstetrics and Gynecology, Jeroen Bosch Hospital, The Netherlands.
¹⁴Department of Obstetrics and Gynecology, Maastricht University Medical Center, GROW- School for Oncology and Reproduction, Maastricht, The Netherlands.
¹⁵Development and Implementation of Decision Aids, ZorgKeuzeLab, Delft, The Netherlands.
¹⁶Department of Obstetrics and Gynecology, Amphia Hospital, Breda, The Netherlands.
¹⁷Department of Obstetrics and Gynecology, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
¹⁸Department for Health Evidence, Radboud University Medical Centre, Nijmegen, The Netherlands.
¹⁹Department of IQ Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands.

⁰Department of Obstetrics and Gynecology, Radboud University Medical Centre, Nijmegen, The Netherlands.

Acta Obstetricia Et Gynecologica Scandinavica +

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March 27, 2025

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Summary

A new patient decision aid for opportunistic salpingectomy was found to be effective and user-friendly. It increased patient knowledge and satisfaction, leading most to choose the procedure for ovarian cancer risk reduction.

Area Of Science

Gynecology
Reproductive Health
Surgical Sterilization

Background

Opportunistic salpingectomy is a sterilization method with potential ovarian cancer risk-reducing benefits.
A patient decision aid was developed to standardize counseling and reduce practice variations.
Evaluating the aid's effectiveness and usability in clinical practice is crucial.

Purpose Of The Study

To assess the usability and effectiveness of a patient decision aid for opportunistic salpingectomy.
To evaluate the aid's impact on patient decision-making processes and choices.
To determine patient satisfaction and knowledge gained from using the decision aid.

Main Methods

A multicenter observational study involving 16 hospitals from July 2020 to February 2024.
Eligible patients considering opportunistic salpingectomy used the decision aid.
Digital questionnaires assessed aid usability, decision process, and post-surgery outcomes.

Main Results

84% of patients received and 82% used the decision aid.
67% reported increased knowledge; usability score was 8.1/10.
95% opted for opportunistic salpingectomy, citing ovarian cancer risk reduction and fallopian tube non-functionality.

Conclusions

The patient decision aid is widely used and recommended for opportunistic salpingectomy decisions.
It is perceived as user-friendly, providing reliable information and enhancing patient knowledge.
The aid positively influenced decision-making, with a high uptake of opportunistic salpingectomy.

Keywords:

female sterilization ovarian cancer patient decision aid prevention salpingectomy