Evidence map›Paper›PMID 30479086›Full record

Observational studyJournal of gynecologic oncology2019

Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey.

Miranda P Steenbeek, Laura A M van Lieshout, Johanna W M Aarts, Jurgen M J Piek, Sjors F P J Coppus, Leon F A G Massuger, Rosella P M G Hermens, Joanne A de Hullu

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04470921 (STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04470921 unknown statusnot on this map

STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands

TypeobservationalSponsorRadboud University Medical CenterRan2019 to 2025Enrolled10,000ConditionsRisk Reduction, Ovarian CancerArmsOpportunistic Salpingectomy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Opportunistic salpingectomy in the Netherlands.Journal of gynecologic oncology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Miranda P SteenbeekRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands. Miranda.Steenbeek@radboudumc.nl.ORCID 0000-0001-6097-1579
Laura A M van LieshoutRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0003-0613-5267
Johanna W M AartsRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-0674-9405
Jurgen M J PiekDepartment of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands.ORCID 0000-0002-0487-0631
Sjors F P J CoppusRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-6786-5824
Leon F A G MassugerRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-1539-8985
Rosella P M G HermensRadboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-7624-7120
Joanne A de HulluRadboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-5578-092X
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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.

methodsThis 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.

resultsThe 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.

conclusionIn 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.

Indexed as

Clinical Decision-MakingCarcinoma, Ovarian EpithelialCross-Sectional StudiesFemaleGynecologyHealth Knowledge, Attitudes, PracticeHumansHysterectomy, VaginalNetherlandsOvarian NeoplasmsOvaryPractice Patterns, Physicians'Prophylactic Surgical ProceduresRisk AssessmentSalpingectomySurveys and QuestionnairesOvarian NeoplasmsPrimary PreventionRisk ReductionSalpingectomy

Identifiers

PMID30479086
PMCPMC6304401
OpenAlexW2891134010

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.