Evidence map›Paper›PMID 31824638›Full record

ArticleFacts, views & vision in ObGyn2019

The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery: a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG).

Waa Tjalma, Jja Bosteels, I Cooremans, S Cosyns, M De Greve, B P De Vree, D Debruyne, E T De Jonge, Eji Desmedt, P Dubois and 23 more

Open access · greenAbstract read
In one paragraph

Article in Facts, views & vision in ObGyn, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 7 institutions in 1 country.

Waa TjalmaAntwerp University Hospital - University of Antwerp, Antwerpen.
Jja BosteelsImelda Hospital, Bonheiden.
I CooremansAZ Delta campus Menen, Menen.
S CosynsVrije Universiteit Brussel - Universitair Ziekenhuis Brussel, Brussel.
M De GreveAZ Turnhout, Turnhout.
B P De VreeAntwerp University Hospital - University of Antwerp, Antwerpen.
D DebruyneAZ Groeninge, Kortrijk.
E T De JongeZOL, Genk - Hasselt University, Hasselt.
Eji DesmedtGZA, Wilrijk.
P DuboisKLINA, Brasschaat.
T FaesAZ Sint Blasius Dendermonde, Dendermonde.
M FrancxZNA Middelheim, Antwerpen.
T HamerlynckUniversitair Ziekenhuis Gent, Gent.
A P MakarZNA Middelheim, Antwerpen.
A S MarynsUniversitair Ziekenhuis Gent, Gent.
I MichielsSint-Trudo, Sint-Truiden.
G OryeJessa Ziekenhuis, Hasselt.
L PlatteeuwAZ Groeninge, Kortrijk.
B PouseeleOLV van Lourdes Ziekenenhuis, Waregem.
V SchutyserVrije Universiteit Brussel - Universitair Ziekenhuis Brussel, Brussel.
A SegaertAZ Maria Middelares, Gent.
M StevensAZ Rivierenland campus Bornem, Bornem.
C TomassettiUZ Leuven, Leuven.
X B TrinhAntwerp University Hospital - University of Antwerp, Antwerpen.
P TummersUniversitair Ziekenhuis Gent, Gent.
Sgk van CalenberghAZ Turnhout, Turnhout.
P A van DamAntwerp University Hospital - University of Antwerp, Antwerpen.
B Van HerendaelZNA Stuivenberg, Antwerpen.
R VanspauwenAZ Turnhout, Turnhout.
I B VergoteUZ Leuven, Leuven.
J VergutsOLV van Lourdes Ziekenenhuis, Waregem.
K WattyAZ Delta campus Roeselare, Roeselare, Belgium.
S WeyersUniversitair Ziekenhuis Gent, Gent.
Universitair Ziekenhuis Brussel · BEAZ Turnhout · BEUniversitair Ziekenhuis Leuven · BEZNA Middelheim Hospital · BEAZ Klina · BEImelda Hospital · BEJessa Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ovarian cancer (OC), is a disease difficult to diagnose in an early stage implicating a poor prognosis. The 5-year overall survival in Belgium has not changed in the last 18 years and remains 44 %. There is no effective screening method (secondary prevention) to detect ovarian cancer at an early stage. Primary prevention of ovarian cancer came in the picture through the paradigm shift that the fallopian tube is often the origin of ovarian cancer and not the ovary itself. Opportunistic bilateral salpingectomy (OBS) during benign gynaecological and obstetric surgery might have the potential to reduce the risk of ovarian cancer by as much as 65 %. Bilateral risk-reducing salpingectomy during a benign procedure is feasible, safe, appears to have no impact on the ovarian function and seems to be cost effective. The key question is whether we should wait for a RCT or implement OBS directly in our daily practice. Guidelines regarding OBS within our societies are therefore urgently needed. Our recommendation is to inform all women without a child wish, undergoing a benign gynaecological or obstetrical surgical procedure about the pro's and the con's of OBS and advise a bilateral salpingectomy. Furthermore, there is an urgent need for a prospective registry of OBS. The present article is the consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG) regarding OBS.

Indexed as

benefitsmenopauseopportunisticovarian cancerpreventionprophylacticreductionriskrisk-reducingsafetysalpingectomy

Identifiers

PMID31824638
PMCPMC6897518
OpenAlexW2996042029

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.