Evidence map›Paper›PMID 37116391›Full record

SynthesisGynecologic oncology2023

Patient perspectives on risk-reducing salpingectomy with delayed oophorectomy for ovarian cancer risk-reduction: A systematic review of the literature.

Luiza Perez, Emily Webster, Leslie Bull, Jesse T Brewer, Muhammad Danyal Ahsan, Jenny Lin, Sarah R Levi, Evelyn Cantillo, Eloise Chapman-Davis, Kevin Holcomb and 2 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Gynecologic oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Contemporary risk assessment and risk-reducing strategies for tubo-ovarian cancer in women with BRCA pathogenic variants.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026
    Review
  2. Article
  3. Article
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  5. Review
  6. Observational
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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

12 authors at 1 institution in 1 country.

Luiza PerezWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Emily WebsterWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Leslie BullWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Jesse T BrewerWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Muhammad Danyal AhsanWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Jenny LinWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Sarah R LeviWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Evelyn CantilloWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Eloise Chapman-DavisWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Kevin HolcombWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Shoshana M RosenbergWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA.
Melissa K FreyWeill Cornell Medicine, 525 East 68th Street, Suite J-130, New York, NY 10065, USA. Electronic address: mkf2002@med.cornell.edu.
Cornell University · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Institutional Career Development CoreKL2TR002385 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI YUAN-SHAN ZHU · 2017 to 2026
$13.3M
NCATS NIH HHS KL2 TR002385NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

objectiveIncreasing evidence suggests the fallopian tube as the site of origin of BRCA1/2-associated high-grade ovarian cancers. Several ongoing trials are evaluating salpingectomy with delayed oophorectomy (RRSDO) for ovarian cancer risk reduction and patients are beginning to ask their clinicians about this surgical option. This study sought to systematically review the available literature examining patient preferences regarding RRSDO and risk-reducing salpingo-oophorectomy (RRSO) to provide clinicians with an understanding of patient values, concerns, and priorities surrounding ovarian cancer risk-reducing surgery.

methodsWe conducted a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO No.: CRD42023400690). We searched key electronic databases to identify studies evaluating acceptance and surgical decision-making regarding RRSO and RRSDO among patients with an increased risk of ovarian cancer.

resultsThe search yielded 239 results, among which six publications met the systematic review inclusion criteria. Acceptance of RRSDO was evaluated in all studies and ranged from 34% to 71%. Factors positively impacting patients' acceptance of RRSDO included: avoidance of surgical menopause, preservation of fertility, concerns about sexual dysfunction, family history of breast cancer, and avoidance of hormone replacement therapy. Factors limiting this acceptance reported by patients included concerns regarding oncologic safety, surgical timing, and surgical complications.

conclusionTo date, few studies have explored patient perspectives surrounding RRSDO. Collectively, the limited data available indicate a high level of acceptance among BRCA1/2 carriers, and provides insight regarding both facilitating and limiting factors associated with patient preferences to better equip clinicians in the counseling and support of their patients.

Indexed as

Breast NeoplasmsOvarian NeoplasmsBRCA1 ProteinBRCA2 ProteinFemaleGenetic Predisposition to DiseaseHumansMutationOvariectomyRisk Reduction BehaviorSalpingectomyBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA1BRCA2Hereditary cancer syndromesOvarian cancerPatient preferencesRisk-reducing salpingectomy with delayed oophorectomy (RRSDO)Risk-reducing salpingo-oophorectomy

Identifiers

PMID37116391
PMCPMC10650971
OpenAlexW4367046250

What OpenQuestion holds

Textmetadata
LicenceTDM
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.