Evidence map›Paper›PMID 39871731›Full record

ArticleBJS open2024

Ovarian cancer risk reduction by salpingectomy during non-gynaecological surgery: scoping review.

Charlotte Fisch, Malou E Gelderblom, Rosella P M G Hermens, Philip R de Reuver, Simon W Nienhuijs, Diederik M Somford, Joanne A de Hullu, Jurgen M J Piek

Abstract readScoping Review
In one paragraph

Article in BJS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

8 authors.

Charlotte FischDepartment of Obstetrics and Gynecology, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0001-6103-3285
Malou E GelderblomDepartment of Obstetrics and Gynecology, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-2232-4626
Rosella P M G HermensDepartment of IQ Health, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0001-7624-7120
Philip R de ReuverDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Diederik M SomfordDepartment of Urology, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.ORCID 0000-0002-5277-6586
Joanne A de HulluDepartment of Obstetrics and Gynecology, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0001-5578-092X
Jurgen M J PiekDepartment of Obstetrics and Gynecology, and Catharina Cancer Institute, Catharina Hospital, Eindhoven, The Netherlands.ORCID 0000-0002-0487-0631

Funding

Maarten van der Weijden Foundation R0007142
6 · The paper itself

Abstract

backgroundOvarian cancer is the leading cause of death among gynaecological cancers. The identification of the fallopian tube epithelium as the origin of most ovarian cancers introduces a novel prevention strategy by removing the fallopian tubes during an already indicated abdominal surgery for another reason, also known as an opportunistic salpingectomy. This preventive opportunity is evidence based, recommended and established at the time of gynaecologic surgery in many countries worldwide. To expand interest among surgeons in performing a salpingectomy during non-gynaecological surgery, the aim of this review is to identify knowledge gaps during those surgeries.

methodsA scoping review was performed following the PRISMA-Scoping Review (ScR) checklist. PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) database and Cochrane Library were systematically searched from inception to November 2024. Trial registers were searched for ongoing trials. All studies reporting original data on salpingectomy during non-gynaecological surgery were included. Outcomes were provided narratively.

resultsEighteen studies were identified reporting on the implementation, surgical feasibility, patients' perspectives, physicians' knowledge and cost-effectiveness of an opportunistic salpingectomy during non-gynaecological surgery. Population-level data indicate that an opportunistic salpingectomy is rarely performed in non-gynaecological surgeries. High success rates and no complications of an opportunistic salpingectomy were observed during bariatric surgery and cholecystectomies. However, performing an additional salpingectomy appeared more time-consuming. Patients had strong interest in information on and willingness to undergo opportunistic salpingectomy. Cost-effectiveness analysis encourages opportunistic salpingectomy use, as models show reduced ovarian cancer incidence and mortality rate while being cost-effective.

conclusionsOpportunistic salpingectomy during non-gynaecologic surgery appears to be a promising method to prevent ovarian cancer. Implementing such a strategy will require education of multiple surgical disciplines, training and resolution of organizational issues.

Indexed as

Ovarian NeoplasmsSalpingectomyCost-Benefit AnalysisFemaleHumansRisk Reduction Behavior

Identifiers

PMID39871731
PMCPMC11773000

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.