ArticleGynecologic oncology reports2025
Factors influencing decision-making on opportunistic salpingo-oophorectomy for ovarian cancer prevention in women with gastrointestinal cancers undergoing intra-abdominal surgery.
Article in Gynecologic oncology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To assess the attitudes of women with non-gynecologic cancers undergoing intra-abdominal surgery toward opportunistic salpingo-oophorectomy (OSO) for ovarian cancer prevention, and to identify factors influencing their decision-making regarding prophylactic surgery. Methods: From July 2022 to August 2023, a questionnaire-based survey was conducted among women aged 40 years or older scheduled for intra-abdominal surgery for gastric or colorectal cancer at the National Cancer Center Korea. After providing information on ovarian cancer risk and laparoscopic salpingo-oophorectomy, including its benefits and potential risks, data were collected on participants' cancer history, menopausal status, education level, income, family history of cancer, concerns about ovarian cancer, and perceptions of cancer treatment. Quality of life and menopausal symptoms were assessed using the EuroQol 5 Dimensions 3 Levels questionnaire (EQ-5D-3L) and the Menopause Rating Scale. Results: Overall, 60.2 % of the respondents (59 out of 98) were willing to undergo OSO at the time of their surgery. The most common reason for declining OSO was a lack of concern about ovarian cancer (21/39, 53.8 %), followed by concerns about potential declines in quality of life (13/39, 33.3 %). Personal or familial cancer history, concerns about cancer treatment, perceived risk of ovarian cancer, menopausal symptoms, and overall quality of life did not significantly influence the decision to accept or refuse OSO. Conclusions: The choice to undergo OSO appears to be driven more by personal perception of ovarian cancer risk and worries about postoperative quality of life than by measurable menopausal symptoms, current health-related quality of life, or previous cancer-related experiences. These findings offer important guidance for the development of OSO-centered ovarian cancer prevention strategies.
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