J Gynecol Oncol.
2019 Jan;30(1):e2. 10.3802/jgo.2019.30.e2.
Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey
- Affiliations
-
- 1Radboud Institute for Health Sciences, Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands. Miranda.Steenbeek@radboudumc.nl
- 2Department of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands.
- 3Máxima Medical Centre, Veldhoven, The Netherlands.
- 4Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
- KMID: 2429571
- DOI: http://doi.org/10.3802/jgo.2019.30.e2
Abstract
OBJECTIVE
To 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.
METHODS
This 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.
RESULTS
The 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.
CONCLUSION
In 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.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Study on Participation in Clinical Decision Making by Home Healthcare Nurses
- Factors Influencing Nurses' Clinical Decision Making: Focusing on Critical Thinking Disposition
- Opportunistic salpingectomy in the Netherlands
- Should national societies recommend opportunistic salpingectomy?
- Factors Influencing Conflicts of Chemotherapy Decision Making among Pre-Operative Cancer Patients
