title: Physicians' Perspectives and Practice Patterns Toward Opportunistic Salpingectomy in High- and Low-Risk Women.
abstract: BACKGROUND
  Opportunistic bilateral salpingectomy (OBS) has been proposed as an ovarian cancer risk-reducing strategy.
  
  
  METHODS
  A survey was emailed to 300 members of the American College of Obstetricians and Gynecologists.
  
  
  RESULTS
  125 (42%) surveys were returned: 60% female, 88% generalists, 67% private practice. Only 36% correctly identified the lifetime risk of ovarian cancer, only 23% understood the risk-reducing benefit of bilateral salpingo-oophorectomy. 75% perform salpingectomy during hysterectomy, 26-53% use for sterilization depending on approach. Concerns were increased operative time and complications. For BRCA mutations, 64% recommend BSO, 12% recommend a two-step risk-reducing strategy, and 14% refer to gynecologic oncology.
  
  
  CONCLUSIONS
  We identified broad support and factors limiting willingness to perform OBS.
authors.affiliation: a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.|b New York Presbyterian Hospital , New York , New York , USA.
authors.forename: Nathaniel L
authors.initials: NL
authors.lastname: Jones
authors.affiliation: c Department of Obstetrics and Gynecology , University of Washington , Seattle , Washington , USA.|d Research Department , American College of Obstetricians and Gynecologists , Washington, DC , USA.
authors.forename: Jay
authors.initials: J
authors.lastname: Schulkin
authors.affiliation: c Department of Obstetrics and Gynecology , University of Washington , Seattle , Washington , USA.
authors.forename: Renata R
authors.initials: RR
authors.lastname: Urban
authors.affiliation: a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.|b New York Presbyterian Hospital , New York , New York , USA.|e Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons , New York , New York , USA.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Wright
authors.affiliation: a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.|b New York Presbyterian Hospital , New York , New York , USA.|e Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons , New York , New York , USA.
authors.forename: William M
authors.initials: WM
authors.lastname: Burke
authors.affiliation: a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.|b New York Presbyterian Hospital , New York , New York , USA.|e Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons , New York , New York , USA.
authors.forename: June Y
authors.initials: JY
authors.lastname: Hou
authors.affiliation: d Research Department , American College of Obstetricians and Gynecologists , Washington, DC , USA.
authors.forename: Cora A
authors.initials: CA
authors.lastname: McElwain
authors.affiliation: a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.|b New York Presbyterian Hospital , New York , New York , USA.|e Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons , New York , New York , USA.|f Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.
authors.forename: Ana I
authors.initials: AI
authors.lastname: Tergas
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D008297:Male; D009154:Mutation; D010051:Ovarian Neoplasms / Q000235:genetics / Q000517:prevention & control*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011331:Private Practice / Q000706:statistics & numerical data; D058994:Salpingectomy / Q000009:adverse effects / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Ovarian cancer prevention; practice patterns; risk-reducing surgery; salpingectomy