STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands

Radboud University Medical Center10,000 enrolled

Overview

The aim of this study is to optimize implementation of the opportunistic salpingectomy throughout the Netherlands.

The investigators aim to optimize implementation of opportunistic salpingectomy throughout the Netherlands. The investigators will evaluate the implementation by enrolling patients in a database to evaluate healthcare experiences and to register EOC diagnosis and vital status through yearly PALGA (the nationwide network and registry of histopathology and cytopathology in the Netherlands) and municipal administration searches. In addition, the investigators will perform medical record check to assess which percentage of eligible women have been offered OS. The investigators expect that a decision aid will be a necessary tool for the decision whether women opt for an OS or not, based on their personal values. After development of the tool(s), the investigators will evaluate the implementation process.

Study Type

OBSERVATIONAL

Enrollment

10,000

Conditions

Risk Reduction Ovarian Cancer

Interventions

Opportunistic SalpingectomyPROCEDURE

An opportunistic salpingectomy refers to removal of the fallopian tubes without the ovaries during (laparoscopic) interventions for benign (gynaecological) disease to reduce the number of ovarian cancer cases.

Eligibility

Sex: FEMALEMin age: 30 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age from 30 years * Undergoing gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved * Childbearing completed * Able to understand the written or spoken Dutch language * Consent for enrolment in database * Consent for yearly checks of PALGA database and municipal administration Exclusion Criteria: * Age under 30 years * Undergoing surgery without residual ovarian tissue * Child wish * Unable to understand the written or spoken Dutch language * Previous bilateral salpingectomy * Previous bilateral salpingo-oophorectomy

Locations (27)

Jeroen Bosch Hospital

's-Hertogenbosch, Netherlands

Outcomes

Primary Outcomes

Offered Opportunistic Salpingectomy (OS)

Number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.

Time frame: 2019 - 2023

Implementation effect of Opportunistic Salpingectomy (OS)

The effect of our implementation efforts on the number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.

Time frame: 2019-2023

Secondary Outcomes

Influencing factors implementation Opportunistic Salpingectomy (OS)

Determine factors that impede and facilitate nationwide implementation of Opportunistic Salpingectomy.

Time frame: 2019-2020

Implementation tools

Implementation tools, developed based on the barriers and facilitators of the influencing factors.

Time frame: 2019-2020

Data from ClinicalTrials.gov

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