Predictors of bilateral salpingo-oophorectomy at the time of hysterectomy and the potential for ovarian preservation
CANSAGE ePoster Library. Sunderji Z. 09/27/19; 279825; eP-143
Dr. Zahra Sunderji
Dr. Zahra Sunderji
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Objectives: 1) To retrospectively review indications for bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy. 2) To determine the proportion of cases with the potential for ovarian preservation. Methods: A retrospective review of hysterectomies performed by gynaecologists at six Ontario hospitals from July 2016 to June 2018. Cases including BSOs were classified as ‘indicated’ or ‘avoidable’. ‘Avoidable’ criteria: ≤ 51 years old, benign preoperative diagnosis other than endometriosis and absence of intraoperative endometriosis and adhesions. Remainder of cases were classified as ‘indicated’. Chi-square test was used to compare proportions, and odds ratios were calculated. Results: Of the 2656 hysterectomies reviewed, 749 patients had a concurrent BSO. Of these, 68% were ‘indicated’ and 32% were ‘avoidable’ based on preoperative diagnosis. There was significant inter-hospital variation in the proportion of ‘indicated’ BSOs ranging from 45.3% to 76.9%, chi square test p < 0.001. ‘Indicated’ BSOs were more commonly performed at academic centers compared to community hospitals (70% vs 63%, OR 1.42, 95% CI 1.02-1.97, p=0.04). A larger proportion of fellowship-trained surgeons performed ‘indicated’ BSOs based on preoperative diagnosis compared to generalist surgeons (75% vs 63%, OR 1.76, 95% CI 1.26-2.44, p=0.001). 43.9% of ‘avoidable” BSOs were ≤ 51 years of age. Of this group, 58% had no intraoperative endometriosis and no adhesions. Conclusions: A large proportion of BSOs performed at the time of hysterectomy lacked a preoperative indication. Quality improvement initiatives should focus on standardizing practice with respect to BSO among gynaecologic surgeons, potentially avoiding surgical menopause for some women.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings