Abstract
Objective:
In November of 2013, the Society of Gynecologic Oncology (SGO) released a practice statement recommending providers consider performing salpingectomy with other pelvic surgeries to prevent epithelial ovarian cancers. This study evaluated practice changes from tubal ligation to salpingectomy for surgical sterilization at an academic center following these recommendations to determine the time it took to change practice habits completely.
Materials and Methods:
This retrospective cohort study was performed at a large academic medical center, including women age 18 and older who underwent interval surgical sterilization between January 2012 and December 2018. Univariate analysis was performed to assess the changes in practice habits over time.
Results:
During the evaluated timeperiod, 220 qualifying procedures were performed. Salpingectomy accounted for 0/65 (0%) of sterilization procedures prior to January of 2014 and for 76/155 (49%) of procedures afterward (p < 0.001.) After 2014, the rate of salpingectomies increased annually: 2/29 (6.9%) in 2014; 8/43 (18.6%) in 2015; 15/29 (51.7%) in 2016; 19/20 (95.0%) in 2017; and 32/34 (94.1%) in 2018 (p < 0.001). Demographics and baseline characteristics were similar among patients in the evaluated intervals.
Conclusions:
Significant practice changes in surgical sterilization methods occurred immediately following the SGO recommendations and increased annually. Complete adoption of these recommendations took 4 years to achieve. (J GYNECOL SURG 38:138)
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