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Bilateral Salpingectomy with Ovarian Conservation

A look at hospital variation

In low-risk women undergoing benign hysterectomies, the rate of bilateral salpingectomy with ovarian conservation was low, and hospitals vary widely in the practice. This according to a study of 63,306 hospitalizations for hysterectomy, including 20,635 for adult women at low risk for ovarian cancer or subsequent ovarian surgery. Among these low-risk women, researchers found:

• Only 5.9% received bilateral salpingectomy with ovarian conservation.

• The rate varied markedly across 744 hospitals in the US ranging from 0% to 72.2%.

• When categorizing into tertiles based on the proportion of hysterectomies performed laparoscopically, hospitals in the highest tertile were more likely to have low-risk patients undergoing bilateral salpingectomy with ovarian conservation than those in the lowest tertile (adjusted OR=2.343).

• Geographic region, hysterectomy volume, and proportion of white patients were also significantly associated with a hospital’s likelihood of having low-risk patients undergoing this procedure.

Citation: Xu X, Desai VB. Hospital variation in the practice of bilateral salpingectomy with ovarian conservation in 2012. [Published online ahead of print January 7, 2016]. Obstet Gynecol. 2016;0:1-9. doi: 10.1097/AOG.0000000000001203.