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Trend in Uptake of Opportunistic Salpingectomy

Obstet Gynecol; ePub 2016 Jul 7; Garcia, Martin, et al

Consistent with the highly reported acceptance rate by health care providers, rates of salpingectomy increased significantly over time, according to a cohort study women aged ≥18 years undergoing hysterectomy from June 2011 to May 2014 in a large integrated health care delivery system in the US. Primary outcome was the change in rate of opportunistic salpingectomy over time and after a systemwide practice recommendation was issued in May 2013. Researchers found:

• Of the 12,143 hysterectomies performed over the 3-year study period, 7,498 were performed without oophorectomy.

• A significant rise in rate of salpingectomy was observed over time from 14.7% for June 2011 to May 2012 to 44.6% from June 2012 to May 2013 and to 72.7% from June 2013 to May 2014.

• 61% of laparoscopic hysterectomies were performed with salpingectomy; whereas only 25% of abdominal and 17% of vaginal hysterectomies had salpingectomies.

• There was a significantly shorter median operating time for laparoscopic hysterectomy with bilateral salpingectomy vs laparoscopic hysterectomy alone.

Citation: Garcia C, Martin M, Tucker LY, et al. Experience with opportunistic salpingectomy in a large, community-based health system in the United States. [Published online ahead of print July 7, 2016]. Obstet Gynecol. doi:10.1097/AOG.0000000000001531.