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Association of salpingectomy with delayed oophorectomy vs salpingo-oophorectomy with quality of life in BRCA1/2 pathogenic variant carriers: A nonrandomized controlled trial

JAMA Aug 25, 2021

Steenbeek MP, Harmsen MG, Hoogerbrugge N, et al. - According to the findings of this nonrandomized controlled trial, patients enjoy greater menopause-related quality of life after risk-reducing salpingectomy (RRS) than after risk-reducing salpingo-oophorectomy (RRSO), independent of hormone replacement treatment.

  • An international follow-up study is currently being conducted to assess the oncologic safety of this therapy.

  • In total, 577 women (mean [SD] age, 37.2 [3.5] years) were recruited: 297 (51.5%) were pathogenic BRCA1 variant carriers and 280 (48.5%) were BRCA2 pathogenic variant carriers.

  • Three hundred ninety-four individuals had received RRS and 154 had received RRSO at the time of analysis.

  • The adjusted mean increase from baseline on the Greene Climacteric Scale during 1 year after RRSO was 6.7 points higher than after RRS without hormone replacement therapy.

  • In comparison to RRS, the difference after RRSO with hormone replacement therapy was 3.6 points.

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