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The rapid adoption of opportunistic salpingectomy at the time of hysterectomy for benign gynecologic disease in the United States

American Journal of Obstetrics and Gynecology Jun 18, 2020

Mandelbaum RS, Adams CL, Yoshihara K, et al. - Researchers investigated trends in opportunistic salpingectomy in women undergoing benign hysterectomy via conducting a population-based, retrospective, observational study examining the National Inpatient Sample between January 2001 and September 2015. Further, they examined the possible contribution of the publication of the tubal hypothesis in 2010 to these trends. The population sample comprised 98,061 (9.0%) women who underwent hysterectomy with opportunistic salpingectomy and 997,237 (91.0%) women who underwent hysterectomy alone without opportunistic salpingectomy. Gradual increase was observed in the rate at which opportunistic salpingectomy was being performed from 2.4% to 5.7% between 2001 and 2010. However, in 2010, substantial increase in the rate of opportunistic salpingectomy began; it reached 58.4% by 2015 (10.2-fold increase). Observations suggest that in the United States, clinicians rapidly adopted opportunistic salpingectomy at the time of benign hysterectomy after the publication of data implicating the distal fallopian tubes in ovarian cancer pathogenesis in 2010. By 2015, opportunistic salpingectomy at benign hysterectomy was reported in nearly 60% of women.

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