Physician-level variability in adopting opportunistic salpingectomy for ovarian cancer prevention at the time of hysterectomy.

ABSTRACT: Opportunistic salpingectomy reduces ovarian cancer risk. To examine heterogeneity among physicians in their adoption of opportunistic salpingectomy in hysterectomy practice, we identified 33,401 non-pregnant patients aged 18 to 49 years in the Premier Healthcare Database who underwent inpatient hysterectomy for benign indications without oophorectomy in 2011-2021 (operated on by 1297 physicians). Opportunistic salpingectomy was measured by procedure codes reflecting bilateral complete removal of fallopian tubes. Even after adjusting for patient age, surgical route, indication, overweight/obesity, smoking status, and co-morbidities, opportunistic salpingectomy use varied widely among physicians. A finite mixture model identified 2 distinct adoption patterns among physicians: 1 exhibiting lo

SUBMITTER: Xu X 

PROVIDER: S-EPMC12799303 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature