Evaluation of a patient decision aid for opportunistic salpingectomy and salpingectomy as sterilization method to prevent ovarian cancer.

• Tác giả: Justine Briet, Lauren Bullens, Sjors F P J Coppus, Joanne A de Hullu, Natascha de Lange, Inge Ebisch, Charlotte Fisch, Malou E Gelderblom, Rosella P M G Hermens, Joanna IntHout, Marloes Maassen, Huy Ngo, Angele L M Oei, Jurgen M J Piek, Brenda Pijlman, Brigitte Slangen, Dineke Smedts, Regina The, Rafli van de Laar, Alexandra A van Ginkel, Laura A M van Lieshout, Caroline Vos
• Ngôn ngữ: eng
• Ký hiệu phân loại: 004.338 Systems analysis and design, computer architecture, performance evaluation of real-time computers
• Thông tin xuất bản: United States : Acta obstetricia et gynecologica Scandinavica , 2025
• Bộ sưu tập: NCBI
• ID: 742059

Tóm tắt

 INTRODUCTION: A patient decision aid on opportunistic salpingectomy and salpingectomy as a sterilization method has been developed to provide uniform counseling and reduce practice variation. The aim of this study was to evaluate the use of the patient decision aid in daily clinical practice to ensure its effectiveness and usability, as well as its influence on the decision-making process and the decision of opportunistic salpingectomy. MATERIAL AND METHODS: As part of the STOPOVCA-implementation study, we conducted a multicenter observational study in 16 hospitals between July 2020 and February 2024. Patients who were eligible for opportunistic salpingectomy were invited to use the decision aid while they considered whether or not to undergo opportunistic salpingectomy. Digital questionnaires were used to evaluate the decision aid, the decision process, and patients' decisions 6-8 weeks post-surgery. RESULTS: 425 out of 542 patients participated in the questionnaire. A majority of these 425 patients received (N = 357
  84%) and used the decision aid (N = 347
  82%). Two thirds (N = 234
  67%) of those who used the decision aid stated that it increased their knowledge of opportunistic salpingectomy. Patients considered the decision aid a usable aid, allocating a score of 8.1 out of 10 and would recommend it to other patients facing the decision regarding opportunistic salpingectomy. Patients considered the extent to which they were involved in the decision-making process as high, and the decisional conflict low. The majority of patients who used the decision aid opted for opportunistic salpingectomy (N = 326
  95%). Main reasons for choosing opportunistic salpingectomy were the risk-reducing effect of ovarian cancer (N = 311
  90%) and the lack of functionality of the fallopian tubes after childbearing (N = 320
  92%). CONCLUSIONS: The patient decision aid was used by a majority of patients who received it. The decision aid was regarded by patients as user-friendly, and it was recommended to be used in the decision-making process for opportunistic salpingectomy. Patients stated that the decision aid provides reliable information and increases patients' knowledge of opportunistic salpingectomy.