STOPOVCAyoung: Stop Ovarian Cancer Young; Effect of the Opportunistic Salpingectomy on Age of Menopause
Study Details
Study Description
Brief Summary
The aim of this study is to evaluate the long-term safety of on the onset of menopause.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The aim of this study is to evaluate the long-term safety of on the onset of menopause. To investigate the effect of Opportunistic Salpingectomy on the age of menopause, we will compare age of menopause in women who underwent sterilization through opportunistic salpingectomy with a control group consisting of women who underwent sterilization by tubal ligation or who had no sterilization.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Intervention: bilateral salpingectomy Premenopausal women between 35 and 45 years of age, who will undergo sterilization through Opportunistic Salpingectomy will be asked to participate in the STOPOVCAyoung study. |
Procedure: Opportunistic salpingectomy / bilateral salpingectomy
An opportunistic salpingectomy refers to removal of the salpinges without the ovaries during (laparoscopic) interventions for benign (gynaecological) disease to reduce the number of ovarian cancer cases. Therefore, a so-called opportunistic salpingectomy is a method of female sterilization.
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Control: tubal ligation or no sterilization The control group will consists of women who chose for sterilization by clips/tubal ligation supplemented by friend/acquaintances, around the same age, who are not planning to undergo sterilization. |
Outcome Measures
Primary Outcome Measures
- Menopausal age [At end of follow-up (follow up ends at age of menopause with a maximum follow-up time of 15 years)]
The age of reaching natural menopause (e.g. last menstruation > 1 year ago )
Secondary Outcome Measures
- Decision regret [1 year post surgery and at age of menopause]
The decision regret regarding their choice of sterilization method.
Eligibility Criteria
Criteria
Inclusion Criteria:
Intervention group
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Undergoing an Opportunistic Salpingectomy as sterilization method
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Premenopausal status at enrolment
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Age between 35 and 45 years
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Will have residual ovarian tissue after surgery
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Able to understand the written or spoken Dutch language
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Gives consent for participating in surveys
Control group
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Premenopausal status at enrolment
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Either sterilization by tubal ligation or no sterilization at all
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Age between 35 and 45 years
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Able to understand the written or spoken Dutch language
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Gives consent for participating in surveys
Exclusion Criteria:
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Postmenopausal status at enrolment
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Under the age of 35 or above 45
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Previous salpingectomy of oophorectomy
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Previous hysterectomy
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Women with abnormal karyotype (such as Turner Syndrome and Fragile X syndrome)
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Underwent chemotherapy or radiation
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Unable to understand the written or spoken Dutch language
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Catharina Ziekenhuis | Eindhoven | Netherlands | 5623 EJ |
Sponsors and Collaborators
- Radboud University Medical Center
- Catharina Ziekenhuis Eindhoven
Investigators
- Principal Investigator: Jurgen MJ Piek, MD, PhD, Catharina ziekenhuis
- Principal Investigator: Joanne A de Hullu, MD, PhD, University Medical Center Nijmegen
Study Documents (Full-Text)
None provided.More Information
Publications
- Falconer H, Yin L, Grönberg H, Altman D. Ovarian cancer risk after salpingectomy: a nationwide population-based study. J Natl Cancer Inst. 2015 Jan 27;107(2). pii: dju410. doi: 10.1093/jnci/dju410. Print 2015 Feb.
- Hanley GE, Kwon JS, Finlayson SJ, Huntsman DG, Miller D, McAlpine JN. Extending the safety evidence for opportunistic salpingectomy in prevention of ovarian cancer: a cohort study from British Columbia, Canada. Am J Obstet Gynecol. 2018 Aug;219(2):172.e1-172.e8. doi: 10.1016/j.ajog.2018.05.019. Epub 2018 May 28.
- McAlpine JN, Tone AA, Hanley GE. Opportunistic Salpingectomy: We Chose to Act, Not Wait. J Obstet Gynaecol Can. 2016 May;38(5):425-7. doi: 10.1016/j.jogc.2016.04.084. Epub 2016 May 6.
- Piek JM, van Diest PJ, Zweemer RP, Jansen JW, Poort-Keesom RJ, Menko FH, Gille JJ, Jongsma AP, Pals G, Kenemans P, Verheijen RH. Dysplastic changes in prophylactically removed Fallopian tubes of women predisposed to developing ovarian cancer. J Pathol. 2001 Nov;195(4):451-6.
- Reade CJ, McVey RM, Tone AA, Finlayson SJ, McAlpine JN, Fung-Kee-Fung M, Ferguson SE. The fallopian tube as the origin of high grade serous ovarian cancer: review of a paradigm shift. J Obstet Gynaecol Can. 2014 Feb;36(2):133-140. doi: 10.1016/S1701-2163(15)30659-9. Review.
- van Lieshout LAM, Steenbeek MP, De Hullu JA, Vos MC, Houterman S, Wilkinson J, Piek JM. Hysterectomy with opportunistic salpingectomy versus hysterectomy alone. Cochrane Database Syst Rev. 2019 Aug 28;8:CD012858. doi: 10.1002/14651858.CD012858.pub2.
- 2020-6885