- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04470921
STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands (STOPOVCA)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators aim to optimize implementation of opportunistic salpingectomy throughout the Netherlands. The investigators will evaluate the implementation by enrolling patients in a database to evaluate healthcare experiences and to register EOC diagnosis and vital status through yearly PALGA (the nationwide network and registry of histopathology and cytopathology in the Netherlands) and municipal administration searches. In addition, the investigators will perform medical record check to assess which percentage of eligible women have been offered OS.
The investigators expect that a decision aid will be a necessary tool for the decision whether women opt for an OS or not, based on their personal values. After development of the tool(s), the investigators will evaluate the implementation process.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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's-Hertogenbosch, Netherlands, 5223 GZ
- Jeroen Bosch Hospital
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Amsterdam, Netherlands, 1091 AC
- OLVG
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Amsterdam, Netherlands, 1105AZ
- Academic Medical Centrum
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Arnhem, Netherlands, 6800 TA
- Rijnstate Hospital
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Breda, Netherlands, 4818 CK
- Amphia Hospital
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Delft, Netherlands, 2625 AD
- Reinier de Graaf
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Den Haag, Netherlands, 2512 VA
- Haaglanden Medical Center Westeinde
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Doetinchem, Netherlands, 7009 BL
- Slingeland Hospital
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Dordrecht, Netherlands, 3300 AK
- Albert Schweitzer Hospital
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Eindhoven, Netherlands, 5623 EJ
- Catharina hospital
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Enschede, Netherlands, 7500 KA
- Medical spectrum Twente
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Groningen, Netherlands, 9728 NT
- Martini Hospital
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Haarlem, Netherlands, 2000 AK
- Spaarne Gasthuis
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Hengelo, Netherlands, 7555 DL
- Ziekenhuisgroep Twente
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Leeuwarden, Netherlands, 8934 AD
- Medical Center Leewarden
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Leiden, Netherlands, 2300 RC
- Leids University Medical Center
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Maastricht, Netherlands, 6229 HX
- Maastricht University Medical Center
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Nieuwegein, Netherlands, 3434 CM
- St Antonius
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Nijmegen, Netherlands, 6525 GA
- Radboud UMC
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Nijmegen, Netherlands, 6532 SZ
- Canisius Wilhelmina Hospital
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Rotterdam, Netherlands, 3000 CA
- Erasmus Medical Center
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Tilburg, Netherlands, 5042 AD
- Elisabeth-TweeSteden hospital
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Utrecht, Netherlands, 3508 TG
- Diakonessenhuis
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Veldhoven, Netherlands, 5500 MB
- Maxima Medical Center
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Venlo, Netherlands, 5801 CE
- Viecuri Medical Center
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Weert, Netherlands, 6001 BE
- Sint Jans Gasthuis
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Zwolle, Netherlands, 8025 AB
- Isala
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age from 30 years
- Undergoing gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved
- Childbearing completed
- Able to understand the written or spoken Dutch language
- Consent for enrolment in database
- Consent for yearly checks of PALGA database and municipal administration
Exclusion Criteria:
- Age under 30 years
- Undergoing surgery without residual ovarian tissue
- Child wish
- Unable to understand the written or spoken Dutch language
- Previous bilateral salpingectomy
- Previous bilateral salpingo-oophorectomy
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Choice for Opportunistic Salpingectomy
Women who will undergo a gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved, can opt for an opportunistic salpingectomy.
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An opportunistic salpingectomy refers to removal of the fallopian tubes without the ovaries during (laparoscopic) interventions for benign (gynaecological) disease to reduce the number of ovarian cancer cases.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Offered Opportunistic Salpingectomy (OS)
Time Frame: 2019 - 2023
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Number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
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2019 - 2023
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Implementation effect of Opportunistic Salpingectomy (OS)
Time Frame: 2019-2023
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The effect of our implementation efforts on the number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
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2019-2023
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Influencing factors implementation Opportunistic Salpingectomy (OS)
Time Frame: 2019-2020
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Determine factors that impede and facilitate nationwide implementation of Opportunistic Salpingectomy.
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2019-2020
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Implementation tools
Time Frame: 2019-2020
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Implementation tools, developed based on the barriers and facilitators of the influencing factors.
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2019-2020
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Joanne A de Hullu, MD, PhD, University Medical Center Nijmegen
- Principal Investigator: Jurgen MJ Piek, MD, PhD, Catharina Ziekenhuis Eindhoven
- Principal Investigator: Rosella PM Hermens, PhD, Scietific Institute for Quality of Healthcare, UMC Nijmegen
Publications and helpful links
General Publications
- 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(8):CD012858. doi: 10.1002/14651858.CD012858.pub2.
- Committee opinion no. 620: Salpingectomy for ovarian cancer prevention. Obstet Gynecol. 2015 Jan;125(1):279-281. doi: 10.1097/01.AOG.0000459871.88564.09. Erratum In: Obstet Gynecol. 2016 Feb;127(2):405. Obstet Gynecol. 2016 Feb;127(2):405.
- Yoon SH, Kim SN, Shim SH, Kang SB, Lee SJ. Bilateral salpingectomy can reduce the risk of ovarian cancer in the general population: A meta-analysis. Eur J Cancer. 2016 Mar;55:38-46. doi: 10.1016/j.ejca.2015.12.003. Epub 2016 Jan 8.
- Kwon JS, McAlpine JN, Hanley GE, Finlayson SJ, Cohen T, Miller DM, Gilks CB, Huntsman DG. Costs and benefits of opportunistic salpingectomy as an ovarian cancer prevention strategy. Obstet Gynecol. 2015 Feb;125(2):338-345. doi: 10.1097/AOG.0000000000000630.
- Steenbeek MP, van Lieshout LAM, Aarts JWM, Piek JMJ, Coppus SFPJ, Massuger LFAG, Hermens RPMG, de Hullu JA. Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey. J Gynecol Oncol. 2019 Jan;30(1):e2. doi: 10.3802/jgo.2019.30.e2. Epub 2018 Apr 30.
- Salvador S, Scott S, Francis JA, Agrawal A, Giede C. No. 344-Opportunistic Salpingectomy and Other Methods of Risk Reduction for Ovarian/Fallopian Tube/Peritoneal Cancer in the General Population. J Obstet Gynaecol Can. 2017 Jun;39(6):480-493. doi: 10.1016/j.jogc.2016.12.005.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Endocrine Gland Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Ovarian Neoplasms
- Carcinoma, Ovarian Epithelial
Other Study ID Numbers
- 2018-1; 11515
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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