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Patient reported experiences following laparoscopic prophylactic bilateral salpingo-oophorectomy or salpingectomy in an ambulatory care hospital

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Abstract

Women at risk of developing ovarian cancer because of a BRCA1 or BRCA2 pathogenic variant are candidates for prophylactic bilateral salpingo-oophorectomy (BSO). While BSO surgeries are routinely performed, to our knowledge there are no studies that have examined patient-reported experiences following laparoscopic BSO performed in an ambulatory care setting. The objective of this study was to examine whether women undergoing prophylactic laparoscopic BSO felt they were adequately informed about post-operative outcomes. A telephone interview was conducted among 46 women undergoing laparoscopic BSO to collect detailed information regarding surgical outcomes, complications, symptoms, and time to return to daily activities. The average age at surgery was 45.0 years (range 34–66) and 67% of women underwent BSO prior to age 50. The mean reported hospital stay was 7.2 h (range 4–12 h) and at time of discharge, 78% of the women felt well enough to go home. None of the women required a readmission to hospital. Forty-three percent (n = 20) of the women did not feel well informed about what to expect post-operatively. Most of the patient-reported outcomes (including pain, vaginal bleeding, and nausea/vomiting) were expected and patient-reported menopausal symptoms were more common among women who were premenopausal at surgery. In terms of returning to regular activities, premenopausal women (n = 36) resumed sexual activity on average at 43 days (range 2–365), which is later than postmenopausal women (n = 15) at 19 days (range 7–30). On average, women returned to full-time work in 16 days (range 1–56 days). Despite patients receiving pre-surgery counselling, our findings suggest that there is a need to provide supplemental, reinforcing patient materials in preparing patients for what to expect after surgery.

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Acknowledgements

Our sincere gratitude to the women who participated in the study interviews and enabled this research to take place.

Funding

Steven A. Narod is the recipient of a Canada Research Chair (Tier I). Joanne Kotsopoulos is a recipient of a Tier II Canada Research Chair. This study was supported by a Canadian Cancer Society Research Institute Grant (703058) and the Peter Gilgan Centre for Women’s Cancers at Women’s College Hospital, in partnership with the Canadian Cancer Society. Funding sources had no involvement in any aspect of study activity.

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Authors and Affiliations

  1. Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    Rachel Trister

  2. Women’s College Hospital, Toronto, ON, Canada

    Michelle Jacobson & Lisa Allen

  3. Women’s College Research Institute, Women’s College Hospital, 76 Grenville Street, Room 6423, Toronto, ON, M5S 1B2, Canada

    Patricia Nguyen, Steven A. Narod & Joanne Kotsopoulos

  4. Mount Sinai Hospital, Toronto, ON, Canada

    Mara Sobel & Lisa Allen

  5. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Steven A. Narod & Joanne Kotsopoulos

Authors
  1. Rachel Trister
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  2. Michelle Jacobson
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  3. Patricia Nguyen
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  4. Mara Sobel
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  5. Lisa Allen
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  6. Steven A. Narod
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  7. Joanne Kotsopoulos
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Correspondence to Joanne Kotsopoulos.

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The authors declare that they have no conflicts of interest.

IRB

February 22, 2019—2019-0006-E.

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Informed consent was obtained from all individual participants included in the study.

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Trister, R., Jacobson, M., Nguyen, P. et al. Patient reported experiences following laparoscopic prophylactic bilateral salpingo-oophorectomy or salpingectomy in an ambulatory care hospital. Familial Cancer 20, 103–110 (2021). https://doi.org/10.1007/s10689-020-00208-y

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  • DOI: https://doi.org/10.1007/s10689-020-00208-y

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