Risk ReductionSTOPOVCANCT04470921
STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands
An observational study of Risk Reduction and Ovarian Cancer, run by Radboud University Medical Center at 27 sites in Netherlands.
Trial summary
The aim of this study is to optimize implementation of the opportunistic salpingectomy throughout the Netherlands. Read more about this study
- Who is it for?
- Ages 30 years and older, women only
- Conditions the study is for
- Risk Reduction, Ovarian Cancer
- What is being tested?
- Opportunistic Salpingectomy
- Type of treatment
- Surgery or procedure
- How many people
- 10,000 participants
- Where
- 27 sitesNetherlands
- Study dates
- 1 Jan 2019to 31 Dec 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Study population: Women who will undergo a gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved, can opt for an opportunistic salpingectomy.
Who may be able to join
- 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
Who cannot join
- 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
Trial locations and contacts
27 sites in 1 country.
27 sites in 1 country
Netherlands27 sites
Jeroen Bosch Hospital
's-Hertogenbosch, 5223 GZ
OLVG
Amsterdam, 1091 AC
Academic Medical Centrum
Amsterdam, 1105AZ
Rijnstate Hospital
Arnhem, 6800 TA
Amphia hospital
Breda, 4818 CK
Reinier de Graaf
Delft, 2625 AD
Slingeland Hospital
Doetinchem, 7009 BL
Albert Schweitzer hospital
Dordrecht, 3300 AK
Catharina Hospital
Eindhoven, 5623 EJ
Medical Spectrum Twente
Enschede, 7500 KA
Martini hospital
Groningen, 9728 NT
Spaarne Gasthuis
Haarlem, 2000 AK
Ziekenhuisgroep Twente
Hengelo, 7555 DL
Medical Center Leewarden
Leeuwarden, 8934 AD
Leids University Medical Center
Leiden, 2300 RC
Maastricht University Medical Center
Maastricht, 6229 HX
St Antonius
Nieuwegein, 3434 CM
Radboud UMC
Nijmegen, 6525 GA
Canisius Wilhelmina Hospital
Nijmegen, 6532 SZ
Erasmus Medical Center
Rotterdam, 3000 CA
Haaglanden Medical Center Westeinde
The Hague, 2512 VA
Elisabeth-Tweesteden Hospital
Tilburg, 5042 AD
Diakonessenhuis
Utrecht, 3508 TG
Maxima Medical Center
Veldhoven, 5500 MB
VieCuri Medical Center
Venlo, 5801 CE
Sint Jans Gasthuis
Weert, 6001 BE
Isala
Zwolle, 8025 AB
About this study
The aim of this study is to optimize implementation of the opportunistic salpingectomy throughout the Netherlands.
Read the 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.
- Conditions
- Risk Reduction, Ovarian Cancer
- Being tested
- Opportunistic Salpingectomy
- Keywords
- Ovarian cancer, Opportunistic Salpingectomy, Prevention, Female sterilization, Risk reduction, Implementation
- Medical subject headings
- Risk Reduction Behavior, Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Opportunistic SalpingectomyProcedure or surgery
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.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: Procedure: Opportunistic Salpingectomy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Offered Opportunistic Salpingectomy (OS)
Number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
Measured: 2019 - 2023
Implementation effect of Opportunistic Salpingectomy (OS)
The effect of our implementation efforts on the number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
Measured: 2019-2023
Secondary outcomes (2)
Influencing factors implementation Opportunistic Salpingectomy (OS)
Determine factors that impede and facilitate nationwide implementation of Opportunistic Salpingectomy.
Measured: 2019-2020
Implementation tools
Implementation tools, developed based on the barriers and facilitators of the influencing factors.
Measured: 2019-2020
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2020
- Study start1 Jan 2019
- Primary completion1 Jan 2025 (estimated)
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Risk ReductionStudies of the same condition, open and under way.
- More trials run by Radboud University Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 10,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Radboud University Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- Catharina Ziekenhuis Eindhoven
- Responsible party
- Sponsor
- Investigators
- Joanne A de Hullu, MD, PhD, Principal investigator, University Medical Center NijmegenJurgen MJ Piek, MD, PhD, Principal investigator, Catharina Ziekenhuis EindhovenRosella PM Hermens, PhD, Principal investigator, Scietific Institute for Quality of Healthcare, UMC Nijmegen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04470921
- Sponsor's protocol ID
- 2018-1; 11515
- Acronym
- STOPOVCA
- Status last verified
- Jan 2024
- First submitted
- 9 Jul 2020
- Last updated
- 26 Jan 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
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.
PubMed 26773418Kwon 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.
PubMed 25568991van 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.
PubMed 31456223Steenbeek 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.
PubMed 30479086Committee opinion no. 620: Salpingectomy for ovarian cancer prevention. Obstet Gynecol. 2015 Jan;125(1):279-281. doi: 10.1097/01.AOG.0000459871.88564.09.
PubMed 25560145Salvador 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.
PubMed 28527613
Study at a glance
From the registry record, last updated by the sponsor on 26 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- STOP OVarian CAncer; Implementation of the Opportunistic Salpingectomy in the Netherlands
- ClinicalTrials.gov ID
- NCT04470921
- Acronym / sponsor ID
- STOPOVCA / 2018-1; 11515
- Conditions
- Risk Reduction, Ovarian Cancer
- Keywords
- Ovarian cancer, Opportunistic Salpingectomy, Prevention, Female sterilization, Risk reduction, Implementation
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 10,000 participants (estimated)
- Lead sponsor
- Radboud University Medical CenterUniversity, hospital or other
- Collaborators
- Catharina Ziekenhuis Eindhoven
- Study start
- 1 Jan 2019 (actual)
- Primary completion
- 1 Jan 2025 (estimated)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 14 Jul 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to optimize implementation of the opportunistic salpingectomy throughout the Netherlands.
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 design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Choice for Opportunistic Salpingectomy | – | Procedure: Opportunistic SalpingectomyWomen who will undergo a gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved, can opt for an opportunistic salpingectomy. |
Who may qualify
- Ages
- 30 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Women who will undergo a gynaecological surgery in which currently both ovaries and fallopian tubes would be preserved, can opt for an opportunistic salpingectomy.
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (6 listed)
- Age under 30 years
- Undergoing surgery without residual ovarian tissue
- Child wish
- Unable to understand the written or spoken Dutch language
- Previous bilateral salpingectomy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Opportunistic SalpingectomyAn 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. | Procedure or surgery | Choice for Opportunistic Salpingectomy |
Primary outcome
Offered Opportunistic Salpingectomy (OS)
Time frame: 2019 - 2023
Number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
Implementation effect of Opportunistic Salpingectomy (OS)
Time frame: 2019-2023
The effect of our implementation efforts on the number of eligible women who have actually been offered an opportunistic salpingectomy in the Netherlands.
2 secondary outcomes
Influencing factors implementation Opportunistic Salpingectomy (OS)
Time frame: 2019-2020
Implementation tools
Time frame: 2019-2020
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jan 2024.
- Background: PubMed 26773418Yoon 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.
- Background: PubMed 25568991Kwon 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.
- Background: PubMed 31456223van 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.
- Background: PubMed 30479086Steenbeek 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.
- Background: PubMed 25560145Committee opinion no. 620: Salpingectomy for ovarian cancer prevention. Obstet Gynecol. 2015 Jan;125(1):279-281. doi: 10.1097/01.AOG.0000459871.88564.09.
- Background: PubMed 28527613Salvador 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.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joanne A de Hullu, MD, PhD principal investigator
University Medical Center Nijmegen
Jurgen MJ Piek, MD, PhD principal investigator
Catharina Ziekenhuis Eindhoven
Rosella PM Hermens, PhD principal investigator
Scietific Institute for Quality of Healthcare, UMC Nijmegen
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Risk Reduction and Ovarian Cancer, run by Radboud University Medical Center at 27 sites in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Offered Opportunistic Salpingectomy (OS) (time frame: 2019 - 2023). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04470921, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jan 2024.