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e17578 Background: Endometrial cancer is the most common cancer of the female reproductive organs in the United States, and surgery involving the removal of the uterus, cervix, and ovaries (total hysterectomy) is the most common treatment. However, some women may have their uterus removed with sparing of the ovaries, resulting in the prevention of menopause but an increased incidence of cancer recurrence. Given the pivotal role of surgical outcomes, it is important to examine the variations in treatment approaches – specifically, the choice between total hysterectomy with and without removal of the tubes and/or ovaries – across different demographic groups. Methods: Patients with endometrial cancer were selected from the National Cancer Database (NCDB) and 19,147 patients were identified between 2004 and 2020. We compared the demographic variables of patients who had a total hysterectomy with and without removal of tubes and ovaries. Descriptive statistics, multivariate, and chi-square analyses on SPSS version 28 was used for all analyses; P 15.3% of adults lacked a high school degree). Conclusions: This study highlights significant determinants that influence the decision to remove the tubes and/or ovaries during a total hysterectomy for endometrial cancer, with emphasis on race, education, and income. Significant implications with removal of ovaries and/or tubes include changes in a woman’s hormonal balance, infertility, and increased risk of further diseases. Understanding and recognizing these determinants within the context of endometrial cancer treatment can contribute to improved patient outcomes, a reduced risk of ovarian cancer and associated complications, and an improvement in overall quality of life. By acknowledging the versatile nature of this decision, healthcare providers can better individualize treatment plans, ultimately striving for favorable long-term health and well-being outcomes for their patients.
Au et al. (Sat,) studied this question.