Concomitant Bilateral Salpingo-Oophorectomy at Hysterectomy: Differences by Race and Menopausal Status in the Veterans Affairs Health Care System, 2007–2014

• DOI: 10.1089/jwh.2020.8503
• Publication Date: 2020-10-23T14:38:25Z
• Authors: Andrew S. Bossick; Jodie G. Katon; Kristen E. Gray; Erica W. Ma; Lisa S. Callegari
• Keywords: Concomitant; Veterans Affairs

Background: Hysterectomy can be performed with concomitant bilateral salpingo-oophorectomy (BSO) to treat symptomatic pathology of the ovary (e.g., endometriosis) or prevent ovarian cancer. Our objective was examine relationship between race and BSO by menopausal status in Veterans Affairs (VA) health care system. Methods: This is a longitudinal study utilizing VA administrative data identify hysterectomies provided paid for (i.e., source care) 2007 2014. We defined as removal both ovaries fallopian tubes at time hysterectomy, identified International Classification Diseases-Ninth Revision codes. Covariates included demographic ethnicity) gynecological diagnoses endometriosis). used generalized linear models log-link binomial distribution estimate associations care. Results: 6,785 hysterectomies, including 2,320 BSO. Overall, Black were more likely single, obese, undergo abdominal hysterectomy. After adjustment, premenopausal had 41% lower odds than their White counterparts (odds ratio [OR]: 0.59, 95% confidence interval [CI]: 0.51–0.68). Stratifying on care, these results remained unchanged (provided: OR: 0.61, CI: 0.52–0.72; paid: 0.58, 0.48–0.71). There insufficient evidence an association among postmenopausal Veterans. Conclusions: Premenopausal are less even after adjustment salient characteristics. findings may have implications equitable Additional research needed better understand role differential preferences cancer risk racial differences.