Catalysts to withdrawal from familial ovarian cancer screening for surgery and reactions to discontinued screening: a qualitative study

摘要: Women at high risk of familial ovarian cancer face a potentially difficult management choice between unproven screening (OCS) and bilateral salpingo-oophorectomy (BSO). It is not fully understood why women who initially opt for OCS may later undergo BSO, nor what the impact this be. This study explored catalysts surgery reactions to discontinuing OCS. Semi-structured interviews were completed with 21 had undergone having chosen explore their experiences, reasons feelings about surgery, The invasive nature frequency by themselves catalyst surgery. A number catalysts, including abnormal test results, secondary considerations, such as age-related factors, found prompt emotional following BSO varied relief, acceptance, loss reassurance. appears be an acceptable strategy under certain circumstances, but varying factors can decision instead BSO. complexity change should underestimated needs taken into account clinicians assisting making choices. These findings highlight importance timing decision-making that options need routine reconsideration, through clinical discussions, information support.