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The majority of HGSOC develops in the fallopian tubes and later spreads to the ovaries and peritoneal cavity. Therefore, risk\u2010reducing salpingo\u2010oophorectomy (RRSO) is recommended for those who are <jats:italic>BRCA\u2010<\/jats:italic>positive to preventatively remove their ovaries and fallopian tubes. The Hereditary Gynecology Clinic (HGC) is a provincial program in Winnipeg, Canada, that specifically targets care to the unique needs of such individuals through an interdisciplinary team of gynecological oncologists, menopause specialists, and registered nurses. A mixed\u2010methods study design was used to explore the decision\u2010making processes of these <jats:italic>BRCA\u2010<\/jats:italic>positive individuals who have been recommended (or who completed) RRSO and experiences with healthcare providers at the HGC influenced this decision. Individuals who are <jats:italic>BRCA<\/jats:italic>\u2010positive without a previous diagnosis of HGSOC and who had previously received genetic counselling were recruited from the HGC and the provincial cancer genetics program (Shared Health Program of Genetics &amp; Metabolism). Forty\u2010three people completed a survey and 15 participated in an in\u2010depth interview about their experiences and decisions surrounding RRSO. Surveys were analyzed to compare scores on validated scales related to decision\u2010making and cancer\u2010related worry. Qualitative interviews were transcribed, coded, and analyzed using interpretive description. Participants described the complex decisions faced by those who are <jats:italic>BRCA<\/jats:italic>\u2010positive, which are intertwined with life experiences and circumstances including age, marital status, and family disease history. Participants interpreted their HGSOC risk through a personalized \u201clens\u201d of contextual factors that impacted perceptions about the practical and emotional implications of RRSO and the need for surgery. Mean scores on validated scales evaluating the HGC's impact on decisional outcomes and preparedness for decision\u2010making about RRSO were not significant, indicating that the HGC played a supportive role, rather than helping with decision\u2010making itself. Therefore, we present a novel framework that consolidates the various influences on decision\u2010making and connects them to the psychological and practical implications of RRSO in the context of the HGC. Strategies for improving support, decisional outcomes, and the overall experiences of individuals who are <jats:italic>BRCA<\/jats:italic>\u2010positive attending the HGC are also described.<\/jats:p>","DOI":"10.1002\/jgc4.1684","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T10:32:07Z","timestamp":1676889127000},"page":"728-743","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring the role of a multidisciplinary hereditary gynecologic oncology clinic in epithelial ovarian cancer risk\u2010reducing surgical decision\u2010making practices: A mixed\u2010methods study"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0776-7533","authenticated-orcid":false,"given":"Selina","family":"Casalino","sequence":"first","affiliation":[{"name":"Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Pathology and Laboratory Medicine Sinai Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Bruce","sequence":"additional","affiliation":[{"name":"Community Health Sciences University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Serfas","sequence":"additional","affiliation":[{"name":"Shared Health Program of Genetics and Metabolism, Health Sciences Centre  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6345-4910","authenticated-orcid":false,"given":"Alon D.","family":"Altman","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology and Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"},{"name":"CancerCare Manitoba Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2889-0821","authenticated-orcid":false,"given":"Sarah","family":"Kean","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology and Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"},{"name":"CancerCare Manitoba Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Lambert","sequence":"additional","affiliation":[{"name":"CancerCare Manitoba Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"},{"name":"Epidemiology and Cancer Registry, CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0081-8737","authenticated-orcid":false,"given":"Kirk J.","family":"McManus","sequence":"additional","affiliation":[{"name":"Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"CancerCare Manitoba Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4221-8820","authenticated-orcid":false,"given":"Jessica N.","family":"Hartley","sequence":"additional","affiliation":[{"name":"Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3291-8628","authenticated-orcid":false,"given":"Mark W.","family":"Nachtigal","sequence":"additional","affiliation":[{"name":"Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Obstetrics, Gynecology and Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"},{"name":"CancerCare Manitoba Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Alberta Health Services. 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