European Society of Gynaecological Oncology resource-stratified guidelines for the management of patients with cervical cancer
Issued Date
2026-01-01
Resource Type
ISSN
1048891X
eISSN
15251438
Scopus ID
2-s2.0-105025881241
Pubmed ID
41494219
Journal Title
International Journal of Gynecological Cancer
Volume
36
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Gynecological Cancer Vol.36 No.1 (2026)
Suggested Citation
Cibula D., Mburu A., Planchamp F., Zapardiel I., Atallah D., al-Rubaish S., Baiocchi G., Elghazaly H., Heredia F., Guzha B., Kamfwa P., Lertkhachonsuk A.A., Mahantshetty U., Martinez Perez D.A., Matylevich O., Mukhopadhyay A., Nasser S., Pareja R., Sehouli J., Slimane M., Vieira M., Refky B., Nout R. European Society of Gynaecological Oncology resource-stratified guidelines for the management of patients with cervical cancer. International Journal of Gynecological Cancer Vol.36 No.1 (2026). doi:10.1016/j.ijgc.2025.102747 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114415
Title
European Society of Gynaecological Oncology resource-stratified guidelines for the management of patients with cervical cancer
Author's Affiliation
Charité – Universitätsmedizin Berlin
Universidad de Concepcion
Hospital Universitario La Paz
Všeobecná Fakultní Nemocnice v Praze
University of Zimbabwe
Faculty of Medicine
Erasmus MC Cancer Institute
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Faculté de Médecine de Tunis
The James Cook University Hospital
Institut Bergonie
A.C.Camargo Cancer Center
Hôtel-Dieu de France Hospital
The Aga Khan University Kenya
Godfrey Huggins School of Medicine
Instituto Nacional de Cancerología
Clínica de Oncología Astorga
Grupo Empresarial Las Américas Promotora Medica
Homi Bhabha Cancer Hospital and Research Centre
N.N. Alexandrov National Cancer Centre of Belarus
Kolkata Gynecological Oncology Trials and Translational Research Group
Cancer Diseases Hospital
Pan-Arabian Research Society of Gynecological Oncology
Faculty of Medical AinShams Research Institute
Dr.Sulaiman AL Habib Hospital
Endoscopic and Robotic Surgery Unit
Universidad de Concepcion
Hospital Universitario La Paz
Všeobecná Fakultní Nemocnice v Praze
University of Zimbabwe
Faculty of Medicine
Erasmus MC Cancer Institute
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Faculté de Médecine de Tunis
The James Cook University Hospital
Institut Bergonie
A.C.Camargo Cancer Center
Hôtel-Dieu de France Hospital
The Aga Khan University Kenya
Godfrey Huggins School of Medicine
Instituto Nacional de Cancerología
Clínica de Oncología Astorga
Grupo Empresarial Las Américas Promotora Medica
Homi Bhabha Cancer Hospital and Research Centre
N.N. Alexandrov National Cancer Centre of Belarus
Kolkata Gynecological Oncology Trials and Translational Research Group
Cancer Diseases Hospital
Pan-Arabian Research Society of Gynecological Oncology
Faculty of Medical AinShams Research Institute
Dr.Sulaiman AL Habib Hospital
Endoscopic and Robotic Surgery Unit
Corresponding Author(s)
Other Contributor(s)
Abstract
Purpose: In 2023, the European Society of Gynaecological Oncology (ESGO), jointly with the European Society for Radiotherapy and Oncology (ESTRO) and the European Society of Pathology (ESP), published evidence-based guidelines for the management of patients with cervical cancer. Acknowledging that limitations exist even in high-income countries, some of these established standards of care are not applicable in clinical practice in some areas of the world. Following a global ESGO survey involving 256 clinicians from 57 countries, which pointed out potential limitations, barriers, and missing guidelines, ESGO decided to develop alternative management strategies for situations when optimal resources are unavailable or limited. Methods: A multi-disciplinary international development group consisting of 22 experts, utilizing feedback from the survey conducted mostly in low- and middle-income regions, identified potential limitations to the standards of care as defined in the updated ESGO-ESTRO-ESP guidelines published in 2023 and suggested alternative approaches. New resource-stratified guidelines on the management of women living with the human immunodeficiency virus have been newly proposed. To ensure a global perspective, the guidelines were reviewed by 188 independent international practitioners from Asia, Africa, Europe, and South, Central, and North America. Results: These resource-stratified guidelines focus on achieving the best patient outcomes, with alternative management strategies based on expert opinions in areas with limited evidence. They should be used as a guide for the next best alternatives in multi-disciplinary care settings such as diagnostics, pathology, surgery, radiotherapy, systemic therapy, palliative care, and follow-up management. Conclusion: Efforts should always focus on providing optimal available care. In the absence of key resources, the primary effort should be directed toward consulting and referring patients to other facilities that provide better conditions.