Methodology

ESGO’s guidelines are developed through a rigorous, evidence-based process designed to ensure high scientific quality, transparency, and clinical relevance. Each guideline is produced by an international group of experts and supported by a systematic literature search. The process also includes an independent external review by a broad panel of clinicians and patient representatives, ensuring diverse and comprehensive consultation.

 

While focused on gynaecological oncology, ESGO guidelines reflect a multidisciplinary approach involving specialists from fields such as radiation oncology, pathology, and other relevant disciplines.

Guidelines development process

  1. Definition of the project

    The project is defined before any scientific work begins, including the exact topic, stakeholders, chair(s) and number of experts.The project is defined before any scientific work begins, including the exact topic, stakeholders, chair(s) and number of experts.

  2. Nomination of a multidisciplinary international development group

    In line with EDI principles, strict nomination criteria ensure balanced geographical, gender, and subspecialty experts’ representation. In line with EDI principles, strict nomination criteria ensure balanced geographical, gender, and subspecialty experts’ representation. 

  3. Identification of scientific evidence

    The methodologist undertakes a systematic literature review using the MEDLINE database.

  4. Formulation of guidelines

    The experts review the evidence put forward and prepares drafts per topic. The recommendations are discussed and finalised by the whole working group.

  5. External evaluation of guidelines (international review)

    A large panel of international multidisciplinary independent clinicians review the guidelines.

  6. Integration of international reviewers’ comments

    Finalisation of the reviewers’ comments and incorporation of feedback into the manuscript.

Key numbers

Number of guidelines developed: 28

Size of the group of reviewers: 100-300

Length of process: 1.5–2 years

Countries involved in external review: all European countries

Newly published

David Cibula, Anisa Mburu, François Planchamp, Ignacio Zapardiel, David Atallah, Sarah al-Rubaish, Glauco Baiocchi, Hesham Elghazaly, Fernando Heredia, Bothwell Guzha, Paul Kamfwa, Arb-Aroon Lertkhachonsuk, Umesh Mahantshetty, David Antonio Martinez Perez, Olga Matylevich, Asima Mukhopadhyay, Sara Nasser, Rene Pareja, Jalid Sehouli, Maher Slimane, Marcelo Vieira, Basel Refky, Remi Nout
Cervical
October 1, 2025
Guidelines
Frédéric Amant, François Planchamp, Paul Berveiller, Elyce Cardonick, Anne De Middelaer, Robert Fruscio, Monica Fumagalli, Anna L.V. Johansson, Matteo Lambertini, Charlotte L. LeJeune, Christianne Lok, W. Glenn McCluggage, Philip Poortmans, Jacek Sienko, Cristel S. Hjortshøj, Marta Swierczynska, Antonia Carla Testa, Indra A. Van Assche, Kristel Van Calsteren, Vincent Vandecavey, Carolien Versteeg, Flora Zagouri, Ignacio Zapardiel, Michael J. Halaska
Cervical Ovarian Vulvar
September 1, 2025
Guidelines
Nicole Concin, Xavier Matias-Guiu, David Cibula, Nicoletta Colombo, Carien L Creutzberg, Jonathan Ledermann, Mansoor Raza Mirza, Ignace Vergote, Nadeem R Abu-Rustum, Tjalling Bosse, Cyrus Chargari, Sophie Espenel, Anna Fagotti, Christina Fotopoulou, Sonia Gatius, Antonio González-Martin, Sigurd Lax, Bar Levy, Domenica Lorusso, Gabriella Macchia, Christian Marth, Philippe Morice, Ana Oaknin, Maria Rosaria Raspollini, Richard Schwameis, Jalid Sehouli, Alina Sturdza, Alexandra Taylor, Anneke Westermann, Pauline Wimberger, François Planchamp, Remi A Nout
Endometrial
August 1, 2025
Guidelines
Christianne Lok, Nienke van Trommel, Elena Ioana Braicu, Francois Planchamp, Ross Berkowitz, Michael Seckl
Rare cancer
May 13, 2025
Guidelines
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Watch guidelines webinars

ESGO Cervical Cancer Resource - Stratified Guidelines
Webinar

ESGO Cervical Cancer Resource - Stratified Guidelines

14. 4. 2026
18:00

David Cibula, Basel Refky, Anisa Mburu, Remi Nout

Cervical
ESGO Guidelines for the management of ovarian cancer - Update
Webinar

ESGO Guidelines for the management of ovarian cancer - Update

12. 5. 2026
18:00

Ane Gerda Zahl Eriksson, Anna Fagotti

Ovarian
ESGO-INCIP Guidelines for the management of patients with gynaecological cancers during pregnancy
Webinar

ESGO-INCIP Guidelines for the management of patients with gynaecological cancers during pregnancy

6. 1. 2026

Frederic Amant, Michael Halaska, Christianne Lok, Anne De Middelaer, Paul Berveiller , Estelle Heggarty

Cervical Endometrial Ovarian Rare cancer Vaginal Vulvar
ESGO-ESTRO-ESP Guidelines: Guidance for Daily Clinical Decision-Making: Adjuvant Therapy: Whom and how to Treat?
Webinar

ESGO-ESTRO-ESP Guidelines: Guidance for Daily Clinical Decision-Making: Adjuvant Therapy: Whom and how to Treat?

22. 5. 2025

Nicole Concin, Remi Nout, Xavier Matías-Guiú, Antonio Gonzalez Martin, Nicoletta Colombo, Carien Creutzberg

Endometrial
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