ESGO resource-stratified guidelines for the management of patients with cervical cancer

ESGO resource-stratified guidelines for the management of patients with cervical cancer

In 2023, ESGO (together with ESTRO and ESP) published evidence-based guidelines defining the optimal standard of care for cervical cancer management. However, real-life limitations exist across the world — including in high-income settings — due to unequal access, organisational constraints, reimbursement issues, and resource shortages.

To address this, ESGO developed resource-stratified guidelines that provide next-best alternative management strategies when optimal resources are unavailable or limited, while reinforcing that every effort should remain focused on providing optimal care and referral when feasible.

These guidelines cover:

• Diagnostic work-up

• Primary treatment

• Management of recurrent disease

• Invasive cervical cancer diagnosed after simple hysterectomy

• Follow-up and survivorship

• Management of patients living with HIV

• Quality of life and palliative care

The recommendations were developed by a multidisciplinary international group and reviewed by a broad panel of international clinicians to ensure global relevance and feasibility in practice.