European Society of Gynaecological Oncology guidelines for the peri-operative management of advanced ovarian cancer patients undergoing debulking surgery.

The European Society of Gynaecological Oncology (ESGO) developed and established for the first time in 2016, and updated in 2020, quality indicators for advanced ovarian cancer surgery to audit and improve clinical practice in Europe and beyond. As a sequela of the continuous effort to improve oncologic care in patients with ovarian cancer, ESGO issued in 2018 a consensus guidance jointly with the European Society of Medical Oncology addressing in a multidisciplinary fashion 20 selected key questions in the management of ovarian cancer, ranging from molecular pathology to palliation in primary and relapse disease. In order to complement the above achievements and consolidate the promoted systemic advances and surgical expertise with adequate peri-operative management, ESGO developed, as the next step, clinically relevant and evidence-based guidelines focusing on key aspects of peri-operative care and management of complications as part of its mission to improve the quality of care for women with advanced ovarian cancer and reduce iatrogenic morbidity. To do so, ESGO nominated an international multidisciplinary development group consisting of practicing clinicians and researchers who have demonstrated leadership and expertise in the care and research of ovarian cancer (18 experts across Europe). To ensure that the guidelines are evidence based, the literature published since 2015, identified from a systematic search, was reviewed and critically appraised. In the absence of any clear scientific evidence, judgment was based on the professional experience and consensus of the development group. The guidelines are thus based on the best available evidence and expert agreement. Prior to publication, the guidelines were reviewed by 117 independent international practitioners in cancer care delivery and patient representatives.

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© IGCS and ESGO 2021. No commercial re-use. See rights and permissions. Published by BMJ.

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Competing interests: CF: advisory boards for AstraZeneca, Clovis, Ethicon, Roche, MSD, GlaxoSmithKline, Tesaro, and grants for travelling from Sequana. AH: advisory boards for PharmaMar, Promedicis GmbH, Pierre Fabre Pharma GmbH, Roche Pharma AG, Tesaro Bio, Germany GmbH, MSD Sharp & Dohme GmbH, and honoraria from AstraZeneca GmbH, Celgen, MedConcept GmbH, Med update GmbH, Medicultus, Pfizer, Promedicis GmbH, Pierre Fabre, Roche Pharma AG, Tesaro Bio Germany GmbH, LEO Pharma. SSc: advisory boards for GlaxoSmithKline/Tesaro, Clovis, and grants for traveling from GlaxoSmithKline/Tesaro, Pharma Mar. JS: advisory boards for Roche, GlaxoSmithKline, AstraZeneca, Clovis, MSD, Merck, and grants for travelling from Roche, GlaxoSmithKline, AstraZeneca, Clovis. RUT: advisory boards for Atara Bio, research sponsored by Roche, grants for traveling from Roche, Atara Bio, Celgene, AbbVie, Glaxo Smith Kline and Janssen. TA, JC, LC, AC, OE, AF, DH, CH, PK, PM, FP, ES, SSu, and CT: no conflicts of interest.