Evidence map›Paper›PMID 40558283›Full record

GuidelineCurrent oncology (Toronto, Ont.)2025

Updated Guidelines for the Diagnosis and Treatment of Endometrial Carcinoma: The Polish Society of Gynecological Oncology (2025v).

Jacek J Sznurkowski, Lubomir Bodnar, Anna Dańska-Bidzińska, Andrzej Marszałek, Pawel Blecharz, Anita Chudecka-Głaz, Dagmara Klasa-Mazurkiewicz, Artur Kowalik, Agnieszka Zołciak-Siwinska, Aleksandra Zielinska and 2 more

Abstract readPractice Guideline
In one paragraph

Guideline in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jacek J SznurkowskiProfesor Sznurkowski Podmiot Leczniczy, ul. Stefana Żeromskiego 23A, 81-246 Gdynia, Poland.ORCID 0000-0001-9218-0245
Lubomir BodnarFaculty of Medical and Health Sciences, University in Siedlce, 08-110 Siedlce, Poland.ORCID 0000-0001-8548-8778
Anna Dańska-BidzińskaDepartment of Gynaecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, 00-001 Warsaw, Poland.
Andrzej MarszałekDepartment of Tumor Pathology and Prophylaxis, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Pawel BlecharzDepartment of Gynaecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow Branch, 00-001 Warsaw, Poland.
Anita Chudecka-GłazDepartment of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, 70-111 Szczecin, Poland.
Dagmara Klasa-MazurkiewiczDepartment of Gynecology and Obstetrics, Medical University of Gdańsk, 80-214 Gdańsk, Poland.
Artur KowalikDepartment of Molecular Diagnostics, Holy Cross Cancer Center, 25-735 Kielce, Poland.ORCID 0000-0002-3718-999X
Agnieszka Zołciak-SiwinskaDepartment of Radiotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, 00-001 Warsaw, Poland.
Aleksandra ZielinskaDepartment of Obstetrics and Gynecological Oncology, Medical University of Warsaw, 00-575 Warsaw, Poland.ORCID 0000-0002-8325-0261
Mariusz BidzińskiDepartment of Gynaecological Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, 00-001 Warsaw, Poland.ORCID 0000-0003-4767-6369
Włodzimierz SawickiDepartment of Obstetrics and Gynecological Oncology, Medical University of Warsaw, 00-575 Warsaw, Poland.ORCID 0000-0003-0812-7877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2023, the Polish Society of Gynecologic Oncology (PSGO) published clinical recommendations for the diagnosis, treatment, and care of women with endometrial cancer (EC), developed using the AGREE II (Appraisal of Guidelines for Research and Evaluation) tool. A 2025 update was initiated in response to new evidence, particularly regarding systemic therapies for metastatic, advanced, or recurrent EC, and the introduction of an updated FIGO classification. A targeted literature review identified relevant phase III clinical trials and systematic reviews, including RUBY, GY-018, AtTend, and DUO-E. These trials were critically assessed by an Expert Panel in accordance with the AGREE II methodology. Updated recommendations were formulated based on this evidence, with a comparative analysis of the old and new FIGO staging systems and visual updates to treatment pathways. Key changes include the addition of immunotherapy (I/O) plus chemotherapy (CHTH) as first-line treatment for all molecular subtypes of high-grade endometrioid and non-endometrioid carcinomas, replacing chemotherapy alone. For MMRp-positive cases, the 2025 version introduces the use of Olaparib alongside Durvalumab and CHTH. HER2-positive MMRp serous carcinoma remains eligible for trastuzumab in combination with CHTH. Second-line treatment guidance remains unchanged for patients who did not receive I/O plus CHTH initially. However, options for those previously treated with this combination are still under evaluation. This update ensures alignment with the latest international standards and reinforces evidence-based, personalized care for EC patients.

Indexed as

Endometrial NeoplasmsFemaleHumansMedical OncologyPolandSocieties, MedicaladjuvantAGREEdiagnosisendometrial cancerguidelinesimmunotherapyI/OMMRDNSMPPOLEsystemictargeted therapyTP53abnupdate

Identifiers

PMID40558283
PMCPMC12191832

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.