Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

FIGO 2023 endometrial cancer staging: too much, too soon?

W. Glenn McCluggage, Tjalling Bosse, C. Blake Gilks, Brooke E. Howitt, Jessica N. McAlpine, Marisa R. Nucci, Joseph T. Rabban, Naveena Singh, Karen L. Talia, Carlos Parra‐Herran

International Journal of Gynecological Cancer · 2023

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Summary

This commentary by an international multidisciplinary panel of gynaecological pathologists and oncologists critically evaluates the 2023 FIGO endometrial cancer staging classification revisions. The authors question the timing and evidence base for the changes, suggesting that clinical implementation may have proceeded without sufficient validation of benefit or adequate standardisation protocols across centres. The piece appears to raise concerns about the appropriateness of rapid adoption given potential gaps in supporting evidence and operational readiness.

UK applicability

The FIGO staging system is used internationally in clinical practice, including the United Kingdom. This commentary's critique of implementation readiness and standardisation challenges is directly relevant to NHS pathology and oncology services considering adoption of the 2023 revisions.

Key measures

Not applicable; this is a critical commentary on staging classification rather than an empirical study

Outcomes reported

Critical appraisal of the 2023 FIGO endometrial cancer staging system revisions and their clinical implementation readiness. The authors assess whether the staging changes were adequately validated and standardised before widespread adoption.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Commentary
Study design
Narrative review / Commentary
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1136/ijgc-2023-004981
Catalogue ID
SNmoht1u9l-exoha8

Topic tags

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