Second Mexican Consensus on Endometrial Cancer; Segundo Consenso Mexicano de Cáncer de Endometrio

Abstract

Background: Endometrial cancer is the fourth gynecologic cancer with the highest incidence and mortality worldwide. In Mexico it holds the second place with 5,500 new cases and 1,100 deaths and constitutes an important public health issue. Objective: To develop recommendations for the diagnosis and management of endometrial cancer from an interinstitutional perspective of the Mexican health system. Methods: The consensus was performed through a modified Delphi panel. A committee of oncologists defined 10 specific subjects to be discussed by the work groups of experts with professional experience in the management of endometrial cancer. The consensus was performed in-person by voting to decide if a recommendation was adequate for inclusion in the present report, with an agreement cut-off point of 80%. Results: Consensus was obtained in 33 recommendations based on the identified evidence evaluated by the experts who reached a formal consensus on the final draft of all clinical recommendations. Conclusions: The present guideline provides clinical recommendations for the diagnosis and management of endometrial cancer, contributing to the quality of care in patients with endometrial cancer in Mexico.