Table 1. Recommendations on priority and non-priority procedures for cervical cancer management during COVID-19 pandemic.
| Priority | Non-priority |
|---|---|
| Surgery for early-stage cervical cancer—consider deferring until 4–8 weeks in regions with high COVID-19 risk. Radiation therapy is an acceptable altern‑ative in case of easy access to a radiation therapy facility. |
Oncotic colpocytology for cervical cancer screening—can be postponed to preserve health care resources and minimise contact of an individual with health care units |
| Chemoradiation for locally advanced cervical cancer—delays for treatment initiation and conclusion have a negative impact on overall survival. | Systemic therapy after progression on first-line for metastatic cervical cancer—no overall survival benefit |
| First-line chemotherapy (with or without bevacizumab, according to availability) for patients with metastatic cervical cancer. |
Neoadjuvant chemotherapy before chemoradiation for localised cervical cancer—should be avoided due to the lack of a clear benefit and the possibility of a detrimental effect. |
| Surgical or non-surgical procedures to treat urgent complications (e.g., bleeding) in patients with a potentially curative disease. |
Follow-up visits after curative treatment—in case of asymptomatic patients, clinic visits can be postponed or replaced for telemedicine |