2018 winner Annemiek van Vleuten of the Mitchelton–Scott team led the standings for the majority of the season, but was surpassed by Vos at the final event; van Vleuten's tally of 1467.67 points included a trio of victories at Strade Bianche, Liège–Bastogne–Liège and the Giro Rosa and three second-place finishes in the month of April.
The top-three overall was completed by the season's best young rider, Parkhotel Valkenburg's Lorena Wiebes on 1302.33 points.
From the 22 individual events, a total of 12 riders won races while the World Tour lead changed five times between van Vleuten, Vos and Marta Bastianelli (Team Virtu Cycling).
In the World Tour's other classification, the teams classification, Boels–Dolmans made it four consecutive titles with a total of 4045 points; three of their riders – Anna van der Breggen (three wins), Amy Pieters and Christine Majerus (one win) – all finished inside the top-ten of the individual standings.
For the 2019 season, the point-scoring system introduced by the Union Cycliste Internationale (UCI) in 2018, rewarding the top 40 riders remained in place.