{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:46:08Z","timestamp":1787244368424,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Colorectal cancer (CRC) is a leading malignancy in Australia, with many patients undergoing curative surgery for stage I\u2013III disease. Despite treatment advances, recurrence remains a significant cause of mortality. This study assessed recurrence rates, survival and surveillance adherence across three public tertiary centres in Western Australia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective cohort study was conducted on 459 stage I\u2013III CRC patients who underwent curative resection between 2012 and 2013. Data on patient demographics, pathological features, surgical metrics, adjuvant therapy, survival and surveillance adherence were examined. Recurrence rates were analysed using univariate and multivariate logistic regression.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Recurrence rates varied significantly (\n p<\/jats:italic>\n \u2009=\u20090.007) across hospitals, highest at Hospital C (26.2%) and lowest at Hospital A (11.4%). Most recurrences (80%) occurred within 3\u2009years, with a median time to recurrence of 1.6\u2009years. Routine surveillance detected 78% of recurrences, but adherence was inconsistent, with non\u2010adherence rates of 55.6% at Hospital C, 38.9% at Hospital B, and 5.6% at Hospital A. At 5\u2009years, overall survival was 65.6%, disease\u2010free survival 58.8%, and cancer\u2010specific survival (CSS) 73.9%, with Hospital C showing significantly lower CSS (68.3%,\n p<\/jats:italic>\n \u2009=\u20090.014). Multivariate analysis identified younger age (50\u201359\u2009years, OR\u2009=\u20090.33,\n p<\/jats:italic>\n \u2009=\u20090.01), Stage I disease (OR\u2009=\u20090.33,\n p<\/jats:italic>\n \u2009=\u20090.04), and treatment at Hospital A (OR\u2009=\u20090.36,\n p<\/jats:italic>\n \u2009=\u20090.004) as protective factors against recurrence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Significant variation in recurrence rates, survival, and surveillance adherence across institutions underscores the need for optimised, standardised follow\u2010up protocols. More structured, centralised tracking systems may improve adherence and long\u2010term outcomes for CRC patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.70470","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:10:09Z","timestamp":1767337809000},"page":"251-257","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Optimising Colorectal Cancer Care in Western Australia: Surveillance and Recurrence Insights"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9264-3350","authenticated-orcid":false,"given":"Da Wei","family":"Thong","sequence":"first","affiliation":[{"name":"St John of God (SJOG) Midland Public and Private Hospitals Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Newell","sequence":"additional","affiliation":[{"name":"St John of God (SJOG) Midland Public and Private Hospitals Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Theophilus","sequence":"additional","affiliation":[{"name":"St John of God (SJOG) Midland Public and Private Hospitals Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Colorectal and Other Digestive\u2010Tract Cancers","author":"Australian Institute of Health and Welfare","year":"2018"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1919"},{"key":"e_1_2_10_4_1","volume-title":"Clinical Practice Guidelines for the Prevention, Early Detection and Management of Colorectal Cancer","author":"Cancer Council Australia Colorectal Cancer Guidelines Working 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