{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:39:20Z","timestamp":1783021160176,"version":"3.54.6"},"reference-count":73,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surveillance following cancer surgery with curative intent serves the purpose of permitting early detection of recurrent disease in addition to monitoring and management of post\u2010resection functional sequelae. Although recommendations exist for most primary cancers, in the context of radical or re\u2010operative surgery such as pelvic exenteration (PE), whether these strategies are appropriate is unclear. The purpose of this review was to evaluate the oncological and functional follow\u2010up strategies after PE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted across PubMed, Embase, Medline, and Cochrane databases for studies published between January 2000 and December 2024. Eligible studies reported long\u2010term oncological and\/or functional follow\u2010up after PE. Studies including other surgical procedures, short\u2010term (&lt;\u200912\u2009month) follow\u2010up, non\u2010English articles, and case reports were excluded. Data extracted included follow\u2010up length, frequency, and investigation type. Risk of bias was assessed using the AGREE\u2010II and ROBINS\u2010I tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010two studies were included, comprising 39 cohort studies and three non\u2010original articles. Oncological follow\u2010up, described in 28 studies, frequently included clinic visits every 3\u20134\u2009months for the first 2\u20133\u2009years, transitioning to annual reviews after 5\u2009years. Modalities such as tumour markers, CT and MRI imaging, and colonoscopies varied widely. Functional follow\u2010up was addressed in 19 studies, utilising validated instruments including the EORTC QLQ\u2010C30 and SF\u201036. Most studies lacked standardisation, and no single article comprehensively addressed both oncological and functional aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current follow\u2010up practices after PE exhibit significant heterogeneity, highlighting the need for standardised protocols. Future research should focus on appropriately sized prospective cohort studies and randomised trials to develop evidence\u2010based guidelines tailored to the unique needs of this high\u2010risk patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70542","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:28:16Z","timestamp":1772972896000},"page":"1481-1497","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surveillance After Pelvic Exenteration: A Systematic Review of Oncological and Functional Follow\u2010Up"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8151-9805","authenticated-orcid":false,"given":"Adrian Hang Yue","family":"Siu","sequence":"first","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Family Practice University of British Columbia  British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9715-860X","authenticated-orcid":false,"given":"Daniel","family":"Steffens","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4155-5240","authenticated-orcid":false,"given":"Sharon","family":"Carey","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5602-6045","authenticated-orcid":false,"given":"Michael","family":"Solomon","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2547-0204","authenticated-orcid":false,"given":"Cherry","family":"Koh","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Faculty of Medicine and Health, Central Clinical School The University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldy011"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/ejso.2001.1250"},{"key":"e_1_2_10_4_1","article-title":"Follow\u2010Up Strategies for Patients Treated for Non\u2010Metastatic Colorectal Cancer","volume":"9","author":"Jeffery M.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.5623"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1415"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-6181-4"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq215"},{"key":"e_1_2_10_9_1","article-title":"Follow\u2010Up Strategies for Patients Treated for Non\u2010Metastatic Colorectal Cancer","volume":"11","author":"Jeffery M.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7341.813"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-017-0623-2"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-194906000-00057"},{"key":"e_1_2_10_13_1","volume-title":"StatPearls","author":"Grimes W. 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