{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:04:30Z","timestamp":1790251470861,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Patient reported outcome measures (PROMs) following colorectal cancer (CRC) treatment have been gaining prominence in addition to oncological outcomes. We have integrated PROMs collection through our nurse\u2010led follow\u2010up (NLFU) clinic of patients undergoing surgical\/endoscopic treatment of CRC and report our real\u2010world results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PROMs were collected using the EORTC 29 Questionnaire using a pre\u2010appointment link via NLFU clinic over a period of 18\u2009months since April 2023. The reported outcomes were analysed and correlated with patient demographics, tumour stage, type of procedure and duration since procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Tumour site did not influence functional (FS) or symptom (SS) scores. Age demonstrated selective effects: older patients reported better overall functional outcomes but worse urinary\u2010frequency symptoms. Gender did not significantly affect FS or SS. Symptomatic presentation was associated with higher symptom burden, particularly abdominal pain, buttock pain and urinary frequency, while FS remained comparable to screen\u2010detected cases. Most operative approaches produced similar PROMs; however, body image, faecal incontinence and embarrassment differed between specific procedures. Neoadjuvant chemotherapy and tumour stage showed no significant relationships with FS or SS outcomes. Symptom trajectories improved over time, with stool frequency, urinary incontinence, body image and male sexual function varying significantly across follow\u2010up durations, while FS remained stable. Sphincter preservation versus resection revealed worse body image, male sexual function and buttock pain in patients undergoing Abdominoperineal resections (APR). Organ preservation and surgical resection showed broadly comparable PROMs despite differing symptom patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PROMs collection is feasible, and outcomes are largely stable across treatments, though symptom burden varies with patient and procedural factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70818","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:45:18Z","timestamp":1782726318000},"page":"2563-2569","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Pragmatic Real\u2010World Observational Study of Patient Reported Outcome Measures (\n                    <scp>PROMs<\/scp>\n                    ) Following Treatment of Colorectal Cancer\u2014What Matters Most?"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0113-6834","authenticated-orcid":false,"given":"Tanya","family":"Bhalla","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of General Surgery Dayanand Medical College and Hospital  Ludhiana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Louden","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Deans","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"},{"name":"Cairo University  Giza Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawan Kumar Dhruva","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Glangwili General Hospital  Carmarthen UK"},{"name":"Swansea University  Swansea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13021"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1761607"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2017.06.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824f1c21"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041135"},{"key":"e_1_2_12_8_1","volume-title":"Optimal Management of Low Anterior Resection Syndrome: Colorectal Cancer (Update): Evidence Review E2 (NICE Guideline, No. 151.)","author":"National Guideline Alliance 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