{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:11:25Z","timestamp":1783728685942,"version":"3.55.0"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215121004060_sec_a1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to determine the number, reasons and costs of surgical voice restoration related tracheoesophageal valve attendances over 36 months at a head and neck oncology unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121004060_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Demographic, medical and valve related details from all patient contacts were recorded, including self-change information, urgent appointment information, modifications required and costs of prostheses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121004060_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over 3 years, 99 patients underwent 970 valve changes. The main reasons for changes were central leakage, prophylactic change and self-change at home. Changes were significantly more frequent in the first 12 months (mean, 42 days) compared with longstanding patients (mean, 109.96). Intervals between changes were unpredictable; no predictive factors reached statistical significance. Mean expenditure on valves was \u00a3966.63 per week (including value added tax and in-house customisation).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121004060_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Valve lifespan is comparable with outcomes in similar units despite more pre-emptive and patient-led changes and more comprehensive data inclusion. Investigation into how patient satisfaction and costs relate to valve selection and units\u2019 service delivery models is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215121004060","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T05:02:47Z","timestamp":1639026167000},"page":"158-166","source":"Crossref","is-referenced-by-count":3,"title":["Informing patient choice and service planning in surgical voice restoration: valve usage over three years in a UK head and neck cancer unit"],"prefix":"10.1017","volume":"136","author":[{"given":"K","family":"McLachlan","sequence":"first","affiliation":[{"name":"St John's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Hurren","sequence":"additional","affiliation":[{"name":"Leeds Beckett University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Owen","sequence":"additional","affiliation":[{"name":"Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Miller","sequence":"additional","affiliation":[{"name":"Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"S0022215121004060_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000608"},{"key":"S0022215121004060_ref9","first-page":"186","article-title":"Laryngectomy rehabilitation in the United Kingdom","volume":"21","author":"Owen","year":"2013","journal-title":"Curr Opin Otolaryngol"},{"key":"S0022215121004060_ref3","first-page":"65","article-title":"Device life of the tracheoesophageal voice prosthesis revisited","volume":"143","author":"Lewin","year":"2017","journal-title":"JAMA Otolaryngol"},{"key":"S0022215121004060_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5008-2"},{"key":"S0022215121004060_ref10","first-page":"16","article-title":"A laryngectomy consumables audit","author":"Miller","year":"2010","journal-title":"Bull Royal Lang Speech Lang Therapists"},{"key":"S0022215121004060_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2611-0"},{"key":"S0022215121004060_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215117002390"},{"key":"S0022215121004060_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25364"},{"key":"S0022215121004060_ref4","first-page":"72","article-title":"Prosthetic voice rehabilitation following laryngectomy: it's the archer not the arrow","volume":"1","author":"Elliot","year":"2017","journal-title":"JAMA Otolaryngol"},{"key":"S0022215121004060_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113001382"},{"key":"S0022215121004060_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.11.1320"},{"key":"S0022215121004060_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2154-9"},{"key":"S0022215121004060_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2009.168"},{"key":"S0022215121004060_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-017-0700-z"},{"key":"S0022215121004060_ref2","unstructured":"2 Royal College of Speech and Language Therapists, UK. Prosthetic surgical voice restoration (SVR): the role of the speech and language therapist. In: https:\/\/www.rcslt.org\/wp-content\/uploads\/media\/Project\/RCSLT\/svr-policy-document.pdf [28 October 2021]"},{"key":"S0022215121004060_ref13","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2015173"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215121004060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T07:43:52Z","timestamp":1772610232000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215121004060\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,9]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["S0022215121004060"],"URL":"https:\/\/doi.org\/10.1017\/s0022215121004060","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,9]]}}}