{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:50:09Z","timestamp":1790239809816,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,7,11]],"date-time":"2021-07-11T00:00:00Z","timestamp":1625961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the development and implementation of an enhanced recovery programme for patients undergoing total laryngectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A feasibility study set in a tertiary head and neck unit in London, United Kingdom. The programme was developed based on Enhanced Recovery After Surgery (ERAS) Society guidelines for head and neck cancer surgery and local expert group consensus. An ERAS \u2018booklet\u2019 was devised which accompanied all laryngectomy patients during their inpatient stay. Contributors included otolaryngologists, anaesthetists, dieticians, physiotherapists, speech and language therapists and nurses. A 12-month pilot study was undertaken. The main outcome measures were feasibility and adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An enhanced recovery programme for 25 people undergoing total laryngectomy was successfully piloted in a tertiary referral head and neck unit. Median length of stay was reduced in the post-ERAS group by 1.5 days. No statistically significant difference in length of stay, time to first gastrografin swallow, rate of fistula nor postoperative normalcy of eating between the pre and post-ERAS patients who underwent laryngectomy was observed. Clavien-Dindo-grouped complication rates were significantly higher in the post-ERAS group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This enhanced recovery programme for patients undergoing laryngectomy is the first of its kind in the literature. Implementation has been demonstrated feasible. Further longitudinal studies are required to reliably inform us on ERAS programmes\u2019 effects on laryngectomy outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589211015611","type":"journal-article","created":{"date-parts":[[2021,7,11]],"date-time":"2021-07-11T13:59:01Z","timestamp":1626011941000},"page":"338-345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Enhanced recovery after laryngectomy: A feasibility study in 25 patients"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4167-205X","authenticated-orcid":false,"given":"Tiarnan","family":"Magos","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery, Guys Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Massa","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Burdett","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulla","family":"Al Khalfan","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, University College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jabin","family":"Thaj","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery, Queens Hospital, Romford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5771-5096","authenticated-orcid":false,"given":"Chadwan","family":"Al Yaghchi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery, Charing Cross Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safina","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery, Guys Hospital, London, 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