PT  - JOURNAL ARTICLE
AU  - Jonathan Ducey
AU  - Ann M Kennedy
AU  - Louise Linsell
AU  - Kerry Woolfall
AU  - Nigel J Hall
AU  - Chris Gale
AU  - Cheryl Battersby
AU  - Gareth Penman
AU  - Marian Knight
AU  - Nick Lansdale
TI  - Timing of neonatal stoma closure: a survey of health professional perspectives and current practice
AID  - 10.1136/archdischild-2021-322040
DP  - 2022 Jul 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - 448--450
VI  - 107
IP  - 4
4099  - http://fn.bmj.com/content/107/4/448.short
4100  - http://fn.bmj.com/content/107/4/448.full
SO  - Arch Dis Child Fetal Neonatal Ed2022 Jul 01; 107
AB  - Optimal timing for neonatal stoma closure remains unclear. In this study, we aimed to establish current practice and illustrate multidisciplinary perspectives on timing of stoma closure using an online survey sent to all 27 UK neonatal surgical units, as part of a research programme to determine the feasibility of a clinical trial comparing ‘early’ and ‘late’ stoma closure. 166 responses from all 27 units demonstrated concordance of opinion in target time for closure (6 weeks most commonly stated across scenarios), although there was a high variability in practice. A sizeable proportion (41%) of respondents use weight, rather than time, to determine when to close a neonatal stoma. Thematic analysis of free text responses identified nine key themes influencing decision-making; most related to nutrition, growth and stoma complications. These data provide an overview of current practice that is critical to informing an acceptable trial design.