Optimal management of individuals with an ostomy requiring a convex baseplate: a Nordic consensus process.

BACKGROUND: Convex baseplates are essential in ostomy care for patients with challenging stomas. However, guidelines for optimal use remain limited. Clear recommendations are needed since appropriate convexity selection is central to prevent leakage and peristomal skin complications. AIM: To develop consensus-based best practice guidelines for clinical routine and use of convex baseplates from the early postoperative period in Nordic ostomy care. METHOD: A scoping literature review and input from a Nordic advisory board informed 14 statements related to standard stoma care and indications/follow-up when using convexity. Consensus was explored using a modified Delphi method and nominal group technique (NGT) with stoma care nurses from Sweden, Norway, Denmark and Finland. FINDINGS: With modifications of four and removal of one, consensus was finally achieved for 13 statements. CONCLUSION: This study provides a structured framework for optimal use of convexity in Nordic ostomy care, supporting more consistent clinical practice and enabling an individualised approach to improving patient outcomes.