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Consensus was observed regarding primary indications for gastrostomy insertion and circumstances justifying avoidance of the procedure. Limitations in recommending gastrostomy due to insufficient evidence on safety and outcomes, survival and quality of life were identified. Widespread agreement on delays in gastrostomy discussions was highlighted as a challenge in optimizing patient care, together with variability in current practices and concerns over the lack of a standardized gastrostomy pathway, emphasizing the need for further research to address existing evidence gaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This multi\u2010center survey highlights agreement among clinicians on key aspects of indication, challenges, and limitations such as delayed decision\u2010making and the absence of standardized pathways regarding the timing, method, and overall approach to gastrostomy insertion in APS. This study identified next steps to facilitate a more structured approach to future research toward a consensus on best practices for gastrostomy in APS. Addressing these challenges is crucial for enhancing patient outcomes and overall care quality in APS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mdc3.14196","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T04:55:11Z","timestamp":1724734511000},"page":"1266-1273","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Practices and Opinions toward Gastrostomy Use in Patients with Atypical Parkinsonian Syndromes: A National Survey in the <scp>UK<\/scp>"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-0756","authenticated-orcid":false,"given":"Christopher","family":"Kobylecki","sequence":"first","affiliation":[{"name":"Division of Neuroscience, Manchester Academic Health Science Centre University of Manchester  Manchester UK"},{"name":"Department of Neurology, Manchester Centre for Clinical Neurosciences Northern Care Alliance NHS Foundation 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