Evidence map›Paper›PMID 27583149›Full record

ArticleJournal of hip preservation surgery2016

The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases.

Darren de Sa, Kellee Stephens, Michelle Kuang, Nicole Simunovic, Jon Karlsson, Olufemi R Ayeni

Abstract read
In one paragraph

Article in Journal of hip preservation surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Waste audits in healthcare: A systematic review and description of best practices.Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA · 2023
    Pooled it
  3. Article
  4. Article
  5. Observational
  6. Waste Generation in Pediatric Orthopaedic Hardware Removal Surgery.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Identifying Environmental Impact Factors for Sustainable Healthcare: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Dumpster Diving in the Emergency Department.The western journal of emergency medicine · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Darren de Sa1. Division of Orthopaedic Surgery, Department of Surgery.
Kellee Stephens2. Michael G. DeGroote School of Medicine.
Michelle Kuang2. Michael G. DeGroote School of Medicine.
Nicole Simunovic3. Department of Clinical Epidemiology and Biostatistics, Centre for Evidence-Based Orthopaedics, McMaster University, Hamilton, Ontario, Canada.
Jon Karlsson4. Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Olufemi R Ayeni1. Division of Orthopaedic Surgery, Department of Surgery.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health care facilities produce significant waste (2200 kg/bed/year) creating 2% of greenhouse gas emissions and 1% total solid waste nationwide, with 20-70% of waste coming from operating rooms. We performed a waste audit of hip arthroscopy for femoroacetabular impingement (FAI) to understand its environmental impact and identify areas for greening practices. A waste audit of five hip arthroscopy procedures for FAI was performed. All waste was collected and separated into six waste streams in real time: (i) normal/landfill waste; (ii) recyclable cardboards and plastics; (iii) biohazard waste; (iv) sharp items; (v) linens and (vi) sterile wrapping. The surgical waste (except laundered linens) from five FAI surgeries totaled 47.4 kg, including 21.7 kg (45.7%) of biohazard waste, 11.7 kg (24.6%) of sterile wrap, 6.4 kg (13.5%) of normal/landfill waste, 6.4 kg (13.5%) of recyclable plastics and 1.2 kg (2.6%) of sharp items. An average of 9.4 kg (excluding laundered linens) of waste was produced per procedure. Given the considerable biohazard waste produced by FAI procedures, additional recycling programs, continued adherence to proper waste segregation and an emphasis on 'green outcomes' is encouraged to demonstrate environmental responsibility and effectively manage and allocate finite resources.

Indexed as

arthroscopyfemoroacetabular impingementhipmedical wasterecycling

Identifiers

PMID27583149
PMCPMC5005045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.