Evidence map›Paper›PMID 33875009›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2021

Carbon footprint reduction associated with a surgical outreach clinic.

David Forner, Chad Purcell, Victoria Taylor, Christopher W Noel, Larry Pan, Matthew H Rigby, Martin Corsten, Jonathan R Trites, Antoine Eskander, Ted McDonald and 1 more

Abstract read
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Review
  2. Eco-audit of the Nail Bed Injury Treatment Pathway at a Tertiary Care Hospital.Plastic and reconstructive surgery. Global open · 2026
    Article
  3. Review
  4. Environmental sustainability in gynecologic oncology.Gynecologic oncology reports · 2024
    Review
  5. Article
  6. Article
  7. Low-Carbon Action in Full Swing: A Study on Satisfaction with Wise Medical Development.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Planetary Health in Otolaryngology: A Call to Depollute Care.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

11 authors.

David FornerDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. david.forner@dal.ca.ORCID http://orcid.org/0000-0002-1014-3545
Chad PurcellDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Victoria TaylorDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Christopher W NoelDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Larry PanDepartment of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada.
Matthew H RigbyDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Martin CorstenDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Jonathan R TritesDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Antoine EskanderDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Ted McDonaldDepartment of Economics, University of New Brunswick, Fredericton, New Brunswick, Canada.
S Mark TaylorDivision of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare systems generate substantial carbon footprints that may be targeted to decrease greenhouse gas emissions. Outreach clinics may represent tools to assist in this reduction by optimizing patient related travel. Therefore, we sought to estimate the carbon footprint savings associated with a head and neck surgery outreach clinic.

methodsThis study was a cross-sectional survey of patient travel patterns to a surgical outreach clinic compared to a regional cancer treatment centre from December 2019 to February 2020. Participants completed a self-administered survey of 12 items eliciting travel distance, vehicle details, and ability to combine medical appointments. Canadian datasets of manufacturer provided vehicular efficiency were used to estimate carbon emissions for each participant. Geographic information systems were used for analyses.

resultsOne hundred thirteen patients were included for analysis. The majority of patients (85.8%) used their own personal vehicle to travel to the outreach clinic. The median distance to the clinic and regional centre were 29.0 km (IQR 6.0-51.9) and 327.0 km (IQR 309.0-337.0) respectively. The mean carbon emission reduction per person was therefore 117,495.4 g (SD: 29,040.0) to 143,570.9 g (SD: 40,236.0). This represents up to 2.5% of an average individual's yearly carbon footprint. Fewer than 10% of patients indicated they were able to carpool or group their appointments.

conclusionSurgical outreach clinics decrease carbon footprints associated with patient travel compared to continued care at a regional centre. Further research is needed to determine possible interventions to further reduce carbon emissions associated with the surgical care of patients.

Indexed as

SurgicentersAgedCanadaCancer Care FacilitiesCarbon FootprintCross-Sectional StudiesFemaleHumansMaleMiddle AgedTravelCarbon footprintHead and neck neoplasmsOutreach

Identifiers

PMID33875009
PMCPMC8054848

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Registered trials

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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.