Evidence map›Paper›PMID 35652693›Full record

SynthesisWaste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA2023

Waste audits in healthcare: A systematic review and description of best practices.

Jonathan E Slutzman, Hannah Bockius, Ilyssa O Gordon, Hannah C Greene, Sarah Hsu, Yiming Huang, Michelle H Lam, Timothy Roberts, Cassandra L Thiel

Abstract readSystematic Review
In one paragraph

Synthesis in Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Healthcare waste in German hospitals: A nationwide benchmark study.Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA · 2026
    Article
  3. Review
  4. Waste Generation in Pediatric Orthopaedic Hardware Removal Surgery.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Article
  5. Article
  6. [S1 guideline on sustainability in intensive care and emergency medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Who owns the waste created in orthopaedic surgery?Journal of the Pediatric Orthopaedic Society of North America · 2024
    Review
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

9 authors.

Jonathan E SlutzmanCenter for the Environment and Health, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2559-8905
Hannah BockiusDepartment of Biomedical Engineering, University of Delaware, Newark, DE, USA.
Ilyssa O GordonRobert J. Tomsich Pathology & Laboratory Medicine Institute, Department of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Hannah C GreeneDepartment of Biology, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates.
Sarah HsuWarren Alpert Medical School, Brown University, Providence, RI, USA.
Yiming HuangNYU Shanghai, Pudong, Shanghai, China.
Michelle H LamDepartment of Chemical and Biomolecular Engineering, NYU Tandon School of Engineering, Brooklyn, NY, USA.
Timothy RobertsHealth Sciences Library, NYU Langone Health, Grossman School of Medicine, New York University, New York, NY, USA.
Cassandra L ThielGrossman School of Medicine, Wagner Graduate School of Public Service, Tandon School of Engineering, New York University, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare generates large amounts of waste, harming both environmental and human health. Waste audits are the standard method for measuring and characterizing waste. This is a systematic review of healthcare waste audits, describing their methods and informing more standardized auditing and reporting. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched MEDLINE, Embase, Inspec, Scopus and Web of Science Core Collection databases for published studies involving direct measurement of waste in medical facilities. We screened 2398 studies, identifying 156 studies for inclusion from 37 countries. Most were conducted to improve local waste sorting policies or practices, with fewer to inform policy development, increase waste diversion or reduce costs. Measurement was quantified mostly by weighing waste, with many also counting items or using interviews or surveys to compile data. Studies spanned single procedures, departments and hospitals, and multiple hospitals or health systems. Waste categories varied, with most including municipal solid waste or biohazardous waste, and others including sharps, recycling and other wastes. There were significant differences in methods and results between high- and low-income countries. The number of healthcare waste audits published has been increasing, with variable quality and general methodologic inconsistency. A greater emphasis on consistent performance and reporting standards would improve the quality, comparability and usefulness of healthcare waste audits.

Indexed as

Delivery of Health CareHospitalsHumansenvironmentally responsible healthcareHealthcare wastewaste auditwaste auditing methodswaste auditing protocols

Identifiers

PMID35652693
PMCPMC9925917

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.