Evidence map›Paper›PMID 36441364›Full record

ArticleCVIR endovascular2022

Sustainability in interventional radiology: are we doing enough to save the environment?

Pey Ling Shum, Hong Kuan Kok, Julian Maingard, Kevin Zhou, Vivienne Van Damme, Christen D Barras, Lee-Anne Slater, Winston Chong, Ronil V Chandra, Ashu Jhamb and 2 more

Abstract read
In one paragraph

Article in CVIR endovascular, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. CIRSE Position Statement on Sustainability in Interventional Radiology.Cardiovascular and interventional radiology · 2026
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  5. Observational
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  9. Review
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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

12 authors.

Pey Ling ShumMonash Health, Clayton, VIC, Australia. peylingshum@gmail.com.ORCID http://orcid.org/0000-0002-4338-4951
Hong Kuan KokInterventional Radiology Service, Department of Radiology, Northern Health, Epping, VIC, Australia.
Julian MaingardSchool of Medicine, Faculty of Health, Deakin University, Geelong, VIC, Australia.
Kevin ZhouInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, VIC, Australia.
Vivienne Van DammeInterventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, VIC, Australia.
Christen D BarrasSouth Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Lee-Anne SlaterInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, VIC, Australia.
Winston ChongInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, VIC, Australia.
Ronil V ChandraInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Clayton, VIC, Australia.
Ashu JhambInterventional Radiology Service, Department of Radiology, St. Vincent's Hospital, Fitzroy, VIC, Australia.
Mark BrooksInterventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, VIC, Australia.
Hamed AsadiSchool of Medicine, Faculty of Health, Deakin University, Geelong, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare waste contributes substantially to the world's carbon footprint. Our aims are to review the current knowledge of Interventional Radiology (IR) waste generation and ways of reducing waste in practice, to quantify the environmental and financial impact of waste generated and address green initiatives to improve IR waste management.

methodsA systematic literature search was conducted in July 2022 using the Medline and Embase literature databases. The scope of the search included the field of IR as well as operating theatre literature, where relevant to IR practice.

resultsOne-hundred articles were reviewed and 68 studies met the inclusion criteria. Greening initiatives include reducing, reusing and recycling waste, as well as strict waste segregation. Interventional radiologists can engage with suppliers to reformulate procedure packs to minimize unnecessary items and packaging. Opened but unused equipment can be prevented if there is better communication within the team and increased staff awareness of wasted equipment cost. Incentives to use soon-to-expire equipment can be offered. Power consumption can be reduced by powering down operating room lights and workstations when not in use, changing to Light Emitting Diode (LED) and motion sensor lightings. Surgical hand wash can be replaced with alcohol-based hand rubs to reduce water usage. Common barriers to improving waste management include the lack of leadership, misconceptions regarding infectious risk, lack of data, concerns about increased workload, negative staff attitudes and resistance to change. Education remains a top priority to engage all staff in sustainable healthcare practices.

conclusionInterventional radiologists have a crucial role to play in improving healthcare sustainability. By implementing small, iterative changes to our practice, financial savings, greater efficiency and improved environmental sustainability can be achieved.

Indexed as

Carbon footprintClimate changeEnvironmental sustainabilityGlobal warmingGreeningInterventional RadiologyRecyclingWaste

Identifiers

PMID36441364
PMCPMC9703417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.