ReviewNature reviews. Gastroenterology & hepatology2023
Environmental effects of surgical procedures and strategies for sustainable surgery.
Review in Nature reviews. Gastroenterology & hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Increasing the environmental sustainability of operating rooms in Canada: an evidence-informed guideline for policy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Guideline
- Surgeon well-being: a systematic review of stressors, mental health, and resilience.BMC surgery · 2025Pooled it
- Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics.Updates in surgery · 2025Pooled it
- Strategies and tactics to reduce the impact of healthcare on climate change: systematic review.BMJ (Clinical research ed.) · 2024Pooled it
- Sustainability in surgery: insights from the 2024 SAGES Annual Meeting.Surgical endoscopy · 2026Article
- A comparative life cycle assessment of the environmental impact of preoperative skin preparation, single-use applicators versus bulk antiseptic with reusable instruments.Journal of infection prevention · 2026Article
- Article
- Surgical Oncologists for Sustainability: A Statement from the SSO Surgical Oncologists for Sustainability Committee.Annals of surgical oncology · 2026Review
- Advancing circular economy practices in radiography: a narrative review of sustainable medical imaging.Translational cancer research · 2025Review
- Surgical Education Within Planetary Health Curricula: A Global Environmental Scan (2022-2025).International journal of environmental research and public health · 2025Review
- A comparative analysis of the carbon footprint in minimally invasive colorectal surgery: laparoscopic versus robotic-the coloprint pilot study.Journal of robotic surgery · 2025Observational
- Perspectives of Korean colorectal surgeons on the climate crisis and sustainability of operating rooms: a cross-sectional study.Surgical endoscopy · 2025Article
- Green Surgery and Sustainability in Orthopaedic Operating Rooms: A Comprehensive Review of Environmental Initiatives.Cureus · 2025Review
- Climate change and continued professional development (CPD): Is it time for all CPD diaries to include carbon footprint estimates?Future healthcare journal · 2025Article
- "Scoping" sustainability: rethinking sterile water use in colonoscopies.ANZ journal of surgery · 2025Article
- Cost of Carbon in the Total Cost of a Healthcare Procedure: Example of Micro-Costing Study in a French Setting.Applied health economics and health policy · 2025Article
- Towards a sustainable future in traumatology and orthopaedic surgery. The contribution of « Société Internationale de Chirurgie Orthopédique et Traumatologique » (SICOT).International orthopaedics · 2025Article
- Primary healthcare's carbon footprint and sustainable strategies to mitigate its contribution: a scoping review.BMC health services research · 2024Article
- The United European Gastroenterology green paper-climate change and gastroenterology.United European gastroenterology journal · 2024Review
- Carbon footprint of a laser unit: a study of two centres in the UK.Lasers in medical science · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is a bidirectional relationship between climate change and health care. Climate change threatens public health, and health care contributes to climate change. For example, surgery is the most energy-intensive practice in the health-care sector, and gastrointestinal conditions are responsible for a substantial environmental burden. However, environmental costs associated with health care are often overlooked. This issue has been examined more closely in current times. Emerging data are mainly focused on surgery, as the most resource-intensive practice. However, there is still a lack of global awareness and guidance on sustainable surgical practices. This Perspective aims to reassess the evidence on health care and surgery carbon footprints, focusing on gastrointestinal conditions, identify issues that need to be addressed to achieve a more sustainable practice and develop perspectives for future surgical procedures. The proposed framework to mitigate the environmental effects of surgery could be translated to other health-care sectors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.