Evidence map›Paper›PMID 38267949›Full record

ArticleWorld journal of emergency surgery : WJES2024

Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation.

Francesca Dal Mas, Lorenzo Cobianchi, Daniele Piccolo, Jeremy Balch, Helena Biancuzzi, Walter L Biffl, Stefano Campostrini, Enrico Cicuttin, Federico Coccolini, Dimitris Damaskos and 20 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency surgery : WJES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Green Surgery: Current Evidence, Challenges, and Future Directions.International journal of environmental research and public health · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. The carbon footprint of a laparoscopic cholecystectomy.The British journal of surgery · 2024
    Article
  9. 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

30 authors.

Francesca Dal Mas *Collegium Medicum, University of Social Sciences, Łodz, Poland.
Lorenzo Cobianchi *Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy. lorenzo.cobianchi@unipv.it.
Daniele Piccolo *Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
Jeremy BalchDepartment of Surgery, University of Florida Health, Gainesville, FL, USA.
Helena BiancuzziDepartment of Economics, Ca' Foscari University, Venice, Italy.
Walter L BifflDivision of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Stefano CampostriniDepartment of Economics, Ca' Foscari University, Venice, Italy.
Enrico CicuttinGeneral Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Dept, Pisa University Hospital Pisa, Pisa, Italy.
Dimitris DamaskosGeneral and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Amanda C FilibertoDepartment of Surgery, University of Florida Health, Gainesville, FL, USA.
Claudia FilisettiDepartment of Pediatric Surgery, Buzzi Children's Hospital, Milan, Italy.
Gustavo FragaDivision of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil.
Simone FrassiniDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
Paola FugazzolaDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
Timothy HardcastleDepartment of Surgical Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, 4001, South Africa.
Haytham M KaafaraniHarvard Medical School, Boston, MA, USA.
Yoran KlugerDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Maurizio MassaroDepartment of Management, Ca' Foscari University, Venice, Italy.
Jacopo MartellucciDepartment of Surgery, Careggi University Hospital, Florence, Italy.
Ernest MooreErnest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.
Federico RutaGeneral Direction, ASL BAT (Health Agency), Andria, Italy.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Philip F StahelDepartment of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
George VelmahosHarvard Medical School, Boston, MA, USA.
Dieter G WeberDepartment of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.
Fausto Catena *Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy.
Tyler J Loftus *Department of Surgery, University of Florida Health, Gainesville, FL, USA.
Luca Ansaloni *Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
the STAR Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe importance of environmental sustainability is acknowledged in all sectors, including healthcare. To meet the United Nations Sustainable Development Goals 2030 Agenda, healthcare will need a paradigm shift toward more environmentally sustainable practices that will also impact clinical decision-making. The study investigates trauma and emergency surgeons' perception, acceptance, and employment of environmentally friendly habits.

methodsAn online survey based on the most recent literature regarding environmental sustainability in healthcare and surgery was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to the 917 WSES members through the society's website and Twitter/X profile.

results450 surgeons from 55 countries participated in the survey. Results underline both a generally positive attitude toward environmental sustainability but also a lack of knowledge about several concepts and practices, especially concerning the potential contribution to patient care. DISCUSSION: The topic of environmental sustainability in healthcare and surgery is still in its infancy. There is a clear lack of salient guidance and knowledge, and there is a critical need for governments, institutions, health agencies, and scientific societies to promote, disseminate, and report environmentally friendly initiatives and their potential impacts while employing an interdisciplinary approach.

Indexed as

Orthopedic ProceduresSurgeonsClinical Decision-MakingHumansOperating RoomsEnvironmental SustainabilitySustainabilityTrauma and emergency surgery; survey; Green

Identifiers

PMID38267949
PMCPMC10809586

What OpenQuestion holds

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LicenceCC BY
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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.