Evidence map›Paper›PMID 39160314›Full record

ArticleSurgical endoscopy2024

Perspectives on sustainability among surgeons: findings from the SAGES-EAES sustainability in surgical practice task force survey.

Tejas S Sathe, Adnan Alseidi, Vittoria Bellato, Amir Ashraf Ganjouei, Laleh Foroutani, Ryan P Hall, Oleksii Potapov, Ricardo J Bello, Shaneeta M Johnson, Stefania Marconi and 20 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  5. Green Surgery: Current Evidence, Challenges, and Future Directions.International journal of environmental research and public health · 2026
    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

30 authors.

Tejas S SatheDepartment of Surgery, University of California San Francisco, San Francisco, USA.
Adnan AlseidiDepartment of Surgery, University of California San Francisco, San Francisco, USA.
Vittoria BellatoDepartment of Minimally Invasive Surgery, University Hospital of Rome Tor Vergata, Rome, Italy.
Amir Ashraf GanjoueiDepartment of Surgery, University of California San Francisco, San Francisco, USA.
Laleh ForoutaniDepartment of Surgery, University of California San Francisco, San Francisco, USA.
Ryan P HallDepartment of Surgery, Tufts Medical Center, Boston, USA.
Oleksii PotapovDepartment of General Surgery, College of Medicine, University of Rzeszow, Rzeszow, Poland.
Ricardo J BelloDepartment of Surgery, Medical College of Wisconsin, Milwaukee, USA.
Shaneeta M JohnsonDepartment of Surgery, Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA, 30310, USA. smjohnsonmd@aol.com.ORCID 0000-0001-6196-440X
Stefania MarconiDepartment of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.
Nader FrancisGriffin Institute, London, UK.
Paul BarachThomas Jefferson University School of Medicine, Philadelphia, USA.
Manuel Sanchez-CasalongueDepartment of Surgery, Clinica San Camilo, Buenos Aires, Argentina.
Sheetal NijhawanDepartment of Surgery, Sharon Regional Medical Center, Sharon, PA, USA.
Wendelyn M OslockDepartment of Surgery, University of Alabama Birmingham, Birmingham, AL, USA.
Benjamin MillerCleveland Clinic Foundation, Cleveland, OH, USA.
Sarah SamreenDivision of Minimally Invasive Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Jimmy ChungAdventus Health Partners, Cincinnati, OH, USA.
Nana MarfoRoss University School of Medicine, Miramar, FL, USA.
Bright HuoDepartment of General Surgery, McMaster University, Ontario, CA, USA.
Robert B LimDepartment of Surgery, Atrium Carolinas Medical Center, Wake Forest University, Charlotte, NC, USA.
Jonathan VandebergDepartment of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.
Yewande R AlimiDepartment of Surgery, Medstar Georgetown University Hospital, Washington, DC, USA.
Andrea PietrabissaDepartment of General Surgery, University of Pavia, Pavia, Italy.
Alberto ArezzoDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Maximos FrountzasFirst Propaedeutic Department of Surgery, Hippocration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Miran RemsDepartment of General and Abdominal Surgery, General Hospital Jesenice, Jesenice, Slovenia.
M M M EussenDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
N D BouvyDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Patricia SyllaDivision of Colon and Rectal Surgery, Mount Sinai Health System, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical care significantly contributes to healthcare-associated greenhouse gas emissions (GHG). Surgeon attitudes about mitigation of the impact of surgical practice on environmental sustainability remains poorly understood. To better understand surgeon perspectives globally, the Society of American Gastrointestinal and Endoscopic Surgeons and the European Association for Endoscopic Surgery established a joint Sustainability in Surgical Practice (SSP) Task Force and distributed a survey on sustainability.

methodsOur survey asked about (1) surgeon attitudes toward sustainability, (2) ability to estimate the carbon footprint of surgical procedures and supplies, (3) concerns about the negative impacts of sustainable interventions, (4) willingness to change specific practices, and (5) preferred educational topics and modalities. Questions were primarily written in Likert-scale format. A clustering analysis was performed to determine whether survey respondents could be grouped into distinct subsets to inform future outreach and education efforts.

resultsWe received 1024 responses, predominantly from North America and Europe. The study revealed that while 63% of respondents were motivated to enhance the sustainability of their practice, less than 10% could accurately estimate the carbon footprint of surgical activities. Most were not concerned that sustainability efforts would negatively impact their practice and showed readiness to adopt proposed sustainable practices. Online webinars and modules were the preferred educational methods. A clustering analysis identified a group particularly concerned yet willing to adopt sustainable changes.

conclusionSurgeons believe that operating room waste is a critical issue and are willing to change practice to improve it. However, there exists a gap in understanding the environmental impact of surgical procedures and supplies, and a sizable minority have some degree of concern about potential adverse consequences of implementing sustainable policies. This study uniquely provides an international, multidisciplinary snapshot of surgeons' attitudes, knowledge, concerns, willingness, and preferred educational modalities related to mitigating the environmental impact of surgical practice.

Indexed as

Attitude of Health PersonnelSurgeonsAdultAdvisory CommitteesCarbon FootprintEuropeFemaleHumansMaleMiddle AgedSurveys and QuestionnairesCarbon footprintClimate changeDecarbonizationMinimally invasive surgeryOperating room wasteSustainability

Identifiers

PMID39160314
PMCPMC11458713

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.