Evidence map›Paper›PMID 39300186›Full record

Observational studyEye (London, England)2024

The carbon footprint of cataract surgery pathways in England: an observational study using administrative data.

Maria van-Hove, Hasina Begum, Manraj Phull, Jonathan Bhargava, Lydia Chang, Tim W R Briggs, William K Gray

Abstract readObservational Study
In one paragraph

Observational study in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. The future of cataract surgery.Eye (London, England) · 2025
    Review
  3. Sustainability in Abdominal Wall Reconstruction: An Eco-Audit of the Abdominal Wall Reconstruction Pathway.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  4. Environmental impact of patient travel for cataract surgery.International journal of ophthalmology · 2025
    Article
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

7 authors.

Maria van-HoveGetting It Right First Time programme, NHS England, London, UK.
Hasina BegumGreener NHS National Programme, NHS England, London, UK.
Manraj PhullUrology Department, West Hertfordshire Hospitals NHS Trust, Watford, UK.
Jonathan BhargavaGetting It Right First Time programme, NHS England, London, UK.
Lydia ChangGetting It Right First Time programme, NHS England, London, UK.
Tim W R BriggsGetting It Right First Time programme, NHS England, London, UK.
William K GrayGetting It Right First Time programme, NHS England, London, UK. william.gray5@nhs.net.ORCID 0000-0002-9597-5446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe National Health Service (NHS) in England has set a target to be net zero for carbon emissions by 2045. The aim of this study was to investigate the estimated difference between the carbon footprint of the Getting It Right First Time (GIRFT) High Volume Low Complexity (HVLC) pathway for cataract surgery and current practice.

methodsRetrospective analysis of administrative data. Data were extracted from the Hospital Episode Statistics database for all elective cataract surgery procedures conducted in England from 1st April 2021 to 31st March 2022.

resultsThe England average carbon footprint was 100.0 kgCO

conclusionsEven in a standardised healthcare pathway such as cataract surgery and within a publicly funded national healthcare system, significant differences in practice exist. With this paper we have demonstrated that tackling this unwarranted variation and adhering to the GIRFT HVLC pathway where possible has the potential to reduce the carbon footprint of cataract surgery.

Indexed as

Carbon FootprintCataract ExtractionState MedicineDatabases, FactualEnglandFemaleHumansRetrospective Studies

Identifiers

PMID39300186
PMCPMC11621447

What OpenQuestion holds

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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.