SynthesisBMC health services research2024
Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model.
Synthesis in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis 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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Enablers and barriers for using reusable trocars: a qualitative study of surgeons' and residents' perspectives.Surgical endoscopy · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe healthcare sector must navigate the challenge of caring for individuals affected by climate change while being a significant emitter of carbon emissions. This study focuses on direct sources of carbon emissions from hospital surgical care, a major contributor to the sector's overall carbon footprint. The goal is to identify the main sources of direct carbon emissions in surgical care and to analyze these sources according to the Congruence Model. We employ the Congruence Model for a systemic analysis of emission sources within the organizational context. The change-oriented model examines (in)congruences across the domains of People, Work, Culture, and Structure, aiding in the understanding of organizational change.
methodsA qualitative systematic literature review was conducted following PRISMA guidelines, covering three extensive databases: PubMed, Business Source Premier, and EBSCOhost. The review provides a broad perspective on the topic under study. The qualitative analysis is guided by the Congruence Model, which serves as a conceptual lens to analyze and interpret the findings.
resultsThe study offers a comprehensive overview of research focused on emissions related to surgery. Hotspots of carbon emissions in surgical care, such as anesthetic gases, sterilization procedures, and habitual behaviors, are linked with the Work and People elements of the Congruence Model. Additionally, sustainability measures are predominantly associated with the Structural element of the Congruence Model, including policies for recycling and waste segregation. The research reflects on the (in)congruencies between different factors of the Congruence Model and actions related to reducing carbon emissions.
conclusionsThe Congruence Model provides a useful conceptual lens to categorize the sources of carbon emissions in terms of People, Work, Structure and Culture. In addition, the Congruence Model allows us to explore the (in)congruencies between these functional elements. Ultimately, our research identifies opportunities to improve carbon emissions related to the surgical care process.
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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.