Evidence map›Paper›PMID 40050530›Full record

SynthesisWorld journal of urology2025

Environmental sustainability in urologic practices: a systematic review.

A Tozsin, A Aydin, S Silay, A E Demet, T Knoll, T Herrmann, M De Bruin, P Dasgupta, J Rassweiler, Selcuk Guven and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
  7. [Digital health: a green future for healthcare?]Urologie (Heidelberg, Germany) · 2025
    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

11 authors.

A TozsinDepartment of Urology, Trakya University School of Medicine Hospital, Edirne, Turkey.ORCID http://orcid.org/0000-0002-9926-6890
A AydinFaculty of Life Sciences and Medicine, King's College London, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.ORCID http://orcid.org/0000-0002-5440-7741
S SilayIstanbul Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5091-9654
A E DemetDepartment of Energy Systems Engineering, Necmettin Erbakan University, Konya, Turkey.ORCID http://orcid.org/0000-0002-7401-9455
T KnollKlinikum Sindelfingen-Boeblingen, University Medicine Mannheim, Sindelfingen, Germany.
T HerrmannDepartment of Urology, Kantonspital Thurgau AG Pfaffenholzstrasse, Frauenfeld, Switzerland.ORCID http://orcid.org/0000-0003-4493-1301
M De BruinDepartment of Urology, Biomedical Engineering and Physics, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-3047-3637
P DasguptaFaculty of Life Sciences and Medicine, King's College London, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.ORCID http://orcid.org/0000-0001-8690-0445
J RassweilerDepartment of Urology and Andrology, Danube Private University, Krems, Austria.ORCID http://orcid.org/0000-0002-0436-8246
Selcuk GuvenDepartment of Urology, Necmettin Erbakan University, School of Medicine, Konya, Turkey. selcukguven@hotmail.com.ORCID http://orcid.org/0000-0002-5009-8435
K AhmedMRC Centre for Transplantation, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5135-9211

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this systematic review is to assess the environmental impact of urologic procedures and equipment (P), specifically comparing emissions and waste generation between single-use and reusable devices (I and C), while also exploring strategies for emission reduction and providing relevant recommendations for sustainable practices in urology.

methodsThe review registered to PROSPERO (ID: CRD42024576865) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A systematic search was conducted to identify studies addressing sustainability, carbon footprint, and environmental impact in urology. A total of 7714 records were initially identified, of which ten met the inclusion criteria. Study quality was assessed using the QUADAS scoring system to evaluate risk of bias and applicability concerns.

resultsTen studies met the inclusion criteria, focusing on the environmental impacts of urologic devices and procedures (O). Single-use cystoscopes demonstrated lower carbon dioxide (CO

conclusionA hybrid approach in urology, focusing on improving sterilization processes and developing eco-friendly single-use alternatives, may provide a balanced approach toward sustainability.

Indexed as

Conservation of Natural ResourcesEnvironmentUrologic Surgical ProceduresUrologyCarbon FootprintEquipment ReuseHumansCarbon footprintEnvironmental impactGreenhouse gasSustainability

Identifiers

PMID40050530
PMCPMC11885315

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.