Evidence map›Paper›PMID 40098157›Full record

ArticleBMC health services research2025

Bridging the gap in sustainable radiography: insights from five countries in Asia and Africa.

Mohamed Abuzaid, Nora Almuqbil, Christian Ven Emery, Wiam Elshami, Manal Ibham, Naifah Alsubaie, Zuhal Hamd, Mohamed Aljamal

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

8 authors.

Mohamed AbuzaidMedical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE. mabdelfatah@sharjah.ac.ae.
Nora AlmuqbilDepartment of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, 84428, Riyadh, 11671, Saudi Arabia.
Christian Ven EmeryFaculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK.
Wiam ElshamiMedical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Manal IbhamMedical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Naifah AlsubaieDepartment of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, 84428, Riyadh, 11671, Saudi Arabia.
Zuhal HamdDepartment of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, 84428, Riyadh, 11671, Saudi Arabia.
Mohamed AljamalDepartment of Medical Imaging, Faculty of Allied Medical Sciences, Arab American University, Jenin, Palestine.

Funding

Princess Nourah Bint Abdulrahman University,Saudi Arabia PNURSP2025R850
6 · The paper itself

Abstract

introductionSustainability in healthcare, particularly in medical imaging, is increasingly important as healthcare operations contribute significantly to global emissions. Radiographers, as integral members of imaging departments, play a vital role in implementing sustainable practices. This study examines radiographers' perceptions, practices, and barriers to sustainability across five countries: the United Arab Emirates, Saudi Arabia, Palestine, Sudan, and Ghana, highlighting regional differences and factors influencing engagement.

methodsA cross-sectional survey was conducted among 441 radiographers using an online platform. The survey included questions on demographic information, sustainability perceptions, practices, and barriers. Data were analyzed using descriptive statistics and the Kruskal-Wallis H test to evaluate regional variations in sustainability engagement.

resultsResults revealed moderate sustainability knowledge among participants, with 45.1% (n = 199) understanding the concept and 46.7% (n = 206) recognizing its benefits. Common practices included digital documentation (34.6%, n = 289) and daily energy reduction efforts (32.2%, n = 142). However, advanced practices such as recycling residual contrast media or adopting energy-efficient equipment were limited. Key barriers included lack of training (39.2%, n = 173), financial constraints (44.7%, n = 197), and insufficient managerial support (39.2%, n = 173). Regional variations were evident, with Ghana showing the highest engagement across knowledge, attitudes, and practices, while Saudi Arabia scored the lowest. Statistical analysis indicated significant differences in sustainability engagement by region (p < 0.05), with Ghana benefiting from targeted educational initiatives and international collaborations. In contrast, resource limitations and insufficient institutional support hindered progress in other regions.

conclusionThe findings emphasize the need for tailored strategies to promote sustainability in radiography. Recommendations include integrating sustainability into radiography curricula, providing targeted training, enhancing leadership support, and adopting region-specific interventions. Addressing these challenges can empower radiographers to contribute to environmentally sustainable healthcare systems.

Indexed as

RadiographyAdultAfricaAsiaCross-Sectional StudiesFemaleGhanaHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSaudi ArabiaSudanSurveys and QuestionnairesUnited Arab EmiratesBarriersDeveloping countriesEnvironmental impactHealthcare systemsRadiographyRegional differencesSustainabilitySustainable practices

Identifiers

PMID40098157
PMCPMC11916605

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LicenceCC BY-NC-ND
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Registered trials

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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.