Evidence map›Paper›PMID 40536426›Full record

ReviewAnnals of the Royal College of Surgeons of England2025

Sustainability in breast surgery: a narrative review and guide for change.

J Worsfold, S Saha

Abstract readReview
In one paragraph

Review in Annals of the Royal College of Surgeons of England, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

J WorsfoldEast Suffolk and North Essex NHS Foundation Trust, UK.
S SahaEast Suffolk and North Essex NHS Foundation Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this review was to evaluate sustainable interventions in breast surgery that reduce carbon dioxide equivalent (CO

methodsA literature search was conducted using MEDLINE via PubMed up to 2024, targeting studies on sustainability in breast surgery. Search terms included sustainability-related and breast surgery-specific keywords. Owing to limited evidence, a narrative review was performed, incorporating findings from published literature, local audits and environmental impact assessments. Interventions were analysed across the perioperative pathway.

findingsOnly one study specifically addressed sustainability in breast surgery, highlighting a significant evidence gap. However, multiple practical interventions were identified. The use of total intravenous anaesthesia reduced CO

conclusionsSimple, sustainable changes in breast surgery can significantly reduce both environmental and financial costs. Despite a lack of robust data, practical measures already in use show clear benefits. Future research should focus on whole lifecycle analyses of sustainable interventions, providing evidence to support sustainable practices. Incorporating these interventions across surgical disciplines can meaningfully contribute to achieving NHS net zero goals.

Indexed as

BreastCarbon DioxideCarbon FootprintCost-Benefit AnalysisFemaleHumansState MedicineCarbon DioxideBreastNarrativeReviewSurgerySustainability

Identifiers

PMID40536426
PMCPMC12578594

What OpenQuestion holds

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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.