Evidence map›Paper›PMID 40740205›Full record

ArticleActa Cardiologica Sinica2025

Implementing Sustainable Practices in the Cardiac Catheterization Laboratory: Results from a Year-Long Waste Reduction Initiative.

Kuan-Jen Chen, Lung-Ching Chen, Jer-Young Liou, Huei-Fong Hung, Shen-Chang Lin, Kou-Gi Shyu, Shih-Huang Lee, Che-Ming Chang, Shu-Ping Chao, Tzu-Lin Wang and 10 more

Abstract read
In one paragraph

Article in Acta Cardiologica Sinica, 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. 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

20 authors.

Kuan-Jen ChenDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Lung-Ching ChenDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Jer-Young LiouDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Huei-Fong HungDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Shen-Chang LinDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Kou-Gi ShyuDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Shih-Huang LeeDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Che-Ming ChangDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Shu-Ping ChaoDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Tzu-Lin WangDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Cheng-Chun WeiDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Zhen-Yu LiaoDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Bor-Hsin JongDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Ching-Yao ChouDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Cheng-Yen ChuangDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Wei-Ting LaiDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Min-Ji CharngDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Donna Shu-Han LinDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Hao-Yun LoDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.
Su-Kiat ChuaDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac catheterization laboratories (CCLs) contribute significantly to hospital waste and environmental impact. While sustainability efforts in healthcare are growing, comprehensive strategies for waste reduction in CCLs remain limited. Aims: This study evaluated the effectiveness of a quality improvement initiative in reducing waste output and enhancing recycling practices in a high-volume CCL. Methods: A one-year study was conducted in a single-center CCL performing approximately 2,800 annual procedures. Interventions included staff education, waste tracking, improved segregation, forming a sustainability team, and regular progress updates. Waste outputs were measured at baseline, one month, three months, and one year post-intervention. Carbon footprint reductions were calculated using emission factors of 340.00 kg/ton of carbon dioxide equivalent (tCO Results: Over one year, infectious waste decreased by 35.4% [from 2.38 ± 0.40 to 1.54 ± 0.09 kilogram per procedure (kg/procedure)], and general waste decreased by 26.4% (from 0.83 ± 0.14 to 0.61 ± 0.03 kg/procedure). Recyclable paper increased by 55.5% (from 0.30 ± 0.05 to 0.47 ± 0.03 kg/procedure). The estimated annual carbon footprint reduction was 1,084.2 kg carbon dioxide equivalent. Conclusions: Sustainability initiatives can significantly reduce waste and carbon emissions in CCLs while promoting recycling. This study provides a practical framework for advancing environmental sustainability in high-volume CCLs.

Indexed as

Cardiac catheterizationMedical wasteQuality improvementRecyclingSustainability

Identifiers

PMID40740205
PMCPMC12305825

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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.