ArticleJB & JS open access
The Environmental Impact of Short-Stay Total Shoulder Arthroplasty.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The healthcare sector significantly affects the environment, with hospitals consuming more energy and producing more waste than other nonresidential buildings. The shift toward outpatient total shoulder arthroplasty (TSA) is driven by increasing demand and cost reduction, yet the environmental implications of this remain poorly understood. We hypothesize that the inpatient stay accounts for 20% of TSA's environmental impact. This study aims to quantify the environmental impact of TSA using life cycle analysis (LCA) and waste audit, and to identify opportunities for sustainability. Methods: Patients eligible for outpatient TSA between June 2023 and March 2024 were included. LCA evaluated 4 phases of care: preoperative (preop), operative (OR), postanesthesia care unit (PACU), and a 23-hour inpatient stay. Waste audits quantified surgical and inpatient waste. Patient demographics were collected through chart review. Results: Twenty-one patients (average age 62 years) were included. Average surgical and inpatient waste was 19.6 kg (12.3 kgCO Conclusion: TSA's environmental impact may be mitigated by performing outpatient procedures, minimizing inhaled anesthetics, adopting reusable devices, and customizing surgical packs. Recognizing the environmental implications of surgical practices is essential to balancing patient care, public health, and environmental sustainability. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.
Identifiers
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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.