ArticleBMC anesthesiology2026
Environmental sustainability in anesthesia and operating room practice: a national multicenter survey of knowledge, attitudes, and behaviors.
Article in BMC anesthesiology, 2026. 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
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare systems contribute substantially to global greenhouse gas emissions, with operating rooms representing one of the most carbon-intensive areas of clinical practice. Although awareness of environmentally sustainable practices in perioperative care is increasing, the extent to which knowledge and attitudes are associated with sustainable behaviors among operating room professionals remains unclear.
methodsThis multicenter cross-sectional survey with national scope was conducted among healthcare professionals working in operating room-related settings across Türkiye. Participants were recruited using a convenience sampling strategy. A structured, self-administered online questionnaire (based on self-reported responses) assessed knowledge, attitudes, and self-reported behaviors related to environmentally sustainable operating room practices. Knowledge, attitude, and behavior scores were analyzed as continuous variables. Correlation analyses and multivariable linear regression models were used to identify individual, professional, and institutional factors statistically associated with each domain.
resultsA total of 213 participants were included. Mean knowledge, attitude, and behavior scores were 6.23 ± 2.44, 19.0 ± 6.0, and 22.0 ± 6.0, respectively. Knowledge scores were positively associated with anesthesiology-related affiliation and specific clinical exposures and inversely associated with age and years of professional experience. Attitude scores were associated with obstetric operating room experience, prior sustainability-related training, and peer- and literature-based information sources. Behavior scores were independently associated with both knowledge and attitude scores and with the reported presence of an institutional carbon footprint-related training program. The reported presence of a formal institutional carbon footprint policy was not associated with higher knowledge or attitude scores and showed a negative association with knowledge in adjusted analyses.
conclusionOperating room professionals in this multicenter survey demonstrated limited-to-moderate awareness and generally favorable attitudes toward environmental sustainability; however, variability in self-reported sustainable practices was observed. Knowledge and institutional variables were statistically associated with behavior scores, although causal inferences cannot be made. Given the convenience sampling design and reliance on self-reported data, findings should be interpreted with caution. These findings highlight the complexity of sustainability implementation in anesthesia and perioperative care and support the need for further implementation-focused and longitudinal research.
Indexed as
Identifiers
What OpenQuestion holds
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.