Evidence map›Paper›PMID 42301439›Full record

ArticleSurgical endoscopy2026

The environmental impacts of surgical care pathways: same-day-discharge versus enhanced recovery following minimally invasive colectomy and stoma reversal.

Tiffany Paradis, Camille Gervais, Neyla Boukhili, Stephan Robitaille, Anne Mahalia Olivier, Patrick Charlebois, Barry S Stein, A Sender Liberman, Julio F Fiore, Liane S Feldman and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Tiffany ParadisDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.ORCID http://orcid.org/0009-0002-6123-4743
Camille GervaisSteinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada.
Neyla BoukhiliDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Stephan RobitailleDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Anne Mahalia OlivierSteinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada.
Patrick CharleboisDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Barry S SteinDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
A Sender LibermanDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Julio F FioreDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Liane S FeldmanDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Lawrence LeeDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada. larry.lee@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe healthcare industry is a significant contributor to greenhouse gas (GHG) emissions, with sustainability efforts largely focused on reducing operating room waste. However, the environmental impact of postoperative care pathways is an emerging area of interest. In colorectal surgery, enhanced recovery protocols (ERPs) were developed to improve postoperative outcomes, leading to the adoption of same-day discharge (SDD) as a further refinement, offering similar results with shorter hospital stays. Despite these advancements, the differences in healthcare-related emissions between these pathways remain unexplored.

methodsA prospective cohort of adult patients undergoing minimally invasive colectomy or stoma reversal and managed through a standardized same-day discharge (SDD) protocol was compared to a matched retrospective cohort of patients managed through enhanced recovery protocols (ERPs). The study was conducted at a university-affiliated colorectal center between 2017 and 2022. Carbon emissions associated with each care pathway were quantified using the "New Care Pathways Carbon Footprint Calculator," developed by the Sustainable Healthcare Coalition in collaboration with the NHS ( https://shcpathways.org/full-calculator/ ). Secondary outcomes included postoperative complications, hospital readmissions, and emergency department (ED) visits.

resultsAmong 689 screened adult patients, 121 underwent SDD, while 413 were managed through ERP. Carbon emissions were significantly lower in the SDD cohort for colectomy patients (322 kgCO

conclusionSDD pathways reduce the carbon footprint for colectomy patients, highlighting a potential environmental benefit of shorter hospital stays. However, increased ED visits and readmissions warrant further investigation to optimize patient selection and postoperative care. As healthcare systems pursue sustainability, integrating environmentally conscious care pathways remains essential for balancing patient outcomes with planetary health.

Indexed as

ColectomyEnhanced Recovery After SurgeryPatient DischargePostoperative CareAgedCarbon FootprintFemaleHumansLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresPatient ReadmissionPostoperative ComplicationsProspective StudiesRetrospective StudiesColorectalEnhanced recoverySame-day dischargeSustainability

Identifiers

PMID42301439

What OpenQuestion holds

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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.