Evidence map›Paper›PMID 42576079›Full record

ArticleSurgical endoscopy2026

Sustainability in surgery: insights from the 2024 SAGES Annual Meeting.

Anjelli Wignakumar, Justin Dourado, Sameh Hany Emile, Julio F Fiore, Patricia Sylla, Steven D Wexner, Lakshmi Linkeshwaran, Marylise Boutros, Olivia Monton

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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

9 authors.

Anjelli WignakumarDepartment of Colorectal Surgery, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.
Justin DouradoDepartment of Colorectal Surgery, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.
Sameh Hany EmileDepartment of Colorectal Surgery, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.
Julio F FioreDepartment of Surgery, McGill University, Montreal, QC, Canada.
Patricia SyllaDivision of Colon and Rectal Surgery, Mount Sinai Health System, New York, NY, USA.
Steven D WexnerDepartment of Colorectal Surgery, Medstar Georgetown University Health, Washington, DC, USA.
Lakshmi LinkeshwaranUniversity College London, London, UK.
Marylise BoutrosDepartment of Colorectal Surgery, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA. BOUTROM3@ccf.org.ORCID http://orcid.org/0000-0001-8006-321X
Olivia MontonDepartment of Surgery, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe healthcare sector is a major contributor to global carbon emissions, with operating rooms representing particularly waste-intensive environments. Despite growing interest in sustainability in surgery, little qualitative research has explored surgeons' and surgical trainees' perceptions of this issue or their responses to professional society sustainability initiatives.

methodsThis qualitative study used semi-structured, in-depth interviews with surgeons and surgical trainees who attended at least one sustainability session at the 2024 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Annual Meeting. Purposive sampling was used to recruit participants, and interviews were conducted in person or via Zoom. Transcripts were analyzed using the framework method with an abductive approach to coding. Domains and themes were generated using constant comparison.

results18 participants were interviewed, including surgeons, fellows, and residents from academic and community settings. Two major domains emerged: (1) attitudes and perceptions of sustainability in surgery and (2) responses to the 2024 SAGES Annual Meeting's sustainability agenda. Participants conceptualized sustainability as both mindful resource use and concrete waste-reduction actions. The operating room was widely viewed as a highly wasteful environment. Sustainability sessions were perceived as educational, motivating, and impactful, particularly through leadership engagement and the presentation of quantitative environmental data. Many participants reported increased awareness and expressed intentions to implement sustainable changes in their own practices.

conclusionsParticipants demonstrated strong support for sustainability initiatives and viewed the SAGES sustainability sessions as a catalyst for individual and institutional change. These findings highlight the influential role of professional societies, leadership, and data-driven education in advancing sustainability in surgical practice.

Indexed as

InterviewsSAGES Annual MeetingSurgerySustainability

Identifiers

PMID42576079

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.