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Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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dc.contributor.authorERGENÇ, MUHAMMER
dc.contributor.authorsAdisa A., Bahrami-Hessari M., Bhangu A., George C., Ghosh D., Glasbey J., Haque P., Ingabire J. C. A., Kamarajah S. K., Kudrna L., et al.
dc.date.accessioned2023-07-26T07:14:26Z
dc.date.available2023-07-26T07:14:26Z
dc.date.issued2023-07-01
dc.description.abstractBackground: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was coprioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of \"single-use\" consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries.
dc.identifier.citationAdisa A., Bahrami-Hessari M., Bhangu A., George C., Ghosh D., Glasbey J., Haque P., Ingabire J. C. A., Kamarajah S. K., Kudrna L., et al., "Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries", British Journal of Surgery, cilt.110, sa.7, ss.804-817, 2023
dc.identifier.doi10.1093/bjs/znad092
dc.identifier.endpage817
dc.identifier.issn0007-1323
dc.identifier.issue7
dc.identifier.startpage804
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85163250965&origin=inward
dc.identifier.urihttps://hdl.handle.net/11424/291672
dc.identifier.volume110
dc.language.isoeng
dc.relation.ispartofBritish Journal of Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectSurgery Medicine Sciences
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectCERRAHİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectSURGERY
dc.subjectCerrahi
dc.subjectSurgery
dc.titleReducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
dc.typearticle
dspace.entity.typePublication
local.avesis.id2414f291-11e6-49b3-afbc-add1a7aa2c66
local.indexed.atPUBMED
local.indexed.atSCOPUS
local.indexed.atWOS
relation.isAuthorOfPublication5aeccfeb-2745-41d4-a741-fbd92184b857
relation.isAuthorOfPublication.latestForDiscovery5aeccfeb-2745-41d4-a741-fbd92184b857

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