RT Journal Article
T1 Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
A1 Mateo Sierra, Olga
AB BackgroundHealthcare 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.MethodsThis 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 co-prioritized 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.ResultsIn 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.ConclusionThis is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries.
PB Oxford Academic
YR 2023
FD 2023-04-20
LK https://hdl.handle.net/20.500.14352/128324
UL https://hdl.handle.net/20.500.14352/128324
LA eng
NO Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries. Br J Surg. 2023 Jun 12;110(7):804-817. doi: 10.1093/bjs/znad092. Erratum in: Br J Surg. 2023 Nov 9;110(12):1907. doi: 10.1093/bjs/znad317. PMID: 37079880; PMCID: PMC10364528
NO Autora incluida en el Grupo de Investigación National Institute for Health and Care Research Global Health Research Unit on Global Surgery
NO National Institute for Health and Care Research Global Health Research Unit on Global Surgery
DS Docta Complutense
RD 19 mar 2026