Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation.

Environmental Sustainability Sustainability Trauma and emergency surgery; survey; Green

Journal

World journal of emergency surgery : WJES
ISSN: 1749-7922
Titre abrégé: World J Emerg Surg
Pays: England
ID NLM: 101266603

Informations de publication

Date de publication:
24 Jan 2024
Historique:
received: 15 12 2023
accepted: 17 01 2024
medline: 25 1 2024
pubmed: 25 1 2024
entrez: 24 1 2024
Statut: epublish

Résumé

The importance of environmental sustainability is acknowledged in all sectors, including healthcare. To meet the United Nations Sustainable Development Goals 2030 Agenda, healthcare will need a paradigm shift toward more environmentally sustainable practices that will also impact clinical decision-making. The study investigates trauma and emergency surgeons' perception, acceptance, and employment of environmentally friendly habits. An online survey based on the most recent literature regarding environmental sustainability in healthcare and surgery was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to the 917 WSES members through the society's website and Twitter/X profile. 450 surgeons from 55 countries participated in the survey. Results underline both a generally positive attitude toward environmental sustainability but also a lack of knowledge about several concepts and practices, especially concerning the potential contribution to patient care. The topic of environmental sustainability in healthcare and surgery is still in its infancy. There is a clear lack of salient guidance and knowledge, and there is a critical need for governments, institutions, health agencies, and scientific societies to promote, disseminate, and report environmentally friendly initiatives and their potential impacts while employing an interdisciplinary approach.

Sections du résumé

BACKGROUND BACKGROUND
The importance of environmental sustainability is acknowledged in all sectors, including healthcare. To meet the United Nations Sustainable Development Goals 2030 Agenda, healthcare will need a paradigm shift toward more environmentally sustainable practices that will also impact clinical decision-making. The study investigates trauma and emergency surgeons' perception, acceptance, and employment of environmentally friendly habits.
METHODS METHODS
An online survey based on the most recent literature regarding environmental sustainability in healthcare and surgery was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to the 917 WSES members through the society's website and Twitter/X profile.
RESULTS RESULTS
450 surgeons from 55 countries participated in the survey. Results underline both a generally positive attitude toward environmental sustainability but also a lack of knowledge about several concepts and practices, especially concerning the potential contribution to patient care.
DISCUSSION CONCLUSIONS
The topic of environmental sustainability in healthcare and surgery is still in its infancy. There is a clear lack of salient guidance and knowledge, and there is a critical need for governments, institutions, health agencies, and scientific societies to promote, disseminate, and report environmentally friendly initiatives and their potential impacts while employing an interdisciplinary approach.

Identifiants

pubmed: 38267949
doi: 10.1186/s13017-024-00533-y
pii: 10.1186/s13017-024-00533-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5

Informations de copyright

© 2024. The Author(s).

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Auteurs

Francesca Dal Mas (F)

Collegium Medicum, University of Social Sciences, Łodz, Poland.
Department of Management, Ca' Foscari University, Venice, Italy.

Lorenzo Cobianchi (L)

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy. lorenzo.cobianchi@unipv.it.
General Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. lorenzo.cobianchi@unipv.it.

Daniele Piccolo (D)

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
Unit of Neurosurgery, Department of Head-Neck and Neuroscience, ASUFC Santa Maria Della Misericordia, Udine, Italy.

Jeremy Balch (J)

Department of Surgery, University of Florida Health, Gainesville, FL, USA.

Helena Biancuzzi (H)

Department of Economics, Ca' Foscari University, Venice, Italy.

Walter L Biffl (WL)

Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.

Stefano Campostrini (S)

Department of Economics, Ca' Foscari University, Venice, Italy.

Enrico Cicuttin (E)

General Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Federico Coccolini (F)

General, Emergency and Trauma Surgery Dept, Pisa University Hospital Pisa, Pisa, Italy.

Dimitris Damaskos (D)

General and Emergency Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.

Amanda C Filiberto (AC)

Department of Surgery, University of Florida Health, Gainesville, FL, USA.

Claudia Filisetti (C)

Department of Pediatric Surgery, Buzzi Children's Hospital, Milan, Italy.

Gustavo Fraga (G)

Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil.

Simone Frassini (S)

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
General Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Paola Fugazzola (P)

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
General Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Timothy Hardcastle (T)

Department of Surgical Sciences, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, 4001, South Africa.
Trauma and Burns Services, Inkosi Albert Luthuli Central Hospital, Mayville, 4058, South Africa.

Haytham M Kaafarani (HM)

Harvard Medical School, Boston, MA, USA.
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.

Yoran Kluger (Y)

Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.

Maurizio Massaro (M)

Department of Management, Ca' Foscari University, Venice, Italy.

Jacopo Martellucci (J)

Department of Surgery, Careggi University Hospital, Florence, Italy.

Ernest Moore (E)

Ernest E Moore Shock Trauma Center at Denver Health, Denver, CO, USA.

Federico Ruta (F)

General Direction, ASL BAT (Health Agency), Andria, Italy.

Massimo Sartelli (M)

Department of Surgery, Macerata Hospital, Macerata, Italy.

Philip F Stahel (PF)

Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.

George Velmahos (G)

Harvard Medical School, Boston, MA, USA.
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.

Dieter G Weber (DG)

Department of General Surgery, Royal Perth Hospital, University of Western Australia, Perth, Australia.

Fausto Catena (F)

Acute Care Surgery Unit, Department of Surgery and Trauma, Maurizio Bufalini Hospital, Cesena, Italy.

Tyler J Loftus (TJ)

Department of Surgery, University of Florida Health, Gainesville, FL, USA.

Luca Ansaloni (L)

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, PV, Italy.
General Surgery, Department, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Classifications MeSH