Sustainability in surgical practice: a collaborative call toward environmental sustainability in operating rooms.

Carbon footprint Climate change Decarbonization Environmental sustainability Green operating rooms Greenhouse gas emissions Minimally invasive surgery Surgical practice Surgical sustainability

Journal

Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653

Informations de publication

Date de publication:
01 Jul 2024
Historique:
received: 17 05 2024
accepted: 23 05 2024
medline: 2 7 2024
pubmed: 2 7 2024
entrez: 1 7 2024
Statut: aheadofprint

Résumé

The healthcare system plays a pivotal role in environmental sustainability, and the operating room (OR) significantly contributes to its overall carbon footprint. In response to this critical challenge, leading medical societies, government bodies, regulatory agencies, and industry stakeholders are taking measures to address healthcare sustainability and its impact on climate change. Healthcare now represents almost 20% of the US national economy and 8.5% of US carbon emissions. Internationally, healthcare represents 5% of global carbon emissions. US Healthcare is an outlier in both per capita cost, and per capita greenhouse gas emission, with almost twice per capita emissions compared to every other country in the world. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the European Association for Endoscopic Surgery (EAES) established the Sustainability in Surgical Practice joint task force in 2023. This collaborative effort aims to actively promote education, mitigation, and innovation, steering surgical practices toward a more sustainable future. Several key initiatives have included a survey of members' knowledge and awareness, a scoping review of terminology, metrics, and initiatives, and deep engagement of key stakeholders. This position paper serves as a Call to Action, proposing a series of actions to catalyze and accelerate the surgical sustainability leadership needed to respond effectively to climate change, and to lead the societal transformation towards health that our times demand.

Sections du résumé

BACKGROUND BACKGROUND
The healthcare system plays a pivotal role in environmental sustainability, and the operating room (OR) significantly contributes to its overall carbon footprint. In response to this critical challenge, leading medical societies, government bodies, regulatory agencies, and industry stakeholders are taking measures to address healthcare sustainability and its impact on climate change. Healthcare now represents almost 20% of the US national economy and 8.5% of US carbon emissions. Internationally, healthcare represents 5% of global carbon emissions. US Healthcare is an outlier in both per capita cost, and per capita greenhouse gas emission, with almost twice per capita emissions compared to every other country in the world.
METHODS METHODS
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the European Association for Endoscopic Surgery (EAES) established the Sustainability in Surgical Practice joint task force in 2023. This collaborative effort aims to actively promote education, mitigation, and innovation, steering surgical practices toward a more sustainable future.
RESULTS RESULTS
Several key initiatives have included a survey of members' knowledge and awareness, a scoping review of terminology, metrics, and initiatives, and deep engagement of key stakeholders.
DISCUSSION CONCLUSIONS
This position paper serves as a Call to Action, proposing a series of actions to catalyze and accelerate the surgical sustainability leadership needed to respond effectively to climate change, and to lead the societal transformation towards health that our times demand.

Identifiants

pubmed: 38951239
doi: 10.1007/s00464-024-10962-0
pii: 10.1007/s00464-024-10962-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Shaneeta M Johnson (SM)

Department of Surgery, Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA, 30310, USA. smjohnsonmd@aol.com.
Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA, USA. smjohnsonmd@aol.com.

Stefania Marconi (S)

Department of Civil Engineering and Architecture, University of Pavia, Pavia, Italy.
IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Manuel Sanchez-Casalongue (M)

Department of Surgery, Clinica San Camilo, Buenos Aires, Argentina.

Nader Francis (N)

Griffin Institute, London, UK.

Bright Huo (B)

Department of General Surgery, McMaster University, Ontario, CA, USA.

Adnan Alseidi (A)

Department of Surgery, University of California San Francisco, San Francisco, USA.

Yewande R Alimi (YR)

Department of Surgery, Medstar Georgetown University Hospital, Washington, DC, USA.

Andrea Pietrabissa (A)

Department of General Surgery, University of Pavia, Pavia, Italy.

Alberto Arezzo (A)

Department of Surgical Sciences, University of Turin, Turin, Italy.

Maximos Frountzas (M)

First Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration General Hospital, Athens, Greece.

Vittoria Bellato (V)

Department of Minimally Invasive Surgery, University Hospital of Rome Tor Vergata, Rome, Italy.

Oleksii Potapov (O)

Department of General Surgery, College of Medicine, University of Rzeszow, Rzeszow, Poland.

Paul Barach (P)

Thomas Jefferson University School of Medicine, Philadelphia, USA.
Department of General Surgery, Imperial College London, London, UK.

Miran Rems (M)

Department of General and Abdominal Surgery, General Hospital Jesenice, Jesenice, Slovenia.

Ricardo J Bello (RJ)

Department of Surgery, Medical College of Wisconsin, Milwaukee, USA.

Sheetal Nijhawan (S)

Department of Surgery, Sharon Regional Medical Center, Sharon, PA, USA.

Wendelyn M Oslock (WM)

Department of Surgery, University of Alabama Birmingham, Birmingham, AL, USA.
Department of Quality, Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA.

Tejas S Sathe (TS)

Department of Surgery, University of California San Francisco, San Francisco, USA.

Ryan P Hall (RP)

Department of Surgery, Tufts Medical Center, Boston, MA, USA.

Benjamin Miller (B)

Cleveland Clinic Foundation, Cleveland, OH, USA.

Sarah Samreen (S)

Division of Minimally Invasive Surgery, University of Texas Medical Branch, Galveston, TX, USA.

Jimmy Chung (J)

Adventus Health Partners, Cincinnati, OH, USA.

Nana Marfo (N)

Ross University School of Medicine, Miramar, FL, USA.

Robert B Lim (RB)

Department of Surgery, Wake Forest University, Atrium Carolinas Medical Center, Charlotte, NC, USA.

Jonathan Vandeberg (J)

Department of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.

Myrthe M Eussen (MM)

Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Nicole D Bouvy (ND)

Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Patricia Sylla (P)

Division of Colon and Rectal Surgery, Mount Sinai Health System, New York, NY, USA.

Classifications MeSH