Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
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, Volume 110, No. 7, Year 2023
Notification
URL copied to clipboard!
Description
Background: 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. © The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd.
Authors & Co-Authors
Adisa, Adewale O.
Unknown Affiliation
Bhangu, Aneel Amir
Unknown Affiliation
Ghosh, Dhruv
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Ingabire, Jc C.Allen
Unknown Affiliation
Kamarajah, Sivesh K.
Unknown Affiliation
Li, Elizabeth
Unknown Affiliation
Lillywhite, Robert D.
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Ntirenganya, Faustin
Unknown Affiliation
Picciochi, Maria
Unknown Affiliation
Simoes, Joana Filipa Ferreira
Unknown Affiliation
McLean, Aaron Lawson
Unknown Affiliation
Ghannam, Abdelilah
Unknown Affiliation
Alvi, Abdul Rehman
Unknown Affiliation
Adesunkanmi, Abdulhafiz Hafiz Oladapo
Unknown Affiliation
Al-Mallah, Abdullah
Unknown Affiliation
Kirfi, Abdullahi Musa
Unknown Affiliation
Altaf, Abdulmalik M.S.
Unknown Affiliation
Sabbagh, Abdulrahman J.
Unknown Affiliation
Ajiya, Abdulrazak
Unknown Affiliation
Mittal, Abhishek
Unknown Affiliation
Adeniran, Abiodun S.
Unknown Affiliation
Issaka, Adamu
Unknown Affiliation
Adeyeye, Ademola A.
Unknown Affiliation
Ademuyiwa, Adesoji O.
Unknown Affiliation
Appiah-Kubi, Adu
Unknown Affiliation
Ozair, Ahmad
Unknown Affiliation
Othman, Ahmad Faidzal
Unknown Affiliation
Elsherbiny, Abdallah Salah
Unknown Affiliation
Tarek, Ahmed
Unknown Affiliation
Abu-Zaid, Ahmed
Unknown Affiliation
Nuhu, Ahmed Mohammed
Unknown Affiliation
Sakr, Ahmad Hammad
Unknown Affiliation
Shehta, Ahmed
Unknown Affiliation
Sherif, Ahmed Elshawadfy
Unknown Affiliation
Awad, Ahmed K.
Unknown Affiliation
Abbas, Ahmed M.
Unknown Affiliation
Abdelrahman, Ahmed Saber Mohamed
Unknown Affiliation
Azzam, Ahmed Y.
Unknown Affiliation
Tantri, Aida Rosita
Unknown Affiliation
Costas-Chavarri, Ainhoa
Unknown Affiliation
Landaluce-Olavarria, Aitor
Unknown Affiliation
Ubom, Akaninyene Eseme
Unknown Affiliation
Turna, Akif
Unknown Affiliation
Adepiti, Akinfolarin C.
Unknown Affiliation
Kuriyama, Akira
Unknown Affiliation
Hassouneh, Ala’
Unknown Affiliation
El-Hussuna, Alaa
Unknown Affiliation
Biloslavo, Alan
Unknown Affiliation
Porcu, Alberto
Unknown Affiliation
Barranquero, Alberto González
Unknown Affiliation
Saibene, Alberto Maria
Unknown Affiliation
Bedada, Alemayehu G.
Unknown Affiliation
Broglia, Alessandro
Unknown Affiliation
Alfieri, A.
Unknown Affiliation
Haynes, Alex B.
Unknown Affiliation
Nikova, Alexandrina S.
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Arnaud, Alexis P.
Unknown Affiliation
Kavalakat, Alfie Jose
Unknown Affiliation
Recordare, Alfonso Giovanni
Unknown Affiliation
Annicchiarico, Alfredo
Unknown Affiliation
Conti, Alfredo
Unknown Affiliation
Mohammed, Alhassan Datti
Unknown Affiliation
Mohamedahmed, Ali Yasen Y.
Unknown Affiliation
Frontali, A.
Unknown Affiliation
Khamees, Almu'Atasim
Unknown Affiliation
Ugwu, Aloy Okechukwu
Unknown Affiliation
Turan, Alparslan M.
Unknown Affiliation
Mohammed, Alsnosy Abdullah Khalefa
Unknown Affiliation
Sousa, Álvaro Francisco Lopes De
Unknown Affiliation
Dawson, Amanda C.
Unknown Affiliation
Kaur, Amanjot
Unknown Affiliation
Antonelli, Amedeo
Unknown Affiliation
Alhamad, Ameen
Unknown Affiliation
Alderazi, Amer
Unknown Affiliation
Harky, Amer
Unknown Affiliation
Mohammed-Durosinlorun, Amina A.
Unknown Affiliation
Seguya, Amina
Unknown Affiliation
Okhakhu, Amina Lami
Unknown Affiliation
Chamakhi, Amine
Unknown Affiliation
Sebai, Amine
Unknown Affiliation
Souadka, Amine
Unknown Affiliation
Asla, Amir Fathi
Unknown Affiliation
Agrawal, Amit
Unknown Affiliation
Gupta, Amit M.
Unknown Affiliation
Elgazar, Amr
Unknown Affiliation
Hadzibegovic, Ana Danic
Unknown Affiliation
Castaño-León, Ana María
Unknown Affiliation
Bravo, Ana Minaya
Unknown Affiliation
Kothari, Anai N.
Unknown Affiliation
Aljaiuossi, Anas
Unknown Affiliation
Majbar, Anass Mohammed
Unknown Affiliation
Zakaria, Andee Dzulkarnaen
Unknown Affiliation
Balla, Andrea
Unknown Affiliation
Barberis, Andrea
Unknown Affiliation
Bottari, Andrea
Unknown Affiliation
Mingoli, Andrea
Unknown Affiliation
Sagnotta, Andrea
Unknown Affiliation
Älgå, Andreas
Unknown Affiliation
Hecker, Andreas
Unknown Affiliation
Demetriades, Andreas Kyriacou
Unknown Affiliation
Serban, Andreea Madalina
Unknown Affiliation
Isaza-Restrepo, Andrés
Unknown Affiliation
Beamish, Andrew J.
Unknown Affiliation
Yiu, Andrew J.
Unknown Affiliation
Litvin, A. A.
Unknown Affiliation
Dell, Angela J.
Unknown Affiliation
Kolias, Angelos Georgiou
Unknown Affiliation
Cerovac, Anis
Unknown Affiliation
Tidjane, Anisse
Unknown Affiliation
Agbeko, Anita Eseenam
Unknown Affiliation
Bajaj, Ankur
Unknown Affiliation
Dare, Anna J.
Unknown Affiliation
Konney, Anna
Unknown Affiliation
Ezanno, Anne Cécile
Unknown Affiliation
Maniaci, Antonino
Unknown Affiliation
de la Medina, Antonio Ramos
Unknown Affiliation
Laganà, Antonio Simone
Unknown Affiliation
Seidu, Anwar Sadat
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Ioannidis, Argyrios
Unknown Affiliation
Abeldaño Zuñiga, Roberto Ariel
Unknown Affiliation
Mwenda, Aruyaru Stanley
Unknown Affiliation
Rahman, Ashrarur Rahman
Unknown Affiliation
Rammohan, Ashwin
Unknown Affiliation
Mehraj, Asif
Unknown Affiliation
Yildirim, Asif (Asıf)
Unknown Affiliation
Radwan, Asmaa
Unknown Affiliation
Sallam, Asser Abdel Hay
Unknown Affiliation
Dulskas, Audrius
Unknown Affiliation
Tawiah, Augustine
Unknown Affiliation
Zani, Augusto
Unknown Affiliation
Adamu, Auwal
Unknown Affiliation
Aujayeb, Avinash
Unknown Affiliation
Malik, Awais Amjad
Unknown Affiliation
Makanjuola, Ayomide
Unknown Affiliation
Saraçoǧlu, Ayten
Unknown Affiliation
Bin Alhassan, Baba Alhaji
Unknown Affiliation
Mostafa, Badr Eldin
Unknown Affiliation
Alegbeleye, Bamidele Johnson
Unknown Affiliation
Alayande, Barnabas Tobi
Unknown Affiliation
Alhazmi, Barrag
Unknown Affiliation
Martin, Benjamin P.
Unknown Affiliation
Mbwele, Bernard A.
Unknown Affiliation
Lieske, Bettina
Unknown Affiliation
Picardi, Biagio
Unknown Affiliation
Festa, Bianca Maria
Unknown Affiliation
Sulaiman, Bilal
Unknown Affiliation
Ayana, Birhanu Abera
Unknown Affiliation
Hameed, B. M.Zeeshan
Unknown Affiliation
Diaconescu, Ionut Bogdan
Unknown Affiliation
Kovacevic, Bojan M.
Unknown Affiliation
Sakakushev, Boris E.
Unknown Affiliation
Bouhani, Malek
Unknown Affiliation
Martinez-Leo, Bruno Adrián
Unknown Affiliation
Almiqlash, Bushray
Unknown Affiliation
Pramesh, Conjeevaram S.
Unknown Affiliation
Sars, Carl
Unknown Affiliation
Hing, Caroline B.
Unknown Affiliation
Sohrabi, Catrin
Unknown Affiliation
Guldogan, Cem Emir
Unknown Affiliation
Ciubotaru, Cezar I.
Unknown Affiliation
Handford, Charles
Unknown Affiliation
Koh, Cherry E.P.
Unknown Affiliation
Khatri, Chetan
Unknown Affiliation
Parmar, Chetan D.
Unknown Affiliation
Marafante, C.
Unknown Affiliation
Echieh, Chidiebere Peter
Unknown Affiliation
Konrads, Christian
Unknown Affiliation
Makwe, Christian C.higozie
Unknown Affiliation
Fleming, Christina A.
Unknown Affiliation
Wallis, Christopher J.D.
Unknown Affiliation
Apostolou, Christos
Unknown Affiliation
Chouliaras, Christos
Unknown Affiliation
Forde, Cillian T.
Unknown Affiliation
Warden, Claire
Unknown Affiliation
Noel, Colin B.
Unknown Affiliation
Adumah, Collins Chijioke
Unknown Affiliation
Ezeme, Constantine
Unknown Affiliation
Meşinǎ, Cristian
Unknown Affiliation
Bombardini, Cristina
Unknown Affiliation
Asiimwe, Daniel
Unknown Affiliation
Gerö, Dániel
Unknown Affiliation
Reim, Daniel
Unknown Affiliation
Bissacco, Daniele
Unknown Affiliation
Sale, Danjuma
Unknown Affiliation
Tartaglia, Dario
Unknown Affiliation
Idowu, David
Unknown Affiliation
Naumann, David N.
Unknown Affiliation
Proud, David M.
Unknown Affiliation
Watson, David Ian
Unknown Affiliation
Degarege, Dawit
Unknown Affiliation
Wright, Deborah May
Unknown Affiliation
Ghosh, Dhruva Nath
Unknown Affiliation
Azize, Diallo Abdoul
Unknown Affiliation
Hayne, Dickon
Unknown Affiliation
Mutter, Didier
Unknown Affiliation
Raimondo, D.
Unknown Affiliation
Eskinazi, Diego G.
Unknown Affiliation
Sasia, Diego
Unknown Affiliation
Grewal, Dilraj S.
Unknown Affiliation
Pournaras, Dimitri J.
Unknown Affiliation
Raptis, Dimitrios Aristotle
Unknown Affiliation
Moris, D.
Unknown Affiliation
Schizas, Dimitrios N.
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Thekkinkattil, Dinesh Kumar
Unknown Affiliation
Wiedemann, Dominik
Unknown Affiliation
Schweitzer, Donald
Unknown Affiliation
Venskutonis, Donatas
Unknown Affiliation
Otokwala, Job Gogo
Unknown Affiliation
Adamu, Kabir Musa
Unknown Affiliation
Wijeysundera, Duminda Nalaka
Unknown Affiliation
Ryan, Eanna J.
Unknown Affiliation
Shaddad, Ebrahim
Unknown Affiliation
Sá-Marta, Eduarda
Unknown Affiliation
Clune, Edward
Unknown Affiliation
Vasarhelyi, Edward M.
Unknown Affiliation
Yenli, Edwin M.T.
Unknown Affiliation
Lostoridis, Eftychios
Unknown Affiliation
Borg, Elaine
Unknown Affiliation
Samadov, Elgün
Unknown Affiliation
Kantor, Elie
Unknown Affiliation
Çolak, Elif F.
Unknown Affiliation
Daketsey, Elorm Adzoa
Unknown Affiliation
Rausa, Emanuele
Unknown Affiliation
Odai, Emeka Danielson
Unknown Affiliation
Guasch, Emilia
Unknown Affiliation
Giorgakis, Emmanouil
Unknown Affiliation
Bua, Emmanuel
Unknown Affiliation
Nachelleh, Emmanuel Aadereyir
Unknown Affiliation
Ofori, Emmanuel Owusu
Unknown Affiliation
Akin, Emrah
Unknown Affiliation
Gönüllü, Emre
Unknown Affiliation
Ohazurike, Ephraim Okwudiri
Unknown Affiliation
Aytaç, Erman
Unknown Affiliation
Albanese, Erminia
Unknown Affiliation
Albayadi, Eslam
Unknown Affiliation
Tuyishime, Eugene
Unknown Affiliation
Panieri, Eugenio
Unknown Affiliation
Samara, Evangelia
Unknown Affiliation
Agbeno, Evans Kofi
Unknown Affiliation
Drozdov, Evgeniy S.
Unknown Affiliation
Barra, Fabio
Unknown Affiliation
Carbone, Fabio
Unknown Affiliation
Martinelli, Fabio
Unknown Affiliation
D'Acapito, Fabrizio
Unknown Affiliation
Ferracci, Federica
Unknown Affiliation
Saraceno, Federica
Unknown Affiliation
Coccolini, Federico
Unknown Affiliation
Pecoraro, Felice
Unknown Affiliation
Alconchel, Felipe
Unknown Affiliation
Agresta, Ferdinando
Unknown Affiliation
Fleming, Fergal J.
Unknown Affiliation
Mendoza-Moreno, Fernando
Unknown Affiliation
Mohd Hayati, Mohd Firdaus
Unknown Affiliation
Takeda, Flavio Roberto
Unknown Affiliation
Faponle, Folayemi Aramide
Unknown Affiliation
Calabretto, Francesca
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Bussu, Francesco
Unknown Affiliation
Ferrara, Francesco
Unknown Affiliation
Fleres, Francesco
Unknown Affiliation
Guerrera, Francesco
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Roscio, Francesco Pietro Maria
Unknown Affiliation
Mulita, Francesk
Unknown Affiliation
Schmitt, Françoise
Unknown Affiliation
Gyamfi, Frank Enoch
Unknown Affiliation
Bellio, Gabriele
Unknown Affiliation
Giarratano, Gabriella
Unknown Affiliation
Poillucci, Gaetano
Unknown Affiliation
Groot, Gary
Unknown Affiliation
Bass, Gary A.
Unknown Affiliation
Agarwal, Gaurav K.
Unknown Affiliation
Perrone, Gennaro
Unknown Affiliation
Osterhoff, G.
Unknown Affiliation
Tzimas, George N.
Unknown Affiliation
Koukoulis, Georgios
Unknown Affiliation
Tsoulfas, Georgios
Unknown Affiliation
Ekwen, Gerald Takem
Unknown Affiliation
Calini, Giacomo
Unknown Affiliation
Pirola, Giacomo Maria
Unknown Affiliation
Baiocchi, Gian Luca
Unknown Affiliation
Franceschini, Gianluca
Unknown Affiliation
Pellino, Gianluca
Unknown Affiliation
Casoni Pattacini, Gianmaria
Unknown Affiliation
Iannella, Giannicola
Unknown Affiliation
Brachini, Gioia
Unknown Affiliation
Giraudo, Giorgio
Unknown Affiliation
Russo, Giorgio Ivan
Unknown Affiliation
Brisinda, Giuseppe
Unknown Affiliation
Currò, Giuseppe
Unknown Affiliation
Giannaccare, Giuseppe
Unknown Affiliation
Vizzielli, Giuseppe
Unknown Affiliation
Baiocchi, Glauco
Unknown Affiliation
Augustin, Goran
Unknown Affiliation
Statistics
Citations: 8
Authors: 299
Identifiers
Doi:
10.1093/bjs/znad092
ISSN:
00071323
Research Areas
Environmental
Health System And Policy
Study Design
Randomised Control Trial
Study Approach
Qualitative
Systematic review