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

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2024年1月24日

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Francesca Dal Mas,
Lorenzo Cobianchi,
Daniele Piccolo,
Jeremy Balch,
Helena Biancuzzi,
Walter L. Biffl,
Stefano Campostrini,
Enrico Cicuttin,
Federico Coccolini,
Dimitris Damaskos,
Amanda C. Filiberto,
Claudia Filisetti,
Gustavo Fraga,
Simone Frassini,
Paola Fugazzola,
Timothy Hardcastle,
Haytham M. Kaafarani,
Yoran Kluger,
Maurizio Massaro,
Jacopo Martellucci,
Ernest Moore,
Federico Ruta,
Massimo Sartelli,
Philip F. Stahel,
George Velmahos,
Dieter G. Weber,
Fausto Catena,
Tyler J. Loftus,
Luca Ansaloni

摘要

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

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

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

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.