Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Adewale Adisa, Michael Bahrami-Hessari, Aneel Bhangu, Christina George, Dhruv Ghosh, James Glasbey, Parvez Haque, J. C.Allen Ingabire, Sivesh Kathir Kamarajah, Laura Kudrna, Virginia Ledda, Elizabeth Li, Robert Lillywhite, Rohin Mittal, Dmitri Nepogodiev, Faustin Ntirenganya, Maria Picciochi, Joana Filipa Ferreira Simões, L. Booth, R. ElliotA. S. Kennerton, K. L. Pettigrove, L. Pinney, H. Richard, R. Tottman, P. Wheatstone, John W.D. Wolfenden, A. Smith, A. Emad Sayed, Aakansha Giri Goswami, Aamer Malik, Aaron Lawson McLean, Abbas Hassan, Abd Jabar Nazimi, Abdallah Aladna, Abdalrahman Abdelgawad, Abdel Saed, Abdelfatah Abdelmageed, Abdelilah Ghannam, Abdelrahman Mahmoud, Abdul Alvi, Abdulaziz Ismail, Abdulhafiz Adesunkanmi, Abdulla Ebrahim, Abdullah Al-Mallah, Abdullah Alqallaf, Abdullah Durrani, Abdullah Gabr, Abdullahi Musa Kirfi, Abdulmalik Altaf, Abdulmjeed Almutairi, Abdulrahman J. Sabbagh, Abdulrazak Ajiya, Abdurrahman Haddud, Abed Alfattah Mahmoud Alnsour, Abhinav Singh, Abhishek Mittal, Abigail Semple, Abiodun Adeniran, Abraham Negussie, Abraham Oladimeji, Abubakar Bala Muhammad, Abubaker Yassin, Abuzer Gungor, Achille Tarsitano, Adaiah Soibiharry, Adam Dyas, Adam Frankel, Adam Peckham-Cooper, Adam Truss, Adamu Issaka, Adel Mohamed Ads, Adeleke Akeem Aderogba, Ademola Adeyeye, Adesoji Ademuyiwa, Adham Sleem, Adrian Papa, Adriana Cordova, Adu Appiah-Kubi, Adullah Meead, Aeris Jane D. Nacion, Afieharo Michael, Agustin Albani Forneris, Agustin Duro, Agustin Rodriguez Gonzalez, Ahmad Altouny, Ahmad Ghazal, Ahmad Khalifa, Ahmad Ozair, Ahmad Quzli, Ahmad Haddad, Ahmad Faidzal Othman, Ahmad Shuib Yahaya, Ahmed Elsherbiny, Ahmed Nazer, Ahmed Tarek, Ahmed Abu-Zaid, Ahmed Al-Nusairi, Ahmed Azab, Ahmed Elagili, Ahmed Elkazaz, Ahmed Kedwany, Ahmed Mohammed Nuhu, Ahmed Sakr, Ahmed Shehta, Ahmed Shirazi, Ahmed Mohamed Ibrahim Mohamed, Ahmed Elshawadfy Sherif, Ahmed K. Awad, Ahmed M. Abbas, Ahmed Saber Abdelrahman, Ahmed Siddique Ammar, Ahmed Y. Azzam, Ahmet Burak Ciftci, Ahmet Cem Dural, Ahmet Necati Sanli, Aida Cristina Rahy-Martín, Aida Rosita Tantri, Aimal Khan, Aiman Al-Touny, Aiman Tariq, Aimen Gmati, Ainhoa Costas-Chavarri, Aino Auerkari, Aitor Landaluce-Olavarria, Ajay Puri, Ajay Radhakrishnan, Akaninyene Eseme Ubom, Akhilesh Pradhan, Akif Turna, Akinfolarin Adepiti, Akira Kuriyama, Al Faraaz Kassam, Ala Hassouneh, Alaa El-Hussuna, Alaa Habeebullah, Alaa Mohamed Ads, Alaa Mousli, Alan Biloslavo, Alan Hoang, Alan Kirk, Alasdair Santini, Alba Vazquez Melero, Albaro José, Nieto Calvache, Albert Baduell, Albert Chan, Alberto Abrate, Alberto Balduzzi, Alberto Cabañero Sánchez, Alberto Navarrete-Peón, Alberto Porcu, Alberto Brolese, Alberto G. Barranquero, Alberto Maria Saibene, Albushra Altayeb Adam, Aldo Vagge, Alejandra Jara Maquilón, Alejandro Leon-Andrino, Aleksandar Sekulić, Aleksandar Trifunovski, Aleksandro Mako, Alemayehu Ginbo Bedada, Alessandro Broglia, Alessandro Coppola, Alessandro Giani, Alessandro Grandi, Alessandro Iacomino, Alessandro Moro, Alessia D'Amico, Alessia Malagnino, Alethea Tang, Alex Doyle, Alex Alfieri, Alex Haynes, Alex Wilkins, Alexander Baldwin, Alexander Heriot, Alexander Laird, Alexander Lazarides, Alexander O'Connor, Alexander Trulson, Alexander Christopher Rokohl, Alexandra Caziuc, Alexandra Triantafyllou, Alexandre Anesi, Alexandrina Nikova, Alexandros Andrianakis, Alexandros Charalabopoulos, Alexandros Tsolakidis, Alexandru Chirca, Alexis P. Arnaud, Alexis Rafael Narvaez-Rojas, Alfie Kavalakat, Alfio Spina, Alfonso Recordare, Alfredo Annicchiarico, Alfredo Conti, Alhassan Datti Mohammed, Ali Kocataş, Ali Almhimid, Ali Arnaout, Ali Fahmy, Ali Mangi, Ali Modabber, Ali Bilal Ulas, Ali Yasen Y. Mohamedahmed, Alice Frontali, Alice Moynihan, Alif Yunus, Aline Ahmad, Alistair J. Kent, Almu'Atasim Khamees, Aloy Okechukwu Ugwu, Alparslan Turan, Alsnosy Abdullah Khalefa Mohammed, Alvaro Navarro-Barrios, Alvaro Yebes, Álvaro Francisco Lopes De Sousa, Amabelle Moreno, Aman Sethi, Amanda Caroline Dawson, Amani Alsayd Abdulsalam Othman, Amanjot Kaur, Amanuel Wolde, Amedeo Antonelli, Amedeo Scifo, Ameen Alhamad, Amelia Davis, Amer Alderazi, Amer Harky, Amina Mohammed-Durosinlorun, Amina Seguya, Amina Okhakhu, Amine Chamakhi, Amine Sebai, Amine Souadka, Amir Asla, Amit Agrawal, Amit Persad, Amit Gupta, Amr Elgazar, Amruta Kulkarni, Amy Coates, Ana Ciscar Bellés, Ana Danic Hadzibegovic, Ana Jotic, Ana Kowark, Ana Martins, Ana Mejía Pineda, Ana Peral, Ana Sánchez Gollarte, Ana Senent-Boza, Ana Isabel Avellaneda Camarena, Ana M. Castaño-Leon, Ana Maria Minaya Bravo, Ana María Gimeno Moro, Ana Maria Musina, Ana María Tapia-Herrero, Anai Kothari, Anand Gupta, Anand Raja, Anas Aljaiuossi, Anas Taha, Anass Mohammed Majbar, Anastasia Prodromidou, Anastasios Kanatas, Anaya Gupte, Andee Dzulkarnaen Zakaria, Andrea Balla, Andrea Barberis, Andrea Bondurri, Andrea Bottari, Andrea Costantino, Andrea Figus, Andrea Lauretta, Andrea Mingoli, Andrea Romanzi, Andrea Sagnotta, Andrea Scacchi, Andrea Picchetto, Andrea Estefania Cueto Valadez, Andrea Pierre Luzzi, Andreas Älgå, Andreas Fontalis, Andreas Hecker, Andreas K. Demetriades, Andreea Madalina Serban, Andrei Bogdan Vǎcǎraşu, Andrej Cokan, Andres Isaza-Restrepo, Andrew Beamish, Andrew Schache, Andrew Stevenson, Andrew Yiu, Andrew J. 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S. Pramesh, Cagatay Taskiran, Caio Antonio De Campos Prado, Calogero Cipolla, Calvin Kumar, Camilla English, Camilla Riccetti, Camilla Vanni, Camille Brasset, Candice Downey, Caoimhe Duffy, Carina Chwat, Carina Cutmore, Carl Sars, Carlo Ratto, Carlo Alberto Pacilio, Carlos De La Infiesta García, Carlos Guijarro Moreno, Carlos Magalhães, Carlos Prada, Carlos Shiraishi Zapata, Carlotta Senni, Carolina Dutra Queiroz Flumignan, Carolina Martinez-Perez, Carolina Lugo Duarte, Carolina Soledad Romero Garcia, Caroline Anderson, Caroline Hing, Carolyn Cullinane, Caterina Cina, Catheriner Zabkiewicz, Catrin Sohrabi, Cem Emir Guldogan, Cezar Ciubotaru, Chaitya Desai, Chandrajit Raut, Charis Demetriou, Charles Handford, Charles Okpani, Charudutt Paranjape, Cherry Koh, Chetan Khatri, Chetan Parmar, Chi Wei Mok, Chiara Caricato, Chiara Marafante, Chidiebere Peter Echieh, Chih Ying Tan, Chon Sum Ong, Christel Conso, Christiaan Jardinez, Christian Konrads, Christian Warner, Christian Chigozie Makwe, Christin Henein, Christina Fleming, Christina L. 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Fayad, Eman Sheikh, Emanuele Pontecorvi, Emanuele Cammarata, Emanuele La Corte, Emanuele Rausa, Emeka Danielson Odai, Emilia Guasch, Emiliano Cano-Trigueros, Emilie Uldry, Emilio Peña Ros, Emily Matthews, Emin Erhan Donmez, Emmanouil Giorgakis, Emmanouil Kapetanakis, Emmanouil Stamatakis, Emmanuel Bua, Emmanuel Schneck, Emmanuel Aadereyir Nachelleh, Emmanuel Owusu Ofori, Emrah Akin, Emre Gönüllü, Emre Furkan Kirkan, Enes Çelik, Enoch Wong, Enrico Capozzi, Enrico Pinotti, Enrique Colás-Ruiz, Enrique González, Enver Fekaj, Ephraim Ohazurike, Ephrem Kebede, Ergin Erginöz, Erik Efrain Sosa Duran, Erin Scott, Erman Aytac, Erminia Albanese, Ernes John Castro, Eslam Albayadi, Eslam Kriem, Esra Siddig, Esraa Otify, Essam Eldien Abuobaida Banaga Hag El Tayeb, Estelle How Hong, Esther Saguil, Etienne Belzile, Eugene Tuyishime, Eugenio Panieri, Eunate Ganuza Martínez, Eva Myriokefalitaki, Evan G. Wong, Evangelia Samara, Evans Kofi Agbeno, Evgeniy Drozdov, Evripidis Tokidis, Faaiz Ali Shah, Fabio Barra, Fabio Carbone, Fabio Ferreli, Fabio Marino, Fabio Martinelli, Fabrizio D'Acapito, Fabrizio Masciello, Fabrizio Bàmbina, Fadi Issa, Fadi Tamas Salameh, Fagnon Kethy, Fahad Mahmood, Fahed Gareb, Farah Idrees, Faramarz Karimian, Fariha Ashraf, Farnaz Haji, Farwa Inayat, Farzana Begum, Fatma Nabil, Fausto Rosa, Fayza Haider, Fazl Parray, Federica Calculli, Federica Ferracci, Federica Saraceno, Federico Coppola, Federico Coccolini, Federico Fusini, Federico Migliorelli, Felice Pecoraro, Felipe Alconchel, Felipe José, Fernandez Coimbra, Felipe Trivik-Barrientos, Felix Naegele, Felwa Almarshad, Ferdinando Agresta, Fergal Fleming, Fernando Mendoza-Moreno, Filip Brzeszczyński, Filippo Carannante, Fiona Wu, Firas Aljanadi, Firdaus Hayati, Flaminia Campo, Flavia Sorbi, Flavio Milana, Flavio Roberto Takeda, Florence Shekleton, Florian Gessler, Florian Recker, Florin Grama, Floryn Cherbanyk, Folayemi Faponle, Fragkiskos Angelis, Francesca Calabretto, Francesca Gaino, Francesca Toia, Francesco Bianco, Francesco Bussu, Francesco Cammarata, Francesco Castagnini, Francesco Colombo, Francesco Ferrara, Francesco Fleres, Francesco Guerrera, Francesco Litta, Francesco Mongelli, Francesco Pata, Francesco Roscio, Francesk Mulita, Francisco Ardura, Francisco J. 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Cross, Georgia Micha, Georgios Chrysovitsiotis, Georgios Koukoulis, Georgios Peros, Georgios Tsoulfas, Georgios Kapetanios, Georgios Karagiannidis, Georgios Ioannis Verras, Gerald Ekwen, Gerardo Perrotta, Gerardo Petruzzi, Giacomo Bertelli, Giacomo Calini, Giacomo Fiacchini, Giacomo Maria Pirola, Giampiero Dolci, Gian Mendiola, Gian Luca Baiocchi, Gian Marco Palini, Gian Marco Prucher, Giancarlo D'Andrea, Giandomenico Maggiore, Gianluca Cassese, Gianluca Franceschini, Gianluca Pellino, Gianmarco Saponaro, Gianmaria Casoni Pattacini, Gianni Pantuso, Giannicola Iannella, Gilbert Batieka Bonsaana, Gillian Lever, Gioia Brachini, Giorgio Giraudo, Giorgio Lisi, Giorgio Ivan Russo, Giovanni Aprea, Giovanni Pascale, Giovanni Tomasicchio, Giovanni Battista Levi Sandri, Giulia Armatura, Giulia Turri, Giulia Zaccaria, Giuliano Barugola, Giuliano Lantone, Giulio Gasparini, Giulio Iacob, Giulio Sozzi, Giuseppa Zancana, Giuseppe Mercante, Giuseppe Bianco, Giuseppe Brisinda, Giuseppe Consorti, Giuseppe Currò, Giuseppe Giannaccare, Giuseppe Palomba, Giuseppe Pascarella, Giuseppe Rotunno, Giuseppe Spriano, Giuseppe Vizzielli, Giuseppe Cucinella, Giuseppe Sica, Giuseppina Campisi, Glauco Baiocchi, Glen R. Guerra, Glenda Marina Falcon Pacheco, Gokhan Atis, Goran Augustin, Goran Šantak, Govind Singh Chauhan, Graham Branagan, Grant Harris, Grant D. Stewart, Greg Padmore, Gregor Jan Kocher, Gregorio Di Franco, Gregorio De Jesus Labrador Hernandez, Gregory Christodoulidis, Gregory Neal-Smith, Guang Yim, Guglielmo Niccolò Piozzi, Guillem Claret, Guillermo Yanowsky-Reyes, Guipson Dhaity Dhaity, Guldeniz Karadeniz Cakmak, Guleed Mohamed, Gultekin Ozan Kucuk, Guntis Ancans, Gurpreet Singh Banipal, Gustavo De Bacco Marangon, Gustavo Laporte, Gustavo Martinez-Mier, Gustavo Recinos, Gustavo Miguel MacHain V, Guy Benshetrit, Guy Vijgen, Gwynedd Pickett, H. Alejandro Rodriguez, Haaris Shiwani, Habtamu Derilo, Hadeel Awad, Hadi El Assaad, Hadijat Olaide Raji, Hailey Hardgrave, Haluk Kerim Karakullukcu, Hameedat Opeyemi Abdussalam, Hamid Mustafa, Hammad Parwaiz, Hamza Khan, Hana Arbab, Hani Naga, Hani Salem, Hanife Seyda Ulgur, Hanna Perez-Chrzanowska, Hannah Greenlee, Hannah Javanmard-Emamghissi, Hans Lederhuber, Hany Osman, Harissou Adamou, Haroon Javaid Majid, Harry Van Goor, Harry V.M. Spiers, Hassan Fatemi Manesh, Hassan Mushtaq, Hattan Aljaaly, Hayat Ben Hasan, Hayat Tarig Abdelhafiz Ahmed, Hector Martinez-Said, Héctor J. Aguado, Heitor Consani, Helen Chaplin, Helen Mohan, Helen Van Vliet, Helmut Alfredo Segovia Lohse, Hemina Shah, Henry Claireaux, Herman Lule, Hernández Juara, Hesham Abozied, Heura Llaquet Bayo, Hidar Alibrahim, Hidde M. Kroon, Hilmican Ulman, Hina Khan, Hiroshi Yonekura, Hisham Abou-Taleb, Ho Ying Flora Wong, Holly Carpenter, Hooman Soleymani Majd, Horácio Zenha, Horacio F. Mayer, Hosam Elghadban, Hossam Abdou, Hossam Elfeki, Hossein Yusefi, Hugo Gomez-Fernandez, Hugo Layard Horsfall, Hugo Meleiro, Hulya Sungurtekin, Humberto Fenner Lyra, Husein Moloo, Hüseyin Bayhan, Hüsnü Şevik, Hussein Embarek, Hytham K.S. Hamid, I. H.D. Saman Pradeep, Ian Donkin, Ibabe Villalabeitia Ateca, Ibrahim Jafarov, Ibrahim Salisu, Ibrahim Abdalaal, Ibrahim Umar Garzali, Ibrahima Sall, Idowu Adebara, Ifeanyi Aghadi, Ifeanyichukwu Ugwu, Ignacio Zapardiel, Igor Reis, Ikechuwu Nwafor, Ildar Fakhradiyev, Ilham Utama Surya, Ilma Robo, Iloba Njokanma, Immacolata Iannone, Imran Khan, Inês Correia, Ingmar Königsrainer, Ingmar Seiwerth, Inmaculada Benítez Linero, Innih Kadiri, Ioan Alexandru Florian, Ioanna Tzima, Ioanna Akrida, Ioannis Baloyiannis, Ioannis Gerogiannis, Ioannis Katsaros, Ioannis Tsakiridis, Ioannis Valioulis, Ionut Negoi, Ip Yadev, Irene De Haro Jorge, Irene Ortega Vázquez, Irida Dajti, Iris Shari Russo, Irrum Afzal, Isaac Wasserman, Isaac Chukwu, Isabel Gracia, Isabel Mora Oliver, Isabel Hughes, Isabella Mondi, Isaie Ncogoza, Isam Bsisu, Isbah Rashid, Ishwarya Balasubramanian, Islam Omar, Ismael Dominguez-Rosado, Ismail Smati, Ismail Vokshi, Ismail A. 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Balogun, James Michael Hodgetts, Jamie Vatish, Jan Žatecký, Jana Dziakova, Janet Martin, Jasmine Winter Beatty, Jasper Stijns, Javaria Faiz, Javier Ripollés-Melchor, Javier Mata, Javier Alberto Gutiérrez Vásquez, Jayanta Kumar Mitra, Jean Jacques Tuech, Jean Paul Mvukiyehe, Jean Michel Fallah, Jeancarlos Trujillo Díaz, Jeewan Ram Vishnoi, Jef Van Den Eynde, Jennifer Rickard, Jens Rolinger, Jeremy Kaplowitz, Jeremy Meyer, Jeremy Reid, Jeremy Rossaak, Jeremy Smelt, Jerin Jose Thomas, Jeryl Anne Silvia Reyes, Jessica Davies, Jessica Luc, Jesús Aarón Martínez Alonso, Jiannis Hajiioannou, Jill Querney, Jill Van Acker, Jingya Jane Pu, Jitoko Cama, Joana Simoes, Joanne Cozens, Joao Barbosa-Breda, João Ribeiro, Joaquin De Haro, Joe Nigh, Joel Bowen, Joerg Matthias Pollok, Johanna Josefine Strotmann, Johannes Doerner, John Edwards, John Green, John Massoud, John McGrath, John Squiers, John Street, John Windsor, John Ashutosh Santoshi, John G. Meara, John Tabiri Abebrese, John Joe Reilly, Jon Zabaleta, Jonathan Phillips, Jonathan Herron, Jonathan Horsnell, Jonathon Dawson, Jonathon Sheen, Joonas H. Kauppila, Joop Konsten, Jordi Raurich-Leandro, Jorge Sanz Romera, Jorge Nuñez, Jörn Markus Gass, Jose Blanco, Jose Andres Calvache, Jose Luis Fadil Iturralde, José Luis D'Addino, Jose María González Hermosa, Jose Ramon Oliver Guillen, Jose Luis Beristain-Hernandez, Josep M. Sole-Sedeno, Josep Maria Muñoz Vives, Joseph Attwood, Joseph Furey, Joseph Hadaya, Joseph McKay, Joseph Meilak, Joseph Natale, Joseph Shalhoub, Josephine Jung, Joshua Arthur, Joshua Kealey, Joshua Wright, Joshua Moreau, Josip Miskovic, Jovan Juloski, Juan Carlos Catalá Bauset, Juan José Segura-Sampedro, Juan Roberto Torres Cisneros, Juan Carlos Gomez-Rosado, Jugpal Arneja, Julia Heider, Julio Domenech Fernández, Julio Plata-Bello, Julio Villanueva, Julius Olaogun, Jun Xian Hing, Jurij Aleš Košir, Jurstine Daruwalla, Justin Yeung, Justin Wormald, Justina Seyi-Olajide, Jyotsna Rani, Kai Yuen Wong, Kalina Hristova, Kamal Kajal, Kamal Algarni, Kanthan Theivendran, Kaori Futaba, Karam Elsayem, Karan Kapur, Karen Bailey, Kariem El-Boghdadly, Karim Ataya, Karisha Lacorbiniere, Karishma Shah, Karla Susana Martin Tellez, Karol Szyluk, Karthick Rangasamy, Karthikeyan Iyengar, Katarína Szabómihályová, Kate Atkinson, Katherin Camargo-Parra, Katherine Galliard, Kathryn Dickson, Kathryn Singh, Kawthar Qader, Kawthar Hasan, Kayleigh Spellar, Kaylem Feeney, Kayode Ajenifuja, Ke En Oh, Kehinde Okunade, Kekeli Adanu, Kellie Bateman, Kemal Saracoglu, Ken Weixing Ho, Kenneth Enwerem, Keshav Mishra, Kevin Verhoeff, Khadidja Bensoltane, Khadidja Larabi, Khairul Hazim Hamdan, Khaldoun Nadi, Khaldoun Fozo, Khaled Abdelwahab, Khaled Al-Sayaghi, Khaled Dajani, Khaled Algahtany, Khalid Abdel-Galil, Khalid Ahmed, Khalid Bajunaid, Khalid Bhatti, Khalid Sofi, Khalifa Abdulsalam, Khalil Tamoos, Khasan Dzhumabaev, Khursheed Ahmed Samo, Kieran Purich, Kiran Madhvani, Kirby R. Qin, Kirk Underwood, Kithsiri Janakantha Senanayake, Knut Magne Augestad, Kohila Sigamoney, Konstantinos Apostolou, Konstantinos Bouchagier, Konstantinos Bouliaris, Konstantinos Bramis, Konstantinos Gousias, Konstantinos Lasithiotakis, Konstantinos Paraskevopoulos, Konstantinos Perivoliotis, Konstantinos Roditis, Konstantinos Stamatis, Konstantinos Stroumpoulis, Kosmas I. Paraskevas, Krishna Kumar Govindarajan, Kristián Šimko, Kristofor A. Olson, Krunal Khobragade, Kt Matthew Seah, Kunal Kishore, Kusay Ayad, Kyriakos Papavasiliou, Kyveli Angelou, Ladislao Cayetano Paniagua, Ladislav Czako, Laine Valerie Kongsun Ching, Lajpat Rai, Lalit Gupta, Lamiese Ismail, Langanani Mbodi, Lanka Dasanayake, Lars Schröder, Lateef Ayodele Baiyewu, Laura Fortuna, Laura Gomez Fernandez, Laura Guillamon Vivancos, Laura Jack, Laura Keçi, Laura Lavalle, Laura Leonard, Lauren Shelmerdine, Lauretta Vaassen, Layla Hasan, Lazaros Lazarou, Lazaros Tzelves, Leandro Matos, Leandro Siragusa, Leo Licari, Leonardo Santos Lima, Leonardo Solaini, Leonid Lichman, Leopoldo Tapia Moral, Leticia Cabeza, Lewis Kaplan, Liana Valeanu, Lileswar Kaman, Lina Karout, Linas Pieteris, Linda Chan, Linda Grüßer, Lindsey Zamora, Lisa Catarzi, Lisa Rampersad, Lofty John Anyanwu, Lok Ka Cheung, Lorena Varela Rodríguez, Lorenzo Andreani, Lorenzo Cobianchi, Lorenzo Petagna, Louise Howse, Lourdes Elorduy Gonzalez, Lovenish Bains, Lubna Vohra, Luca Ansaloni, Luca Bertolaccini, Luca Ferrario, Luca Orecchia, Luca Tirloni, Luca Zanin, Luca Morelli, Luca Scaravilli, Luca Giovanni Locatello, Lucia Diego García, Lucian Vida, Ludovico Carbone, Ludwig Maximilian Heindl, Luigi Bonavina, Luigi Conti, Luigi Marano, Luigi Verre, Luigi Eduardo Conte, Luis Boccalatte, Luis Garcia Sancho Tellez, Luis Loureiro, Luis Sánchez-Guillén, Luis Tallon-Aguilar, Luis Nakano, Luis Adrian Alvarez-Lozada, Luis Angel Suarez Gonzalez, Luis Joaquín García Flórez, Luis Cristobal Capitan-Morales, Luiz Paulo Kowalski, Lukas Werner Widmer, Luke Harper, Luke Render, Luke Wheldon, Lukman Abdur-Rahman, Lütfi Doǧan, Lydia Prusty, Lykoyrgos Katsiaras, Lysander Gourbault, M. Tayyab Siddiqui, Ma'Moun Saleh, Madhivanan Karthigeyan, Magdiel Rodriguez, Mahbub Chowdhury, Mahesh Nagappa, Mahesh Sultania, Mahmod Bashir, Mahmood Alam, Mahmoud Abdelaziz Mohamed Elshahawy, Mahmoud Elfiky, Mahmoud Loubani, Mahmoud Marei, Mahmoud Mewafy, Mahmoud Alali, Mahmoud A. Nassar, Majd Alobied, Majed Bilfaqirah, Maleeha Ahmad, Malena Rius, Mallikarjuna Manangi, Mamun David Dornseifer, Manjul Tripathi, S. Manjula, Manol Sokolov, Manon Pigeolet, Manuel Diez Alonso, Manuel Losada, Manuel Moriche Carretero, Manuel Tousidonis, Manuel Damasio Cotovio, Manuk Wijeyaratne, Mar Achalandabaso Boira, Mara Franza, Maram Albdour, Maram Alkhatieb, Marc Danguy Des Déserts, Marc Niewiera, Marc Vallve-Bernal, Marcel Marjanović Kavanagh, Marcello Migliore, Marcello Calabrò, Marcello Di Martino, Marcello Reicher, Marco Baia, Marco Caricato, Marco Clementi, Marco De Zuanni, Marco Fiore, Marco Giacometti, Marco Inama, Marco Maestri, Marco Materazzo, Marco Sparavigna, Marco Maria Pascale, Marcus Nemeth, Margherita Serra, Margo Medhat Fouad Fahim, Maria Coronas Soucheiron, Maria Papadoliopoulou, Maria Wittmann, Maria Sotiropoulou, María García-Conde, Maria Chiara Ranucci, María Dolores Arribas Del Amo, Maria Jesus Maroño Boedo, Maria Jose Martinez Velázquez, Maria Katerina Pissaridou, Maria Laura Petersen, Maria Luís Sacras, Maria Marta Modolo, Maria Mercedes Caubet, Maria Michela Di Nuzzo, Maria P. Ntalouka, Maria Paola Menna, Maria Lorena Aguilera-Arevalo, Mariam Rela, Marianna Capuano, Marianne Hollyman, Maricarmen Olivos, Marie Dione Sacdalan, Marie Claire Raphael, Marijn Takkenberg, Marina Bortul, Marino Cabrera, Mario Castaño, Mario D'Oria, Mario Giuffrida, Mario Mella Laborde, Mario Rodriguez-Lopez, Mario Trejo-Avila, Mario Virgilio Papa, Marios Ghobrial, Marius Kryzauskas, Mariyah Anwer, Mark Cheetham, Mark Davies, Mark Higgins, Mark Siboe, Marko Tarle, Markus Velten, Markus Wurm, Marlen Süleyman, Marlies Bauer, Marliza O'Dwyer, Marta Caretto, Marta De La Rosa-Estadella, Marta Fragoso, Marta Lopes Serra, Marta Merayo, Marta Roldón Golet, Marta Isabel Martínez-Sánchez, Marta María Arroyo Domingo, Martijn Gosselink, Martin Batstone, Martin Reichert, Martin Salö, Martina Soljic, Martina Zambon, Martina Aida Angeles, Marwa Abdulkhaleq, Maryam Abdelkarim, Maryam Alsefri, Masae Iwasaki, Masaki Shiota, Massimiliano Veroux, Matilde Molina-Corbacho, Matteo Frasson, Matteo Serenari, Matteo De Pastena, Matteo Desio, Matteo Risaliti, Matteo Rottoli, Matthew Bence, Matthew Chan, Matthew Watson, Matthew Wiles, Matthieu Boisson, Mattia Berselli, Mattia Capobianco, Mattia Di Bartolomeo, Matyas Fehervari, Maurizio Pacilli, Maurizio Romano, Maurizio Zizzo, Maurizio Domanin, Mauro Montuori, Mauro Podda, Mauro Zago, Mawutor Dzogbefia, Maximos Frountzas, May Htoo Thaw, Maytham Al-Juaifari, Mayur Gharat, Mazin Mohamed, Md Jafrul Hannan, Meenakshi Venketeswaran, Meer Chisthi, Megbar Dessalegn, Mehmet Kaplan, Mehmet Çaǧlar Çakici, Mehmet Eşref Ulutaş, Mekki Hassan, Menan Elsadek, Mengistu G. Mengesha, Mercedes Estaire Gómez, Merihan A. Elbadawy, Meron Pitcher, Mert Tanal, Merve Tokocin, Merve Ergenç, Meryem Nur Çelik, Metaxia Bareka, Mevlut Recep Pekcici, Micaela Cappuccio, Michael Dasa, Michael Dewan, Michael El Boghdady, Michael Ezeanochie, Michael Greenhalgh, Michael Jenkinson, Michael Kelly, Michael Spartalis, Michael Zyskowski, Michaël Racine, Michael De Cillia, Michael Jen Jie Chu, Michael R. Mallmann, Michael Z.L. Zhu, Michail Klimovskij, Michail Vailas, Michał Kisielewski, Michel Adamina, Michela Campanelli, Michele Carvello, Michele Ammendola, Michele Manigrasso, Michele Scopelliti, Michelle White, Michelle L. Collins, Mickael Chevallay, Miguel Fróis Borges, Miguel Mayo-Yáñez, Miguel Rocha Melo, Miguel Ruiz-Marín, Miguel Angel Freiria Eiras, Miguel F. Cunha, Mihaela Pertea, Mihail Slavchev, Mihnea Davidescu, Mikel Prieto, Mikhail Agapov, Milad Gahwagi, Milagros Carrasco Prats, Milan Rudic, Milena Senica Verbic, Milosz Kostusiak, Mircea Gabriel Stoleriu, Miriam Abellan Lucas, Mirko Barone, Misbahu Ahmad, Misganaw Alemu Adimass Alemu, Mishal Fatima, Mitsuru Ida, Mo Sahu, Mo'Nes Muhaisen, Moacyr Salem, Moataz Maher Emara, Mobolaji Oludara, Mohadeseh Sotudeh, Mohamad B. 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Nissi Evelyn, Nitesh Gahlot, Nizar Ismail, Noof Aljirdabi, Noor Ul Huda Maria, Nora Trabulsi, Nouf Akeel, Nuno Borges, Nupur Moda, Nuria Villacé Redondo, Obed Ofori Nyarko, Octav Ginghina, Octavian Enciu, Oghenekevwe Okere, Okechukwu Hyginus Ekwunife, Oladeji Quadri, Olakayode Ogundoyin, Olga Tucker, Olga Mateo-Sierra, Olivier Azzis, Olufemi Ojewuyi, Olufemi Habeeb, Olufemi Idowu, Olumide Elebute, Oluseyi Agboola, Oluwaseun Ladipo-Ajayi, Oluwaseun Oyinloye, Oluwaseyi Adebola, Oluwayemisi Ekor, Oluwole Ogundoyin, Omar Salamanca, Omar Vergara-Fernandez, Omar Wafi, Omar Aladawi, Omar Mohammed Bahassan, Ömer Tammo, Omer Faruk Ozkan, Omolara Modupe Williams, Omotayo Salami, Opeyemi Akinajo, Orazbek Sakhov, Oreste Gallo, Oriol Martin Sole, Oronzo Milella, Osaid Alser, Osama Al Bettar, Osama Alomar, Osama Saeed Osman, Oseremen Aisuodionoe-Shadrach, Oshan Basnayake, Osman Bozbiyik, Owen Hodges, Owolabi Ojo, Özge Yanik, Özgecan Piril Zanbak Mutlu, Ozgur Kazan, Pablo Calavia, Pablo Rodríguez García, Pablo Vallés Urriza, Paloma Rodriguez Lopez, Panagiotis Christidis, Panagiotis Dorovinis, Panagiotis Kokoropoulos, Panagiotis Mourmouris, Panayiotis Papatheodorou, Pankaj Kumar Garg, Panna Patel, Panteleimon Vassiliu, Paola Campennì, Paola De Nardi, Paolo Bernante, Paolo Ubiali, Paolo Baroffio, Paolo Pizzini, Paolo Sapienza, Par Myrelid, Paraskevi Chatzikomnitsa, Paraskevi Tsiantoula, Parth Gada, Pasquale Avella, Pasquale Cianci, Patricia Romero, Patricia Serrano Méndez, Patricio Andrés Freile Pazmiño, Patrick Coughlin, Patrick Kirchweger, Patrick Pessaux, Patrick J. 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Vilz, Tim R. Glowka, Timothy Board, Timothy Hardcastle, Tina Cohnert, Tina Tomić Mahečić, Tinka George William, Tobias Klatte, Tom Abbott, Tom Watcyn-Jones, Tome Mendes, Tomislav Kulis, Tomislav Sečan, Tommaso Campagnaro, Tommaso Frisoni, Tommaso Simoncini, Tommaso Violante, Toms Janis Safranovs, Toni Risteski, Tony Pang, Tosin Akinyemi, Tsanko Yotsov, Tsegazeab Laeke, Tsukasa Kochiyama, Tunde T. Sholadoye, Tural Alekberli, Uchechukwu Ezomike, Ugo Giustizieri, Ugo Grossi, Ülkü Ceren Köksoy, Ulrich Bork, Ulrich Kisser, Ulrich Ronellenfitsch, Umar Saeed, Umberto Bracale, Umesh Jayarajah, Umme Habiba Abdul Rauf, Uros Bumbasirevic, Ursula María Jariod Ferrer, Usama Ahmed, Usman Mohammed Bello, Uzair Jogiat, Uzma Sadia, Vagif Galandarov, Vairavan Narayanan, Valentin Calu, Valentina Bianchi, Valeria Ciniero, Valeria Tonini, Vania Silvestri, Vardhini Vijay, Varun Dewan, Varut Lohsiriwat, Vasanthika Thuduvage, Vasileios Mousafeiris, Vedran Dragisic, Veerasamy Sasireka, Veljko Santric, Venkata Ramana Murthy Kusuma, Venkata Satish Kolli, Veronica Alonso, Veronica De Simone, Veronica Picotti, Verónica Martín Martínez, Vicky Panduro-Correa, Victor Kakotkin, Victor Pinto Angulo, Victor Turrado-Rodriguez, Vijay Krishnamoorthy, Vin Shen Ban, Vinay Shah, Vincenza Maiola, Vincenzo Giordano, Vincenzo La Vaccara, Vincenzo Lizzi, Vincenzo Papagni, Vincenzo Schiavone, Vinojan Satchithanantham, Virginia Garcia-Virto, Virginia Jimenez, Vishal Kumar, Vishal Shelat, Vivek Bhat, Vivek Sodhai, Vivien Graziadei, Vladislav Kutuzov, Vladislav Stoyanov, Vlasios Oktseloglou, Vojko Flis, Wael Atif Fadl Elhassan, Wah Yang, Wai Cheong Soon, Wail Tashkandi, Waleed Al-Khyatt, Waleed Mabood, Walid Bijou, Wasantha Wijenayake, D. Wasim, Wiktor Krawczyk, William Atkins, William Bolton, William White, Wim Ceelen, Xanthoula Vagena, Yaacov Gozal, Yabasin Iddrisu Baba, Yamini Subramani, Yanina Jansen, Yash Mittal, Yasin Kara, Yasir Zwain, Yasser Noureldin, Yazan Alawneh, Yener Aydin, Yick Ho Lam, Yita Tang, Yizhe Lim, Yomna Dean, Yousef Tanas, Yu Xiong Su, Yuki Fujimoto, Yuksel Altinel, Yulia Frolova, Yusuf Oshodi, Zahir T. Fadel, Zahra Zahid, Zain Elahi, Zakarya Djama, Zakia Zaheen, Zaynab Jawad, Zaza Demetrashvili, Zersenay Gebremeskel, Zewdie Gudisa, Ziyad Alyami, Zoe Garoufalia, Zoe Li, Zoran Zimak, Zorana Radin, Zsolt J. Balogh

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)804-817
Number of pages14
JournalBritish Journal of Surgery
Volume110
Issue number7
DOIs
StatePublished - 1 Jul 2023

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