Perspectives of Korean colorectal surgeons on the climate crisis and sustainability of operating rooms: a cross-sectional study.

BACKGROUND

This study aimed to understand the perceptions of surgeons regarding the effects of the climate crisis on clinical practice and to assess their willingness to transition toward sustainable operating room (OR) practices.

METHODS

Survey responses from 2443 members of the Korean Society of Coloproctology were analyzed using a questionnaire comprising approximately 23 questions categorized into knowledge, perceptions, concerns, and willingness to change regarding the climate crisis and sustainable ORs.

RESULTS

Out of 2,443 members, 103 (4.2%) completed the survey. Most respondents recognized the severity of climate change (94.2%) and its potential impact on human health (93.2%). However, 81.6% were unaware that 5-8% of global greenhouse gas emissions originate from the healthcare sector. Approximately 87.6% of respondents agreed that a transition to sustainable ORs is necessary. However, approximately 15.7% expressed concerns that such changes might compromise patient safety, while 35% believed that it would reduce the efficiency of the ORs. The most significant barrier to improving OR sustainability was the lack of guidelines and information (44.8%). Respondents from community hospitals were more receptive to using reusable gowns and surgical instruments than those from tertiary care institutions.

CONCLUSION

Most respondents were aware of the climate crisis, but were unaware of the contribution of the OR through waste and carbon dioxide emissions. Surgeons at community hospitals were especially willing to implement changes. However, the main barriers were lack of guidelines and leading institutions. These findings emphasize the need for educational initiatives and the establishment of institutions to promote and guide sustainable OR practices.