{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:54:37Z","timestamp":1789516477210,"version":"build-2803163510"},"reference-count":78,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004047","name":"Karolinska Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Auch die ambulante Chirurgie tr\u00e4gt zur Klimakrise bei. Die Publikation soll die Herausforderungen identifizieren und klare, m\u00f6glichst evidenzbasierte Empfehlungen f\u00fcr Umweltschutz bei gleichzeitiger Kostenreduktion geben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Narratives Review mit nichtsystematischer umfangreicher Recherche in PubMed\/MEDLINE und grauer Literatur sowie Befragung von Expert:innen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Eine Vielzahl an Prim\u00e4rarbeiten, Evidenzsynthesen, praktischen Handlungsempfehlungen und Checklisten konnte identifiziert und zwei Expert:innen befragt werden. Umweltprobleme wurden erkannt in Produktion und Beschaffung, Verkehr, beim Verbrauch von Material, Pharmaka und Energie sowie bei Entsorgung, Wiederverwertung und Sterilisation. Hochwertige Publikationen beschreiben nicht einen Mangel an Wissen um Alternativen, sondern an praktischer Umsetzung. Deshalb wurden die Probleme in das 5\u2011R-Schema (\u201ereduce\u201c, \u201ereuse\u201c, \u201erecycle\u201c, \u201erethink\u201c, \u201eresearch\u201c) eingeordnet, um Handlungsempfehlungen mit Synergieeffekten bez\u00fcglich Kostenreduktion, Patient:innen- und Mitarbeiter:innenzufriedenheit zu pr\u00e4sentieren. Des Weiteren werden Ver\u00e4nderungen der Rahmenbedingungen diskutiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Ambulantes Operieren geht mit relevantem Ressourcenverbrauch einher. Es existieren zahlreiche M\u00f6glichkeiten, Umweltschutz mit Kostenreduktion sowie Zufriedenheit von Patient:innen und Mitarbeiter:innen zu verbinden. F\u00fcr fl\u00e4chendeckenden Klimaschutz in der Niederlassung m\u00fcssen Anreize und gesetzliche Rahmenbedingungen geschaffen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-022-01785-7","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T09:03:48Z","timestamp":1672909428000},"page":"199-209","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Nachhaltigkeit in der chirurgischen Niederlassung\u00a0\u2013 ein narratives Review","Sustainability in private surgical practice\u2014A\u00a0narrative review"],"prefix":"10.1007","volume":"94","author":[{"given":"Nikolaus Christian Simon","family":"Mezger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Eickel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Griesel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,5]]},"reference":[{"key":"1785_CR1","unstructured":"World Health Organisation (2015) WHO calls for urgent action to protect health from climate change. https:\/\/www.who.int\/news\/item\/06-10-2015-who-calls-for-urgent-action-to-protect-health-from-climate-change-sign-the-call. Zugegriffen: 2. Nov. 2022"},{"issue":"10363","key":"1785_CR2","doi-asserted-by":"publisher","first-page":"1619","DOI":"10.1016\/S0140-6736(22)01540-9","volume":"400","author":"M Romanello","year":"2022","unstructured":"Romanello\u00a0M, di Napoli\u00a0C, Drummond\u00a0P et\u00a0al (2022) The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet 400(10363):1619\u20131654. https:\/\/doi.org\/10.1016\/S0140-6736(22)01540-9","journal-title":"Lancet"},{"key":"1785_CR3","unstructured":"Statistisches Bundesamt (2022) Sterbefallzahlen Im Juli 2022 Um 12\u202f% \u00dcber Dem Mittleren Wert Der Vorjahre. https:\/\/www.destatis.de\/DE\/Presse\/Pressemitteilungen\/2022\/08\/PD22_343_126.html?nn=209016. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR4","unstructured":"Gesundheitsministerkonferenz (2020) Beschl\u00fcsse der GMK 30.09.2020-01.10.2020. TOP: 5.1 Der Klimawandel \u2013 eine Herausforderung f\u00fcr das deutsche Gesundheitswesen. https:\/\/www.gmkonline.de\/Beschluesse.html?id=1018&jahr=2020. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR5","unstructured":"Bundes\u00e4rztekammer (2021) Klimaschutz ist Gesundheitsschutz. https:\/\/www.bundesaerztekammer.de\/presse\/informationsdienste\/informationsdienst-baekground\/detail\/klimaschutz-ist-gesundheitsschutz. Zugegriffen: 2. Nov. 2022"},{"issue":"7-8","key":"1785_CR6","doi-asserted-by":"publisher","first-page":"329","DOI":"10.19224\/AI2020.329","volume":"61","author":"M Schuster","year":"2020","unstructured":"Schuster\u00a0M, Richter\u00a0H, Pecher\u00a0S et al (2020) Ecological sustainability in anaesthesiology and intensive care medicine. A DGAI and BDA position paper with specific recommendations. Anasthesiol Intensivmed 61(7-8):329\u2013339. https:\/\/doi.org\/10.19224\/AI2020.329","journal-title":"Anasthesiol Intensivmed"},{"key":"1785_CR7","unstructured":"Greener NHS (2022) Delivering a\u00a0net zero National Health Service. https:\/\/www.england.nhs.uk\/greenernhs\/a-net-zero-nhs\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/S00104-021-01551-1","author":"S Novosel","year":"2022","unstructured":"Novosel\u00a0S, Prangenberg\u00a0C, Wirtz\u00a0DC, Burger\u00a0C, Welle\u00a0K, Kabir\u00a0K (2022) Climate change: how surgery contributes to global warming. Chirurgie. https:\/\/doi.org\/10.1007\/S00104-021-01551-1","journal-title":"Chirurgie"},{"key":"1785_CR9","unstructured":"Mezger NCS, Th\u00f6ne M (2021) Online-Umfrage: Klimaschutz in Praxen. https:\/\/www.klimawandel-gesundheit.de\/umfrage-arztpraxen\/#Hintergrundrecherche1. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR10","doi-asserted-by":"publisher","unstructured":"Health for Future Hamburg Gr\u00fcne Praxen Handbuch. https:\/\/doi.org\/10.5281\/ZENODO.5021237. Zugegriffen: 9. Okt. 2022","DOI":"10.5281\/ZENODO.5021237"},{"key":"1785_CR11","unstructured":"Royal College of General Practitioners, Greener Practice, Students Organising for Sustainability United Kingdom (2022) Green impact for health Toolkit. https:\/\/www.greenimpact.org.uk\/giforhealth. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR12","unstructured":"Health for Future Dresden (2021) Initiative Nachhaltige Praxis. https:\/\/initiative-nachhaltige-praxis.de\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR13","unstructured":"Saha S, Hecker C (2021) Klimaschutz: Nachhaltige Praxisf\u00fchrung. https:\/\/www.aerzteblatt.de\/archiv\/222667\/Klimaschutz-Nachhaltige-Praxisfuehrung. Zugegriffen: 2. Nov. 2022"},{"issue":"2","key":"1785_CR14","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1001\/ARCHSURG.2010.343","volume":"146","author":"G Kwakye","year":"2011","unstructured":"Kwakye\u00a0G, Brat\u00a0GA, Makary\u00a0MA (2011) Green surgical practices for health care. arch Surg 146(2):131\u2013136. https:\/\/doi.org\/10.1001\/ARCHSURG.2010.343","journal-title":"arch Surg"},{"key":"1785_CR15","unstructured":"KLUG \u2013 Deutsche Allianz Klimawandel und Gesundheit e.\u202fV. (2022) Checkliste Klimaschutz in der Praxis. https:\/\/klima-gesund-praxen.de\/material\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR16","doi-asserted-by":"publisher","DOI":"10.5281\/ZENODO.5024577","volume-title":"Klimagerechte Gesundheitseinrichtungen \u2013 Rahmenwerk","author":"A Dickhoff","year":"2021","unstructured":"Dickhoff\u00a0A, Grah\u00a0C, Schulz\u00a0CM, Weimann\u00a0E (2021) Klimagerechte Gesundheitseinrichtungen \u2013 Rahmenwerk https:\/\/doi.org\/10.5281\/ZENODO.5024577"},{"key":"1785_CR17","first-page":"35","volume":"70","author":"GT Doran","year":"1981","unstructured":"Doran GT (1981) There\u2019s a S.M.A.R.T. way to write management\u2019s goals and objectives. Manage Rev 70:35-36","journal-title":"Manage Rev"},{"issue":"17","key":"1785_CR18","doi-asserted-by":"publisher","first-page":"1905","DOI":"10.1503\/CMAJ.112139","volume":"184","author":"Y Kagoma","year":"2012","unstructured":"Kagoma\u00a0Y, Stall\u00a0N, Rubinstein\u00a0E, Naudie\u00a0D (2012) People, planet and profits: the case for greening operating rooms. CMAJ 184(17):1905\u20131911. https:\/\/doi.org\/10.1503\/CMAJ.112139","journal-title":"CMAJ"},{"issue":"9","key":"1785_CR19","doi-asserted-by":"publisher","first-page":"e360","DOI":"10.1016\/S2542-5196(17)30162-6","volume":"1","author":"AJ MacNeill","year":"2017","unstructured":"MacNeill\u00a0AJ, Lillywhite\u00a0R, Brown\u00a0CJ (2017) The impact of surgery on global climate: a\u00a0carbon footprinting study of operating theatres in three health systems. Lancet Planet Health 1(9):e360\u2013e367. https:\/\/doi.org\/10.1016\/S2542-5196(17)30162-6","journal-title":"Lancet Planet Health"},{"key":"1785_CR20","series-title":"Health care without Harm climate-smart health care series","volume-title":"Health care\u2019s climate footprint. How the health sector contributes to the global climate crisis and opportunities for action","author":"J Karliner","year":"2019","unstructured":"Karliner\u00a0J, Slotterback\u00a0S, Boyd\u00a0R, Ashby\u00a0B, Steele\u00a0K (2019) Health care\u2019s climate footprint. How the health sector contributes to the global climate crisis and opportunities for action. Health care without Harm climate-smart health care series"},{"issue":"12","key":"1785_CR21","doi-asserted-by":"publisher","first-page":"2088","DOI":"10.1377\/hlthaff.2020.01118","volume":"39","author":"AJ Macneill","year":"2020","unstructured":"Macneill\u00a0AJ, Hopf\u00a0H, Khanuja\u00a0A et\u00a0al (2020) Transforming the medical device industry: road map to A circular economy. Health Aff 39(12):2088\u20132097. https:\/\/doi.org\/10.1377\/hlthaff.2020.01118","journal-title":"Health Aff"},{"key":"1785_CR22","volume-title":"Konsultation","author":"S Krojer","year":"2022","unstructured":"Krojer\u00a0S, Grieger\u00a0S (2022) Konsultation"},{"key":"1785_CR23","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/J.ZEFQ.2021.08.009","volume":"166","author":"NCS Mezger","year":"2021","unstructured":"Mezger\u00a0NCS, Th\u00f6ne\u00a0M, Wellstein\u00a0I et\u00a0al (2021) Climate protection in practices\u2014current status, motivation and challenges in outpatient care. Z\u00a0Evid Fortbild Qual Gesundhwes 166:44\u201354. https:\/\/doi.org\/10.1016\/J.ZEFQ.2021.08.009","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"1785_CR24","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/J.JSS.2017.06.029","volume":"220","author":"JS Farrelly","year":"2017","unstructured":"Farrelly\u00a0JS, Clemons\u00a0C, Witkins\u00a0S et\u00a0al (2017) Surgical tray optimization as a\u00a0simple means to decrease perioperative costs. J\u00a0Surg Res 220:320\u2013326. https:\/\/doi.org\/10.1016\/J.JSS.2017.06.029","journal-title":"J Surg Res"},{"issue":"2","key":"1785_CR25","doi-asserted-by":"publisher","first-page":"620","DOI":"10.3171\/2016.2.JNS152442","volume":"126","author":"CC Zygourakis","year":"2017","unstructured":"Zygourakis\u00a0CC, Yoon\u00a0S, Valencia\u00a0V et\u00a0al (2017) Operating room waste: disposable supply utilization in neurosurgical procedures. j Neurosurg 126(2):620\u2013625. https:\/\/doi.org\/10.3171\/2016.2.JNS152442","journal-title":"j Neurosurg"},{"key":"1785_CR26","unstructured":"Hospital News Canada\u2019s Health Care News and Best Practices. Reducing the number of instruments on operating room trays saves money. https:\/\/hospitalnews.com\/reducing-instruments-operating-trays-saves-money\/. Zugegriffen: 2. Nov. 2022"},{"issue":"S2","key":"1785_CR27","doi-asserted-by":"publisher","first-page":"S158","DOI":"10.2105\/AJPH.2018.304397","volume":"108","author":"CL Thiel","year":"2018","unstructured":"Thiel\u00a0CL, Woods\u00a0NC, Bilec\u00a0MM (2018) Strategies to reduce greenhouse gas emissions from laparoscopic surgery. Am J Public Health 108(S2):S158\u2013S164. https:\/\/doi.org\/10.2105\/AJPH.2018.304397","journal-title":"Am J Public Health"},{"key":"1785_CR28","unstructured":"Practice Greenhealth (2011) The business case for greening the OR. Greening the operating room checklist. https:\/\/www.c4spgh.org\/HCW1_Presentations\/GOR_FullSet_Guidance%20Docs_Web_042711.pdf. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR29","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-012-1548-6","volume-title":"Anforderungen an Die Hygiene Bei Der Aufbereitung von Medizinprodukten","author":"Kommission f\u00fcr Krankenhaushygiene","year":"2012","unstructured":"Kommission f\u00fcr Krankenhaushygiene, Bundesinstitut f\u00fcr Arzneimittel, Robert Koch-Institut (2012) Anforderungen an Die Hygiene Bei Der Aufbereitung von Medizinprodukten https:\/\/doi.org\/10.1007\/s00103-012-1548-6"},{"key":"1785_CR30","unstructured":"National Health Service (2019) The gloves are off! https:\/\/www.england.nhs.uk\/atlas_case_study\/the-gloves-are-off-campaign\/. Zugegriffen: 2. Nov. 2022"},{"issue":"3","key":"1785_CR31","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1016\/J.SURG.2022.04.010","volume":"172","author":"MA Shoham","year":"2022","unstructured":"Shoham\u00a0MA, Baker\u00a0NM, Peterson\u00a0ME, Fox\u00a0P (2022) The environmental impact of surgery: a systematic review. Surgery 172(3):897\u2013905. https:\/\/doi.org\/10.1016\/J.SURG.2022.04.010","journal-title":"Surgery"},{"key":"1785_CR32","unstructured":"Quirumed (2022) Wiederverwendbarer Elektrochirurgie Griff. https:\/\/www.quirumed.com\/at\/wiederverwendbarer-elektrochirurgie-griff.html. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR33","unstructured":"Vanguard AG (2022) Medical remanufacturing. https:\/\/www.vanguard.de\/en\/devices\/medical-remanufacturing\/. Zugegriffen: 2. Nov. 2022"},{"issue":"3","key":"1785_CR34","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1002\/AORN.12885","volume":"111","author":"E Vozzola","year":"2020","unstructured":"Vozzola\u00a0E, Overcash\u00a0M, Griffing\u00a0E (2020) An environmental analysis of reusable and disposable surgical gowns. Aorn\u00a0J 111(3):315\u2013325. https:\/\/doi.org\/10.1002\/AORN.12885","journal-title":"Aorn J"},{"issue":"5","key":"1785_CR35","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1016\/J.AJIC.2020.10.013","volume":"49","author":"M McQuerry","year":"2021","unstructured":"McQuerry\u00a0M, Easter\u00a0E, Cao\u00a0A (2021) Disposable versus reusable medical gowns: a performance comparison. Am J Infect Control 49(5):563\u2013570. https:\/\/doi.org\/10.1016\/J.AJIC.2020.10.013","journal-title":"Am J Infect Control"},{"key":"1785_CR36","unstructured":"Praxisdienst (2022) Mehrweg-OP-Abdeckungen. https:\/\/www.praxisdienst.de\/Instrumente\/OP+Bedarf\/OP+Abdeckungen\/OP+Abdeckungen+Mehrweg\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR37","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOPEN-2020-046200","author":"TR Grimmond","year":"2021","unstructured":"Grimmond\u00a0TR, Bright\u00a0A, Cadman\u00a0J et al (2021) Before\/after intervention study to determine impact on life-cycle carbon footprint of converting from single-use to reusable sharps containers in 40 UK NHS trusts. BMJ Open. https:\/\/doi.org\/10.1136\/BMJOPEN-2020-046200","journal-title":"BMJ Open"},{"key":"1785_CR38","unstructured":"Abfallmanager Medizin (2022) Medizinische Ger\u00e4te entsorgen. https:\/\/www.abfallmanager-medizin.de\/abfall-abc\/medizinische-geraete-entsorgen\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR39","unstructured":"Grieger S, Lorke W (2022) Recycling von Medizinprodukten \u2013 warum es sich noch mehr lohnt. Augenspiegel September 2022. http:\/\/www.augenspiegel.com\/zeitschrift.php\/auge\/blog\/recycling-von-medizinprodukten-warum-es-sich-noch-mehr-lohnt\/. Zugegriffen: 11. Okt. 2022"},{"issue":"5","key":"1785_CR40","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1177\/0310057X0903700521","volume":"37","author":"F McGain","year":"2009","unstructured":"McGain\u00a0F, Hendel\u00a0SA, Story\u00a0DA (2009) An audit of potentially recyclable waste from anaesthetic practice. Anaesth Intensive Care 37(5):820\u2013823. https:\/\/doi.org\/10.1177\/0310057X0903700521","journal-title":"Anaesth Intensive Care"},{"key":"1785_CR41","volume-title":"Operating room HVAC setback strategies","author":"The American Society for Healthcare Engineering of the American Hospital Association","year":"2011","unstructured":"The American Society for Healthcare Engineering of the American Hospital Association (2011) Operating room HVAC setback strategies"},{"issue":"6","key":"1785_CR42","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1097\/SLA.0000000000003951","volume":"272","author":"C Rizan","year":"2020","unstructured":"Rizan\u00a0C, Steinbach\u00a0I, Nicholson\u00a0R, Lillywhite\u00a0R, Reed\u00a0M, Bhutta\u00a0MF (2020) The carbon footprint of surgical operations: a systematic review. Ann Surg 272(6):986\u2013995. https:\/\/doi.org\/10.1097\/SLA.0000000000003951","journal-title":"Ann Surg"},{"key":"1785_CR43","unstructured":"Landtag von Baden-W\u00fcrttemberg 17. Wahlperiode (2022) Einsatz von Narkosegasen in Baden-W\u00fcrttembergischen Kliniken. www.landtag-bw.de\/Dokumente. Zugegriffen: 6. Nov. 2022"},{"key":"1785_CR44","unstructured":"ZeoSys Medical (2022) Innovative An\u00e4sthesie-R\u00fcckgewinnung. Contrafluran OP Narkosegasfilter. https:\/\/zeosys-medical.de\/human\/contrafluran-op-narkosegasfilter\/. Zugegriffen: 6. Nov. 2022"},{"key":"1785_CR45","unstructured":"Axelrod D, Bell C, Feldman J et\u00a0al (2015) Greening the operating room and perioperative arena: environmental sustainability for anesthesia practice. https:\/\/www.asahq.org\/about-asa\/governance-and-committees\/asa-committees\/environmental-sustainability\/greening-the-operating-room. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR46","doi-asserted-by":"publisher","DOI":"10.1211\/PJ.2021.1.93612","author":"C Burns","year":"2021","unstructured":"Burns\u00a0C (2021) Drop in NHS use of desflurane cuts CO2 emissions equal to nearly 200\u00a0million miles by car. Pharm\u00a0J. https:\/\/doi.org\/10.1211\/PJ.2021.1.93612","journal-title":"Pharm J"},{"key":"1785_CR47","unstructured":"Europ\u00e4isches Parlament (2022) Europ\u00e4ischer Gesetzesentwurf zum weitgehenden Verbot von Desfluran: 04.05.2022; Article 13,4. https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/HTML\/?uri=CELEX:52022PC0150. Zugegriffen: 6. Nov. 2022"},{"key":"1785_CR48","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)32585-5","author":"S Brownlee","year":"2017","unstructured":"Brownlee\u00a0S, Chalkidou\u00a0K, Doust\u00a0J et\u00a0al (2017) Evidence for overuse of medical services around the world. Lancet. https:\/\/doi.org\/10.1016\/S0140-6736(16)32585-5","journal-title":"Lancet"},{"key":"1785_CR49","unstructured":"Deutsche Gesellschaft f\u00fcr Innere Medizin (2022) Klug entscheiden. https:\/\/www.klug-entscheiden.com\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR50","unstructured":"Zylka-Menhorn V (2017) Klug-entscheiden-Empfehlungen: F\u00fcr die Chirurgie derzeit kein \u201eMuss\u201c. https:\/\/www.aerzteblatt.de\/archiv\/187909\/Klug-entscheiden-Empfehlungen-Fuer-die-Chirurgie-derzeit-kein-Muss. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR51","unstructured":"Haser\u00fcck A, Kurz C, Lau T (2022) Medizinische Versorgung: Chance Ambulantisierung. https:\/\/www.aerzteblatt.de\/archiv\/227384. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR52","unstructured":"Abfallmanager Medizin (2019) Zahl des Monats: Ein Klinikbett verbraucht j\u00e4hrlich so viel Energie wie vier Einfamilienh\u00e4user. https:\/\/www.abfallmanager-medizin.de\/zahl-des-monats\/ein-klinikbett-verbraucht-jaehrlich-so-viel-energie-wie-vier-einfamilienhaeuser\/. Zugegriffen: 2. Nov. 2022"},{"issue":"8","key":"1785_CR53","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1007\/S00120-022-01878-5","volume":"61","author":"C Deindl","year":"2022","unstructured":"Deindl\u00a0C, Neumann\u00a0A (2022) Die Zukunft des ambulanten Operierens. Urologie 61(8):829\u2013838. https:\/\/doi.org\/10.1007\/S00120-022-01878-5","journal-title":"Urologie"},{"issue":"9","key":"1785_CR54","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1007\/S00113-021-01072-W\/TABLES\/1","volume":"125","author":"J Henkelmann","year":"2021","unstructured":"Henkelmann\u00a0J, Henkelmann\u00a0R, von Dercks\u00a0N (2021) Potential of inpatient cases of a\u00a0university hospital for orthopedics and trauma surgery for outpatient care. Unfallchirurg 125(9):723\u2013730. https:\/\/doi.org\/10.1007\/S00113-021-01072-W\/TABLES\/1","journal-title":"Unfallchirurg"},{"key":"1785_CR55","unstructured":"Burgdorf F, Lorenz R, Dittrich S, Karst J (2022) Ambulantes Operieren \u2013 Zukunft oder Irrweg? | BDC|Online. https:\/\/www.bdc.de\/ambulantes-operieren-zukunft-oder-irrweg\/. Zugegriffen: 6. Nov. 2022"},{"key":"1785_CR56","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/J.JCLEPRO.2018.11.204","volume":"214","author":"L Belkhir","year":"2019","unstructured":"Belkhir\u00a0L, Elmeligi\u00a0A (2019) Carbon footprint of the global pharmaceutical industry and relative impact of its major players. J\u00a0Clean Prod 214:185\u2013194. https:\/\/doi.org\/10.1016\/J.JCLEPRO.2018.11.204","journal-title":"J Clean Prod"},{"key":"1785_CR57","unstructured":"Umweltbundesamt (2020) Arzneimittelwirkstoffe. https:\/\/www.umweltbundesamt.de\/themen\/wasser\/fluesse\/zustand\/arzneimittelwirkstoffe#undefined. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR58","unstructured":"Wilderness International (2022) CO2-Rechner Medizinische Praxis. https:\/\/www.thankyounature.org\/medizinische-praxis. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR59","unstructured":"Mezger NCS, Th\u00f6ne M, M\u00fcller BS, Kantelhardt EJ (2021) Krankheitspr\u00e4vention: Klimaschutz wird praktisch. https:\/\/www.aerzteblatt.de\/archiv\/220031\/Krankheitspraevention-Klimaschutz-wird-praktisch. Zugegriffen: 2. Nov. 2022"},{"issue":"5","key":"1785_CR60","doi-asserted-by":"publisher","first-page":"2354","DOI":"10.1073\/PNAS.1900577117","volume":"117","author":"IM Otto","year":"2020","unstructured":"Otto\u00a0IM, Donges\u00a0JF, Cremades\u00a0R et\u00a0al (2020) Social tipping dynamics for stabilizing Earth\u2019s climate by 2050. Proc Natl Acad Sci U S\u00a0A 117(5):2354\u20132365. https:\/\/doi.org\/10.1073\/PNAS.1900577117","journal-title":"Proc Natl Acad Sci U S A"},{"key":"1785_CR61","doi-asserted-by":"publisher","DOI":"10.26092\/elib\/483","volume-title":"\u00c4rztliche Verantwortung in Der Klimakrise \u2013 Zwischen Ethik Und Monetik \u2013 Divestment Im Und Durch Den Gesundheitssektor","author":"G Schmiemann","year":"2021","unstructured":"Schmiemann\u00a0G, Steuber\u00a0C, Gogolewska\u00a0J, Lehmkuhl\u00a0D, Herrmann\u00a0M, Schulz\u00a0CM (2021) \u00c4rztliche Verantwortung in Der Klimakrise \u2013 Zwischen Ethik Und Monetik \u2013 Divestment Im Und Durch Den Gesundheitssektor https:\/\/doi.org\/10.26092\/elib\/483"},{"issue":"10","key":"1785_CR62","doi-asserted-by":"publisher","first-page":"e405","DOI":"10.1016\/S2542-5196(19)30189-5","volume":"3","author":"CM Schulz","year":"2019","unstructured":"Schulz\u00a0CM, Ahrend\u00a0KM, Schneider\u00a0G, Hohendorf\u00a0G, Schellnhuber\u00a0HJ, Busse\u00a0R (2019) Medical ethics in the Anthropocene: how are \u20ac100\u00a0billion of German physicians\u2019 pension funds invested? Lancet Planet Health 3(10):e405\u2013e406. https:\/\/doi.org\/10.1016\/S2542-5196(19)30189-5","journal-title":"Lancet Planet Health"},{"key":"1785_CR63","doi-asserted-by":"publisher","DOI":"10.1016\/J.ZEFQ.2022.07.001","author":"F Schneider","year":"2022","unstructured":"Schneider\u00a0F, Neumair\u00a0M, Lehmkuhl\u00a0D et\u00a0al (2022) Health and investment: how are the 237\u00a0billion euro of the German professional pension funds invested? Z\u00a0Evid Fortbild Qual Gesundhwes. https:\/\/doi.org\/10.1016\/J.ZEFQ.2022.07.001","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"1785_CR64","unstructured":"BKK ProVita (2022) Gemeinsam f\u00fcr eine gesunde Welt"},{"key":"1785_CR65","unstructured":"S\u00e4chsische \u00c4rzteversorgung (2021) Nachhaltigkeitsstrategie. Grunds\u00e4tze F\u00fcr Die Ber\u00fccksichtigung von ESG-Kriterien. https:\/\/www.saev.de\/ueber-uns\/nachhaltigkeit. Zugegriffen: 18. Nov. 2022"},{"key":"1785_CR66","doi-asserted-by":"publisher","first-page":"100031","DOI":"10.1016\/J.JOCLIM.2021.100031","volume":"3","author":"Y Jegodka","year":"2021","unstructured":"Jegodka\u00a0Y, Lagally\u00a0L, Mertes\u00a0H et al (2021) Hot days and Covid-19: Online survey of nurses and nursing assistants to assess occupational heat stress in Germany during summer 2020. J\u00a0Clim Chang Health 3:100031. https:\/\/doi.org\/10.1016\/J.JOCLIM.2021.100031","journal-title":"J Clim Chang Health"},{"key":"1785_CR67","doi-asserted-by":"publisher","DOI":"10.1016\/J.LANWPC.2022.100407\/ATTACHMENT\/5D06E831-A4B6-4175-A59C-C84BEAF431D0\/MMC1.DOCX","author":"RX Qin","year":"2022","unstructured":"Qin\u00a0RX, Velin\u00a0L, Yates\u00a0EF et\u00a0al (2022) Building sustainable and resilient surgical systems: a narrative review of opportunities to integrate climate change into national surgical planning in the Western Pacific region. Lancet Reg Health West Pac. https:\/\/doi.org\/10.1016\/J.LANWPC.2022.100407\/ATTACHMENT\/5D06E831-A4B6-4175-A59C-C84BEAF431D0\/MMC1.DOCX","journal-title":"Lancet Reg Health West Pac"},{"key":"1785_CR68","doi-asserted-by":"publisher","DOI":"10.32745\/9783954666270\/","volume-title":"Versorgungs-Report Klima Und Gesundheit","author":"C G\u00fcnster","year":"2021","unstructured":"G\u00fcnster\u00a0C, Klauber\u00a0J, Robra\u00a0BP, Schmuker\u00a0C, Schneider\u00a0A (2021) Versorgungs-Report Klima Und Gesundheit"},{"key":"1785_CR69","unstructured":"Griesel S, Quitmann C, Schwerdtle PN, Danquah I, Herrmann A (2022) Die Wahrnehmung von klimasensibler Gesundheitsberatung \u2013 eine qualitative Studie mit Patient:innen. 56. Kongress f\u00fcr Allgemeinmedizin und Familienmedizin. https:\/\/www.egms.de\/static\/de\/meetings\/degam2022\/22degam001.shtml. Zugegriffen: 6. Nov. 2022"},{"key":"1785_CR70","unstructured":"Lauterbach K, Herrmann M, Reinhardt K, Rockstr\u00f6m J Fossile Energietr\u00e4ger bedrohen Gesundheit und Leben: Expert:innen fordern massive Beschleunigung der Energiewende. https:\/\/www.klimawandel-gesundheit.de\/fossile-energietraeger-bedrohen-gesundheit-und-leben-expertinnen-fordern-massive-beschleunigung-der-energiewende\/. Zugegriffen: 8. Nov. 2022"},{"key":"1785_CR71","doi-asserted-by":"publisher","DOI":"10.3389\/FPUBH.2021.663783","author":"M Floss","year":"2021","unstructured":"Floss\u00a0M, Vieira Ilgenfritz\u00a0CA, Rodrigues\u00a0YE et\u00a0al (2021) Development and assessment of a\u00a0Brazilian pilot massive open Online course in planetary health education: an innovative model for primary care professionals and community training. Front Public Health. https:\/\/doi.org\/10.3389\/FPUBH.2021.663783","journal-title":"Front Public Health"},{"key":"1785_CR72","unstructured":"KLIK Green (2022) Krankenhaus trifft Klimaschutz. Klimamanager*innen qualifizieren, CO2 reduzieren. https:\/\/www.klik-krankenhaus.de\/startseite. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR73","unstructured":"(2022) Praxis ohne Plastik. Nachhaltige Praxen aufgepasst! https:\/\/praxisohneplastik.de\/. Zugegriffen: 2. Nov. 2022"},{"key":"1785_CR74","unstructured":"KLUG \u2013 Deutsche Allianz Klimawandel und Gesundheit e.\u202fV. (2022) Workshopmodul: Nachhaltigkeit in der Praxis | KLUG. https:\/\/www.klimawandel-gesundheit.de\/workshopmodul-nachhaltigkeit-in-der-praxis\/. Zugegriffen: 2. Nov. 2022"},{"issue":"5","key":"1785_CR75","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/S2542-5196(21)00053-X","volume":"5","author":"J Kotcher","year":"2021","unstructured":"Kotcher\u00a0J, Maibach\u00a0E, Miller\u00a0J et\u00a0al (2021) Views of health professionals on climate change and health: a\u00a0multinational survey study. Lancet Planet Health 5(5):e316\u2013e323. https:\/\/doi.org\/10.1016\/S2542-5196(21)00053-X","journal-title":"Lancet Planet Health"},{"key":"1785_CR76","unstructured":"Baltruks D, Mezger NCS, Schulz CM, Voss M (2022) Umsetzungsbereitschaft Unter \u00c4rzt:Innen Und F\u00fchrungskr\u00e4ften F\u00fcr Klimaschutz Und Nachhaltigkeit Im Gesundheitswesen Braucht Unterst\u00fctzung. www.cphp-berlin.de. Zugegriffen: 6. Nov. 2022"},{"issue":"3","key":"1785_CR77","doi-asserted-by":"publisher","first-page":"e184","DOI":"10.1016\/S2542-5196(22)00041-9","volume":"6","author":"A Herrmann","year":"2022","unstructured":"Herrmann\u00a0A, Lenzer\u00a0B, M\u00fcller\u00a0BS et\u00a0al (2022) Integrating planetary health into clinical guidelines to sustainably transform health care. Lancet Planet Health 6(3):e184\u2013e185. https:\/\/doi.org\/10.1016\/S2542-5196(22)00041-9","journal-title":"Lancet Planet Health"},{"key":"1785_CR78","doi-asserted-by":"publisher","first-page":"100082","DOI":"10.1016\/J.JOCLIM.2021.100082","volume":"4","author":"KT Luong","year":"2021","unstructured":"Luong\u00a0KT, Kotcher\u00a0J, Miller\u00a0J et\u00a0al (2021) Prescription for healing the climate crisis: Insights on how to activate health professionals to advocate for climate and health solutions. J\u00a0Clim Chang Health 4:100082. https:\/\/doi.org\/10.1016\/J.JOCLIM.2021.100082","journal-title":"J Clim Chang Health"}],"updated-by":[{"DOI":"10.1007\/s00104-023-01911-z","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000}}],"container-title":["Die Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-022-01785-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00104-022-01785-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-022-01785-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T06:03:13Z","timestamp":1686981793000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00104-022-01785-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,5]]},"references-count":78,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["1785"],"URL":"https:\/\/doi.org\/10.1007\/s00104-022-01785-7","relation":{"erratum":[{"id-type":"doi","id":"10.1007\/s00104-023-01911-z","asserted-by":"object"}]},"ISSN":["2731-6971","2731-698X"],"issn-type":[{"value":"2731-6971","type":"print"},{"value":"2731-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,5]]},"assertion":[{"value":"24 November 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 January 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 June 2023","order":3,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum","order":4,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Zu diesem Beitrag wurde ein Erratum ver\u00f6ffentlicht:","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00104-023-01911-z","URL":"https:\/\/doi.org\/10.1007\/s00104-023-01911-z","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"N.C.S.\u00a0Mezger, F.\u00a0Eickel, R.\u00a0Lorenz und M.\u00a0Griesel geben an, dass kein Interessenskonflikt besteht. N.C.S.\u00a0Mezger und M.\u00a0Griesel sind Mitglieder der Deutschen Allianz Klimawandel und Gesundheit (KLUG) e.\u202fV.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}