{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:36:41Z","timestamp":1786534601072,"version":"build-2736575974"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100018935","name":"Universit\u00e4tsklinikum Erlangen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018935","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Urologie"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Healthcare is closely linked to climate change: on the one hand, climate change has negative effects on (urological) health; on the other hand, resource intensive patient care has negative effects on global warming. Currently, there is a\u00a0lack of data on current status, potential benefits, barriers, and expectations regarding environmental sustainability among urologists practicing in Germany. Thus, a\u00a0survey was conducted among members of the German Society of Urology (Deutsche Gesellschaft f\u00fcr Urologie e.\u202fV., DGU). The 339 participants consider sustainability to be relevant. While sustainable urology is associated with more efficient use of resources, cost reductions, and a\u00a0stronger contribution to societal responsibility, the main barriers identified are low prioritization in daily practice, lack of clarity regarding ecological effects of individual measures, and insufficient personnel and financial resources. Members of the DGU who took part in the survey consider sustainability to be an important area of action that has seen little practical implementation to date. They call for support from professional associations, industry, politics, and research in terms of education, strategies, prioritization, and financing for sustainable action in urology.<\/jats:p>","DOI":"10.1007\/s00120-026-02906-4","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:03:10Z","timestamp":1786532590000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nachhaltigkeit in der Urologie: Vom Anspruch zur Umsetzung","Sustainability in urology: from vision to implementation"],"prefix":"10.1007","author":[{"given":"Marlene","family":"Th\u00f6ne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Wullich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Heinrichs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Siech","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Eggersmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mareike","family":"Ahlers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"issue":"2","key":"2906_CR1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.euf.2024.02.003","volume":"10","author":"M Baboudjian","year":"2024","unstructured":"Baboudjian\u00a0M, de La Taille\u00a0A, Lechevallier\u00a0E, Pradere\u00a0B, Mallet\u00a0R (2024) Urologists and Sustainability: The First Survey from the French Sustainability Working Group. Eur Urol Oncol 10(2):315\u2013316. https:\/\/doi.org\/10.1016\/j.euf.2024.02.003","journal-title":"Eur Urol Focus"},{"key":"2906_CR2","doi-asserted-by":"publisher","DOI":"10.11586\/2024010","volume-title":"Sustainability Transformation Monitor 2024","author":"Bertelsmann Stiftung","year":"2024","unstructured":"Bertelsmann Stiftung (2024) Sustainability Transformation Monitor 2024. Bertelsmann Stiftung https:\/\/doi.org\/10.11586\/2024010"},{"key":"2906_CR3","unstructured":"Deloitte (2024) 2024 CxO sustainability report: Signs of a shift in business climate action. https:\/\/www.deloitte.com\/content\/dam\/assets-shared\/docs\/about\/2024\/deloitte-2024-cxo-sustainability-report.pdf"},{"key":"2906_CR4","unstructured":"Gothaer Versicherung (2024) Gothaer KMU-Studie 2024: Die Relevanz von Nachhaltigkeit bleibt ungebrochen. https:\/\/www.gothaer.de\/ueber-uns\/gothaer-studien\/kmu-studie\/"},{"issue":"2","key":"2906_CR5","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/bju.16800","volume":"136","author":"J Hyde","year":"2025","unstructured":"Hyde\u00a0J, King\u00a0E, John\u00a0J, O\u2019Flynn\u00a0K, Pearce\u00a0I, McGrath\u00a0J, Gray\u00a0WK, Phull\u00a0M (2025) Perspectives on technology: All STEPS count \u2013 an integrated framework for net zero urological care. BJU Int 136(2):198\u2013207. https:\/\/doi.org\/10.1111\/bju.16800","journal-title":"BJU Int"},{"issue":"3","key":"2906_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e25198","volume":"10","author":"S Jacob","year":"2024","unstructured":"Jacob\u00a0S, Schust\u00a0SA, Angele\u00a0M, Werner\u00a0J, Guba\u00a0M, B\u00f6rner\u00a0N (2024) A long road ahead. A German national survey study on awareness and willingness of surgeons towards the carbon footprint of modern surgical procedures. Heliyon 10(3):e25198. https:\/\/doi.org\/10.1016\/j.heliyon.2024.e25198","journal-title":"Heliyon"},{"key":"2906_CR7","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, Schneider\u00a0F, Litke\u00a0N, F\u00fchrer\u00a0AG, Clar\u00a0C, Kantelhardt\u00a0EJ (2021) Klimaschutz in der Praxis \u2013 Status quo, Bereitschaft und Herausforderungen in der ambulanten Versorgung. Z Evid Fortbild Qual Gesundhwes 166:44\u201354. https:\/\/doi.org\/10.1016\/j.zefq.2021.08.009","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"2906_CR8","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1007\/s00104-021-01551-1","volume":"93","author":"S Novosel","year":"2022","unstructured":"Novosel\u00a0S, Prangenberg\u00a0C, Wirtz\u00a0DC et\u00a0al (2022) Klimawandel: Wie die Chirurgie zur Erderw\u00e4rmung beitr\u00e4gt. Chirurgie 93:579\u2013585. https:\/\/doi.org\/10.1007\/s00104-021-01551-1","journal-title":"Chirurgie"},{"key":"2906_CR9","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1177\/20514158241246038","volume":"17","author":"S Ramsey","year":"2024","unstructured":"Ramsey\u00a0S (2024) Sustainability in endourology: greening the stone theatre and beyond. J\u00a0Clin Urol 17:22\u201328","journal-title":"J Clin Urol"},{"issue":"1","key":"2906_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-026-08346-x","volume":"313","author":"LJ Schiestl","year":"2026","unstructured":"Schiestl\u00a0LJ, Lukac\u00a0S, Hagedorn\u00a0C, Ebner\u00a0F, B\u00e4umer\u00a0K, Sch\u00fcler-Toprak\u00a0S, Schmalfeldt\u00a0B, Hasenburg\u00a0A (2026) Awareness of sustainability among gynecologists in Germany: results of a semirepresentative nationwide survey. 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Front Public Health 13:1559132. https:\/\/doi.org\/10.3389\/fpubh.2025.1559132","journal-title":"Front Public Health"},{"key":"2906_CR13","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-06084-4","volume":"43","author":"A Tozsin","year":"2025","unstructured":"Tozsin\u00a0A, Ahmed\u00a0K, Soyt\u00fcrk\u00a0S et\u00a0al (2025) Achieving sustainability in urology: a\u00a0consensus study by the European Association of Urology (EAU) section office. World J Urol 43:697. https:\/\/doi.org\/10.1007\/s00345-025-06084-4","journal-title":"World J Urol"},{"key":"2906_CR14","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05522-7","volume":"43","author":"A Tozsin","year":"2025","unstructured":"Tozsin\u00a0A, Aydin\u00a0A, Silay\u00a0S et\u00a0al (2025) Environmental sustainability in urologic practices: a systematic review. World J Urol 43:152. https:\/\/doi.org\/10.1007\/s00345-025-05522-7","journal-title":"World J Urol"},{"key":"2906_CR15","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-025-02720-4","author":"B Wullich","year":"2025","unstructured":"Wullich\u00a0B, Borchers\u00a0H, Eggersmann\u00a0C, Burger, M, Th\u00f6ne, M, (2025) \u00d6kologische Nachhaltigkeit in der Urologie. Urologie. https:\/\/doi.org\/10.1007\/s00120-025-02720-4","journal-title":"Urologie"}],"container-title":["Die Urologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00120-026-02906-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00120-026-02906-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00120-026-02906-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:03:13Z","timestamp":1786532593000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00120-026-02906-4"}},"subtitle":["Ergebnisse einer Mitgliederbefragung der Deutschen Gesellschaft f\u00fcr Urologie e.\u202fV.","Results from a member survey conducted by the German Society of Urology"],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":15,"alternative-id":["2906"],"URL":"https:\/\/doi.org\/10.1007\/s00120-026-02906-4","relation":{},"ISSN":["2731-7064","2731-7072"],"issn-type":[{"value":"2731-7064","type":"print"},{"value":"2731-7072","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"assertion":[{"value":"31 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"M.\u00a0Th\u00f6ne, B.\u00a0Wullich, A.\u00a0Heinrichs, C.\u00a0Siech, C.\u00a0Eggersmann und M.\u00a0Ahlers geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"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":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}