A UK-wide study to describe resource consumption and waste management practices in skin surgery including Mohs micrographic surgery
Author
Shearman, HarrietYap, Soo Min
Zhao, Andrew
Passby, Lauren
Barrett, Amy
Nikookam, Yasmin
Stoneham, Sophie
Myint, Nan Akir
Phillips, Derrick
Dalal, Fatima
Wylie, Grant
Costley, Matthew
Odedra, Sunitha
Phillips, Mirain
Abbott, Rachel
Wernham, Aaron
Tso, Simon
Dermatology Sustainability UK Group
Affiliation
Imperial College Healthcare NHS Trust; South Warwickshire University NHS Foundation Trust; University of Warwick; Sandwell and West Birmingham NHS Trust; Havering and Redbridge University Hospitals NHS Trust; Portsmouth Hospitals University NHS Trust; University Hospitals Plymouth NHS Trust; Imperial College Healthcare NHS Trust; University Hospitals Coventry and Warwickshire NHS Trust; NHS Greater Glasgow and Clyde; Belfast Health and Social Care Trust; Nottingham University Hospitals NHS Trust; University Hospital of Wales; University Hospitals of Leicester NHS Trust; Walsall Healthcare NHS TrustPublication date
2023-08-25
Metadata
Show full item recordAbstract
Background: There is a lack of national guidance specifying how skin surgery, including Mohs micrographic surgery (MMS), should be conducted, leading to a degree of heterogeneity in the set-up of skin surgery services and how skin surgeries are performed. Objectives: To provide the first UK-wide cross-sectional study reporting real-world data on the set-up and waste management practices of skin surgery, including MMS. Methods: A UK-wide service evaluation study was conducted between 1 March 2022 and 30 June 2022 using a standardized data collection pro forma. Twelve participating sites from England, Northern Ireland, Scotland and Wales provided data from 115 skin surgery lists involving 495 patients and 547 skin surgery procedures between 1 March 2022 and 30 June 2022. Results: Mean total weight of nonsharps skin surgery waste was 0.52 kg per procedure (0.39 kg clinical waste, 0.05 kg general waste and 0.08 kg recycling waste). Data from a single site using disposable surgical instruments reported a mean of only 0.25 kg of sharps waste per procedure. The recycling rate ranged between 0% and 44% across the cohort with a mean recycling rate of 16%. Conclusions: We advocate that staff transition to the British Society of Dermatological Surgery 2022 sustainability guidance, which made wide-ranging recommendations to facilitate staff to transition to sustainable practices in skin surgery.Citation
Shearman H, Yap SM, Zhao A, Passby L, Barrett A, Nikookam Y, Stoneham S, Myint NA, Phillips D, Dalal F, Wylie G, Costley M, Odedra S, Phillips M, Abbott RA, Wernham A, Tso S; Dermatology Sustainability UK Group. A UK-wide study to describe resource consumption and waste management practices in skin surgery including Mohs micrographic surgery. Clin Exp Dermatol. 2023 Aug 25;48(9):1024-1029.Type
ArticlePMID
37192414Publisher
Oxford University Pressae974a485f413a2113503eed53cd6c53
10.1093/ced/llad184