Environmental sustainability in healthcare: Time to make outpatient care in orthopaedics and rheumatology greener.

COVID-19 carbon footprint chronic musculoskeletal conditions climate change energy expenditure

Journal

The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825

Informations de publication

Date de publication:
May 2023
Historique:
revised: 12 12 2022
received: 27 04 2022
accepted: 24 01 2023
medline: 1 5 2023
pubmed: 16 2 2023
entrez: 15 2 2023
Statut: ppublish

Résumé

Chronic musculoskeletal conditions affect billions of individuals and constitute the greatest contributor to disability worldwide. Climate change has a negative impact on these conditions, causing a rising number of patients seeking medical attention in outpatient orthopaedic and rheumatology clinics. Due to the COVID-19 pandemic, the delivery of care by these facilities tends to become more energy-intensive due to the increased usage of protective equipment and testing for the purpose of maintaining hygienic conditions. Therefore, practitioners and health bodies in the field need to take action to make their practice more environmentally sustainable and protect both the environment and their patients. The authors searched peer reviewed and grey literature for relevant sources. The present review of the literature provides an overview of the environmental pollution associated with outpatient musculoskeletal care and discusses evidence-based recommendations from previous studies. Telemedicine, rationalised use of consumables and equipment, physician-led climate advocacy and patient education have a major potential to turn the tide.

Identifiants

pubmed: 36788473
doi: 10.1002/hpm.3617
doi:

Types de publication

Review Journal Article

Langues

eng

Pagination

547-556

Informations de copyright

© 2023 John Wiley & Sons Ltd.

Références

Stojan G, Curriero F, Kvit A, Petri M. Environmental and atmospheric factors in systemic lupus erythematosus: a regression analysis. Arthritis Rheumatol. 2019;71(suppl 10). https://doi.org/10.1136/annrheumdis-2019-eular.5962
Adami G, Viapiana O, Rossini M, et al. Association between environmental air pollution and rheumatoid arthritis flares. Rheumatol. 2021;60(10):4591-4597. https://doi.org/10.1093/rheumatology/keab049
World Health Organization. Musculoskeletal Conditions; 2021. Accessed 17 February 2022. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions#:~:text=Key%20facts,prevalence%20of%20568%20million%20people
Bawaneh K, Ghazi Nezami F, Rasheduzzaman M, Deken B. Energy consumption analysis and characterization of healthcare facilities in the United States. Energies. 2019;12(19):3775. https://doi.org/10.3390/en12193775
Brkic A, Kim JG, Haugeberg G, Diamantopoulos AP. Decentralizing healthcare in Norway to improve patient-centered outpatient clinic management of rheumatoid arthritis - a conceptual model. BMC Rheumatol. 2021;5(1):43. https://doi.org/10.1186/s41927-021-00215-1
Purohit A, Smith J, Hibble A. Does telemedicine reduce the carbon footprint of healthcare? A systematic review. Future Healthc J. 2021;8(1):e85-e91. https://doi.org/10.7861/fhj.2020-0080
Yamamoto SS, Yacyshyn E, Jhangri GS, Chopra A, Parmar D, Jones CA. Household air pollution and arthritis in low-and middle-income countries: cross-sectional evidence from the World Health Organization's study on Global Ageing and Adult Health. PLoS One. 2019;14(12):e0226738. https://doi.org/10.1371/journal.pone.0226738
Smedslund G, Hagen KB. Does rain really cause pain? A systematic review of the associations between weather factors and severity of pain in people with rheumatoid arthritis. Eur J Pain. 2011;15(1):5-10. https://doi.org/10.1016/j.ejpain.2010.05.003
Kwakye G, Brat GA, Makary MA. Green surgical practices for health care. Arch Surg. 2011;146(2):131-136. https://doi.org/10.1001/archsurg.2010.343
Patel SD, Smith-Steinert R. Greening the operating room, one procedure at a time. J Clim Change Health. 2021;2:100014. https://doi.org/10.1016/j.joclim.2021.100014
Brown C, Meals C. Four ways plastic Surgeons can fight climate change. Plast Reconstr Surg Glob Open. 2020;8(7):e2961. https://doi.org/10.1097/GOX.0000000000002961
Evans AM. Sustainable healthcare - time for 'green podiatry'. J Foot Ankle Res. 2021;14(1):45. https://doi.org/10.1186/s13047-021-00483-7
Environmental Paper Network. The Paper Calculator. Accessed 16 February 2022. https://c.environmentalpaper.org/individual.html
Nicolet J, Mueller Y, Paruta P, Boucher J, Senn N. What is the carbon footprint of primary care practices? A retrospective life-cycle analysis in Switzerland. Environ Health. 2022;21(1):3. https://doi.org/10.1186/s12940-021-00814-y
Liddell WG, Carmichael CR, McHugh NJ. Joint and soft tissue injections: a survey of general practitioners. Rheumatol. 2005;44(8):1043-1046. https://doi.org/10.1093/rheumatology/keh683
Kooijman MK, Swinkels ICS, Koes BW, de Bakker D, Veenhof C. One in six physiotherapy practices in primary care offer musculoskeletal ultrasound - an explorative survey. BMC Health Serv Res. 2020;20(1):246. https://doi.org/10.1186/s12913-020-05119-3
Fifield LJ, Lomas KJ, Giridharan R, Allinson D. Hospital wards and modular construction: summertime overheating and energy efficiency. Build Environ. 2018;141:28-44. https://doi.org/10.1016/j.buildenv.2018.05.041
Aunión-Villa J, Gómez-Chaparro M, García-Sanz-Calcedo J. Study of the energy intensity by built areas in a medium-sized Spanish hospital. Energy Effic. 2021;14(3):26. https://doi.org/10.1007/s12053-021-09944-1
Industry PPaCAIftH. Paper Recycling [Available from: Pollution Prevention and Compliance Assistance Information for the Healthcare Industry].
Maughan DL, Lillywhite R, Cooke M. Cost and carbon burden of long-acting injections: a sustainable evaluation. BJPsych Bull. 2016;40(3):132-136. https://doi.org/10.1192/pb.bp.114.049080
Martin M, Mohnke A, Lewis GM, Dunnick NR, Keoleian G, Maturen KE. Environmental impacts of abdominal imaging: a pilot investigation. J Am Coll Radiol. 2018;15(10):1385-1393. https://doi.org/10.1016/j.jacr.2018.07.015
Kurzweil P, Muller A, Wahler S. The ecological footprint of COVID-19 mRNA vaccines: estimating greenhouse gas emissions in Germany. Int J Environ Res Publ Health. 2021;18(14):7425. https://doi.org/10.3390/ijerph18147425
Giungato P, Rana RL, Nitti N, Cavallari C, Tricase C. Carbon footprint of surgical masks made in taranto to prevent SARS-CoV-2 diffusion: a preliminary assessment. Sustainability. 2021;13(11):6296. https://doi.org/10.3390/su13116296
Usubharatana P. Carbon footprints of rubber products supply chains (fresh latex to rubber glove). Appl Ecol Environ Res. 2018;16(2):1639-1657. https://doi.org/10.15666/aeer/1602_16391657
Richardson D, The Medium. Environmental Impact of COVID Testing from Plastic and CO2. 2020. Accessed 20 February 2022. https://medium.com/dwrdavid1/environmental-impact-of-covid-testing-from-plastic-and-co2-192ca4c1ca03
Klemes JJ, Fan YV, Jiang P. The energy and environmental footprints of COVID-19 fighting measures - PPE, disinfection, supply chains. Energy. 2020;211:118701. https://doi.org/10.1016/j.energy.2020.118701
BD ecoFinity® Life Cycle Solution, Environmental Life Cycle Analysis (LCA) (2022). Accessed 27 November 2022. https://earthshiftglobal.com/client_media/files/pdf/hospital-sharps-disposal-environmental-life-cycle-analysis-bd-ecofinity-whitepaper-ESG.pdf
Wood PR, Caplan L. Outcomes, satisfaction, and costs of a rheumatology telemedicine program: a longitudinal evaluation. J Clin Rheumatol. 2019;25(1):41-44. https://doi.org/10.1097/RHU.0000000000000778
Ziade N, Hmamouchi I, El Kibbi L, et al. Telehealth in rheumatology: the 2021 Arab league of rheumatology best practice guidelines. Rheumatol Int. 2022;42(3):379-390. https://doi.org/10.1007/s00296-021-05078-w
Visscher BB, Steunenberg B, Heijmans M, et al. Evidence on the effectiveness of health literacy interventions in the EU: a systematic review. BMC Publ Health. 2018;18(1):1414. https://doi.org/10.1186/s12889-018-6331-7
Stenberg K, Hanssen O, Edejer TT, et al. Financing transformative health systems towards achievement of the health sustainable development goals: a model for projected resource needs in 67 low-income and middle-income countries. Lancet Glob Health. 2017;5(9):e875-e887. https://doi.org/10.1016/S2214-109X(17)30263-2
Rocque RJ, Beaudoin C, Ndjaboue R, et al. Health effects of climate change: an overview of systematic reviews. BMJ Open. 2021;11(6):e046333. https://doi.org/10.1136/bmjopen-2020-046333
Yellowlees PM, Chorba K, Burke Parish M, Wynn-Jones H, Nafiz N. Telemedicine can make healthcare greener. Telemed J e Health. 2010;16(2):229-232. https://doi.org/10.1089/tmj.2009.0105
Tsagkaris C, Hoian AV, Ahmad S, et al. Using telemedicine for a lower carbon footprint in healthcare: a twofold tale of healing. J Clim Change Health. 2021;1:100006. https://doi.org/10.1016/j.joclim.2021.100006
Medicine Io. Green Healthcare Institutions: Health, Environment, and Economics: Workshop Summary. Frumkin H, Coussens C, editors. The National Academies Press; 2007:128. https://doi.org/10.17226/11878

Auteurs

Christos Tsagkaris (C)

University of Crete, Faculty of Medicine, Heraklion, Greece.
European Student Think Tank, Public Health and Policy Working Group, Amsterdam, The Netherlands.

Melina Nikolakea (M)

National and Kapodistrian University of Athens, Faculty of Medicine, Athens, Greece.

Emmanouela Dionysia Laskaratou (ED)

Department of Traumatology and Orthopaedics, University Hospital of Heraklion, Heraklion, Greece.

Christos Samaras (C)

Chelsea and Westminster Hospital, London, UK.

Helen Huang (H)

Royal College of Surgeons in Ireland, Faculty of Medicine and Health Science, Dublin, Ireland.

Lily Laubscher (L)

Department of Health Sciences, Federal Institute of Technology Zurich (ETH Zurich), Zurich, Switzerland.

Anca Bobirca (A)

Department of Internal Medicine and Rheumatology, Hopsital Dr. I Cantacuzino, Carol Davila University of Medicine and Pharmacy, Faculty of Medicine, Bucharest, Romania.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH