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A Novel Approach to Consider Planetary Health in Guideline Development: A GRADE Approach Using the Allergic Rhinitis
Rafael José Vieira1, Bernardo Sousa-Pinto1, Alina Herrmann2
1Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal; RISE-Health, Faculty of Medicine, University of Porto, Porto, Portugal.
Summary
Planetary health links human and planet well-being. Integrating planetary health into health guidelines, like the ARIA guidelines for allergic rhinitis, is crucial for sustainable healthcare practices.
Area of Science:
- Environmental Science
- Public Health
- Medicine
Background:
- Planetary health connects human well-being to planetary health.
- The planetary boundaries framework defines safe operating limits for humanity.
- Healthcare activities significantly impact planetary boundaries through emissions and waste.
Purpose of the Study:
- To highlight the need for planetary health evidence in allergic disease guidelines.
- To review evidence sources like lifecycle assessments for environmental impacts.
- To demonstrate integrating planetary health into health guidelines using the ARIA example.
Main Methods:
- Reviewing evidence sources for environmental impacts of medical products.
- Examining the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group's guidance.
- Showcasing the 2024-2025 Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines as a case study.
Main Results:
- Lifecycle assessment studies offer data on medical product environmental footprints.
- GRADE is developing methods to incorporate planetary health into guideline development.
- The ARIA guidelines integrated planetary health via an Evidence-to-Decision framework criterion.
Conclusions:
- Integrating planetary health into health guidelines is essential for sustainability.
- Evidence from lifecycle assessments can inform planetary health considerations.
- The ARIA guidelines provide a model for embedding planetary health even with limited direct evidence.
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