Attaining sustainability in inflammatory bowel disease

Area of Science:

• Gastroenterology and Environmental Health

Background:

• Global inflammatory bowel disease (IBD) burden is increasing, particularly in lower-income nations.
• Intensified monitoring and treat-to-target strategies in IBD care raise concerns about sustainability.
• Current IBD management may lead to increased costs, treatment burden, and environmental impact.

Purpose of the Study:

• To examine the environmental footprint of inflammatory bowel disease (IBD) care.
• To explore the multifaceted concept of sustainability in IBD management, encompassing clinical, financial, equity, and environmental factors.
• To identify strategies for reducing harm and enhancing patient outcomes within sustainable healthcare models.

Main Methods:

• This study is a narrative review.
• It synthesizes current literature on IBD care, sustainability, and environmental impact.
• Key strategies for sustainable IBD management are discussed.

Main Results:

• Achieving sustainability in IBD care requires a patient-centered approach.
• Balancing clinical effectiveness with feasibility, affordability, and environmental responsibility is crucial.
• Intensive IBD management strategies can have significant environmental consequences.

Conclusions:

• Sustainable IBD care is essential to address the growing global burden and healthcare system pressures.
• A coordinated, evidence-based approach is needed to support both patient health and planetary well-being.
• Implementing sustainable practices can preserve and potentially enhance patient outcomes while minimizing ecological harm.