ランダム化比較試験の報告における環境持続可能性への配慮
Florien S van Royen1, Ewoud Schuit2
1Department of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
The Lancet. Planetary health
|January 15, 2026
まとめ
ランダム化比較試験（RCT）はかなりの二酸化炭素排出量を発生させます。この研究では、環境持続可能性がRCTの出版物で報告されることはめったにないことがわかり、より良い認識と報告戦略の必要性を示唆しています。
科学分野:
- 環境科学
- 臨床研究
- 公衆衛生
背景:
- ランダム化比較試験（RCT）は二酸化炭素排出量に寄与します。
- RCTにおける研究デザインと介入の環境への影響は、しばしば見過ごされています。
研究 の 目的:
- RCTの一次出版物における環境持続可能性への配慮の報告を評価すること。
- RCTが資源利用、移動、環境への影響をどの程度扱っているかを特定すること。
主な方法:
- 2022年10月から2023年10月にかけて5つの主要医学雑誌に掲載された252件のRCTのレビュー。
- 研究デザインと結果における環境持続可能性に関する記述の一次出版物の分析。
主要な成果:
- 持続可能性関連の記述を含んだRCTはわずか12%（29/252）でした。
- 研究デザインまたは結果で明示的に持続可能性に言及したのはわずか1.6%（4/252）でした。
- 環境持続可能性の側面は、RCTの出版物ではほとんど報告されていません。
結論:
- RCTにおける環境持続可能性の報告には大きなギャップがあります。
- 臨床試験研究における持続可能性の認識と報告を改善するための戦略が必要です。
- 持続可能な医療実践のためには、RCTに環境への配慮を統合することが不可欠です。
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