让最少的侵入性手术更可持续:一个系统的审查,比较单次使用与多次使用仪器的环境足迹
Russell Seth Martins1, Hashim Salar2, Musa Salar2
1Division of Thoracic Surgery, Department of Surgery, Hackensack Meridian Health Network, Edison, New Jersey, USA.
World journal of surgery
|July 20, 2024
概括
高质量的研究表明,用于最少侵入性手术 (MIP) 的多用途仪器可能比单次使用选项的环境足迹更低. 需要进一步的研究来证实这些发现,并指导医疗保健的可持续性.
科学领域:
- 环境科学 环境科学
- 医疗保健的可持续性 医疗保健的可持续性
- 医疗技术评估 医疗技术评估
背景情况:
- 医疗保健系统对全球碳排放做出了重大贡献 (5%-10%).
- 气候变化对人口健康构成重大风险,需要卫生系统承担环境责任.
- 在最少侵入性手术 (MIP) 中,一次性仪器的兴起需要对环境影响进行评估.
研究的目的:
- 系统地审查和比较单次使用与多次使用仪器在最小侵入性手术中的环境足迹.
- 评估有关该主题的现有研究质量.
主要方法:
- 在五个数据库中进行了系统审查,遵守PRISMA指南.
- 环境影响数据是从原始研究中提取的.
- 进行了纳入研究的质量评估.
主要成果:
- 包括13项研究 (2005-2024年);8项使用生命周期分析 (LCA).
- 六项高质量的LCA研究表明,单次使用的仪器比多次使用的同行具有更高的环境足迹.
- 质量较差的研究产生了不同的结果,其中六项研究支持一次性使用,一项研究显示了可比的影响.
结论:
- 高质量的证据表明,在MIP中,多用途仪器可能比单次使用选项更环保.
- 研究间的异质性和方法上的局限性温和了当前的发现.
- 使用黄金标准方法的进一步研究对于医疗保健系统对仪器选择的决策至关重要.
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