使用慢性病作为模型框架来估计与医疗保健相关的环境影响
Juan Jose Garcia Sanchez1, Katherine A Barraclough2,3, Aleix Cases4
1Global Market Access and Pricing, AstraZeneca, C/d'Estruc, 9, 08002, Barcelona, Spain. juanjose.garciasanchez@astrazeneca.com.
Advances in therapy
|November 14, 2024
概括
慢性病 (CKD) 护理对环境的影响是使用生命周期评估框架来估计的. 患者运输和置换疗法对排放有很大影响,这凸显了需要积极主动地管理疾病以减少环境负担的必要性.
科学领域:
- 环境科学与公共卫生
- 生命周期评估 (LCA) 方法的方法.
- 医疗保健系统分析分析
背景情况:
- 慢性病的环境足迹,与其经济和临床负担不同,尚未得到充分理解.
- 开发了一个新的框架来量化疾病管理途径对环境的影响.
- 慢性病 (CKD) 被用作这个框架的案例研究.
研究的目的:
- 开发和验证一个框架来估计疾病治疗途径对环境的影响.
- 将这一框架应用于慢性病 (CKD) 护理途径.
- 在CKD护理途径中确定环境影响的关键驱动因素.
主要方法:
- 为CKD护理途径设计了一个生命周期评估 (LCA) 框架,并经过专家验证.
- 在10个国家使用文献评论和ecoinvent数据库来描述生命周期各个阶段的资源利用情况.
- 使用ReCiPe影响评估方法来计算环境影响.
主要成果:
- 在CKD第5期的置换疗法 (KRT) 显示出最大的影响,排放量因透析方式和移植供体类型而异.
- 住院治疗对环境影响做出了重大贡献,重症监护病房每天排放量最高.
- 患者运输成为一个关键因素,在生命周期的各个阶段占CO2e总排放量的高达99.5%.
结论:
- 分析全面的护理途径和特定的医疗保健过程对于准确的环境影响评估至关重要.
- 开发的框架可以量化预防医学和有效的慢性疾病管理对环境的好处.
- 早期诊断和CKD的积极管理可以通过减少对KRT和住院的需求来改善患者的治疗结果,并减轻环境负担.
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