胃肠内镜服务的环境足迹:系统性审查
Britta Vegting1, Demi Gerritsen1, Ceyda B Izci1
1Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, Netherlands.
胃肠道 (GI) 内镜显著影响气候变化,由患者旅行,能源和一次性产品驱动. 更标准化的评估对于开发可持续的GI内镜实践至关重要.
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
- 胃肠病学 胃肠病学
背景情况:
- 胃肠道 (GI) 内镜对医疗保健的环境足迹做出了重大贡献.
- 高处理量,密集净化和一次性使用物品加剧了这种影响.
研究的目的:
- 系统地审查和综合GI内镜对环境影响的证据.
- 确定主要的排放源,并评估现有研究的质量.
主要方法:
- 在MEDLINE,Embase和Web of Science的系统文献搜索到2025年5月.
- 根据PRISMA指南进行研究选择,数据提取和质量评估.
- 包括28项评估环境影响的研究,主要是碳排放.
主要成果:
- 患者出行,能源使用和与程序相关的产品是最大的排放贡献者;废物影响最小.
- 由于方法不一致,每个程序的排放量差异很大 (5.473.2公斤CO2e).
- 大多数研究 (75%) 存在高偏差风险,很少评估除了温室气体之外的影响.
结论:
- 目前关于肠道内镜对环境的影响的证据是分散的和不一致的.
- 迫切需要更广泛,标准化的环境评估来指导可持续实践.
- 过渡到低碳GI内镜需要解决关键的排放驱动因素,如旅行和产品使用.
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