Perspectives and awareness of endoscopy healthcare professionals on sustainable practices in gastrointestinal endoscopy: results of the LEAFGREEN survey.

Autor:	Cunha Neves JA; Gastroenterology, Algarve University Hospital Centre, Portimão, Portugal., Rodriguez de Santiago E; Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal. Universidad de Alcalá, IRYCIS, Madrid, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain., Pohl H; Section of Gastroenterology, Dartmouth College Geisel School of Medicine, Hanover, United States.; Section of Gastroenterology and Hepatology, White River Junction VA Medical Center, White River Junction, United States., Lorenzo-Zúñiga V; Department of Gastroenterology and Endoscopy unit IIS La Fe, Hospital Universitari i Politecnic La Fe, Valencia, Spain., Cunha MF; Colorectal Disease Group - Department of General Surgery, Algarve University Hospital Centre, Portimão, Portugal., Voiosu AM; Department of Gastroenterology and Hepatology, Colentina Clinical Hospital, Bucuresti, Romania.; Carol Davila University of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucuresti, Romania., Römmele C; Gastroenterology, University Hospital Augsburg, Augsburg, Germany., Penman DG; Gastroenterology, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland., Albéniz E; Endoscopy and Gastroenterology, Hospital Universitario de Navarra (HUN), Pamplona, Spain.; Gastroenterology, Navarrabiomed; Universidad Pública de Navarra (UPNA); IdiSNA, Pamplona, Spain., Siau K; Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, United Kingdom of Great Britain and Northern Ireland., Donnelly L; Endoscopy Department, Northumbria Healthcare NHS Foundation Trust, North Shields, United Kingdom of Great Britain and Northern Ireland., Elli L; Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy., Pioche M; Endoscopy Unit, Hospices Civils de Lyon, Lyon, France., Beilenhoff U; Endoscopy, ESGENA Scientific Secretariat, Ferdinand- Sauerbruch-Weg 16, 89075 Ulm, Germany., Arvanitakis M; Gastroenterology, Erasme University Hospital, Brussels, Belgium., Weusten BLAM; Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, Netherlands.; Department of Gastroenterology & Hepatology, Utrecht University, Utrecht, Netherlands., Bisschops R; Department of Gastroenterology and Hepatology, University Hospital Leuven, Leuven, Belgium., Hassan C; Department of Biomedical Sciences, Humanitas University, Milan, Italy.; Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, Milan, Italy., Messmann H; Gastroenterology, University Hospital Augsburg, Augsburg, Germany., Gralnek IM; Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel.; Rappaport Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel., Dinis-Ribeiro M; Gastroenterology, Porto Comprehensive Cancer Center (Porto.CCC), Porto, Portugal.; Gastroenterology, RISE@CI-IPOP (Health Research Network), Porto, Portugal.
Jazyk:	angličtina
Zdroj:	Endoscopy [Endoscopy] 2024 May; Vol. 56 (5), pp. 355-363. Date of Electronic Publication: 2024 Jan 26.
DOI:	10.1055/a-2240-9414
Abstrakt:	Background: Gastrointestinal (GI) endoscopy is one of healthcare's main contributors to climate change. We aimed to assess healthcare professionals' attitudes and the perceived barriers to implementation of sustainable GI endoscopy. Methods: The LEAFGREEN web-based survey was a cross-sectional study conducted by the European Society of Gastrointestinal Endoscopy (ESGE) Green Endoscopy Working Group. The questionnaire comprised 39 questions divided into five sections (respondent demographics; climate change and sustainability beliefs; waste and resource management; single-use endoscopes and accessories; education and research). The survey was available via email to all active members of the ESGE and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) in March 2023. Results: 407 respondents participated in the survey (11% response rate). Most participants (86%) agreed climate change is real and anthropogenic, but one-third did not consider GI endoscopy to be a significant contributor to climate change. Improvement in the appropriateness of endoscopic procedures (41%) and reduction in single-use accessories (34%) were considered the most important strategies to reduce the environmental impact of GI endoscopy. Respondents deemed lack of institutional support and knowledge from staff to be the main barriers to sustainable endoscopy. Strategies to reduce unnecessary GI endoscopic procedures and comparative studies of single-use versus reusable accessories were identified as research priorities. Conclusions: In this survey, ESGE and ESGENA members acknowledge climate change as a major threat to humanity. Further improvement in sustainability beliefs and professional attitudes, reduction in inappropriate GI endoscopy, and rational use of single-use accessories and endoscopes are critically required. Competing Interests: E. Rodríguez de Santiago has received fees from Olympus (educational and advisory roles), Apollo Endosurgery (educational activities), Norgine (congress fee) and Casen Recordati (congress fee). I.M. Gralnek has received fees from Motus GI, Medtronic, Boston Scientific, CheckCap, Clexio Biosciences, Astra-Zeneca, and Vifor Pharma. M. Dinis-Ribeiro has received fees for consultancy (Roche and Medtronic). J.A. Cunha Neves, H. Pohl, V. Lorenzo-Zuñiga, M.F. Cunha, A.M. Voiosu, C. Römmele, D. Penman, E. Albeniz Arbizu, K. Siau, L. Donnelly, L. Elli, M. Pioche, U. Beilenhoff, M. Arvanitakis, B.L.A.M. Weusten, R. Bisschops, C. Hassan, and H. Messmann declare that they have no conflict of interest. (Thieme. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu