Uncovering the Evidence for Sustainability in Urology: A Scoping Review.

Autor: Abdulrasheed H; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Adenipekun A; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Elsayed W; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Mohsin MS; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Madarshahian D; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Almedej H; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom., Osman B; Department of Urology, Heartland Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Jazyk: angličtina
Zdroj: Urology research & practice [Urol Res Pract] 2024 Oct 21; Vol. 50 (3), pp. 160-166.
DOI: 10.5152/tud.2024.24093
Abstrakt: Objective: This article focuses on the environmental impact of urology devices and procedures in hospitals and identifies practices that can reduce greenhouse gas emissions associated with urology services.
Materials and Methods: A scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted using MEDLINE, EMBASE, and Google Scholar to find studies on the carbon footprint of urologic procedures and sustainable practices.
Results: We identified 14 studies, 6 of which used life cycle assessments to compare the environmental impact of single-use and reusable urology devices. Three studies favored single-use devices, 2 favored reusable ones, and 1 found no significant difference, with the sterilization of reusable devices being a major carbon contributor. To enhance sustainability in urology, 8 articles suggested measures including day-case procedures, minimizing low-value care, drapeless cystoscopy, fluid management systems, using quick response (QR) codes in documentation, telehealth initiatives, and low-emission anesthetics.
Conclusion: Promoting sustainability in healthcare requires more than just using reusable equipment; it necessitates a comprehensive approach from manufacturing to disposal, including the carbon footprint of sterilization. Encouraging low-emission anesthetics, QR codes, and telemedicine can significantly reduce emissions in urology.
Databáze: MEDLINE
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