Mp35-20 Applying Environmental Impact Data to the Bladder Cancer Care Pathway to Estimate Realisable Greenhouse Gas Emissions Reductions; A Novel Modellng Approach

You have accessJournal of UrologyBladder Cancer: Epidemiology & Evaluation II (MP35)1 May 2024MP35-20 APPLYING ENVIRONMENTAL IMPACT DATA TO THE BLADDER CANCER CARE PATHWAY TO ESTIMATE REALISABLE GREENHOUSE GAS EMISSIONS REDUCTIONS; A NOVEL MODELLNG APPROACH Joseph B. John, Kieran O'Flynn, Tim Briggs, William K. Gray, and John S. McGrath Joseph B. JohnJoseph B. John , Kieran O'FlynnKieran O'Flynn , Tim BriggsTim Briggs , William K. GrayWilliam K. Gray , and John S. McGrathJohn S. McGrath View All Author Informationhttps://doi.org/10.1097/01.JU.0001009372.61513.54.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Healthcare contributes 5% of global greenhouse gas (GHG) emissions and the UK National Health Service has a net-zero GHG emissions target date of 2045. A growing body of life cycle assessment (LCA) data desribes the environmental impact of healthcare processes. Objectives: To apply existing GHG emissions estimates to the bladder cancer pathway, To adapt GHG emissions data to accurately represent 2023 practice in the UK, To identify and quantify ways to reduce GHG emissions in England. METHODS: A scientific reference group comprised of healthcare environmental impact assessment experts was convened. Expert knowledge and literature review identified evidence describing ways to reduce GHG emissions across the bladder cancer care pathway, from referral to definitive treatment. Practice recommendations likely to result in equivalent or superior patient care, with lower GHG emissions, were made. Potential nationwide GHG emissions reductions were estimated based on incident numbers derived from Hospital Episode Statistics. RESULTS: Sixty eight recommendations were made. A national annual GHG emissions reduction of 3,690 tons of carbon dioxide equivalent (CO2e) was modelled as being possible if UK practice were optimised. This is equivalent to driving 17 million km in an average UK petrol car. The top 14 recommendations comprised 93% of modelled potential GHG emissions reductions, and are summarised in Table 1. CONCLUSIONS: Urology services can rapidly and substantially reduce GHG emissions associated with bladder cancer care, by adopting an array of pragmatic evidenced-based recommendations. Our approach to quantifying potential GHG emissions reductions allows healthcare services to be able to prioritise the most important adaptations. Replicating and implementing this approach internationally could yield substantial GHG eminssions reductions. Further LCA research and incorporation of circular economy principles into healthcare will continue to identify means of further GHG emissions reductions. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e589 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Joseph B. John More articles by this author Kieran O'Flynn More articles by this author Tim Briggs More articles by this author William K. Gray More articles by this author John S. McGrath More articles by this author Expand All Advertisement PDF downloadLoading ...