ArticleFuture healthcare journal2018
Beyond financial efficiency to support environmental sustainability in economic evaluations.
Article in Future healthcare journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Single-use versus multiple-use accessories in gastrointestinal endoscopy: a systematic review of economic evaluations.BMJ open gastroenterology · 2025Pooled it
- Exploring the Integration of Environmental Impacts in the Cost Analysis of the Pilot MEL-SELF Trial of Patient-Led Melanoma Surveillance.Applied health economics and health policy · 2023Trial
- Points to consider for incorporating climate impacts into health economic evaluation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Towards Environmentally Extended Health Economic Analysis Plans: A Case Study for the MEL-SELF Trial.Applied health economics and health policy · 2026Article
- Which Factors are Holding up the Integration of the Environmental Impact of Health Technologies in Health Technology Assessment? Insights from a Multi-Stakeholder Interview Study.Applied health economics and health policy · 2026Article
- Healthcare Costs and Carbon Emissions of Stage III Melanoma Surveillance Imaging.Applied health economics and health policy · 2026Article
- Effectiveness of Interventions to Reduce Carbon-Emissions Within Secondary Healthcare: Systematic Review and Evidence and Gap Map.Campbell systematic reviews · 2025Review
- Transforming Caring for Dependent Older People: A New Approach for Integrated Socio-Healthcare.Scandinavian journal of caring sciences · 2025Article
- Integrating Environmental Aspects into Health Technology Assessment: A Qualitative Study among Dutch Stakeholders.International journal of technology assessment in health care · 2025Article
- Integrating Environmental Impact in Health Technology Assessment: An Exploratory Study.PharmacoEconomics · 2025Article
- Article
- Cost of Carbon in the Total Cost of a Healthcare Procedure: Example of Micro-Costing Study in a French Setting.Applied health economics and health policy · 2025Article
- Single-use versus reusable endoscopes in gastroenterology: Systematic review of full and partial economic evaluations.Endoscopy international open · 2025Review
- On spillovers in economic evaluations: definition, mapping review and research agenda.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Review
- How environmental impact is considered in economic evaluations of critical care: a scoping review.Intensive care medicine · 2024Article
- The valuation of older adult homecare services under a joint medical-social budgetary perspective.Frontiers in public health · 2024Article
- Balancing the health benefits and climate mortality costs of haemodialysis.Future healthcare journal · 2023Article
- Fair pathways to net-zero healthcare.Nature medicine · 2023Review
- Application of Three-Stage DEA Model Combined with BP Neural Network in Microfinancial Efficiency Evaluation.Computational intelligence and neuroscience · 2022Article
- Sustainability in healthcare: efficiency, effectiveness, -economics and the environment.Future healthcare journal · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The healthcare sector is one of the largest polluters in the UK, accounting for 25% of total emissions of carbon dioxide of the public sector. Ironically, it is the healthcare sector itself that is primarily affected by any deterioration in the environment affecting individuals' health and their demand for healthcare. Therefore, the healthcare sector is a direct beneficiary of its own steps towards sustainability and is more and more viewed as the one who should lead the change. In this article, we first review the concepts of financial and environmental sustainability. Second, we discuss the existing evidence of sustainable changes within this sector. Third, we propose a simple adaptation of the classic cost-effectiveness analysis to incorporate carbon footprinting to account for these external costs. We illustrate our method using the case of in-centre versus home haemodialysis. We conclude that home dialysis is always a preferable alternative to in-centre treatment based on a cost-effectiveness analysis. Finally, we discuss the limitations of our approach and the future research agenda.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.