Evidence map›Paper›PMID 31808066›Full record

ArticleApplied health economics and health policy2020

Incorporating the Environmental Impact into a Budget Impact Analysis: The Example of Adopting RESPIMAT

Gustaf Ortsäter, Fredrik Borgström, Mike Baldwin, Carolin Miltenburger

Abstract read
In one paragraph

Article in Applied health economics and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Points to consider for incorporating climate impacts into health economic evaluation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Life Cycle Assessments in Healthcare: Insights and Standardisation Needs.International journal of environmental research and public health · 2026
    Review
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  13. Global & regional health technology assessment
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gustaf OrtsäterQuantify Research, Stockholm, Sweden. gustaf.ortsater@quantifyresearch.com.ORCID http://orcid.org/0000-0001-5102-3358
Fredrik BorgströmQuantify Research, Stockholm, Sweden.
Mike BaldwinBoehringer Ingelheim, Ingelheim, Germany.
Carolin MiltenburgerMiltenburger Consulting, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRESPIMAT

objectiveThe objective of this study was to perform an economic evaluation that incorporates the ecological impact of adopting RESPIMAT re-usable into the healthcare system in Germany.

methodsInhaler costs and environmental impact over 5 years in Germany in a scenario with RESPIMAT re-usable compared to a scenario without RESPIMAT re-usable were estimated using a budget impact model. The carbon emissions were derived for each treatment pattern considering the whole life cycle (cradle-to-grave) of the inhaler product. The cost of carbon emissions was estimated using a societal cost per ton of carbon emission.

resultsBy introducing RESPIMAT re-usable in Germany, it was estimated that by 2023, the number of inhalers used would have decreased by 5,748,750 compared to a scenario without RESPIMAT re-usable. In addition, this measure would reduce the environmental burden of inhaler use while at the same time reducing medical cost of inhalers.

conclusionsAdopting RESPIMAT

Indexed as

BudgetsEnvironmentAdministration, InhalationBronchodilator AgentsEquipment ReuseGermanyHumansNebulizers and VaporizersBronchodilator Agents

Identifiers

PMID31808066
PMCPMC7250803

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.