Evidence map›Paper›PMID 34275864›Full record

ArticleBMJ open2021

Thinking green: modelling respirator reuse strategies to reduce cost and waste.

Jacqueline Chu, Omkar Ghenand, Joy Collins, James Byrne, Adam Wentworth, Peter R Chai, Farah Dadabhoy, Chin Hur, Giovanni Traverso

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Waste Management and the Perspective of a Green Hospital-A Systematic Narrative Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
  4. National partnerships address critical needs in infection prevention and control.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Disinfection of Respirators with Ultraviolet Radiation.Journal of research of the National Institute of Standards and Technology · 2021
    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

9 authors at 4 institutions in 1 country.

Jacqueline ChuDivision of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Omkar GhenandDepartment of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Joy CollinsDivision of Gastroenterology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
James ByrneKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Adam WentworthKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Peter R ChaiKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Farah DadabhoyDepartment of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Chin HurDepartment of Medicine, Columbia University Medical Center, New York, New York, USA.
Giovanni TraversoDivision of Gastroenterology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA cgt20@mit.edu.ORCID 0000-0002-9232-4517
Brigham and Women's Hospital · USColumbia University Irving Medical Center · USHarvard University · USMassachusetts Institute of Technology · US

Funding

RESEARCH TRAINING IN DIGESTIVE DISEASES AND NUTRITIONT32DK007191 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1986 to 2026
$14.6M
A novel robotic wastewater analysis system to quantify opioid exposure and treatment in residential communitiesR44DA051106 · NIDA · BIOBOT ANALYTICS, INC. · PI CHAI, PETER R, MATUS GARCIA, MARIANA G · 2020 to 2022
$1.5M
Development of Ingestible Biosensors to Enhance PrEP Adherence in Substance UsersK23DA044874 · NIDA · BRIGHAM AND WOMEN'S HOSPITAL · PI CHAI, PETER R · 2018 to 2022
$1.0M
NIDA NIH HHS K23 DA044874NIDA NIH HHS R44 DA051106NIDDK NIH HHS T32 DK007191
6 · The paper itself

Abstract

objectivesTo compare the impact of respirator extended use and reuse strategies with regard to cost and sustainability during the COVID-19 pandemic.

designCost analysis.

settingUSA.

participantsAll healthcare workers within the USA.

interventionsNot applicable.

main outcome measuresA model was developed to estimate usage, costs and waste incurred by several respirator usage strategies over the first 6 months of the pandemic in the USA. This model assumed universal masking of all healthcare workers. Estimates were taken from the literature, government databases and commercially available data from approved vendors.

resultsA new N95 respirator per patient encounter would require 7.41 billion respirators, cost $6.38 billion and generate 84.0 million kg of waste in the USA over 6 months. One respirator per day per healthcare worker would require 3.29 billion respirators, cost $2.83 billion and generate 37.22 million kg of waste. Decontamination by ultraviolet germicidal irradiation would require 1.64 billion respirators, cost $1.41 billion and accumulate 18.61 million kg of waste. H

conclusionsDecontamination and reusable respirator-based strategies decreased the number of respirators used, costs and waste generated compared with single-use or daily extended-use of disposable respirators. Future development of low-cost,simple technologies to enable respirator and/or filter decontamination is needed to further minimise the economic and environmental costs of masks.

Indexed as

COVID-19PandemicsDecontaminationHumansHydrogen PeroxideMasksSARS-CoV-2Ventilators, MechanicalHydrogen PeroxideCOVID-19health economicshealth services administration & managementinfectious diseases

Identifiers

PMID34275864
PMCPMC8290946
OpenAlexW3185565409

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.