Evidence map›Paper›PMID 36118957›Full record

ReviewEnvironmental science & technology letters2022

GREENER Pharmaceuticals for More Sustainable Healthcare.

Caroline T A Moermond, Neele Puhlmann, A Ross Brown, Stewart F Owen, Jim Ryan, Jason Snape, Bastiaan J Venhuis, Klaus Kümmerer

Abstract readReview
In one paragraph

Review in Environmental science & technology letters, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Breaking Lock-ins to Enable a Green Pharmacy.Environmental science & technology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Pharmaceutical waste management through microbial bioremediation.Environmental monitoring and assessment · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Caroline T A MoermondCentre for Safety of Substances and Products (VSP), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands.ORCID https://orcid.org/0000-0002-9770-7023
Neele PuhlmannInstitut für Nachhaltige Chemie und Umweltchemie, Leuphana Universität Lüneburg, Universitätsallee 1, C13.205, 21335 Lüneburg, Germany.
A Ross BrownBiosciences, College of Life and Environmental Sciences, University of Exeter, Geoffrey Pope Building, Stocker Road, Exeter, Devon EX4 4QD, U.K.ORCID https://orcid.org/0000-0002-3892-8993
Stewart F OwenAstraZeneca, Global Sustainability, Silk Road, Macclesfield, Cheshire SK10 2NA, U.K.
Jim RyanGSK, Environment, Health & Safety, Gunnels Wood Road, Stevenage, Hertfordshire SG1 2NY, U.K.
Jason SnapeAstraZeneca, Global Sustainability, Silk Road, Macclesfield, Cheshire SK10 2NA, U.K.
Bastiaan J VenhuisCentre for Health Protection (GZB), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands.
Klaus KümmererInstitut für Nachhaltige Chemie, Leuphana Universität Lüneburg, Universitätsallee, 1/C13.311b, 21335 Lüneburg, Germany.ORCID https://orcid.org/0000-0003-2027-6488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medicines are essential to human health but can also impact the aquatic and terrestrial environment after use by patients and release via excreta into wastewater. We highlight the need for a GREENER approach to identify and meet important environmental criteria, which will help reduce the impact of medicinal residues on the environment. These criteria include effect reduction by avoiding nontarget effects or undesirable moieties, exposure reduction via lower emissions or environmental (bio)degradability, no PBT (persistent, bioaccumulative, and toxic) substances, and risk mitigation. With all of these criteria, however, patient health is of primary importance as medicines are required to be safe and efficacious for treating diseases. We discuss the feasibility of including these criteria for green by design active pharmaceutical ingredients in the process of drug discovery and development and which tools or assays are needed to accomplish this. The integrated GREENER approach can be used to accelerate discussions about future innovations in drug discovery and development.

Identifiers

PMID36118957
PMCPMC9476650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.