Evidence map›Paper›PMID 36314391›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Assessing the carbon footprint of digital health interventions: a scoping review.

Zerina Lokmic-Tomkins, Shauna Davies, Lorraine J Block, Lindy Cochrane, Alan Dorin, Hanna von Gerich, Erika Lozada-Perezmitre, Lisa Reid, Laura-Maria Peltonen

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

41 citing papers in PubMed.

  1. Article
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  3. 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
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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.

Zerina Lokmic-TomkinsSchool of Nursing and Midwifery, Monash University, Clayton, Melbourne, Victoria, Australia.ORCID 0000-0003-0266-9536
Shauna DaviesFaculty of Nursing, University of Regina, Regina, Saskatchewan, Canada.
Lorraine J BlockSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Lindy CochraneBrownless Biomedical Library, University of Melbourne, Parkville, Victoria, Australia.
Alan DorinDepartment of Data Science and Artificial Intelligence, Faculty of Information Technology, Monash University, Melbourne, Victoria, Australia.
Hanna von GerichDepartment of Nursing Science, University of Turku and Turku University Hospital, Turku, Finland.
Erika Lozada-PerezmitreNursing Faculty FE-BUAP, Benemerita Universidad Autonoma de Puebla, Puebla, México.ORCID 0000-0002-0515-8662
Lisa ReidCollege of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Laura-Maria PeltonenDepartment of Nursing Science, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntegration of environmentally sustainable digital health interventions requires robust evaluation of their carbon emission life-cycle before implementation in healthcare. This scoping review surveys the evidence on available environmental assessment frameworks, methods, and tools to evaluate the carbon footprint of digital health interventions for environmentally sustainable healthcare. MATERIALS AND

methodsMedline (Ovid), Embase (Ovid). PsycINFO (Ovid), CINAHL, Web of Science, Scopus (which indexes IEEE Xplore, Springer Lecture Notes in Computer Science and ACM databases), Compendex, and Inspec databases were searched with no time or language constraints. The Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA_SCR), Joanna Briggs Scoping Review Framework, and template for intervention description and replication (TiDiER) checklist were used to structure and report the findings.

resultsFrom 3299 studies screened, data was extracted from 13 full-text studies. No standardised methods or validated tools were identified to systematically determine the environmental sustainability of a digital health intervention over its full life-cycle from conception to realisation. Most studies (n = 8) adapted publicly available carbon calculators to estimate telehealth travel-related emissions. Others adapted these tools to examine the environmental impact of electronic health records (n = 2), e-prescriptions and e-referrals (n = 1), and robotic surgery (n = 1). One study explored optimising the information system electricity consumption of telemedicine. No validated systems-based approach to evaluation and validation of digital health interventions could be identified.

conclusionThere is a need to develop standardised, validated methods and tools for healthcare environments to assist stakeholders to make informed decisions about reduction of carbon emissions from digital health interventions.

Indexed as

Carbon FootprintTelemedicineCarbonHumansTravelTravel-Related IllnessCarbonassessment methods and toolscarbon emissionsdigital health technologiesenvironmental sustainability

Identifiers

PMID36314391
PMCPMC9667173

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.