Evidence map›Paper›PMID 36981859›Full record

ArticleInternational journal of environmental research and public health2023

Main Challenges of Incorporating Environmental Impacts in the Economic Evaluation of Health Technology Assessment: A Scoping Review.

Carmen Guirado-Fuentes, Analía Abt-Sacks, María Del Mar Trujillo-Martín, Lidia García-Pérez, Leticia Rodríguez-Rodríguez, Carme Carrion I Ribas, Pedro Serrano-Aguilar

Full text readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. 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
  2. Next-generation methods in health technology assessment (HTA): need, rigor, and implementability.International journal of technology assessment in health care · 2026
    Review
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  16. Environmental considerations in health technology assessments performed by Canadian agencies.International journal of technology assessment in health care · 2025
    Article
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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

7 authors.

Carmen Guirado-FuentesCanary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain.ORCID 0000-0002-4578-8204
Analía Abt-SacksCanary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain.ORCID 0000-0001-7153-8586
María Del Mar Trujillo-MartínCanary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain.ORCID 0000-0003-2273-2192
Lidia García-PérezCanary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain.ORCID 0000-0002-5626-8116
Leticia Rodríguez-RodríguezCanary Islands Health Research Institute Foundation (FIISC), 38320 Santa Cruz de Tenerife, Spain.
Carme Carrion I RibasResearch Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain.ORCID 0000-0003-1479-7551
Pedro Serrano-AguilarResearch Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, 28029 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health technology assessment (HTA) provides evidence-based information on healthcare technology to support decision making in many countries. Environmental impact is a relevant dimension of a health technology's value, but it has been poorly addressed in HTA processes in spite of the commitment that the health sector must have to contribute to mitigating the effects of climate change. This study aims to identify the state of the art and challenges for quantifying environmental impacts that could be incorporated into the economic evaluation (EE) of HTA. We performed a scoping review that included 22 articles grouped into four types of contribution: (1) concepts to draw up a theoretical framework, (2) HTA reports, (3) parameter designs or suitable indicators, and (4) economic or budgetary impact assessments. This review shows that evaluation of the environmental impact of HTAs is still very incipient. Small steps are being taken in EE, such as carbon footprint estimations from a life-cycle approach of technologies and the entire care pathway.

Indexed as

Biomedical TechnologyTechnology Assessment, BiomedicalCarbon FootprintClimate ChangeCost-Benefit Analysiscarbon footprintclimate changeeconomic evaluationenvironmental impactgreenhouse gaseshealth technology assessmentlife-cycle assessment

Identifiers

PMID36981859
PMCPMC10049058

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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measurements read4
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.