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ArticleApplied health economics and health policy2025

Cost of Carbon in the Total Cost of a Healthcare Procedure: Example of Micro-Costing Study in a French Setting.

Paul-Simon Pugliesi, Hervé Frick, Stéphanie Guillot, Karine Ferrare, Catherine Renzullo, Alexandre Benoist, Serge Ribes, Guillaume Beltramo, Thomas Maldiney, Romain Ter Schiphorst and 4 more

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Article in Applied health economics and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Paul-Simon PugliesiDepartment of Intensive Care, William Morey Hospital, Chalon sur Saône, France. PaulSimon.Pugliesi@ch-chalon71.fr.ORCID 0000-0002-9270-1861
Hervé FrickDepartment of Sustainable Development, William Morey Hospital, Chalon sur Saône, France.
Stéphanie GuillotDepartment of Anesthesia and Operating Rooms, William Morey Hospital, Chalon sur Saône, France.
Karine FerrareDepartment of Anesthesia and Operating Rooms, William Morey Hospital, Chalon sur Saône, France.
Catherine RenzulloPharmacy, William Morey Hospital, Chalon sur Saône, France.
Alexandre BenoistDept of Biomedical Engineering, William Morey Hospital, Chalon sur Saône, France.
Serge RibesDepartment of Sustainable Development, William Morey Hospital, Chalon sur Saône, France.
Guillaume BeltramoINSERM U1231, Dijon, France.
Thomas MaldineyDepartment of Intensive Care, William Morey Hospital, Chalon sur Saône, France.
Romain Ter SchiphorstDepartment of Intensive Care, William Morey Hospital, Chalon sur Saône, France.
Caroline Abdul MalakDepartment of Intensive Care, William Morey Hospital, Chalon sur Saône, France.
Adrien BevandDept of Orthopedic and Traumatological Surgery, William Morey Hospital, Chalon sur Saône, France.
Laurie MarrauldUniversity of Rennes, EHESP, CNRS, Inserm, Arènes - UMR 6051, RSMS (Health Services and Management Research) - U 1309, 35000, Rennes, France.
Catherine LejeuneCHU Dijon Bourgogne, Inserm, Université de Bourgogne, CIC 1432, Module Épidémiologie Clinique, 7 bd Jeanne d'Arc, BP 87900, 21000, Dijon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEconomic evaluation aims to compare the costs and results of health strategies to inform public decision making. Although sometimes suggested, until now no national evaluation agency has recommended formally incorporating the cost of greenhouse gas (GHG) emissions generated by health interventions into the estimation of healthcare costs.

objectiveThe objective of this study was to test and discuss the feasibility of estimating and including the contribution of GHG emissions cost to the total cost of a surgical intervention, with the example of robot-assisted total knee arthroplasty (RTA), using a micro-costing approach.

methodsThe study was conducted in June 2022 at the William Morey Hospital (France). Data regarding all of the resources (labor, medical equipment, consumables), as well as energy consumption, staff commuting and waste treatment were collected and valued from the hospital point of view. Greenhouse gas emissions were valued using a cost-effectiveness approach. Several sensitivity analyses were performed.

resultsThe mean cost per patient of an RTA was estimated to be €4755.65, of which €152.64 (3.21 %) would be attributable to GHG emissions. The contribution of GHG emissions in the overall cost of a health intervention was highly dependent on the convention used for the price of carbon.

conclusionDespite persistent theoretical and practical challenges, adding the estimation of GHG emission costs in the economic evaluation of health interventions may provide institutional decision makers with information that allows them to allocate the public healthcare resources more efficiently.

Indexed as

Arthroplasty, Replacement, KneeGreenhouse GasesHealth Care CostsCost-Benefit AnalysisFranceHumansGreenhouse Gases

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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.