Evidence map›Paper›PMID 40120099›Full record

ArticleThe International journal of health planning and management2025

Estimating the Cost and Carbon Output of Musculoskeletal Primary Care Management Decisions: A Retrospective Analysis of Electronic Health Records.

Alex Braybrooke, Melissa Pegg, Rebecca Naylor, James Bailey, James Scott, Roanna Burgess, Dahai Yu, Simon Wathall, Kelvin P Jordan, Robert Malcolm and 4 more

Abstract read
In one paragraph

Article in The International journal of health planning and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Alex BraybrookeSchool of Allied Health Professions and Pharmacy, Keele University, Keele, UK.ORCID https://orcid.org/0009-0008-3492-040X
Melissa PeggYork Health Economics Consortium, University of York, York, UK.
Rebecca NaylorYork Health Economics Consortium, University of York, York, UK.
James BaileyCentre for Musculoskeletal Health Research, Keele University, Keele, UK.
James ScottYork Health Economics Consortium, University of York, York, UK.
Roanna BurgessCentre for Musculoskeletal Health Research, Keele University, Keele, UK.
Dahai YuCentre for Musculoskeletal Health Research, Keele University, Keele, UK.
Simon WathallSchool of Medicine, Keele University, Keele, UK.
Kelvin P JordanCentre for Musculoskeletal Health Research, Keele University, Keele, UK.
Robert MalcolmYork Health Economics Consortium, University of York, York, UK.
Hayden HolmesYork Health Economics Consortium, University of York, York, UK.
George PeatSchool of Medicine, Keele University, Keele, UK.ORCID https://orcid.org/0000-0002-9008-0184
Anirban BanerjeeSchool of Allied Health Professions and Pharmacy, Keele University, Keele, UK.
Jonathan C HillSchool of Allied Health Professions and Pharmacy, Keele University, Keele, UK.

Funding

Keele UniversityNHS greener teamNIHR Applied Research Collaboration West MidlandsNuffield Foundation's Oliver Bird Fund and Versus Arthritis (OBF/43390)
6 · The paper itself

Abstract

backgroundHealthcare accounts for up to 5% of worldwide carbon emissions and costs global economies an estimated $9 trillion annually. Primary care accounts for up to one-fifth of all NHS carbon emissions, with musculoskeletal (MSK) pain accounting for 14%-30% of all primary care consultations.

methodA cost-carbon calculator model was used to undertake a retrospective economic and environmental analysis of resource use for non-inflammatory MSK pain primary care consulters. Data used to populate the model was derived from Electronic Health Records and patient surveys collected during The Multi-level Integrated Data for Musculoskeletal Health Intelligence and ActionS GP Study. The model was utilised to estimate the mean (with 95%CI's) cost and carbon output per MSK consulter, while also examining variations at two levels: (a) the Primary Care Network (PCN), and (b) the consulter's index MSK pain site.

resultsOne thousand eight hundred seventy-five individuals from 30 NHS primary care practices across 13 PCNs were eligible for EHR and survey data analysis. The mean carbon and cost output per person (over 6 months) was 46.91 kg CO

conclusionThis is the first study, we are aware of, that presents data on both the environmental and economic impact of the primary care of non-inflammatory MSK pain. Future work should focus on benchmarking the cost and carbon output of MSK care pathways and standardising methods that are implemented to influence sustainable practice and policy development.

Indexed as

Carbon FootprintElectronic Health RecordsMusculoskeletal PainPrimary Health CareAdultFemaleHumansMaleMiddle AgedRetrospective StudiesState MedicineUnited Kingdomcarbon footprintgeneral practicehealth economicsmusculoskeletal disordersprimary health care

Identifiers

PMID40120099
PMCPMC12215594

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Registered trials

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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.