Evidence map›Paper›PMID 40976996›Full record

ArticleInternational journal of technology assessment in health care2025

Toward including environmental sustainability in Health Technology Assessment.

Anke-Peggy Holtorf, Melissa Pegg, Debjani Mueller, Nicola McMeekin, Environmental Sustainability in HTA Working Group of HTAi (ESHTA)

Abstract read
In one paragraph

Article in International journal of technology assessment in health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Next-generation methods in health technology assessment (HTA): need, rigor, and implementability.International journal of technology assessment in health care · 2026
    Review
  4. Article
  5. Incorporating climate impact in health care decisions: new criteria to be tested in the Netherlands.International journal of technology assessment in health care · 2026
    Article
  6. Review
  7. Integrating ethical analysis in health technology assessment: opportunities and challenges.International journal of technology assessment in health care · 2026
    Article
  8. 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

5 authors.

Anke-Peggy HoltorfHealth Outcomes Strategies, Basel, Switzerland.ORCID https://orcid.org/0000-0002-4638-5351
Melissa PeggESHTA at Health Technology Assessment International (HTAi), Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-2274-6319
Debjani MuellerESHTA at Health Technology Assessment International (HTAi), Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0001-7796-982X
Nicola McMeekinESHTA at Health Technology Assessment International (HTAi), Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0003-2918-8820
Environmental Sustainability in HTA Working Group of HTAi (ESHTA)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe life cycle of health technologies contribute to air pollution, ecotoxicity, and resource depletion, impacting the environment and human health. Increasing healthcare resource use globally increases emissions that accelerate climate change and negatively affect the health of current and future generations.Health Technology Assessment (HTA) should inform decision makers to prioritize the adoption of technologies demonstrating value in terms of health benefits, costs, and other relevant dimensions such as environmental sustainability.This paper reports on a multistakeholder approach to guiding an international working group for Environmental Sustainability in Health Technology Assessment (ESHTA) that has been formed by Health Technology Assessment international.

methodsA multistakeholder online workshop was held with 32 participants in May 2024 to define the critical issues to be considered. The resulting report underwent consultation among the ESHTA members and in a broader group of 90 additional worldwide stakeholder representatives.

resultsThe workshop participants recognized defining frameworks, mechanisms, and tools for embedding environmental sustainability into HTA as an opportunity to support sustainable development and quality improvement in healthcare. Achieving this requires (1) consensus on what environmental sustainability in healthcare means, (2) reconcilement with other healthcare and environmental policies, and (3) methods that are useful and applicable within HTA frameworks.

conclusionThis novel collaboration aims to align the global HTA community on the role of environmental sustainability in HTA. The report provides a path for the way forward for incorporating environmental sustainability into HTA based on broad perspectives from global multistakeholders.

Indexed as

Conservation of Natural ResourcesSustainable DevelopmentTechnology Assessment, BiomedicalClimate ChangeDecision MakingHumansenvironmental sustainabilityHealth Technology AssessmentHTAvalue framework

Identifiers

PMID40976996
PMCPMC12516604

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.