Evidence map›Paper›PMID 41726001›Full record

ArticleJRSM open2026

Mapping the evidence on the role and impact of plastics in the context of health products and their packaging: A scoping review.

Navisha Weerasinghe, Dana Hart, Andrea Bowra, Marilia D'Souza, Shugri Nour, Nicholas Chartres, Gillian Parker, Kelly Holloway, Fiona A Miller, Mina Tadrous and 2 more

Abstract read
In one paragraph

Article in JRSM open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Navisha WeerasingheLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0003-0925-9791
Dana HartLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0001-5532-0421
Andrea BowraDalla Lana School of Public Health, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0001-9671-7388
Marilia D'SouzaLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0009-0002-5470-5105
Shugri NourLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0009-0008-0879-3320
Nicholas ChartresSydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-9659-6739
Gillian ParkerInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0001-9884-9181
Kelly HollowayInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0003-3867-1072
Fiona A MillerInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0003-4953-6255
Mina TadrousLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0003-1911-6129
Deirdre DimancescoDepartment of Health Products Policies and Standards, World Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-8783-1522
Quinn GrundyLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.ORCID https://orcid.org/0000-0002-7640-8614

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To map the global research on the impact of plastic-based health products and their packaging across the product lifecycle in order to inform equitable, sustainable governance for the role of plastics in health products. Design: A scoping review of primary research and systematic reviews examining plastic-related outcomes in the context of health products or packaging using a systematic search of the MEDLINE, EMBASE, SCOPUS, GEOBASE and Compendex databases November 2024 with no date or language restrictions. Setting: Studies spanning global and disciplinary contexts. Participants: Primary research or systematic reviews that examined plastic-related outcomes in the context of health products or packaging. Main outcome measures: We descriptively analyzed characteristics and outcomes of the included articles according to the product lifecycle stage. Results: We screened 14,695 articles and included 572 articles published between 1960-2024. Only 8% (45/572) of articles studied more than one lifecycle stage. The evidence is otherwise siloed by focus, setting, and discipline: articles focused on clinical use and storage outcomes (266/572, 46.5%), were conducted primarily in high income countries (230/266, 86.5%) and within biomedical disciplines (207/266, 86.5%); articles focused on end-of-life outcomes (n=257/572, 44.9%) were conducted more frequently in middle-income countries (158/257, 61.7%), and within engineering and environmental sciences (208/257, 80.9%). We documented a multi-decade interest in plasticizer leaching from plastic devices and packaging. Conclusions: A research agenda that is lifecycle oriented, prevention focused, and precautionary will produce robust, actionable evidence to support treaty decision-making and implementation. We conclude with recommendations for research priorities that include interventions to reduce the use of plastics in healthcare, to measure the health and environmental impacts of the chemicals in plastics, and identification and assessment of safe, toxics-free, sustainable alternatives.

Indexed as

environmental issues < public health < non-clinicalhealth policy < non-clinicalother ethics < ethics < non-clinical

Identifiers

PMID41726001
PMCPMC12921195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.