Evidence map›Paper›PMID 41817643›Full record

ReviewPulmonary therapy2026

Climate Change and the Switch from Pressurised Metered-Dose Inhalers to Dry Powder Inhalers: A Proportionate Balancing of Risk and Reward?

Sanjeeva Dissanayake, Jason Suggett, Alan Kaplan

Abstract readReview
In one paragraph

Review in Pulmonary therapy, 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

3 authors.

Sanjeeva DissanayakeCertior Consulting, London, UK. sanjeeva@certiorconsulting.com.ORCID http://orcid.org/0000-0002-4257-2141
Jason SuggettTrudell Medical International, Toronto, ON, Canada.
Alan KaplanFamily Physician Airways Group of Canada, Markham, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urgent action is required to limit the increase in global temperatures. While mitigation efforts are primarily directed at transitioning away from fossil fuels, given their overwhelming contribution to greenhouse gas emissions, infrastructural change is slow to effect. Thus, behavioural changes, which can be effected rapidly, are also critical. To limit healthcare-related emissions, a widespread transition away from pressurised metered-dose inhalers (pMDIs), containing hydrofluorocarbons with high global warming potential (GWP), to dry powder inhalers (DPIs) with minimal GWP, has been proposed. This paper discusses whether the stated grounds for this transition are robust and are proportionate to the potential environmental gain and, while not to be ignored, whether a greater emphasis should be placed upon other measures that may have a greater impact.

Indexed as

Carbon footprintGlobal warmingGreenhouse gasesInhaler emissionsInhaler switching

Identifiers

PMID41817643
PMCPMC13287359

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.