ReviewCanadian family physician Medecin de famille canadien2026
Reducing the environmental impact of medications and improving patient outcomes using the ECO-Rx framework.
Review in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo raise awareness about the environmental impact of medications and provide practical opportunities to reduce this effect. SOURCES OF INFORMATION: The MAIN MESSAGE: Environmental harms and climate change are threats to human health, yet the health care system is responsible for 4.6% of greenhouse gas (GHG) pollution in Canada. Most of this pollution is generated upstream in the supply chain where products, including medications, are produced. In primary care, medications account for 61% of GHG pollution. Medications also have other impacts on the environment including contamination of air, water, and soil. The Evidence, Collaboration, Options, Review Rx (ECO-Rx) framework was designed to support appropriate use of medications through the following: Evidence-use high-quality evidence to guide diagnosis and treatment; collaboration-involve patients in all treatment decisions; options-always consider nonpharmacologic or more sustainable pharmacologic options; and review Rx-regularly review existing prescriptions and deprescribe appropriately.
conclusionBy applying these principles to an entire patient roster, 1 family physician can have a large environmental impact while also improving patient outcomes, minimizing costs for patients and the health care system, and reducing provider workload through fewer refill visits, less monitoring, and fewer complications.
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Registered trials
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