Environmental Impacts of Surgical Procedures: Life Cycle Assessment of Hysterectomy in the United States
Identifieur interne : 003014 ( Main/Exploration ); précédent : 003013; suivant : 003015Environmental Impacts of Surgical Procedures: Life Cycle Assessment of Hysterectomy in the United States
Auteurs : Cassandra L. Thiel [États-Unis] ; Matthew Eckelman [États-Unis] ; Richard Guido [États-Unis] ; Matthew Huddleston [États-Unis] ; Amy E. Landis [États-Unis] ; Jodi Sherman [États-Unis] ; Scott O. Shrake [États-Unis] ; Noe Copley-Woods [États-Unis] ; Melissa X0a M. Bilec [États-Unis]Source :
- Environmental Science & Technology [ 0013-936X ] ; 2014.
Abstract
The healthcare sector is a driver of economic growth in the U.S., with spending on healthcare in 2012 reaching $2.8 trillion, or 17% of the U.S. gross domestic product, but it is also a significant source of emissions that adversely impact environmental and public health. The current state of the healthcare industry offers significant opportunities for environmental efficiency improvements, potentially leading to reductions in costs, resource use, and waste without compromising patient care. However, limited research exists that can provide quantitative, sustainable solutions. The operating room is the most resource-intensive area of a hospital, and surgery is therefore an important focal point to understand healthcare-related emissions. Hybrid life cycle assessment (LCA) was used to quantify environmental emissions from four different surgical approaches (abdominal, vaginal, laparoscopic, and robotic) used in the second most common major procedure for women in the U.S., the hysterectomy. Data were collected from 62 cases of hysterectomy. Life cycle assessment results show that major sources of environmental emissions include the production of disposable materials and single-use surgical devices, energy used for heating, ventilation, and air conditioning, and anesthetic gases. By scientifically evaluating emissions, the healthcare industry can strategically optimize its transition to a more sustainable system.
Url:
DOI: 10.1021/es504719g
PubMed: 25517602
PubMed Central: 4319686
Affiliations:
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Impacts of Surgical Procedures: Life
Cycle Assessment of Hysterectomy in the United States</title><author><name sortKey="Thiel, Cassandra L" sort="Thiel, Cassandra L" uniqKey="Thiel C" first="Cassandra L." last="Thiel">Cassandra L. Thiel</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Civil and Environmental Engineering,<institution>University of Pittsburgh</institution>, 153 Benedum Hall, 3700 O’Hara Street, Pittsburgh, Pennsylvania 15261,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Eckelman, Matthew" sort="Eckelman, Matthew" uniqKey="Eckelman M" first="Matthew" last="Eckelman">Matthew Eckelman</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Civil and Environmental Engineering,<institution>Northeastern University</institution>, 360 Huntington Avenue, Boston, Massachusetts 02115,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Guido, Richard" sort="Guido, Richard" uniqKey="Guido R" first="Richard" last="Guido">Richard Guido</name><affiliation wicri:level="1"><nlm:aff id="aff2">Magee-Womens Hospital of UPMC, Department of Obstetrics and Gynecology,<institution>University of Pittsburgh School of Medicine</institution>, 300 Halket Street, Pittsburgh, Pennsylvania 15213,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huddleston, Matthew" sort="Huddleston, Matthew" uniqKey="Huddleston M" first="Matthew" last="Huddleston">Matthew Huddleston</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Civil and Environmental Engineering,<institution>University of Pittsburgh</institution>, 153 Benedum Hall, 3700 O’Hara Street, Pittsburgh, Pennsylvania 15261,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Landis, Amy E" sort="Landis, Amy E" uniqKey="Landis A" first="Amy E." last="Landis">Amy E. Landis</name><affiliation wicri:level="1"><nlm:aff id="aff5">School of Sustainable Engineering and the Built Environment,<institution>Arizona State University</institution> P.O. Box 875306, Tempe, Arizona 85287,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sherman, Jodi" sort="Sherman, Jodi" uniqKey="Sherman J" first="Jodi" last="Sherman">Jodi Sherman</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Anesthesiology,<institution>Yale University School of Medicine</institution>, 333 Cedar Street, TMP 3, New Haven, Connecticut 06520,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shrake, Scott O" sort="Shrake, Scott O" uniqKey="Shrake S" first="Scott O." last="Shrake">Scott O. Shrake</name><affiliation wicri:level="1"><nlm:aff id="aff5">School of Sustainable Engineering and the Built Environment,<institution>Arizona State University</institution> P.O. Box 875306, Tempe, Arizona 85287,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Copley Woods, Noe" sort="Copley Woods, Noe" uniqKey="Copley Woods N" first="Noe" last="Copley-Woods">Noe Copley-Woods</name><affiliation wicri:level="1"><nlm:aff id="aff2">Magee-Womens Hospital of UPMC, Department of Obstetrics and Gynecology,<institution>University of Pittsburgh School of Medicine</institution>, 300 Halket Street, Pittsburgh, Pennsylvania 15213,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bilec, Melissa X0a M" sort="Bilec, Melissa X0a M" uniqKey="Bilec M" first="Melissa X0a M." last="Bilec">Melissa X0a M. Bilec</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Civil and Environmental Engineering,<institution>University of Pittsburgh</institution>, 153 Benedum Hall, 3700 O’Hara Street, Pittsburgh, Pennsylvania 15261,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Environmental Science & Technology</title><idno type="ISSN">0013-936X</idno><idno type="eISSN">1520-5851</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p content-type="toc-graphic"><graphic xlink:href="es-2014-04719g_0005" id="ab-d31e238"></graphic></p><p>The healthcare sector is a driver
of economic growth in the U.S.,
with spending on healthcare in 2012 reaching $2.8 trillion, or 17%
of the U.S. gross domestic product, but it is also a significant source
of emissions that adversely impact environmental and public health.
The current state of the healthcare industry offers significant opportunities
for environmental efficiency improvements, potentially leading to
reductions in costs, resource use, and waste without compromising
patient care. However, limited research exists that can provide quantitative,
sustainable solutions. The operating room is the most resource-intensive
area of a hospital, and surgery is therefore an important focal point
to understand healthcare-related emissions. Hybrid life cycle assessment
(LCA) was used to quantify environmental emissions from four different
surgical approaches (abdominal, vaginal, laparoscopic, and robotic)
used in the second most common major procedure for women in the U.S.,
the hysterectomy. Data were collected from 62 cases of hysterectomy.
Life cycle assessment results show that major sources of environmental
emissions include the production of disposable materials and single-use
surgical devices, energy used for heating, ventilation, and air conditioning,
and anesthetic gases. By scientifically evaluating emissions, the
healthcare industry can strategically optimize its transition to a
more sustainable system.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rudish, R" uniqKey="Rudish R">R. Rudish</name></author><author><name sortKey="Eckstein, A" uniqKey="Eckstein A">A. Eckstein</name></author><author><name sortKey="Vettori, E" uniqKey="Vettori E">E. Vettori</name></author><author><name sortKey="Purdy, L" uniqKey="Purdy L">L. Purdy</name></author><author><name sortKey="Qu, Y" uniqKey="Qu Y">Y. Qu</name></author><author><name sortKey="Elbel, G" uniqKey="Elbel G">G. Elbel</name></author><author><name sortKey="Dhawan, A" uniqKey="Dhawan A">A. Dhawan</name></author><author><name sortKey="Lee, J" uniqKey="Lee J">J. Lee</name></author><author><name sortKey="Jaber, H" uniqKey="Jaber H">H. Jaber</name></author><author><name sortKey="Yap, J" uniqKey="Yap J">J. Yap</name></author><author><name sortKey="Adao, V" uniqKey="Adao V">V. Adao</name></author><author><name sortKey="Hammett, S" uniqKey="Hammett S">S. Hammett</name></author><author><name sortKey="George, R" uniqKey="George R">R. George</name></author><author><name sortKey="Copeland, B" uniqKey="Copeland B">B. Copeland</name></author><author><name sortKey="Wada, Y" uniqKey="Wada Y">Y. Wada</name></author><author><name sortKey="Vega, G M" uniqKey="Vega G">G. M. Vega</name></author><author><name sortKey="Morris, M" uniqKey="Morris M">M. Morris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pollard, A X0a S" uniqKey="Pollard A">A.
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Bilec</name><name sortKey="Copley Woods, Noe" sort="Copley Woods, Noe" uniqKey="Copley Woods N" first="Noe" last="Copley-Woods">Noe Copley-Woods</name><name sortKey="Eckelman, Matthew" sort="Eckelman, Matthew" uniqKey="Eckelman M" first="Matthew" last="Eckelman">Matthew Eckelman</name><name sortKey="Guido, Richard" sort="Guido, Richard" uniqKey="Guido R" first="Richard" last="Guido">Richard Guido</name><name sortKey="Huddleston, Matthew" sort="Huddleston, Matthew" uniqKey="Huddleston M" first="Matthew" last="Huddleston">Matthew Huddleston</name><name sortKey="Landis, Amy E" sort="Landis, Amy E" uniqKey="Landis A" first="Amy E." last="Landis">Amy E. Landis</name><name sortKey="Sherman, Jodi" sort="Sherman, Jodi" uniqKey="Sherman J" first="Jodi" last="Sherman">Jodi Sherman</name><name sortKey="Shrake, Scott O" sort="Shrake, Scott O" uniqKey="Shrake S" first="Scott O." last="Shrake">Scott O. 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