دورية أكاديمية
أعرض في EDS

Sustainable medicines use in clinical practice: A clinical pharmacological view on eco-pharmaco-stewardship.

التفاصيل البيبلوغرافية
العنوان: Sustainable medicines use in clinical practice: A clinical pharmacological view on eco-pharmaco-stewardship.
المؤلفون: Adeyeye E; Department of Clinical Pharmacology, Cardiovascular Medicine, Barts Health NHS Trust, London, UK., New BJM; Ninewells Hospital & Medical School, NHS Tayside, Dundee, UK., Chen F; University College Hospital, London, UK., Kulkarni S; Experimental Medicine and Immunotherapeutics (EMIT), Department of Medicine, University of Cambridge, Cambridge, UK.; Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK., Fisk M; Experimental Medicine and Immunotherapeutics (EMIT), Department of Medicine, University of Cambridge, Cambridge, UK.; Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK., Coleman JJ; Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
المصدر: British journal of clinical pharmacology [Br J Clin Pharmacol] 2022 Jul; Vol. 88 (7), pp. 3023-3029. Date of Electronic Publication: 2021 Dec 06.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 7503323 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2125 (Electronic) Linking ISSN: 03065251 NLM ISO Abbreviation: Br J Clin Pharmacol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Wiley-Blackwell
Original Publication: London, Macmillan Journals Ltd.
مواضيع طبية MeSH: Carbon Footprint* , State Medicine*, Delivery of Health Care ; Health Personnel ; Humans
مستخلص: Climate change continues to pose a dangerous threat to human health. However, not only is health impacted by this crisis, healthcare itself adds to the problem, through significant contributions to greenhouse gas emissions. In the UK, the National Health Service (NHS) is responsible for an estimated 4% of the overall national carbon footprint. Medicines account for a quarter of this and whilst they are vital for health now, through sustainable use they can also positively influence the environmental health of the future. In this review, we explore how clinical pharmacologists and other health care professionals can practice sustainable medicines use or eco-pharmaco-stewardship. We will discuss current and near future environmental practices within the NHS, which we suspect will resonate with other health systems. We will suggest approaches for championing eco-pharmaco-stewardship in drug manufacturing, clinical practice and patient use, to achieve a more a sustainable healthcare system.
(© 2021 British Pharmacological Society.)
التعليقات: Comment in: Br J Clin Pharmacol. 2022 Jul;88(7):3030-3031. (PMID: 35384020)
References: United Nations. The climate crisis - a race we can win. Published online 2019:2. Accessed September 10, 2021. https://www.un.org/sites/un2.un.org/files/un75_climate_crisis.pdf. WB.
United Nations. The Paris Agreement. Accessed September 10, 2021. https://www.un.org/en/climatechange/paris-agreement.
World Health Organization Regional Office for Europe. Environmentally sustainable health systems: a strategic document. Published online 2017. Accessed September 4, 2021. https://www.euro.who.int/en/health-topics/Health-systems/public-health-services/publications/2017/environmentally-sustainable-health-systems-a-strategic-document-2017.
NHS England and NHS Improvement. Delivering a “Net Zero” National Health Service. Accessed September 8, 2021. https://www.england.nhs.uk/greenernhs/wp-content/uploads/sites/51/2020/10/delivering-a-net-zero-national-health-service.pdf.
Salas RN. The Climate Crisis and Clinical Practice. N Engl J Med. 2020;382(7):589-591. https://doi.org/10.1056/NEJMP2000331.
Atwoli L, Baqui AH, Benfield T, et al. Call for emergency action to limit global temperature increases, restore biodiversity, and protect health. BMJ. 2021;374:n1734. https://doi.org/10.1136/BMJ.N1734.
Eco-pharmco-stewardship (EPS). A holistic environmental risk management program. Accessed September 4, 2021. https://www.efpia.eu/media/25628/eps-a-holistic-environmental-risk-management-program.pdf.
Fisk M, Zecharia A, Payne R, et al. Sustainable medicines development and use: Our collective responsibility for action to mitigate the natural world crisis. Br J Clin Pharmacol. Published online September 6. 2021;bcp.15067. https://doi.org/10.1111/BCP.15067.
Milanesi M, Runfola A, Guercini S. Pharmaceutical industry riding the wave of sustainability: Review and opportunities for future research. J Clean Prod. 2020;261:121204. https://doi.org/10.1016/J.JCLEPRO.2020.121204.
European Medicines Agency. Guideline on the environmental risk assessment of medicinal products for human use. Published online 2018. Accessed September 8, 2021. http://www.ema.europa.eu/contact.
Salas RN, Maibach E, Pencheon D, Watts N, Frumkin H. A pathway to net zero emissions for healthcare. BMJ. 2020;371:m3785. https://doi.org/10.1136/BMJ.M3785.
Tucker JL, Faul MM. Industrial research: Drug companies must adopt green chemistry. Nature. 2016;534(7605):27-29. https://doi.org/10.1038/534027a.
Envirotainer. 5 key steps to find the best pharma cold chain solution to reduce carbon emissions. Accessed September 6, 2021. https://www.envirotainer.com/resources/industry-insights/2019/5-key-steps-reduce-carbon-emissions/.
Hatswell AJ, Porter JK. Reducing Drug Wastage in Pharmaceuticals Dosed by Weight or Body Surface Areas by Optimising Vial Sizes. Appl Health Econ Health Policy. 2019;17(3):391-397. https://doi.org/10.1007/S40258-018-0444-0.
Patel M, Sheridan E. Sustainability in drug delivery: A green future without compromising safety and efficacy. Chemistry Today. Published 2017. Accessed September 10, 2021. https://www.paconsulting.com/newsroom/expert-opinion/chemistry-today-sustainability-in-drug-delivery-a-green-future-without-compromising-safety-and-efficacy-7-april-2021/.
I'ons G. From Design to Disposal: Achieving Sustainability in Medical Devices. ONdrugDelivery. Published 2020. Accessed September 6, 2021. https://ondrugdelivery.com/from-design-to-disposal-achieving-sustainability-in-medical-devices/.
World Health Organization. Guidelines on packaging for pharmaceutical products. Accessed September 6, 2021. https://www.who.int/medicines/areas/quality_safety/quality_assurance/GuidelinesPackagingPharmaceuticalProductsTRS902Annex9.pdf.
Lithgow T. Six steps to pharmaceutical packaging sustainability. Healthcare Packaging. Published 2009. Accessed September 5, 2021. https://www.healthcarepackaging.com/machinery-materials/adherence-delivery/news/13281351/six-steps-to-pharmaceutical-packaging-sustainability.
World's first biodegradable blister packs for pills & food supplements developed in Swindon. Business & Innovation Magazine. Published 2019. Accessed September 5, 2021. https://www.businessinnovationmag.co.uk/worlds-first-biodegradable-blister-packs-for-pills-food-supplements-developed-in-swindon/.
Amcor: Recyclable Blister Packaging From: Amcor|Healthcare Packaging. Healthcare Packaging. Published 2021. Accessed September 5, 2021. https://www.healthcarepackaging.com/machinery-materials/package-design/product/21403890/amcor-amcor-recyclable-blister-packaging.
Smith RS. A 2-year retrospective review of vial sharing options for the compounding of cytotoxics. Eur J Hospital Pharm. 2015;22(3):161-164. https://doi.org/10.1136/EJHPHARM-2014-000547.
Maughan DL, Lillywhite R, Cooke M. Cost and carbon burden of long-acting injections: a sustainable evaluation. BJPsych Bulletin. 2016;40(3):132-136. https://doi.org/10.1192/PB.BP.114.049080.
General Medical Council. Outcomes for graduates. 2020. Accessed September 11, 2021. https://www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes/outcomes-for-graduates/outcomes-for-graduates.
Naylor C, Appleby J. Sustainable health and social care Connecting environmental and financial performance. The King's Fund. Published online 2012. Accessed September 4, 2021. https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/sustainable-health-social-care-appleby-naylor-mar2012.pdf.
Muret J, Fernandes TD, Gerlach H, et al. Environmental impacts of nitrous oxide: no laughing matter! Comment on Br J Anaesth 2019; 122: 587-604. Br J Anaesth. 2019;123(4):e481-e482. https://doi.org/10.1016/J.BJA.2019.06.013.
Lew V, McKay E, Maze M. Past, present, and future of nitrous oxide. Br Med Bull. 2018;125(1):103-119. https://doi.org/10.1093/BMB/LDX050.
McGain F, Muret J, Lawson C, Sherman JD. Environmental sustainability in anaesthesia and critical care. BJA: Br J Anaesthesia. 2020;125(5):680-692. https://doi.org/10.1016/J.BJA.2020.06.055.
Gordon D. Sustainability in the Operating Room: Reducing Our Impact on the Planet. Anesthesiol Clin. 2020;38(3):679-692. https://doi.org/10.1016/J.ANCLIN.2020.06.006.
Lim A, Braat S, Hiller J, Riedel B. Inhalational versus Propofol-Based Total Intravenous Anaesthesia: Practice Patterns and Perspectives among Australasian Anaesthetists. Anaesth Intensive Care. 2018;46(5):480-487. https://doi.org/10.1177/0310057X1804600509.
Rinehardt EK, Sivarajan M. Costs and wastes in anesthesia care. Curr Opin Anaesthesiol. 2012;25(2):221-225. https://doi.org/10.1097/ACO.0B013E32834F00EC.
Barbariol F, Deana C, Lucchese F, et al. Evaluation of Drug Wastage in the Operating Rooms and Intensive Care Units of a Regional Health Service. Anesth Analg. 2021;132(5):1450-1456. https://doi.org/10.1213/ANE.0000000000005457.
Environment and sustainability committee. Joint Environmental Policy Statement (July 2017). Published 2017. Accessed September 4, 2021. https://anaesthetists.org/Portals/0/PDFs/Environment/Joint%20Environmental%20Policy%20Statement%20-%20FINAL.pdf?ver=2019-05-12-081735-747.
The Royal College of Anaesthetists. Sustainability Strategy 2019-2022. Accessed September 4, 2021. https://www.rcoa.ac.uk/about-college/strategy-vision/environment-sustainability/sustainability-strategy-2019-2022.
The Royal College of Anaesthetists. The Anaesthetic Impact Calculator. Accessed September 4, 2021. https://rcoa.ac.uk/about-college/strategy-vision/environment-sustainability/anaesthetic-impact-calculator.
Pritchard JN. The Climate is Changing for Metered-Dose Inhalers and Action is Needed. Drug Des Devel Ther. 2020;14:3043-3055. https://doi.org/10.2147/DDDT.S262141.
Wilkinson AJK, Anderson G. Sustainability in Inhaled Drug Delivery. Pharm Med. 2020;34(3):191-199. https://doi.org/10.1007/S40290-020-00339-8.
Jeswani HK, Azapagic A. Life cycle environmental impacts of inhalers. J Clean Prod. 2019;237:117733. https://doi.org/10.1016/j.jclepro.2019.117733.
GSK Public policy positions A publication of GSK Communications and Government Affairs 1 Respiratory Products and Global Warming. Accessed October 30, 2021. https://ec.europa.eu/clima/policies/ozone_en.
Pharmaceutical Waste Disposal|Direct365. Accessed September 4, 2021. https://www.direct365.co.uk/waste/clinical-and-healthcare-waste/pharmaceutical-waste?utm_source=Bing&utm_medium=cpc&utm_term=pharmaceutical%20waste&utm_campaign=CWC-Clinical-Waste&infinity=ict2~net~gaw~ar~~kw~pharmaceutical%20waste~mt~p~cmp~CWC%20-%20Clinical%20Waste&msclkid=b66947b7e0b11009122e268496fc4769&utm_content=CWC%20Broad%20-%20Pharmaceutical%20Waste.
Sabaté E. World Health Organization. Adherence to long-term therapies: evidence for action. Published online 2003. Accessed September 4, 2021. https://www.who.int/chp/knowledge/publications/adherence_full_report.pdf?ua=1.
Mackenzie IS, MacDonald TM. Identifying poor adherence to antihypertensive medications in patients with resistant hypertension. Br J Clin Pharmacol. 2019;85(1):5-7. https://doi.org/10.1111/BCP.13806.
Me & My Medicines, Medicines Communication Charter, It's OK to Ask - Home. Accessed September 4, 2021. https://meandmymedicines.org.uk/.
of Health D, Care S. Good for you, good for us, good for everybody: a plan to reduce overprescribing to make patient care better and safer, support the NHS, and reduce carbon emissions. Published online 2021.
National Institute for Health and Care Excellence. Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes NICE guideline. Published online 2015. Accessed September 8, 2021. http://www.nice.org.uk/guidance/ng5.
Medicine Waste UK. http://www.medicinewaste.com/. Accessed September 4, 2021. http://www.medicinewaste.com/didyouknow.
TerraCycle UK. The Medicine Packet Recycling Programme|TerraCycle® UK TerraCycle. https://www.terracycle.com/en-GB/brigades/medicine-packet-uk. Accessed September 4, 2021. https://www.terracycle.com/en-GB/brigades/medicine-packet-uk.
Pharma Environment - Safer medicine for a safer world. Accessed September 7, 2021. https://pharmaenvironment.org/#home.
فهرسة مساهمة: Keywords: adherence; drug utilisation; prescribing; public health
تواريخ الأحداث: Date Created: 20211115 Date Completed: 20220615 Latest Revision: 20220908
رمز التحديث: 20240829
DOI: 10.1111/bcp.15140
PMID: 34779524
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2125
DOI:10.1111/bcp.15140