دورية أكاديمية
Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging.
| العنوان: | Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging. |
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| المؤلفون: | Cho JH; Digestive Disease Center, Soonchunhyang University Hospital, Seoul, South Korea., Jin SY; Department of Pathology, Soonchunhyang University Hospital, Seoul, South Korea., Park S; Department of Medical Biostatistics, Soonchunhyang University Hospital, Seoul, South Korea. |
| المصدر: | Journal of gastroenterology and hepatology [J Gastroenterol Hepatol] 2024 May; Vol. 39 (5), pp. 942-948. Date of Electronic Publication: 2024 Jan 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: Australia NLM ID: 8607909 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1746 (Electronic) Linking ISSN: 08159319 NLM ISO Abbreviation: J Gastroenterol Hepatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Melbourne ; Boston : Blackwell Scientific Publications, c1986- |
| مواضيع طبية MeSH: | Metaplasia* , Narrow Band Imaging*/methods , Narrow Band Imaging*/economics , Stomach Neoplasms*/pathology , Stomach Neoplasms*/diagnostic imaging , Gastroscopy*/economics , Gastroscopy*/methods , Carbon Footprint*/economics, Humans ; Female ; Male ; Middle Aged ; Aged ; Prospective Studies ; Adult ; Cost Savings |
| مستخلص: | Background and Aim: Gastric intestinal metaplasia (GIM) is a high-risk factor for the development of gastric cancer. Narrow-band imaging (NBI) enables endoscopic grading of GIM (EGGIM). In the era of climate change, gastrointestinal endoscopists are expected to reduce greenhouse gas emissions and medical waste. Based on the diagnostic performance of NBI endoscopy, this study measured the environmental impact and reduced cost of implementing EGGIM during gastroscopy. Methods: Using NBI endoscopy in 242 patients, EGGIM classification and operative link on GIM (OLGIM) staging were prospectively performed in five different areas (lesser and greater curvatures of the corpus and antrum, and the incisura angularis). We estimated the environmental impact and cost reduction of the biopsy procedures and pathological processing if EGGIM were used instead of OLGIM. Results: The diagnostic accuracy of NBI endoscopy for GIM was 93.0-97.1% depending on the gastric area. When a high EGGIM score ≥ 5 was the cut-off value for predicting OLGIM stages III-IV, the area under the curve was 0.862, sensitivity was 81.9%, and specificity was 90.4%. The reduction in the carbon footprint by EGGIM was -0.4059 kg carbon dioxide equivalents per patient, equivalent to 1 mile driven by a gasoline-powered car. The cost savings were calculated to be $47.36 per patient. Conclusions: EGGIM is a reliable method for identifying high-risk gastric cancer patients, thereby reducing the carbon footprint and medical costs in endoscopy practice. (© 2024 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.) |
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| معلومات مُعتمدة: | 2023-0043 Soonchunhyang University |
| فهرسة مساهمة: | Keywords: Carbon footprint; EGGIM; Green endoscopy; Narrow‐band imaging; OLGIM |
| تواريخ الأحداث: | Date Created: 20240122 Date Completed: 20240502 Latest Revision: 20240502 |
| رمز التحديث: | 20240502 |
| DOI: | 10.1111/jgh.16493 |
| PMID: | 38251795 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1440-1746 |
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| DOI: | 10.1111/jgh.16493 |