Positionspapier und Handlungsempfehlungen für eine ökologisch nachhaltige Augenheilkunde

Geerling, Gerd; Birtel, Johannes; Faber, Hanna; Fangerau, Heiner; Gamulescu, Andreea; Gronow, Thilo; Guthoff, Rudolf; Helbig, Horst; Herwig‐Carl, Martina C.; Hoerauf, Hans; Kienbaum, Peter; Langhans, Luise; Pauleikhoff, Daniel; Roth, Mathias; Schuster, Alexander; Strauß, Karlheinz; Tost, Frank

doi:10.1007/s00347-022-01792-3

Ophthalmologie

2023

DOI: 10.1007/s00347-022-01792-3

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Positionspapier und Handlungsempfehlungen für eine ökologisch nachhaltige Augenheilkunde

Gerd Geerling¹,

Johannes Birtel²,

Hanna Faber³

et al.

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2024

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Cited by 3 publications

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“Dirty Dry Eye”– A waste volume analysis from topical therapy in keratoconjunctivitis sicca

Schilcher,

Roth,

Steindor

et al. 2024

Graefes Arch Clin Exp Ophthalmol

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Purpose The healthcare system is responsible for around 5% of CO2 emissions globally and in Germany. So far, there are no data on the amount of waste from dry eye disease (DED) therapy in ophthalmology. The aim of this project was to evaluate the amount and type of waste from single- and multi-dose units (SDU/MDU) generated by eyedrops used to treat DED in Germany. Methods The net waste weight (outer/inner packaging, instruction leaflet, empty container) from factory-sealed products was determined using a precision scale. Based on prescription data from PharMaAnalyst, a database of medical prescriptions from over 70 million patients in Germany, the total annual waste volume for 2016–2021 and the net weight of a 30-day treatment were calculated. Results The total annual waste volume increased significantly (p < 0.0001) from 7.13 tons in 2016 to 20.64 tons in 2021. A 30-day treatment with MDUs (without/with filter) results in a significantly lower mean waste volume (paper: SDU 24.3 ± 18.7 g; MDU 4.8 ± 1.7 g/8.8 g ± 1.7 g; SDU/MDU p = 0.0003, with filter p = 0.0034; plastic: SDU 35.0 ± 4.0, MDU 6.6 ± 0.7 g/ 15.1 g ± 5.8 g, SDU/MDU p < 0.0001, with filter p < 0.0001). Conclusion Prescription-based treatment of DED in Germany causes an increasing and substantial waste volume. The use of SDUs is considerably more resource-intensive than MDUs. Due to the large and rising number of patients suffering from DED improvements in packaging could considerably reduce the CO2 footprint of DED treatment.

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“Dirty Dry Eye”– A waste volume analysis from topical therapy in keratoconjunctivitis sicca

Schilcher,

Roth,

Steindor

et al. 2024

Graefes Arch Clin Exp Ophthalmol

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Greener intravitreal injections: a narrative review

Ong,

Birtel,

Charbel Issa

2024

Eye

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Healthcare in the era of climate change and the need for environmental sustainability

Tee,

Yeo,

Choolani

et al. 2024

Singapore Medical Journal

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Climate change is an existential threat to humanity. While the healthcare sector must manage the health-related consequences of climate change, it is a significant contributor to greenhouse gas emissions, responsible for up to 4.6% of global emission, aggravating global warming. Within the hospital environment, the three largest contributors to greenhouse gas emissions are the operating theatre, intensive care unit and gastrointestinal endoscopy. Knowledge of the health-related burden of climate change and the potential transformative health benefits of climate action is important to all health professionals, as they play crucial roles in effecting change. This article summarises the available literature on the impact of healthcare on climate change and efforts in mitigation, focusing on the intrinsic differences and similarities across the operating theatre complex, intensive care unit and gastrointestinal endoscopy unit. It also discusses strategies to reduce carbon footprint.

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Positionspapier und Handlungsempfehlungen für eine ökologisch nachhaltige Augenheilkunde

Cited by 3 publications

References 56 publications

“Dirty Dry Eye”– A waste volume analysis from topical therapy in keratoconjunctivitis sicca

“Dirty Dry Eye”– A waste volume analysis from topical therapy in keratoconjunctivitis sicca

Greener intravitreal injections: a narrative review

Healthcare in the era of climate change and the need for environmental sustainability

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