Filfilan A, Anract J, Chartier-Kastler E, Parra J, Vaessen C, de La Taille A, Roupret M, Pinar U
Sorbonne University, GRC 5 Predictive Onco-Uro, AP-HP, Urology, Pitie-Salpetriere Hospital, 75013 Paris, France.
Henri Mondor hôpital, urology, hôpitaux universitaires Henri Mondor, AP-HP, 94010 Créteil, France.
Prog Urol. 2021 Dec;31(16):1133-1138. doi: 10.1016/j.purol.2021.08.036. Epub 2021 Aug 26.
Greenhouse gas (GHG) emissions are a serious environmental issue. The healthcare sector is an important emitter of GHGs. Our aim was to assess the environmental cost of teleconsultations in urology compared to face-to-face consultations.
Prospective study of all patients who had a remote teleconsultation over a 2-week period during COVID-19 pandemic. Main outcome was the reduction in COe emissions related to teleconsultation compared to face-to-face consultation and was calculated as: total teleconsultation COe emissions-total face-to-face consultation COe emissions. Secondary outcome measures were the reduction in travel distance and travel time related to teleconsultation.
Eighty patients were included. Face-to-face consultations would have resulted in 6699km (4162 miles) of travel (83.7km (52 miles) per patient). Cars were the usual means of transport. COe avoided due to lack of travel was calculated at 1.1 tonnes. Teleconsultation was responsible for 1.1kg COe while face-to-face consultation emitted 0.5kg of COe. Overall, the total reduction in GHGs with teleconsultation was 1141kg COe, representing a 99% decrease in emissions. Total savings on transport were 974 € and savings on travel time were 112h (1.4h/patient).
Teleconsultation reduces the environmental impact of face-to-face consultations. The use of teleconsultation in our urology departments resulted in the avoidance of more than 6000km of travel, equivalent to a reduction of 1.1 tonnes of COe. Teleconsultation should be considered for specific indications as the healthcare system attempts to become greener.
温室气体（GHG）排放是一个严重的环境问题。医疗保健部门是温室气体的重要排放源。我们的目的是评估泌尿外科远程会诊与面对面会诊相比的环境成本。
对在新冠疫情期间两周内进行远程会诊的所有患者进行前瞻性研究。主要结果是与面对面会诊相比，远程会诊导致的二氧化碳排放量减少，计算方法为：远程会诊总二氧化碳排放量 - 面对面会诊总二氧化碳排放量。次要结果指标是与远程会诊相关的旅行距离和旅行时间的减少。
纳入80例患者。面对面会诊将导致6699公里（4162英里）的行程（每位患者83.7公里（52英里））。汽车是常用的交通工具。因无需出行而避免的二氧化碳排放量计算为1.1吨。远程会诊产生1.1千克二氧化碳当量，而面对面会诊排放0.5千克二氧化碳当量。总体而言，远程会诊使温室气体总减排量达到1141千克二氧化碳当量，排放量减少了99%。交通总节省费用为974欧元，旅行时间节省112小时（每位患者1.4小时）。
远程会诊降低了面对面会诊的环境影响。在我们的泌尿外科部门使用远程会诊避免了超过6000公里的行程，相当于减少了1.1吨二氧化碳当量。随着医疗系统努力实现更环保，对于特定适应症应考虑采用远程会诊。
3级。
