Leicester Clinical Trials Unit, College of Life Sciences, University of Leicester, Leicester, UK
John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
BMJ Open. 2023 Apr 24;13(4):e070200. doi: 10.1136/bmjopen-2022-070200.
As set out in the Climate Change Act (2008), the UK National Health Service (NHS) has made a commitment to halve greenhouse gas emissions by 2025 and reach net zero by 2050. Research forms a core part of NHS activity and reducing the carbon footprint of clinical trials is a core element of the National Institute for Health and Care Research Carbon Reduction Strategy (2019).
However, support from funding organisations on how to achieve these targets is lacking. This brief communication article reports the reduction in the carbon footprint of the NightLife study, an ongoing multicentre randomised controlled trial assessing the impact of in-centre nocturnal haemodialysis on quality of life.
By using remote conferencing software and innovative data collection methods, we demonstrated a total saving of 136 tonnes of carbon dioxide equivalent over three workstreams during the first 18 months of the study, following grant activation on 1 January 2020. In addition to the environmental impact, there were additional benefits seen to cost as well as increased participant diversity and inclusion. This work highlights ways in which trials could be made less carbon intensive, more environmentally sustainable and better value for money.
正如《气候变化法案(2008)》所规定的,英国国民保健制度(NHS)承诺到 2025 年将温室气体排放量减少一半,并在 2050 年实现净零排放。研究是 NHS 活动的核心部分,减少临床试验的碳足迹是国家卫生与保健研究所减少碳战略(2019 年)的核心要素。
然而,缺乏来自资助组织的关于如何实现这些目标的支持。这篇简短的交流文章报告了正在进行的多中心随机对照试验 NightLife 研究的碳足迹减少情况,该试验评估了中心夜间血液透析对生活质量的影响。
通过使用远程会议软件和创新的数据收集方法,我们在 2020 年 1 月 1 日获得赠款后,在研究的头 18 个月的三个工作流中总共节省了 136 公吨二氧化碳当量。除了对环境的影响,还看到了额外的成本效益、更多的参与者多样性和包容性。这项工作强调了如何使试验减少碳排放、更具环境可持续性和更具成本效益。