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2
Does telemedicine reduce the carbon footprint of healthcare? A systematic review.远程医疗能否减少医疗保健的碳足迹?一项系统综述。
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3
At What Cost to Clinical Trial Enrollment? A Retrospective Study of Patient Travel Burden in Cancer Clinical Trials.患者参加癌症临床试验的交通负担:一项回顾性研究
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4
Human health benefits and burdens of a pharmaceutical treatment: Discussion of a conceptual integrated approach.药物治疗对人类健康的益处与负担:一种概念性综合方法的探讨
Environ Res. 2016 Jan;144(Pt A):19-31. doi: 10.1016/j.envres.2015.10.027. Epub 2015 Nov 3.
5
Reducing the environmental impact of trials: a comparison of the carbon footprint of the CRASH-1 and CRASH-2 clinical trials.降低试验的环境影响:CRASH-1 与 CRASH-2 临床试验的碳足迹比较。
Trials. 2011 Feb 3;12:31. doi: 10.1186/1745-6215-12-31.
6
Carbon cost of pragmatic randomised controlled trials: retrospective analysis of sample of trials.实用随机对照试验的碳成本:试验样本的回顾性分析
BMJ. 2009 Oct 30;339:b4187. doi: 10.1136/bmj.b4187.
7
Towards sustainable clinical trials.迈向可持续的临床试验。
BMJ. 2007 Mar 31;334(7595):671-3. doi: 10.1136/bmj.39140.623137.BE.

产业资助临床研究的碳足迹:一项 1 期随机临床试验分析及减少其影响的机会探讨。

Climate footprint of industry-sponsored clinical research: an analysis of a phase-1 randomised clinical study and discussion of opportunities to reduce its impact.

机构信息

Janssen Clinical Innovation, Janssen Research and Development LLC, Titusville, New Jersey, USA

Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.

出版信息

BMJ Open. 2024 Jan 11;14(1):e077129. doi: 10.1136/bmjopen-2023-077129.

DOI:10.1136/bmjopen-2023-077129
PMID:38216192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10806794/
Abstract

OBJECTIVE

This study aims to calculate the global warming potential, in carbon dioxide (CO2) equivalent emissions, from all in-scope activities involved in a phase-1 clinical study.

DESIGN

Retrospective analysis.

DATA SOURCE

Internal data held by Janssen Pharmaceuticals.

STUDIES INCLUDED

Janssen-sponsored TMC114FD1HTX1002 study conducted between 2019 and 2021.

MAIN OUTCOME

Measure CO equivalents (COe) for in-scope clinical trial activities calculated according to intergovernmental panel on climate change 2021 impact assessment methodology.

RESULTS

The COe emissions generated by the trial were 17.65 tonnes. This is equivalent to the emissions generated by driving an average petrol-fueled family car 71 004 km or roughly 1.8 times around the circumference of the Earth. Commuting to the clinical site by the study participants generated the most emissions (5419 kg, 31% of overall emissions), followed by trial site utilities (2725 kg, 16% of overall emissions) and site staff travel (2560 kg, 15% of overall emissions). In total, the movement of people (participant travel, site staff travel and trial site staff travel) accounted for 8914 kg or 51% of overall trial emissions.

CONCLUSIONS

Decentralised trial models which seek to bring clinical trial operations closer to the participant offer opportunities to reduce participant travel. The electrification of sponsor vehicle fleets and society's transition towards electric vehicles may result in further reductions.

TRIAL REGISTRATION NUMBER

NCT04208061.

摘要

目的

本研究旨在计算参与 I 期临床研究的所有范围内活动的二氧化碳(CO2)当量排放的全球变暖潜能。

设计

回顾性分析。

数据来源

杨森制药内部持有数据。

研究纳入

2019 年至 2021 年期间开展的杨森赞助 TMC114FD1HTX1002 研究。

主要结局

根据政府间气候变化专门委员会 2021 年影响评估方法,计算范围内临床试验活动的 CO 当量(COe)。

结果

试验产生的 COe 排放量为 17.65 吨。这相当于驾驶一辆平均燃油家用汽车行驶 71004 公里的排放量,或者大约是绕地球 1.8 圈的排放量。研究参与者通勤到临床地点产生的排放量最大(5419 千克,占总排放量的 31%),其次是试验地点设施(2725 千克,占总排放量的 16%)和试验地点工作人员差旅(2560 千克,占总排放量的 15%)。总的来说,人员流动(参与者旅行、试验地点工作人员旅行和试验地点工作人员旅行)占总试验排放量的 8914 千克或 51%。

结论

寻求将临床试验运营更接近参与者的分散试验模式为减少参与者旅行提供了机会。赞助商车队的电气化以及社会向电动汽车的过渡可能会进一步减少排放量。

试验注册号

NCT04208061。