一次性输尿管镜检查与环境足迹:当前证据综述。

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY
George Brown, Andrea Ong, Patrick Juliebø-Jones, Niall F Davis, Andreas Skolarikos, Bhaskar Somani
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引用次数: 2

摘要

综述目的:输尿管镜检查除了在上尿路肿瘤诊断中发挥关键作用外,也是肾脏和输尿管结石的一种成熟的治疗方式。传统的可重复使用的柔性输尿管镜技术先进,设备昂贵,需要反复消毒和定期维修。这些问题导致了一次性柔性输尿管镜的发展,这种输尿管镜在每次手术后都会被处理掉。虽然这在许多方面可能是有利的,但这种技术对环境的影响还有待充分确定。因此,本综述的目的是识别和总结有关一次性输尿管镜检查的环境足迹的现有文献。最近的发现:为了确定这一主题的最新研究,使用Medline, Embase和PsycINFO数据库对世界文献进行了系统的搜索。遵循PRISMA指南,所有作者对文章进行评估,并将相关研究结果纳入叙述格式。只确定并列入了一篇相关文章。这项研究发现,一个一次性使用的柔性输尿管镜(波士顿科学公司的LithoVueTM)每箱产生的二氧化碳量与一个当代可重复使用的柔性输尿管镜相当。令人担忧的是,关于一次性输尿管镜检查的环境足迹的文献缺乏。从一项研究中无法得出明确的结论,鉴于全球气候危机和医疗保健服务对环境问题的重大贡献,进一步的研究是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-Use Ureteroscopy and Environmental Footprint: Review of Current Evidence.

Purpose of review: Ureteroscopy is a well-established treatment modality for kidney and ureteric calculi in addition to playing a key role in upper tract cancer diagnostics. Traditional reusable flexible ureteroscopes are technologically advanced and expensive pieces of equipment that require repeat sterilisation and periodical repair. These issues have led to the development of single-use flexible ureteroscopes that are disposed of after each case. Whilst this may be advantageous in many respects, the environmental impact of such technology is yet to be fully determined. The aim of this review is to therefore identify and summarise the available literature concerning the environmental footprint of single-use ureteroscopy.

Recent findings: To identify the latest research on this topic, a systematic search of world literature was conducted using the Medline, Embase, and PsycINFO databases. PRISMA guidelines were followed and articles were assessed by all authors and relevant study results were included in a narrative format. Only one relevant article was identified and included. This study found that a single-use flexible ureteroscope (LithoVueTM by Boston Scientific) generated an equivalent amount of carbon dioxide per case to a contemporary reusable flexible ureteroscope. Literature concerning the environmental footprint of single-use ureteroscopy is worryingly lacking. No conclusions can be definitively drawn from a single study and further research is imperative given the global climate crisis and the significant contribution that healthcare services have to the environmental problem.

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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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