APAGE Position Statements on Green and Sustainability in Gastroenterology, Hepatology, and Gastrointestinal Endoscopy

被引:0
作者
Ang, Tiing Leong [1 ]
Hang, Dao Viet [2 ]
Li, James Weiquan [1 ]
Ho, Jacky Chiu Leung [3 ]
Sy-Janairo, Marianne Linley [4 ]
Ali, Raja Affendi Raja [5 ]
Makharia, Govind K. [6 ]
Sundaram, Sridhar [7 ]
Chantarojanasiri, Tanyaporn [8 ]
Kim, Hyun-Gun [9 ]
Isayama, Hiroyuki [10 ]
Pausawasdi, Nonthalee [11 ]
Wu, Kaichun [12 ]
Syam, Ari Fahrial [13 ]
Aye, Than Than [14 ]
Rehman, Sher [15 ]
Niriella, Madunil Anuk [16 ]
Jurawan, Ricardo [17 ]
Wang, Liangjing [18 ]
Leung, Wai Keung [19 ]
Liou, Jyh-Ming [20 ]
Rizan, Chantelle [21 ]
Wu, Justin Che Yuen [3 ]
Ooi, Choon Jin [22 ]
机构
[1] Nanyang Technol Univ, Lee Kong Chian Sch Med, Duke NUS Med Sch, Duke NUS Med Sch,Yong Loo Lin Sch Med,Lee Kong Chi, Nanyang Ave, Singapore, Singapore
[2] Hanoi Med Univ Hosp, Endoscopy Ctr, Hanoi, Vietnam
[3] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Hong Kong, Peoples R China
[4] St Lukes Med Ctr Global City, Inst Digest & Liver Dis, Taguig, Philippines
[5] Sunway Univ, Sch Med & Life Sci, Subang Jaya, Selangor, Malaysia
[6] All India Inst Med Sci, Dept Gastroenterol & Human Nutr, New Delhi, India
[7] Tata Mem Hosp, Homi Bhabha Natl Inst, Dept Digest Dis & Clin Nutr, Mumbai, India
[8] Rangsit Univ, Rajavithi Hosp, Dept Internal Med, Div Gastroenterol, Bangkok, Thailand
[9] Soonchunhyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[10] Juntendo Univ, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan
[11] Mahidol Univ, Fac Med, Dept Med, Div Gastroenterol,Siriraj Hosp, Bangkok, Thailand
[12] Fourth Mil Med Univ, Xijing Hosp, Xian, Peoples R China
[13] Univ Indonesia, Fac Med, Dept Internal Med, Jakarta, Indonesia
[14] Univ Med 1, Yangon Gen Hosp, Dept Gastroenterol, Yangon, Myanmar
[15] Khyber Girls Med Coll, Hayat Abad Med Complex, Peshawar, Pakistan
[16] Univ Kelaniya, Fac Med, Dept Med, Ragama, Sri Lanka
[17] Univ Auckland, Taranaki Base Hosp, Fac Med & Hlth Sci, Auckland, New Zealand
[18] Zhejiang Univ, Affiliated Hosp 2, Hangzhou, Peoples R China
[19] Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Peoples R China
[20] Natl Taiwan Univ, Coll Med, Taipei, Taiwan
[21] Natl Univ Singapore, Ctr Sustainable Med, Yong Loo Lin Sch Med, Singapore, Singapore
[22] Duke NUS Med Sch, Gleneagles Med Ctr, Singapore, Singapore
关键词
climate change; endoscopy; gastroenterology; hepatology; SINGLE-USE DUODENOSCOPES; EUROPEAN-SOCIETY; ENERGY-SAVINGS; CLIMATE-CHANGE; HVAC SYSTEMS; HEALTH-CARE; MANAGEMENT; PERFORMANCE; STRATEGIES; ESGE;
D O I
10.1111/jgh.16896
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and AimThe APAGE Position Statements aimed to provide guidance to healthcare practitioners on clinical practices aligned with climate sustainability.MethodsA taskforce convened by APAGE proposed provisional statements. Twenty-two gastroenterologists from the Asian Pacific region participated in online voting and consensus was assessed through an anonymized and iterative Delphi process.ResultsThere were five sections that addressed the rationale for climate action, the importance of adopting principles of waste management, clinical practice, gastrointestinal endoscopy, and issues related to advocacy and research. Sixteen statements achieved consensus and included the following: 1. APAGE recommends adopting prompt measures to reduce the carbon footprint of clinical practice due to the importance of climate action and its health cobenefits. 5. APAGE recommends adherence to professional clinical guidelines to optimize clinical care delivery in gastroenterology and hepatology to avoid the environmental impact of unnecessary procedures and tests. 8. APAGE recommends an emphasis on health promotion, disease prevention, and appropriate screening and surveillance, when resources are available, to reduce the environmental impact of managing more advanced diseases that require more intensive resources. 12. APAGE recommends that technological advances in endoscopic imaging and artificial intelligence, when available, be used to improve the precision of endoscopic diagnosis to reduce the risk of missed lesions and need for unnecessary biopsies. 13. APAGE recommends against the routine use of single-use endoscopes.ConclusionThe position statements provide guidance to healthcare practitioners on clinical practices in gastroenterology, hepatology, and endoscopy that promote climate sustainability.
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页码:821 / 831
页数:11
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