Asia-Pacific survey on green endoscopy

Background and AimGreenhouse gas emissions are the fundamental cause of global warming, with CO2 being the most contributive. Carbon reduction has been widely advocated to mitigate the climate crisis. The endoscopy unit is the third highest waste-generating department in a hospital. The awareness an...

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Main Authors: Ho, Jacky C. L., Lui, Rashid N., Ho, Shiaw-Hooi, Hock, Nicholas T. C., Luo, Xiaobei, Tang, Raymond S. Y., Chiu, Philip W. Y., Ang, Tiing Leong, Asia, Green Endoscopy Initiative
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Published: Wiley 2024
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Online Access:http://eprints.um.edu.my/45974/
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spelling my.um.eprints.459742024-08-28T04:20:44Z http://eprints.um.edu.my/45974/ Asia-Pacific survey on green endoscopy Ho, Jacky C. L. Lui, Rashid N. Ho, Shiaw-Hooi Hock, Nicholas T. C. Luo, Xiaobei Tang, Raymond S. Y. Chiu, Philip W. Y. Ang, Tiing Leong Asia, Green Endoscopy Initiative Medical technology Background and AimGreenhouse gas emissions are the fundamental cause of global warming, with CO2 being the most contributive. Carbon reduction has been widely advocated to mitigate the climate crisis. The endoscopy unit is the third highest waste-generating department in a hospital. The awareness and acceptance of the practice of green endoscopy among healthcare workers is unclear.MethodAn online survey was conducted over a 5-week period from July to August 2023 in the Asia-Pacific region, which targeted endoscopists, nurses, and other healthcare professionals of the endoscopy unit. The primary outcome was the agreement to adopt green endoscopy. The secondary outcomes included views on sustainable practices, factors associated with increased acceptance of green endoscopy, the acceptance of different carbon reduction measures, and the perceived barriers to implementation.ResultsA total of 259 valid responses were received. Overall, 79.5% of participants agreed to incorporate green endoscopy into their practice. Nevertheless, existing green policies were only reported by 12.7% of respondents. The level of understanding of green endoscopy is the only significant factor associated with its acceptance (odds ratio 3.10, P < 0.007). Potential barriers to implementation include healthcare cost increment, infection risk, inadequate awareness, and lack of policy and industrial support.ConclusionGreen endoscopy is well accepted among healthcare workers but not widely implemented. The level of understanding is highly associated with its acceptance, highlighting the importance of education. A reliable assessment tool is needed to quantify the environmental impact of endoscopy. Further studies are needed to ascertain its benefit and cost effectiveness. Wiley 2024-01 Article PeerReviewed Ho, Jacky C. L. and Lui, Rashid N. and Ho, Shiaw-Hooi and Hock, Nicholas T. C. and Luo, Xiaobei and Tang, Raymond S. Y. and Chiu, Philip W. Y. and Ang, Tiing Leong and Asia, Green Endoscopy Initiative (2024) Asia-Pacific survey on green endoscopy. Journal of Gastroenterology and Hepatology (Australia), 39 (1). pp. 133-140. ISSN 08159319, DOI https://doi.org/10.1111/jgh.16409 <https://doi.org/10.1111/jgh.16409>. 10.1111/jgh.16409
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic Medical technology
spellingShingle Medical technology
Ho, Jacky C. L.
Lui, Rashid N.
Ho, Shiaw-Hooi
Hock, Nicholas T. C.
Luo, Xiaobei
Tang, Raymond S. Y.
Chiu, Philip W. Y.
Ang, Tiing Leong
Asia, Green Endoscopy Initiative
Asia-Pacific survey on green endoscopy
description Background and AimGreenhouse gas emissions are the fundamental cause of global warming, with CO2 being the most contributive. Carbon reduction has been widely advocated to mitigate the climate crisis. The endoscopy unit is the third highest waste-generating department in a hospital. The awareness and acceptance of the practice of green endoscopy among healthcare workers is unclear.MethodAn online survey was conducted over a 5-week period from July to August 2023 in the Asia-Pacific region, which targeted endoscopists, nurses, and other healthcare professionals of the endoscopy unit. The primary outcome was the agreement to adopt green endoscopy. The secondary outcomes included views on sustainable practices, factors associated with increased acceptance of green endoscopy, the acceptance of different carbon reduction measures, and the perceived barriers to implementation.ResultsA total of 259 valid responses were received. Overall, 79.5% of participants agreed to incorporate green endoscopy into their practice. Nevertheless, existing green policies were only reported by 12.7% of respondents. The level of understanding of green endoscopy is the only significant factor associated with its acceptance (odds ratio 3.10, P < 0.007). Potential barriers to implementation include healthcare cost increment, infection risk, inadequate awareness, and lack of policy and industrial support.ConclusionGreen endoscopy is well accepted among healthcare workers but not widely implemented. The level of understanding is highly associated with its acceptance, highlighting the importance of education. A reliable assessment tool is needed to quantify the environmental impact of endoscopy. Further studies are needed to ascertain its benefit and cost effectiveness.
format Article
author Ho, Jacky C. L.
Lui, Rashid N.
Ho, Shiaw-Hooi
Hock, Nicholas T. C.
Luo, Xiaobei
Tang, Raymond S. Y.
Chiu, Philip W. Y.
Ang, Tiing Leong
Asia, Green Endoscopy Initiative
author_facet Ho, Jacky C. L.
Lui, Rashid N.
Ho, Shiaw-Hooi
Hock, Nicholas T. C.
Luo, Xiaobei
Tang, Raymond S. Y.
Chiu, Philip W. Y.
Ang, Tiing Leong
Asia, Green Endoscopy Initiative
author_sort Ho, Jacky C. L.
title Asia-Pacific survey on green endoscopy
title_short Asia-Pacific survey on green endoscopy
title_full Asia-Pacific survey on green endoscopy
title_fullStr Asia-Pacific survey on green endoscopy
title_full_unstemmed Asia-Pacific survey on green endoscopy
title_sort asia-pacific survey on green endoscopy
publisher Wiley
publishDate 2024
url http://eprints.um.edu.my/45974/
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score 13.211869