Ditch the drapes: Non‐sterile substitution in proctology, a population‐based cost and carbon life cycle analysis with early implementation audit
ドレープを捨てろ：肛門科における非滅菌代替品、集団ベースのコストと炭素ライフサイクル分析と初期導入監査 (AI 翻訳)
Matthew P. Irwin, David Russell, Irene Sung, Amit Sarkar, Samuel Dickson, Matthew J. Morgan, Margaret Schnitzler
🤖 gxceed AI 要約
日本語
オーストラリアのニューサウスウェールズ州における肛門科手術を対象に、コスト、廃棄物、炭素排出を削減するためのソース削減（ドレープ廃止、非滅菌保護具使用、吸引・ジアテルミーの選択的開封）の効果を評価。年間6,753件の手術を分析し、ソース削減により1手術あたり40豪ドル、1.36kgの廃棄物、7.9kg CO2eの削減が見込まれることを示した。初期導入では100件の手術で感染合併症はなく、5人中4人の外科医が実践を採用した。
English
This study evaluates source reduction (avoiding drapes, using non-sterile protective equipment, selective opening of suction and diathermy) in proctology procedures in New South Wales, Australia. Annual savings from source reduction were projected at AUD 776,857, 27 tonnes of waste, and 158 tonnes CO2e for 20,000 cases nationally. Early implementation showed no infective complications in 100 procedures, with high surgeon and nurse adoption.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
本論文はオーストラリアの医療現場を対象としており、日本での直接的な応用には限界がある。しかし、医療分野の脱炭素化における具体的な定量評価手法（コスト・廃棄物・炭素排出の同時分析）は、日本の病院におけるGX（グリーントランスフォーメーション）施策の設計や、SSBJ開示におけるScope 3（医療廃棄物）の算定に参考となる可能性がある。
In the global GX context
This paper provides a proof-of-concept for healthcare decarbonization through source reduction, relevant to global efforts in reducing medical waste and carbon emissions. While specific to proctology, the methodology (life cycle analysis with cost and carbon metrics) can inform similar initiatives in other surgical specialties, aligning with ISSB climate disclosure requirements for healthcare organizations.
👥 読者別の含意
🔬研究者:Healthcare sustainability researchers can adopt the life cycle analysis methodology for other medical procedures to quantify carbon reduction potential.
🏢実務担当者:Hospital administrators and surgical teams can use the source reduction approach (drape avoidance, selective device opening) to cut costs and carbon emissions without compromising patient safety, as shown in early implementation.
🏛政策担当者:Health policymakers may consider supporting multicenter trials and updating guidelines to encourage low-carbon surgical practices, contributing to national decarbonization targets.
📄 Abstract（原文）
Abstract Aim To quantify cost, waste, carbon emissions and early feasibility of source reduction in proctology. Method Population‐based cost and carbon analysis of common proctology procedures in New South Wales public hospitals. Targeted recycling was compared with source reduction through drape avoidance, clean non‐sterile protective equipment, and selective opening of suction and diathermy. A focused audit assessed state‐level inputs against routine practice. Implementation outcomes followed adoption at one tertiary hospital. Results Annual procedures totalled 6753 in New South Wales. The Australian denominator was 22,084 procedures. Suction and diathermy were unused in 54% and 46% of audited procedures respectively. Targeted recycling was projected to save AUD 0.84 (GBP 0.44, EUR 0.52) and 0.47 kg waste per procedure. Source reduction was projected to save AUD 40 (GBP 21.06, EUR 24.80), 1.36 kg waste and 7.9 kg CO 2 e per procedure. For conservative national modelling using 20,000 cases, projected annual savings were AUD 776,857 (GBP 408,938, EUR 481,651), 27 tonnes waste and 158 tonnes CO 2 e. During early implementation, no infective complications were recorded in 100 procedures. Drape omission avoided a median 3 min of set‐up time. Selective device opening introduced a 30‐s delay when required. Four of five surgeons adopted the practice, and 11 of 12 nurses strongly supported the source‐reduction initiative. Conclusion Source reduction was feasible in early proctology implementation and projected to reduce cost, waste and carbon emissions. These proof‐of‐concept findings support multicentre evaluation but do not establish clinical equivalence.
🔗 Provenance — このレコードを発見したソース
- openalex https://pubmed.ncbi.nlm.nih.gov/42448647/first seen 2026-07-22 05:09:36
🔔 こうした論文の新着を逃したくない方は キーワードアラート に登録（無料・3キーワードまで）。
gxceed は公開メタデータに基づく研究支援データセットです。要約・翻訳・解説は AI 支援で生成されています。 最終的な解釈・検証は利用者が原典資料に基づいて行うことを前提とします。