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1004 A Carbon Footprint and Cost Effectiveness Analysis of Five Common Orthopaedic Trauma Procedures; Identifying Key Contributing Factors and Strategies for Reduction

5つの一般的な整形外科外傷手術のカーボンフットプリントと費用対効果分析:主要な要因と削減戦略の特定 (AI 翻訳)

C Gamble, P Joshi, P Kodumuri

British journal of surgery📚 査読済 / ジャーナル2026-07-01#炭素会計Origin: Global経営インパクト: コスト削減
DOI: 10.1093/bjs/znag063.197
原典: https://doi.org/10.1093/bjs/znag063.197
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🤖 gxceed AI 要約

日本語

英国の病院で行われた5種類の整形外科外傷手術のカーボンフットプリントを算定。手術あたりのCO2排出量は33~49kgCO2eで、その55%がスコープ2由来(水道、暖房、照明など)。使い捨て品の削減や省エネにより年間約4~6.7万ポンドの節約が可能とし、排出量50%削減の可能性を示した。

English

This study calculates the carbon footprint of five common orthopaedic trauma procedures at a UK hospital. Emissions ranged from 33-49 kgCO2e per procedure, with scope 2 contributing 55%. By switching to reusable gowns/drapes and improving energy efficiency, annual savings of £39,750-£66,750 are estimated, potentially reducing emissions by 50%.

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

日本の医療分野でも脱炭素の機運が高まっており、本論文の手術単位のGHG算定手法や削減策(再利用可能物品、省エネ)は参考になる。ただしNHS特有のデータであり、日本の医療システムへの直接適用には調整が必要。

In the global GX context

This paper provides a methodology for measuring and reducing the carbon footprint of surgical procedures, relevant to global healthcare decarbonization efforts. While UK-specific, the reusable vs. single-use analysis and cost savings offer insights for hospitals worldwide facing similar sustainability pressures.

👥 読者別の含意

🔬研究者:Offers a replicable carbon accounting methodology for healthcare procedures, useful for life cycle assessment studies.

🏢実務担当者:Hospitals can adopt reusable gowns/drapes and energy conservation measures to cut costs and emissions.

🏛政策担当者:Demonstrates cost-effective decarbonization in healthcare, supporting policy for sustainable procurement and net-zero targets.

📄 Abstract(原文)

Abstract Introduction Healthcare, specifically the operating theatre, contributes significantly to global carbon emissions. Orthopaedics, with more than 75,000 hip fracture cases annually, is a major contributor to this total. With the NHS’s aim for net zero we investigate the carbon footprint of five common orthopaedic trauma procedures and suggest strategies for reduction. Method Carbon emissions were calculated for five procedures performed at a single district general hospital in the United Kingdom; hip hemiarthroplasty, dynamic hip screw, femoral intramedullary nailing, ankle fracture fixation and minor procedures (k-wiring, wound washout and metalwork removal). By identifying a carbon emission factor for each item in the procedure we calculated the carbon emissions per procedure, in addition to a cost effectiveness analysis. Results The emissions ranged from 33.34-49.49Kg CO2 emissions (KgCO2E) across the five procedures, equating to approximately a 100 mile drive. Hip hemiarthroplasty was the highest, with 49.49KgCO2e. Consumable, single use, items contributed 34% of all emissions; single use gowns and drapes accounted for 37% of this. Scope 2 emissions accounted for 55% of total emissions, with the following contributions; water 38.2%, heating 25.1%, lighting 20.6%, ventilation 11.3%, sterilisation 4.7%. Furthermore, we estimate annual savings of £39,750-£66,750, by use of the following; reusable gowns, reusable drape packs, improved energy efficiency and water conservation. Conclusions We believe by addressing the suggested factors hospitals could reduce their carbon footprint by 50% across orthopaedic trauma with significant benefit environmentally and economically, whilst maintaining patient safety.

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