| Title: |
Professional practice guidelines: Eco-Responsible Optimization of Choice and use of Drugs and Medical Devices in operating theaters or interventional sector |
| Authors: |
Cabelguenne, Delphine; Beloeil, Hélène; Bros, Aurélie; Cassier, Pierre; Chapuis, Claire; Chauveau, Benoit; Daikh, Assia; Dananché, Cédric; Durand, Lise; Dupuy, Martin; Lallemant, Florence; Lambert, Christophe; Petit, Abir; Pioche, Mathieu; Hafiani, El-Mahdi; Pessaux, Patrick |
| Contributors: |
Centre Hospitalier le Vinatier Bron; Centre Hospitalier Universitaire Rennes; Oncogenesis, Stress, Signaling (OSS); Université de Rennes (UR)-CRLCC Eugène Marquis (CRLCC); UNICANCER-UNICANCER-Institut National de la Santé et de la Recherche Médicale (INSERM); Centre d'Investigation Clinique Rennes (CIC); Université de Rennes (UR)-Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou -Institut National de la Santé et de la Recherche Médicale (INSERM); Hôpitaux Universitaires de Strasbourg (HUS); Centre International de Recherche en Infectiologie (CIRI); École normale supérieure de Lyon (ENS de Lyon); Université de Lyon-Université de Lyon-Université Claude Bernard Lyon 1 (UCBL); Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS); CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble (CHUGA); CHU Clermont-Ferrand; Hospices Civils de Lyon (HCL); Clinique de l'union; Hôpital Roger Salengro Lille; Centre Hospitalier Métropole Savoie Chambéry; CHU Amiens-Picardie; Hôpital Edouard Herriot CHU - HCL; Hôpital privé d’Antony; Nouvel Hôpital Civil de Strasbourg; Institute for Translational Medicine and Liver Disease (ITM); Université de Strasbourg (UNISTRA)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Source: |
ISSN: 2352-5568 ; Anaesthesia Critical Care & Pain Medicine ; https://hal.science/hal-05533549 ; Anaesthesia Critical Care & Pain Medicine, 2026, pp.101772. ⟨10.1016/j.accpm.2026.101772⟩. |
| Publisher Information: |
CCSD; Elsevier Masson |
| Publication Year: |
2026 |
| Collection: |
Université Jean Monnet – Saint-Etienne: HAL |
| Subject Terms: |
drugs; ecological design of care; environmental impact; interventional sector; medical devices; sustainable development; recommendation; packaging; operating room; medicines; [SDV]Life Sciences [q-bio] |
| Description: |
International audience ; Objectif: To provide recommendations for eco-responsible optimization of choice and use of medicines and medical devices.Design: A committee of 16 experts brought together by CERES and from SPFDM/Euro-Pharmat, SFAR, SFCR, SFED, SF2H, SFPC, SFR, SF2S has been set up. A policy for declaring links of interest was applied and respected throughout the process of creating the reference system. Similarly, it has not provided any funding from a company marketing a health product (drug or medical device). The committee had to respect and follow the GRADE® method (Grading of Recommendations Assessment, Development and Evaluation) to assess the quality of the evidence on which the recommendations were based.Methods: The recommendations were formulated by identifying 4 different fields: practice of care (optimization of medicines and medical devices), packaging (reduction of the environmental impact of medical devices), organization of care (integration of environmental criteria) and waste management (reduction, sorting and recovery). Each question was formulated according to the PICO (Patients, Intervention, Comparison, Outcome) format. The analysis of the literature and the recommendations were carried out according to the GRADE® methodology.Results: The experts' synthesis work resulted in 46 recommendations validated after one round of voting. For all questions, since the GRADE grid ® method could not be applied in full, the recommendations were formulated in the form of expert opinions.Conclusion: From a strong agreement between experts, we were able to formulate 46 recommendations for eco-responsible optimization of the choice and use of medicines and medical devices. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/41713685; PUBMED: 41713685 |
| DOI: |
10.1016/j.accpm.2026.101772 |
| Availability: |
https://hal.science/hal-05533549; https://hal.science/hal-05533549v1/document; https://hal.science/hal-05533549v1/file/1-s2.0-S2352556826000305-main.pdf; https://doi.org/10.1016/j.accpm.2026.101772 |
| Rights: |
https://creativecommons.org/licenses/by-nc-nd/4.0/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.C5D1F4CB |
| Database: |
BASE |