GREENER HEALTHCARE CARBON LEDGER · EST. 2009
EVIDENCE BASE · EUROPE PMC

The study timeline.

The ledger cites what it stands on. This timeline collects those studies in one place — scanned from Europe PMC, graded by the same rules as actions.

2026

Cost-effectiveness of volatile→TIVA transition

Anaesthesia · economic modelling

2.0 vs 209.2 kg CO₂e per anaesthetic

2026

Sustainable Anesthesia Project, Spain

Healthcare (Basel) · real-world implementation

Spain's largest private provider, at scale

2026

N₂O stock-rotation waste quantified

Anaesthesia Reports

Manifold volumes, measured

2026

St George Hospital N₂O leak investigation

Anaesthesia & Intensive Care · case study

28% of procured N₂O = leaks

2026

Green nephrology: dialysis environmental burden

Frontiers in Medicine · review

62 L water per machine-hour

2026

Advancing dialysis technology vs warming

Curr Opin Nephrol Hypertens

Technology vs warming, quantified

2026

PD patient survey on green nephrology

Journal of Nephrology

Patient-voiced, not assumed

2026

Circular design for sustainable dialysis

Journal of Nephrology

Consumables designed out

2026

pMDI→DPI switch: risk and reward balanced

Pulmonary Therapy

Risk/benefit framework, published

2026

IRIS group: inhaled meds access call to action

European Respiratory Journal

Access ≠ carbon, clinicians' line

2026

Global pMDI use + EU PFAS legislation

Pulmonary Therapy

pMDI 77.3% of world use

2026

Anesthesia + OR environmental sustainability

BMC Anesthesiology · review

Whole-OR view, 2026

2026

Inhaler switching programmes: CO₂e + cost

Current Medical Research and Opinion

Non-clinical switches: 65–70% of savings offset

2026

Spatial determinants of sustainable dialysis

Research Square · LCA: CAPD vs ICHD travel threshold

2026

Dialysis patients on climate change: KAP survey

CKJ · 69-patient Canadian survey on guilt & concern

2026

Why patients decline home dialysis (Scandinavia)

BMC Nephrology · cross-sectional, odds ratios

2026

Environmental footprint of PD: 4-centre LCA

CKJ · Madrid/Warsaw/Utrecht/Modena; iPD cuts 50%

2026

Twenty years of incremental PD in Italy

Longest iPD experience published

2026

HRQoL in CKD: EQ-5D 0.706 → 0.486 on dialysis

Qual Life Res · systematic review, LMIC focus

2026

Frailty in haemodialysis cohorts

Geriatrics · prevalence 20–80%+ by instrument

2025

Departmental green anaesthesia interventions

British Journal of Anaesthesia

−75.2% department emissions, mean