A stepwise approach for pharmacists in selecting climate-conscious inhaled therapy for COPD

Canada.ca. Canadian Chronic Disease Surveillance System (CCDSS). Updated March 30, 2024. Available: https://health-infobase.canada.ca/ccdss/data-tool/ (accessed Aug. 27, 2023).

Global Initiative for Chronic Obstructive Lung Disease – GOLD. 2023 GOLD report. 2024. Available: https://goldcopd.org/2023-gold-report-2/ (accessed Aug. 13, 2023).

Canadian Institute for Health Information. Inpatient hospitalization, surgery and newborn statistics, 2021–2022. Ottawa (ON): CIHI; 2023.

Canadian Institute for Health Information. Cost of a standard hospital stay. Available: https://yourhealthsystem.cihi.ca/hsp/inbrief?lang=en#!/indicators/015/cost-of-a-standard-hospital-stay/;mapC1;mapLevel2; (accessed Aug. 28, 2023).

Prasad PA Joshi D Lighter J , et al. Environmental footprint of regular and intensive inpatient care in a large US hospital. Int J Life Cycle Assess 2022;27:38-49.

May SM Li JTC . Burden of chronic obstructive pulmonary disease: healthcare costs and beyond. Allergy Asthma Proc 2015;36:4-10.

Canadian Institute for Health Information. COPD in Alberta: examining the characteristics and health care use of high users. Ottawa (ON): CIHI; 2017.

Chrystyn H van der Palen J Sharma R , et al. Device errors in asthma and COPD: systematic literature review and meta-analysis. NPJ Prim Care Respir Med 2017;27:1-10.

Wilkinson AJK Braggins R Steinbach I Smith J . Costs of switching to low global warming potential inhalers. An economic and carbon footprint analysis of NHS prescription data in England. BMJ Open 2019;9:e028763.

Hesso I Gebara SN Kayyali R. Impact of community pharmacists in COPD management: inhalation technique and medication adherence. Respir Med 2016;118:22-30.

Bourbeau J Bhutani M Hernandez P , et al. 2023 Canadian Thoracic Society guideline on pharmacotherapy in patients with stable COPD. Can J Respir Crit Care Sleep Med 2023;7:173–191.

Jones PW Harding G Berry P Wiklund I Chen WH Kline Leidy N. Development and first validation of the COPD Assessment Test. Eur Respir J 2009;34:648-54.

Bestall JC Paul EA Garrod R Garnham R Jones PW Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999;54:581-6.

Eckelman MJ Sherman JD MacNeill AJ. Life cycle environmental emissions and health damages from the Canadian healthcare system: an economic-environmental-epidemiological analysis. PLoS Med 2018;15:e1002623.

Fidler L Green S Wintemute K. Pressurized metered-dose inhalers and their impact on climate change. CMAJ 2022;194:E460.

Fulford B Mezzi K Aumônier S Finkbeiner M. Carbon footprints and life cycle assessments of inhalers: a review of published evidence. Sustainability 2022;14:7106.

NHS England. Improving health outcomes for respiratory patients while reducing carbon emissions. Available: https://www.england.nhs.uk/greenernhs/whats-already-happening/improving-health-outcomes-for-respiratory-patients-while-reducing-carbon-emissions/ (accessed Aug. 27, 2023).

Wintemute K Bursque G Chang B , et al. Climate conscious inhaler prescribing in primary care. Creating a Sustainable Canadian Health System in a Climate Crisis (CASCADES). 2022. Available: https://cascadescanada.ca/resources/sustainable-inhaler-prescribing-in-primary-care-playbook/ (accessed Oct. 16, 2023).

Climate Atlas of Canada. Climate change, air quality, and public health. Available: https://climateatlas.ca/climate-change-air-quality-and-public-health (accessed Aug. 27, 2023).

Canada.ca. Climate change and public health factsheets. 2013. Available: https://www.canada.ca/en/public-health/services/health-promotion/environmental-public-health-climate-change/climate-change-public-health-factsheets-air.html (accessed Aug. 27, 2023).

Stoynova V Culley C. Climate conscious inhaler practicesin inpatient care.Creating a Sustainable Canadian Health System in a Climate Crisis (CASCADES). 2023. Available: https://cascadescanada.ca/resources/climate-conscious-inhaler-practices-in-inpatient-care-playbook/ (accessed Sep. 13, 2023).

Creating a Sustainable Canadian Health System in a Climate Crisis (CASCADES). Sustainable inhaler alternatives: cost and coverage for asthma and COPD inhalers in Canada. 2023. Available: https://view.publitas.com/5231e51e-4654-42c2-accd-b722e21f3093/visual-inhaler-comparison-chart-1/page/1 (accessed Oct. 29, 2023).

Bourbeau J Bhutani M Hernandez P , et al. Canadian Thoracic Society clinical practice guideline on pharmacotherapy in patients with COPD – 2019 update of evidence. Can J Respir Crit Care Sleep Med 2019;3:210-32.

Choosing Wisely Canada. Respiratory medicine: seven things physicians and patients should question. 2022. Available: https://choosingwiselycanada.org/recommendation/respiratory-medicine/ (accessed Sep. 25, 2023).

Gershon AS Hwee J Chapman KR , et al. Factors associated with undiagnosed and overdiagnosed COPD. Eur Respir J 2016;48:561-4.

Sanders MJ. Guiding inspiratory flow: development of the in-check DIAL G16, a tool for improving inhaler technique. Pulm Med 2017;2017:1495867.

Canadian Lung Association. How to use your inhaler. Available: https://www.lung.ca/lung-health/how-use-your-inhaler (accessed Oct. 3, 2023).