No Cover Image

Journal article 163 views 3 downloads

The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways

Ife Osinkolu, Arron S. Lacey Orcid Logo, Dean Harris Orcid Logo

International Journal of Environmental Research and Public Health, Volume: 22, Issue: 11, Start page: 1649

Swansea University Authors: Ife Osinkolu, Arron S. Lacey Orcid Logo, Dean Harris Orcid Logo

  • ijerph-22-01649-v2.pdf

    PDF | Version of Record

    © 2025 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.

    Download (849.61KB)

Check full text

DOI (Published version): 10.3390/ijerph22111649

Abstract

Background: Colorectal cancer (CRC) is a burden to healthcare globally, with early detection vital to improving outcomes. While screening and early diagnostic strategies are being widely implemented, their environmental impact remains underexplored. The purpose of this literature review is to examin...

Full description

Published in: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Published: MDPI AG 2025
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa70971
first_indexed 2025-11-24T13:59:58Z
last_indexed 2026-01-13T05:32:09Z
id cronfa70971
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2026-01-12T21:00:35.4200982</datestamp><bib-version>v2</bib-version><id>70971</id><entry>2025-11-24</entry><title>The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways</title><swanseaauthors><author><sid>4c1dde0a9254fd34d6c9e31aa45cbfab</sid><ORCID/><firstname>Ife</firstname><surname>Osinkolu</surname><name>Ife Osinkolu</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>7af5c8bdd1197f85720e4f3d65e803eb</sid><ORCID>0000-0001-7983-8073</ORCID><firstname>Arron S.</firstname><surname>Lacey</surname><name>Arron S. Lacey</name><active>true</active><ethesisStudent>true</ethesisStudent></author><author><sid>731533890c5123febe4f65dffd369f7b</sid><ORCID>0000-0003-2673-8946</ORCID><firstname>Dean</firstname><surname>Harris</surname><name>Dean Harris</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2025-11-24</date><deptcode>MEDS</deptcode><abstract>Background: Colorectal cancer (CRC) is a burden to healthcare globally, with early detection vital to improving outcomes. While screening and early diagnostic strategies are being widely implemented, their environmental impact remains underexplored. The purpose of this literature review is to examine the existing research on the environmental footprint of non-emergency sporadic CRC diagnostic pathways and provide an overview of environmental impact assessment processes. Principal findings: Population-based screening appears environmentally beneficial over time, but its efficiency critically determines its net impact. Studies identify endoscopy as having the highest environmental impact among testing modalities. The dominant contributor to this is patient and staff travel. By contrast, faecal-based tests appear to have the lowest environmental footprint. Notably, pathway-wide assessments are limited, and methodological inconsistencies hinder comparing studies. Conclusions: There is an urgent need to standardise a healthcare sector-specific framework for environmental impact assessments. Emerging biomarker-based diagnostics will require a robust pathway-wide environmental impact assessment before clinical integration.</abstract><type>Journal Article</type><journal>International Journal of Environmental Research and Public Health</journal><volume>22</volume><journalNumber>11</journalNumber><paginationStart>1649</paginationStart><paginationEnd/><publisher>MDPI AG</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1660-4601</issnElectronic><keywords>colorectal; cancer; life cycle assessment; sustainability</keywords><publishedDay>30</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2025</publishedYear><publishedDate>2025-10-30</publishedDate><doi>10.3390/ijerph22111649</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Other</apcterm><funders>The authors declare funding of this article by the Swansea Bay Health Charity GI Research Fund.</funders><projectreference/><lastEdited>2026-01-12T21:00:35.4200982</lastEdited><Created>2025-11-24T10:36:42.7110959</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Ife</firstname><surname>Osinkolu</surname><orcid/><order>1</order></author><author><firstname>Arron S.</firstname><surname>Lacey</surname><orcid>0000-0001-7983-8073</orcid><order>2</order></author><author><firstname>Dean</firstname><surname>Harris</surname><orcid>0000-0003-2673-8946</orcid><order>3</order></author></authors><documents><document><filename>70971__35690__2040d3457efa4d18b37407525ec71907.pdf</filename><originalFilename>ijerph-22-01649-v2.pdf</originalFilename><uploaded>2025-11-24T10:39:03.5471868</uploaded><type>Output</type><contentLength>869999</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2025 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/ licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2026-01-12T21:00:35.4200982 v2 70971 2025-11-24 The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways 4c1dde0a9254fd34d6c9e31aa45cbfab Ife Osinkolu Ife Osinkolu true false 7af5c8bdd1197f85720e4f3d65e803eb 0000-0001-7983-8073 Arron S. Lacey Arron S. Lacey true true 731533890c5123febe4f65dffd369f7b 0000-0003-2673-8946 Dean Harris Dean Harris true false 2025-11-24 MEDS Background: Colorectal cancer (CRC) is a burden to healthcare globally, with early detection vital to improving outcomes. While screening and early diagnostic strategies are being widely implemented, their environmental impact remains underexplored. The purpose of this literature review is to examine the existing research on the environmental footprint of non-emergency sporadic CRC diagnostic pathways and provide an overview of environmental impact assessment processes. Principal findings: Population-based screening appears environmentally beneficial over time, but its efficiency critically determines its net impact. Studies identify endoscopy as having the highest environmental impact among testing modalities. The dominant contributor to this is patient and staff travel. By contrast, faecal-based tests appear to have the lowest environmental footprint. Notably, pathway-wide assessments are limited, and methodological inconsistencies hinder comparing studies. Conclusions: There is an urgent need to standardise a healthcare sector-specific framework for environmental impact assessments. Emerging biomarker-based diagnostics will require a robust pathway-wide environmental impact assessment before clinical integration. Journal Article International Journal of Environmental Research and Public Health 22 11 1649 MDPI AG 1660-4601 colorectal; cancer; life cycle assessment; sustainability 30 10 2025 2025-10-30 10.3390/ijerph22111649 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Other The authors declare funding of this article by the Swansea Bay Health Charity GI Research Fund. 2026-01-12T21:00:35.4200982 2025-11-24T10:36:42.7110959 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Ife Osinkolu 1 Arron S. Lacey 0000-0001-7983-8073 2 Dean Harris 0000-0003-2673-8946 3 70971__35690__2040d3457efa4d18b37407525ec71907.pdf ijerph-22-01649-v2.pdf 2025-11-24T10:39:03.5471868 Output 869999 application/pdf Version of Record true © 2025 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. true eng https://creativecommons.org/ licenses/by/4.0/
title The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
spellingShingle The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
Ife Osinkolu
Arron S. Lacey
Dean Harris
title_short The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
title_full The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
title_fullStr The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
title_full_unstemmed The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
title_sort The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways
author_id_str_mv 4c1dde0a9254fd34d6c9e31aa45cbfab
7af5c8bdd1197f85720e4f3d65e803eb
731533890c5123febe4f65dffd369f7b
author_id_fullname_str_mv 4c1dde0a9254fd34d6c9e31aa45cbfab_***_Ife Osinkolu
7af5c8bdd1197f85720e4f3d65e803eb_***_Arron S. Lacey
731533890c5123febe4f65dffd369f7b_***_Dean Harris
author Ife Osinkolu
Arron S. Lacey
Dean Harris
author2 Ife Osinkolu
Arron S. Lacey
Dean Harris
format Journal article
container_title International Journal of Environmental Research and Public Health
container_volume 22
container_issue 11
container_start_page 1649
publishDate 2025
institution Swansea University
issn 1660-4601
doi_str_mv 10.3390/ijerph22111649
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Background: Colorectal cancer (CRC) is a burden to healthcare globally, with early detection vital to improving outcomes. While screening and early diagnostic strategies are being widely implemented, their environmental impact remains underexplored. The purpose of this literature review is to examine the existing research on the environmental footprint of non-emergency sporadic CRC diagnostic pathways and provide an overview of environmental impact assessment processes. Principal findings: Population-based screening appears environmentally beneficial over time, but its efficiency critically determines its net impact. Studies identify endoscopy as having the highest environmental impact among testing modalities. The dominant contributor to this is patient and staff travel. By contrast, faecal-based tests appear to have the lowest environmental footprint. Notably, pathway-wide assessments are limited, and methodological inconsistencies hinder comparing studies. Conclusions: There is an urgent need to standardise a healthcare sector-specific framework for environmental impact assessments. Emerging biomarker-based diagnostics will require a robust pathway-wide environmental impact assessment before clinical integration.
published_date 2025-10-30T05:32:52Z
_version_ 1856805769202106368
score 11.09611

Similar Items