{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:11:49Z","timestamp":1792782709293,"version":"4.5.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"19-20","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medical University of Vienna","id":[{"id":"https:\/\/ror.org\/05n3x4p02","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Wien Klin Wochenschr"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Home-based treatments are highly relevant for cancer patients due to their limited access to rehabilitation resources. Therefore, home-based treatments offer several advantages in the oncologic setting. In addition, there is potential to decrease the environmental footprints. No previous study has addressed the co-benefits of home-based electrotherapy. Therefore, the aim of this study was to evaluate the reductions in CO\n                      <jats:sub>2<\/jats:sub>\n                      , NOx and particulate emissions using home-based high tone therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was conducted at two supraregional clinics in Vienna, Austria. A\u00a0total of 65 cancer patients treated for chemotherapy-induced polyneuropathy via home-based high tone therapy over a\u00a0period of 3\u00a0weeks were evaluated. Basic data as well as the distance from the patients\u2019 home to the respective clinic, means of transportation, and treatment adherence were analyzed. Based on this information, the total saved km and emissions of CO\n                      <jats:sub>2<\/jats:sub>\n                      , NOx and particulates were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All patients performed the treatment on at least 15\u00a0out of 21\u00a0days and 59\u00a0patients (91%) even daily. No adverse events were reported and 60% of the patients would have travelled by car and 40% would have used public transport. On average, 129 travel km were saved per patient per treatment week. This corresponds to a\u00a0saving of 15\u202fkg of CO\n                      <jats:sub>2<\/jats:sub>\n                      , 8\u202fg of NOx and 0.4\u202fg of particulates. Assuming an average of 1\u20133\u00a0treatments\/week, 1341\u20134023\u202fkm would be saved annually per patient corresponding to a\u00a0saving of 155\u2013465\u202fkg of CO2, 81\u2013243\u202fg of NOx and 4\u201313\u202fg of particulates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Home-based high tone therapy was highly accepted with a\u00a0high number of treatment sessions among all patient groups. Additionally, strong reductions of emissions of CO\n                      <jats:sub>2<\/jats:sub>\n                      , NOx and particulates were demonstrated. It is shown that in Austria alone, home-based therapy could save as many emissions as 77\u202fha (190 acres) of forest can absorb. Therefore, the home-based treatment may be a\u00a0promising approach to decrease our environmental footprint.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00508-026-02727-7","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T12:14:45Z","timestamp":1773749685000},"page":"632-637","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Avoidance of air pollution by home-based high tone therapy in cancer patients"],"prefix":"10.1007","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5855-395X","authenticated-orcid":false,"given":"Robert","family":"Wakolbinger-Habel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christof","family":"Pabinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Lothaller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Hohenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Crevenna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Paternostro-Sluga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"2727_CR1","doi-asserted-by":"publisher","DOI":"10.2196\/56969","author":"P Goncalves Leite Rocco","year":"2024","unstructured":"Goncalves Leite Rocco\u00a0P, Reategui-Rivera\u00a0CM, Finkelstein\u00a0J. Telemedicine Applications for Cancer Rehabilitation: A Scoping Review (Preprint). JMIR Cancer. 2024; https:\/\/doi.org\/10.2196\/56969.","journal-title":"JMIR Cancer"},{"key":"2727_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-024-08331-7","author":"R Wakolbinger-Habel","year":"2024","unstructured":"Wakolbinger-Habel\u00a0R, Reinweber\u00a0M, Alakraa\u00a0M, et\u00a0al. Home-based high tone therapy may alleviate chemotherapy-induced neuropathic symptoms in patients with colorectal cancer: A randomized double-blind placebo-controlled pilot evaluation. Support Care Cancer. 2024; https:\/\/doi.org\/10.1007\/s00520-024-08331-7.","journal-title":"Supportive Care in Cancer"},{"key":"2727_CR3","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-16864-2","author":"C Morcillo Serra","year":"2022","unstructured":"Morcillo Serra\u00a0C, Aroca Tanarro\u00a0A, Cummings\u00a0CM, et\u00a0al. Impact on the reduction of CO2 emissions due to the use of telemedicine. 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R.\u00a0Wakolbinger-Habel, C.\u00a0Pabinger, H.\u00a0Lothaller, K.\u00a0Hohenstein and T.\u00a0Paternostro-Sluga declare that they have no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Ethics"}}]}}