{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T08:13:32Z","timestamp":1779264812558,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Providing palliative care to patients reduces the need for aggressive treatment, hospitalizations, and emergency room visits, thus decreasing the need for patient transportation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the amount of carbon emissions and indirect costs related to the transportation of cancer patients receiving palliative care in a tertiary hospital in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study. Setting\/participants: patients followed by the palliative care service in a tertiary hospital, with an advanced-stage cancer diagnosis and over 18\u00a0years of age, from January 1, 2024 to December 31, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 327 patients were treated by the Palliative Care Service in 2024, all patients required at least one hospitalization and 215 (65.7%) patients died as a result of the disease in the same year, of which 198 (60.6%) died during hospitalization. An estimated 105,310.4\u00a0kg of CO2 emissions were generated, equivalent to the carbon sequestration of approximately 1,700 tree seedlings grown for 10\u00a0years. The time involved in travel was 6,727\u00a0hours, equivalent to 280\u00a0days. The estimated indirect transportation costs ranged from US$184,293 to US$263,276.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The integration of telemedicine into palliative care services is an urgent planetary health strategy and a means of financial sustainability for patients, families, and public or private health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261453053","type":"journal-article","created":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T03:29:16Z","timestamp":1778988556000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cCarbon Footprint and Indirect Costs of Displacement for Advanced Cancer Patients: A Call for Telepalliative Care\u201d"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2303-1219","authenticated-orcid":false,"given":"Soraya Camargo","family":"Ito S\u00fcffert","sequence":"first","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6653-6639","authenticated-orcid":false,"given":"Raquel Prado","family":"Thomaz","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine \u2013 Irmandade Santa Casa de Miseric\u00f3rdia de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6769-1567","authenticated-orcid":false,"given":"Jo\u00e3o Luiz de Souza","family":"Hopf","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine \u2013 Irmandade Santa Casa de Miseric\u00f3rdia de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2826-1602","authenticated-orcid":false,"given":"Felipe","family":"Gropelli","sequence":"additional","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3197-3839","authenticated-orcid":false,"given":"Gustavo Gabriel de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2070-2826","authenticated-orcid":false,"given":"Anderson da Silveira","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6294-917X","authenticated-orcid":false,"given":"Rafael Jos\u00e9","family":"Vargas Alves","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de Porto Alegre"},{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"},{"name":"Federal University of Rio Grande do Sul (UFRGS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6763-6631","authenticated-orcid":false,"given":"Claudia Giuliano","family":"Bica","sequence":"additional","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre (UFCSPA)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Health Organization. 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