{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:31:30Z","timestamp":1793475090962,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012161","name":"Faculty of Medicine, University of British Columbia","doi-asserted-by":"publisher","award":["Summer Student Research Program"],"award-info":[{"award-number":["Summer Student Research Program"]}],"id":[{"id":"10.13039\/100012161","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Carbon emissions associated with patient travel for hospital visits contribute to climate change. This study estimated carbon emissions from patients travelling for in-person visits and carbon emissions associated with virtual health visits at the BC Children's and Women's Hospital Campus in 2021-2022.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Anonymized visit data categorized by in-person\/virtual, and aggregated by patients\u2019 home city\/town, and fiscal quarter was obtained. Mode of travel assumptions were based on economic region and seasonality. Carbon dioxide equivalent emissions (CO\n                    <jats:sub>2e<\/jats:sub>\n                    ) for a realistic scenario and alternative scenarios were calculated using equations derived from reference data.\n                    <jats:bold>Results:<\/jats:bold>\n                    There were 397,962 patient visits (19% virtual) associated with an estimated 10,001 metric tons of CO\n                    <jats:sub>2e<\/jats:sub>\n                    . Alternative scenarios showed that if patients from Northern or Interior regions travelled by plane during the winter, emissions decreased (\u221214%). While the proportion of visits that were virtual ranged from 16% to 40% by region, if all regions had 40% virtual visits, emissions would decrease by 14%. The largest reduction in carbon emissions (\u221226%) was found in the scenario where patients from Northern and Interior regions travelled by plane in the winter and the proportion of virtual visits increased to 40%.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    These findings underscore the need to raise awareness of the carbon footprint of healthcare related travel. The study urges a thoughtful consideration of planetary health when choosing between in-person and virtual visits, recognizing the ability to lower emissions by conducting virtual visits where appropriate.\n                  <\/jats:p>","DOI":"10.1177\/22925503251411856","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T18:09:03Z","timestamp":1767809343000},"page":"799-807","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Carbon Emissions Associated with Patient Travel for Visits at a Pediatric Tertiary Care Center: A Retrospective Analysis"],"prefix":"10.1177","volume":"34","author":[{"given":"Kayoung","family":"Heo","sequence":"first","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanwoo","family":"Pyo","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Duan","sequence":"additional","affiliation":[{"name":"British Columbia Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8805-3670","authenticated-orcid":false,"given":"Rebecca","family":"Courtemanche","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Division of Plastic Surgery, British Columbia Children's Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Ji","family":"Tuen","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Division of Plastic Surgery, British Columbia Children's Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3720-9302","authenticated-orcid":false,"given":"Douglas J.","family":"Courtemanche","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Division of Plastic Surgery, British Columbia Children's Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Calvin K Dasgupta D Krinner G et al. 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