Patient Perspectives on the Environmental Impact of their Advanced Therapy Injection Device

Objectives Data demonstrates there is a significant environmental impact using medications requiring injection, including the injecting device and needle. Rheumatology patient perspectives on this impact have not been previously explored. As part of a larger study, we aim to report individual behaviors and perspectives on disposal of rheumatology advanced therapy devices.

Methods In the first half of 2025, a survey on patient perceptions about patient support programs was made available in the waiting room at 3 rheumatology centers in Edmonton, Alberta, and was also electronically shared with those using a patient portal at 1 center. A portion of the survey focused on how patients dispose of their syringe/autoinjector, and their interest in recycling their device if that option were available to them.

Results Of 580 respondents, 265 currently using an injecting device provided responses about their preferences on this topic. 172 dispose of their device in a sharp’s container, 66 return it to their pharmacy, and 27 dispose in their garbage at home. Men more often than women disposed of their devices in the garbage at home, with no differences noted based on age, income, or whether they lived in an urban or rural community. 332 responded with their preferences to recycle their device: 17% definitely would, 27% probably would, 21% might, 27% probably would not, and 8% definitely would not. Patients older than 65 were less likely to be in favor of recycling compared to those younger than 65. How individuals disposed of their devices was not statistically associated with their opinions on recycling.

Conclusion The majority of rheumatology patients using an advanced therapy are disposing of their injecting device appropriately, although there appears to be room for improved education for some. As a majority of those surveyed would be interested in recycling their device as an alternative option, this may present a unique opportunity for the healthcare industry to invest in this service for patients, simultaneously lessening the environmental impact of these devices.