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Case study describing a water conservation programme in haemodialysis, focussing on reduced dialysate flow and high-recovery reverse osmosis, to achieve substantial water savings without compromising…
Published date
March 2026
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Shah, M., Mohanty, M., Deppner, A., Vachharajani, T.
The current kidney care model-focused on late-stage disease and in-center hemodialysis-is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life.The 78th…
Published date
March 2026
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Vanholder, R., Abdellatif, D., Dos Santos Jr, ACS., Correa-Rotter, R., Gopalakrishnan, N., Wang, B., Roumeliotis, S., Balducci, A., Haris, A., Yadla, M., Hsiao, L.
Excel-based carbon calculator designed to allow Living Kidney Donation services to measure the carbon footprint of their assessment pathway, identify key carbon hotspots, and reassess emissions after…
Published date
March 2026
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Centre for Sustainable Healthcare, UK Kidney Association, The Health Foundation, NHS Blood and Transplant
Step-by-step guidance to support living kidney donation services to conduct pathway analysis.The toolkit includes:An example case studyPractical toolsPathway measurement tool, with carbon calculator…
Published date
March 2026
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Centre for Sustainable Healthcare, UK Kidney Association, The Health Foundation, NHS Blood and Transplant
In 2024, Global Burden of Disease (GBD) updated the forecast of global cause-specific age-standardized death rates. Chronic kidney disease (CKD) was forecast to increase by over 30% from 2022, while…
Published date
February 2026
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Ortiz, A ., Lees, JS ., Torra, R., Stel, VS., Kramer, A., Mark, PB
Hemodialysis, hemodiafiltration, and peritoneal dialysis are among the most resource-intensive medical therapies, owing to their high energy and water consumption, heavy reliance on disposable…
Published date
February 2026
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Barraclough, K., Berman-Parks, N., Jha, V., Piccoli, G., Stigant, C., Talbot, B., Tarrass, F., Cheung, M., King, J., Grams, M., Jadoul, M., Flythe J.
BackgroundHaemodialysis (HD) contributes vastly to greenhouse gas (GHG) emissions. Recognizing this, the German Society for Nephrology initiated a web-based carbon footprint assessment tool to…
Published date
January 2026
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Beige, J., Knöller, S., Pachmann, M., Sommer, F., Barth, HP., Masanneck, M., Kleophas, W., Schaffron, R., Stracke, S., DeGroot, K., Weinmann-Menke, J., Boedecker-Lips, SC., and Vanholder, R.
Purpose of reviewThe 2023 CONVINCE trial demonstrated improved survival with high-dose hemodiafiltration (HDF), prompting discussions about widespread adoption. However, this clinical advancement…
Rationale & Objective: Hemodialysis is the most common form of kidney replacement therapy and has a significant environmental footprint, raising sustainability concerns as demand increases. This study…
Published date
July 2025
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Martínez-Cadenas, R., Audije-Gil, J., Arenas, M., Vaquero, N., Portillo, J., Larkin, J., Fehintola, A., Ortiz, A., Duane, B.
This document aims to provide a robust set of best practice guidelines for Environmentally Sustainable Design (ESD) in kidney care facilities. The guidelines will help to improve the environmental…
