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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.
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
March 2026
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Katherine A. Barraclough, Nathan Berman-Parks, Vivekanand Jha , Giorgina B. Piccoli, Caroline Stigant , Ben Talbot, Faissal Tarrass, Michael Cheung , Jennifer M. King , Morgan E. Grams, Michel Jadoul, Jennifer E. F
The environmental impact of dialysis care is a significant concern, with attention often focused on energy and water use. However, a critical and overlooked source of potent greenhouse gas emissions…
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.
This guide is for everyone living with CKD who wants to eat more plant-based foods, and those interested to learn more. If you have advanced CKD (stages 4 and 5), you may benefit from the advice of a…
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British Dietetic Association (BDA) - Kidney Dietitian Specialist Group
Hemodialysis is a life-sustaining treatment for patients with end-stage renal disease, but it is notoriously resource-intensive, requiring vast quantities of high-purity water. This significant water…
Purpose of reviewThe 2023 CONVINCE trial demonstrated improved survival with high-dose hemodiafiltration (HDF), prompting discussions about widespread adoption. However, this clinical advancement…
This work highlights how recycling spent dialysate can dramatically reduce water use, energy, and environmental impact in dialysis care, leveraging proven technologies and advocating for regulatory…
