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Sex (biologically determined) and gender (socially constructed) modulate manifestations and prognosis of a vast number of diseases, including cardiovascular disease (CVD) and chronic kidney disease…
Published date
February 2024
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Balafa, O., Fernandez-Fernandez, B., Ortiz, A., Dounousi, E., Ekart, R., Ferro, CJ., Mark, PB., Valdivielso, JM., Del Vecchio, L., Mallamaci, F.
Procurement activities in healthcare, especially within nephrology, contribute significantly to the environmental footprint. In peritoneal dialysis (PD), procurement of consumables such as dialysis…
Published date
September 2025
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Larkin, J., Ligabue, G., Alfano, G., Martínez-Cadenas, R., Fehintola, A., Steinbach, I., Yasar, A., Morisi, N., Arias-Guillen, M., Caiazzo, M., Donati, G., Duane, B.
ABSTRACTBackground. Environmental optimizations in kidney care have been analysed as part of the European Union co-funded KitNewCare project.Methods. Life Cycle Assessments (LCA) using Ecoinvent…
Published date
August 2025
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Duane, B., Larkin, J., Caiazzo, M., Arenas, M., Griffin, A., Audije-Gil, J., Mortimer, F., Attwell, H., Yasar, A., Martínez-Cadenas, R., Arias-Guillén, M., Gomez, M., Fehintola, A., Steinbach, I., Ortiz, A.
This spanish language editorial discusses findings from a multicentre study across 15 Spanish haemodialysis centres comparing the environmental footprint of different dialysate acid containers,…
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.
AbstractBackgroundWater scarcity is an escalating global challenge with growing relevance for healthcare systems. Nephrology is particularly affected, as dialysis is a life-sustaining yet highly…
Published date
June 2026
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Knoeller, S., Weber, W., Ben Hmida, M., Lucena, R., Tarrass, F., Segerer, S.
IntroductionThe healthcare sector contributes over 4% of global greenhouse gas emissions. As healthcare systems pursue carbon reduction targets, sustainable innovations in clinical operations are…
Published date
November 2025
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Tsai, CL., Fehintola, A., Crooijmans, G., Vollenbroek, J., Duane, B., and Gerritsen, K.
Sustainability in kidney care is often perceived as requiring trade-offs in clinical quality, yet green nephrology can strengthen clinical excellence by identifying ‘sweet spots’ where improved…
Published date
June 2026
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Murea, M., Mortimer, M., Demirtas, G., Seman, A., Picillo, R., de Barbieri, I., Woywodt, A., Piccoli., G.
BackgroundHemodialysis generates a warm effluent stream (25°C) that is discarded, representing a continuous loss of low-grade thermal energy while clinics expend significant energy for water heating,…
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.