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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.
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,…
CSH Kidney Care Sustainability Network April EventHear from Jan Tsai on reducing energy and consumable use in dialysate production, with insights from his research on circular medical device…
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.
This toolkit is designed for all healthcare professionals interested in implementing sustainable change within their units. It provides practical knowledge, guidance, and a clear framework to help…
Published date
May 2026
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ISN Emerging Leaders Program (ELP) Second Cohort, Caroline E. Stigant, Winston Fung
Step-by-step guidance to support living kidney donation services to conduct pathway analysis.Toolkit:The toolkit includes:An example case studyPractical toolsPathway measurement tool, with carbon…
Published date
March 2026
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Centre for Sustainable Healthcare, UK Kidney Association, The Health Foundation, NHS Blood and Transplant
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…
To the Editor,Chronic kidney disease (CKD) is among the fastest growing causes of death [1]. However, lay audiences, including healthcare authorities, are often unaware of its mortality burden. For…
Published date
March 2026
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Byrska, J., Martinez-Cadenas, R., Cordero, L., Julian-Mauro, JC., Gallego, D., Sanchez-Niño, MF., Ortiz, A.