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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.
Environmental Nephrology and Sustainable Kidney Care – ERA Neph-Manual 2025 Chapter SummaryThis foundational chapter, authored by Maaike van Gelder, Frances Mortimer, Peter Blankestijn, and Karin…
Published date
June 2025
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van Gelder M, Mortimer F, Blankestijn P and Gerritsen K
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.
AbstractObjectiveTo map and synthesise existing interventions aimed at improving environmental sustainability in kidney care and to identify challenges and opportunities for implementation across…
Published date
November 2025
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Yasar, A., Larkin, J., Steinbach, I., Duane, B., Attwell-Rogers, H., Mortimer, F., Arias-Guillen, M.
Summary
Background and objectivesHemodialysis resource use—especially water and power, smarter processing and reuse of postdialysis waste, and improved ecosensitive building design, insulation, and…
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…
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.
AbstractBackgroundHaemodialysis (HD) has a significant environmental footprint due to its high resource consumption and waste generation. A key component is dialysate production, which typically…
Published date
November 2025
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Larkin, J., Alfano, G., Ligabue, G., Martínez Cadenas, R., Gerritsen, K., Fehintola, A., Donati, G., Duane, B.
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…
