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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.
AbstractBackgroundStandard reverse osmosis systems for hemodialysis operate at 60–75% recovery rates, wasting 25–40% of feed water as brine. This inefficiency poses a critical challenge in…
Published date
June 2026
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Tarrass, F., Benjelloun, O., Allah, MH., Benjelloun, M.
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.
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.
This spanish language editorial discusses findings from a multicentre study across 15 Spanish haemodialysis centres comparing the environmental footprint of different dialysate acid containers,…
In Germany, rising heat-related mortality and hospital admissions are posing significant challenges to healthcare systems. Nurses working in inpatient care facilities are particularly vulnerable…
Published date
April 2026
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Maria Zink, Franziska Jung, Steffi G. Riedel-Heller, Katharina M.A. Gabriel
ObjectiveThis study explores organizational interventions aimed at mitigating heat-related challenges and stress for nurses in acute care settings, with a focus on adapting to the intensifying climate…
Published date
April 2026
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Maria Zink , Andrea Nakoinz , Ulrike Krol , Niels Jansen d, Franziska Jung e, Steffi G. Riedel-Heller , Katharina M.A. Gabriel
ABSTRACTBackgroundThe burden of chronic kidney disease is increasing, driven by population aging and the increase in risk factors. In-centre haemodialysis (HD), which accounts for most of the…
Published date
December 2024
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Jiménez, MDA., Audije-Gil, J., Martínez, R., Martín Vaquero, N., Gómez, M., Portillo, J., Pereda, G., Gascueña, DH., Duane, B., Sanjuan, M., Fernández Martín, JL., Dapena, F., Ortiz, A.
Green nephrology has often focussed on dialysis, with its intensive use of water and energy. In comparison, non-dialysis outpatient care of chronic kidney disease (CKD) has received less attention.…
Published date
March 2026
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Berman-Parks, N., Rho, E., Stoneman, S., Woywodt, A., Torreggiani, M.
AbstractBackgroundHealthcare contributes significantly to global carbon dioxide equivalent emissions, with kidney care contributing disproportionately to this. Renal medicine was one of the first…
