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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.
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.
The National Health Service (NHS) faces an urgent need to address the environmental and financial impacts associated with the use of single-use medical devices. Transitioning to reusable medical…
Published date
September 2025
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Mortimer, F., Cameron, D., Hillson, R., McLean, R., Bhutta, M., Llewellyn, C., Tabakov, P. & Robinson, A.
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.
Abstract: Climate change has been increasingly recognized in the healthcare sector over recent years, with global implications in infrastructure, economics, and public health. As a result, a growing…
Published date
April 2022
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Engler, Ian D. MD; Curley, Andrew J. MD; Fu, Freddie H. MD, et al
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 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…
AbstractThe burden of chronic kidney disease (CKD) and its risk factors are projected to rise in parallel with the rapidly ageing global population. By 2050, the prevalence of CKD category G3–G5 may…
Published date
July 2024
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Chesnaye, NC., Ortiz, A., Zoccali, C., Stel, VS., Jager, KJ.
Despite the availability of kidney replacement therapy (KRT), chronic kidney disease (CKD) is among the fastest increasing global causes of premature death. Longer life expectancy and population aging…
