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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.
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.
This editorial argues that regional citrate anticoagulation is a greener and clinically preferable alternative to heparin in haemodialysis. Heparin is extracted from pig intestinal mucosa, with one…
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.
ABSTRACTBackgroundWe comprehensively assessed patient survival and the duration of peritoneal dialysis (PD) treatment over a 25-year period within our PD unit.MethodsWe retrospectively evaluated 497…
Published date
July 2025
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Scarmignan, R., Alfano, G., Morisi, N., Fontana, F., Mori, G., Ferrarini, M., Ferri, C., Tonelli, L., Ligabue, G., Magistroni, R., Gregorini, M., Donati, G.
To date, the environmental impact of kidney transplantation has received much less attention than that of dialysis. Facilitating a pre-emptive transplant is probably one of the most environmentally…
Published date
March 2026
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Welberry Smith, M., Wrigley, A., Kojro, A., Emmanouilidou, A., O’Callaghan, J., Woywodt, A.
A practical, collaborative, open access e‑book designed to help support educators and medical schools in embedding education for sustainable healthcare (ESH) into their medical curricula. As a…
AbstractRationale & ObjectiveAs the health impacts of climate change intensify, the health care sector faces growing pressure to minimize its carbon footprint. Achieving this goal requires…
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Barraclough, K., Talbot, B., Knight, J., Blair, S., McGain, F., Masterson, R., Knight, R., Nelson, C., McDonald, S., McAlister, S.
AbstractThe European Kidney Health Alliance’s 2023 annual Policy Forum brought together relevant stakeholder groups and examined the impact of the environment on kidney health and of kidney…
Published date
June 2025
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van Vredendaal, OP., Bé, A., de Barbieri, I., Gallego, D., Loud, F., Piccoli, GB., Wieringa, F., Vanholder, R.