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AbstractBackgroundHaemodialysis (HD) is among the most resource-intensive long-term therapies in medicine. Comparative life cycle assessment evidence across European in-centre HD settings remains…
Published date
August 2026
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Fehintola, A., Jakubowska, Z., Crooijmans, A.A.F., Verbakel, SJ., Larkin, J., Martínez-Cadenas, R., Yasar, A., Alfano, G., Morisi, N., Ligabue, G., Donati, G., Ortiz, A., Steinbach, I., Arias-Guillén, M., Gerritsen, K., 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.
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.
In the past 20 years, awareness of the huge environmental impact of kidney care has increased considerably. Although opportunities to reduce this impact have been identified and innovative approaches…
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.
Worldwide, the number of people who need lifesaving kidney replacement therapy (KRT) steadily increases, but approximately two thirds of them lack access to KRT and therefore die. Access to KRT…
Published date
February 2025
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Wieringa, FP., Suran, s., Søndergaard, H., Ash, S., Cummins, C., Chaudhuri, AR., Irmak, T., Gerritsen, K., Vollenbroek, J.
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,…
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.
AbstractBackgroundHealthcare contributes significantly to global carbon dioxide equivalent emissions, with kidney care contributing disproportionately to this. Renal medicine was one of the first…
