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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.
AbstractRationale & ObjectiveHemodialysis is the most common form of kidney replacement therapy and has a significant environmental footprint, raising sustainability concerns as demand increases. This…
Published date
July 2025
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Martínez-Cadenas, R., Audije-Gil, J., Dolores Arenas, M., Vaquero, N., Portillo, J., Larkin, J., Fehintola, A., Ortiz, A., Duane, B.
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.
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.
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.
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.
This infographic has been developed to support the dissemination and understanding of the ISN GREEN-K toolkit. It translates key topics from the toolkit and can be used for awareness-raising within…
This toolkit is designed for all healthcare professionals interested in implementing sustainable change within their units. It provides practical knowledge, guidance, and a clear framework to help…
Published date
May 2026
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ISN Emerging Leaders Program (ELP) Second Cohort, Caroline E. Stigant, Winston Fung
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.