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Case study describing a water conservation programme in haemodialysis, focussing on reduced dialysate flow and high-recovery reverse osmosis, to achieve substantial water savings without compromising…
Published date
March 2026
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Shah, M., Mohanty, M., Deppner, A., Vachharajani, T.
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.
Step-by-step guidance to support living kidney donation services to conduct pathway analysis.Toolkit:The toolkit includes:An example case studyPractical toolsPathway measurement tool, with carbon…
Published date
March 2026
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Centre for Sustainable Healthcare, UK Kidney Association, The Health Foundation, NHS Blood and Transplant
In 2024, Global Burden of Disease (GBD) updated the forecast of global cause-specific age-standardized death rates. Chronic kidney disease (CKD) was forecast to increase by over 30% from 2022, while…
Published date
February 2026
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Ortiz, A ., Lees, JS ., Torra, R., Stel, VS., Kramer, A., Mark, PB
Hemodialysis, hemodiafiltration, and peritoneal dialysis are among the most resource-intensive medical therapies, owing to their high energy and water consumption, heavy reliance on disposable…
Published date
February 2026
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Barraclough, K., Berman-Parks, N., Jha, V., Piccoli, G., Stigant, C., Talbot, B., Tarrass, F., Cheung, M., King, J., Grams, M., Jadoul, M., Flythe J.
BackgroundHaemodialysis (HD) contributes vastly to greenhouse gas (GHG) emissions. Recognizing this, the German Society for Nephrology initiated a web-based carbon footprint assessment tool to…
Published date
January 2026
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Beige, J., Knöller, S., Pachmann, M., Sommer, F., Barth, HP., Masanneck, M., Kleophas, W., Schaffron, R., Stracke, S., DeGroot, K., Weinmann-Menke, J., Boedecker-Lips, SC., and Vanholder, R.
International and national nephrology learning societies are playing a major role in advocacy and education for environmentally sustainable kidney care. The Green Nephrology group of the Société…
Published date
January 2016
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Lasseur, C., Ethier, I., Rey, J., Foucault, C., Vérité, T., Hourmant, M.
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.
Purpose of reviewThe 2023 CONVINCE trial demonstrated improved survival with high-dose hemodiafiltration (HDF), prompting discussions about widespread adoption. However, this clinical advancement…
The Sustainable Kidney Care Toolkit was developed as part of the Sustainable Kidney Care Project, a collaboration between the Centre for Sustainable Healthcare (CSH) in partnership with the UK Kidney…
