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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.
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.
Procurement activities in healthcare, especially within nephrology, contribute significantly to the environmental footprint. In peritoneal dialysis (PD), procurement of consumables such as dialysis…
Published date
September 2025
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Larkin, J., Ligabue, G., Alfano, G., Martínez-Cadenas, R., Fehintola, A., Steinbach, I., Yasar, A., Morisi, N., Arias-Guillen, M., Caiazzo, M., Donati, G., Duane, B.
Rationale & Objective: Hemodialysis is the most common form of kidney replacement therapy and has a significant environmental footprint, raising sustainability concerns as demand increases. This study…
Published date
July 2025
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Martínez-Cadenas, R., Audije-Gil, J., Arenas, M., Vaquero, N., Portillo, J., Larkin, J., Fehintola, A., Ortiz, A., Duane, B.
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,…
ObjectiveTo map and synthesise existing interventions aimed at improving environmental sustainability in kidney care and to identify challenges and opportunities for implementation across treatment…
Published date
November 2025
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Yasar, A., Larkin, J., Steinbach, I., Duane, B., Attwell-Rogers, H., Mortimer, F., and Arias-Guillen, M
Hemodialysis is a life-sustaining treatment for patients with end-stage renal disease, but it is notoriously resource-intensive, requiring vast quantities of high-purity water. This significant water…
Summary
Background and objectivesHemodialysis resource use—especially water and power, smarter processing and reuse of postdialysis waste, and improved ecosensitive building design, insulation, and…
Purpose of reviewThe 2023 CONVINCE trial demonstrated improved survival with high-dose hemodiafiltration (HDF), prompting discussions about widespread adoption. However, this clinical advancement…
As climate change and natural resource scarcity escalate, all the while the number of people requiring dialysis increases, there is an urgent need for dialysis facilities that meet care needs while…
