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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.
ABSTRACTBackgroundThe burden of chronic kidney disease is increasing, driven by population aging and the increase in risk factors. In-centre haemodialysis (HD), which accounts for most of the…
Published date
December 2024
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Jiménez, MDA., Audije-Gil, J., Martínez, R., Martín Vaquero, N., Gómez, M., Portillo, J., Pereda, G., Gascueña, DH., Duane, B., Sanjuan, M., Fernández Martín, JL., Dapena, F., 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…
ResumenLa hemodiálisis es un tratamiento con gran impacto en el medio ambiente. Un ciclo de diálisis equivale al consumo diario 3,5-4 personas y el consumo anual medio de electricidad de un centro se…
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Arias-Guillén, M., Martínez Cadenas, R., Gómez, M., Martín Vaquero, M., Pereda, G., Audije-Gil, J., Portillo, J., Quintela, M., Castaño, I., Luque, A., Maduell, F., Ortiz, A., Duane, B., M. Dolores Arenas, L.
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.
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.
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 Project, a collaboration between the Centre for Sustainable Healthcare (CSH) in partnership with the UK Kidney Association and Health Innovation North-East and North…
Spent dialysate, a byproduct of hemodialysis, is traditionally discarded but holds significant potential for resource recovery within a circular economy framework. This literature review synthesizes…
