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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.
This editorial argues that regional citrate anticoagulation is a greener and clinically preferable alternative to heparin in haemodialysis. Heparin is extracted from pig intestinal mucosa, with one…
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,…
Green nephrology has often focussed on dialysis, with its intensive use of water and energy. In comparison, non-dialysis outpatient care of chronic kidney disease (CKD) has received less attention.…
Published date
March 2026
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Berman-Parks, N., Rho, E., Stoneman, S., Woywodt, A., Torreggiani, M.
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.
To date, the environmental impact of kidney transplantation has received much less attention than that of dialysis. Facilitating a pre-emptive transplant is probably one of the most environmentally…
Published date
March 2026
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Welberry Smith, M., Wrigley, A., Kojro, A., Emmanouilidou, A., O’Callaghan, J., Woywodt, A.
Information on the Greener Palliative Care Award bronze criteria can be found here:https://apmonline.org/greener-palliative-care-award/Attached is a summary of possible types of evidence that will…
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.
This spanish language editorial discusses findings from a multicentre study across 15 Spanish haemodialysis centres comparing the environmental footprint of different dialysate acid containers,…
