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AbstractBackgroundHaemodialysis (HD) is among the most resource-intensive long-term therapies in medicine. Comparative life cycle assessment evidence across European in-centre HD settings remains…
Published date
August 2026
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Fehintola, A., Jakubowska, Z., Crooijmans, A.A.F., Verbakel, SJ., Larkin, J., Martínez-Cadenas, R., Yasar, A., Alfano, G., Morisi, N., Ligabue, G., Donati, G., Ortiz, A., Steinbach, I., Arias-Guillén, M., Gerritsen, K., Duane, B.
Traffic-related air pollution is a risk factor for lung disease and early mortality. Clean air zones are public health policy interventions used to reduce traffic-related air pollution in urban areas.…
AbstractBackground: Peritoneal dialysis (PD) is a home-based treatment for kidney failure, offering signicant social, economic and environmental advantages over haemodialysis (HD). It allows patients…
Published date
January 2026
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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.
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…
In the past 20 years, awareness of the huge environmental impact of kidney care has increased considerably. Although opportunities to reduce this impact have been identified and innovative approaches…
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.
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.
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.
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.
AbstractIntroductionThe healthcare sector contributes over 4% of global greenhouse gas emissions. As healthcare systems pursue carbon reduction targets, sustainable innovations in clinical operations…
Published date
November 2025
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Tsai, CL., Fehintola, A., Crooijmans, G., Vollenbroek, J., Duane, B., Gerritsen, K.
