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Background: Incremental hemodialysis (HD) is the process whereby the frequency of HD is adapted to the patient’s residual kidney function, initially starting at twice a week with an increase based on…
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Taha, A., Messina, A., Tom, A., Altar, RI., Filteau, N., Blum, D., Trinh, E., Weber, CL.
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…
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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.
To the Editor,Chronic kidney disease (CKD) is among the fastest growing causes of death [1]. However, lay audiences, including healthcare authorities, are often unaware of its mortality burden. For…
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March 2026
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Byrska, J., Martinez-Cadenas, R., Cordero, L., Julian-Mauro, JC., Gallego, D., Sanchez-Niño, MF., 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,…
AbstractThe European Kidney Health Alliance’s 2023 annual Policy Forum brought together relevant stakeholder groups and examined the impact of the environment on kidney health and of kidney…
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June 2025
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van Vredendaal, OP., Bé, A., de Barbieri, I., Gallego, D., Loud, F., Piccoli, GB., Wieringa, F., Vanholder, R.
This infographic has been developed to support the dissemination and understanding of the ISN GREEN-K toolkit. It translates key topics from the toolkit and can be used for awareness-raising within…
This toolkit is designed for all healthcare professionals interested in implementing sustainable change within their units. It provides practical knowledge, guidance, and a clear framework to help…
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May 2026
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ISN Emerging Leaders Program (ELP) Second Cohort, Caroline E. Stigant, Winston Fung
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,…
This editorial reviews long-term follow-up data from the SPRINT trial, examining outcomes of intensive (<120 mmHg) versus standard (<140 mmHg) systolic blood pressure targets in hypertensive…
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March 2025
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Fernandez-Fernandez, B., Valdivielso, JM., Chinnappa, S., Sarafidis, P., Ortiz, A.
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.…
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March 2026
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Berman-Parks, N., Rho, E., Stoneman, S., Woywodt, A., Torreggiani, M.
