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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.
Rapid advancements in digital healthcare technologies have created new opportunities in nephrology, but they have also increased the fragmentation of datasets, complexity of data sharing, data privacy…
Published date
June 2026
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Evans, D., Özyilmaz, ÖT., Xue, H., Provenzano, M., Qu, N., Bakker, SJL., de Borst, MH., Tietge, UJF., Szili-Torok, T.
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…
Published date
March 2026
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Byrska, J., Martinez-Cadenas, R., Cordero, L., Julian-Mauro, JC., Gallego, D., Sanchez-Niño, MF., Ortiz, A.
Sustainability in kidney care is often perceived as requiring trade-offs in clinical quality, yet green nephrology can strengthen clinical excellence by identifying ‘sweet spots’ where improved…
Published date
June 2026
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Murea, M., Mortimer, M., Demirtas, G., Seman, A., Picillo, R., de Barbieri, I., Woywodt, A., Piccoli., G.
SummaryBackgroundGlobally, the burden of chronic kidney disease and ensuing need for kidney replacement therapy (KRT)—dialysis or kidney transplantation—are increasing. Despite the mortality benefit…
Published date
August 2025
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Zambeli-Ljepović, A., Tungsanga, S., Ghimire, A., Bello, ak., Okpechi, IG., Siyoum, MT., Mushi, FA., Asiimwe, F., Bagasha, P., Okungu, V., Bertozzi, SM., Hoffmann, TJ., Thomson, D., Muller, E., Scott, JW., Syed, S., Ascher, N., Stock, P., Rose, J.
Climate change should be of special concern for the nephrologist, as the kidney has a critical role in protecting the host from dehydration, but it is also a favorite target of heat stress and…
Published date
September 2021
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Sasai, F., Roncal-Jimenez, C., Rogers, K., Sato, K., Brown, J., Glaser, J., Garcia, G., Sanchez-Lozada, LG., Rodriguez-Iturbe, B., Dawson, JB., Sorensen, C., Hernando, AA., Gonzalez-Quiroz, M., Lanaspa, M., Newman, LS., Johnson, RJ.
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.
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.
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,…