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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.
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…
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.
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…
AbstractObjectiveTo map and synthesise existing interventions aimed at improving environmental sustainability in kidney care and to identify challenges and opportunities for implementation across…
Published date
November 2025
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Yasar, A., Larkin, J., Steinbach, I., Duane, B., Attwell-Rogers, H., Mortimer, F., Arias-Guillen, 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.
AbstractBackgroundHaemodialysis (HD) has a significant environmental footprint due to its high resource consumption and waste generation. A key component is dialysate production, which typically…
Published date
November 2025
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Larkin, J., Alfano, G., Ligabue, G., Martínez Cadenas, R., Gerritsen, K., Fehintola, A., Donati, G., Duane, B.
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.
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.
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.
