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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.
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.
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.
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.
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.
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.
This spanish language editorial discusses findings from a multicentre study across 15 Spanish haemodialysis centres comparing the environmental footprint of different dialysate acid containers,…
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.
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…
Published date
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.…
Published date
March 2026
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Berman-Parks, N., Rho, E., Stoneman, S., Woywodt, A., Torreggiani, M.
