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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.
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.
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…
Published date
May 2026
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ISN Emerging Leaders Program (ELP) Second Cohort, Caroline E. Stigant, Winston Fung
This document and associated tools are designed for healthcare teams, managers and staff responsible for the delivery of Living Kidney Donor (LKD) Assessment services.This toolkit provides a…
Published date
January 2026
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CSH, UKKA, Health Foundation, NHS Blood & Transplant
CSH Kidney Care Sustainability Network April EventHear from Jan Tsai on reducing energy and consumable use in dialysate production, with insights from his research on circular medical device…
Case study describing a water conservation programme in haemodialysis, focussing on reduced dialysate flow and high-recovery reverse osmosis, to achieve substantial water savings without compromising…
Published date
March 2026
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Shah, M., Mohanty, M., Deppner, A., Vachharajani, T.
Hemodialysis, hemodiafiltration, and peritoneal dialysis are among the most resource-intensive medical therapies, owing to their high energy and water consumption, heavy reliance on disposable…
Published date
February 2026
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Barraclough, K., Berman-Parks, N., Jha, V., Piccoli, G., Stigant, C., Talbot, B., Tarrass, F., Cheung, M., King, J., Grams, M., Jadoul, M., Flythe J.
IntroductionThe healthcare sector contributes over 4% of global greenhouse gas emissions. As healthcare systems pursue carbon reduction targets, sustainable innovations in clinical operations are…
Published date
November 2025
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Tsai, CL., Fehintola, A., Crooijmans, G., Vollenbroek, J., Duane, B., and Gerritsen, K.
Purpose of reviewThe 2023 CONVINCE trial demonstrated improved survival with high-dose hemodiafiltration (HDF), prompting discussions about widespread adoption. However, this clinical advancement…
