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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.
This blog summarises the evidence, suggests actions to take in general practice that can help save lives, reduce service demand, and protect staff and infrastructure during periods of extreme heat
"The Green Imaging Department Certificate is an initiative developed by the ESR Sustainability Subcommittee to recognise and support the commitment of imaging departments worldwide in implementing…
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.
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.
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…
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.
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.
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.
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.