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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.
ObjectiveThis study explores organizational interventions aimed at mitigating heat-related challenges and stress for nurses in acute care settings, with a focus on adapting to the intensifying climate…
Published date
April 2026
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Maria Zink , Andrea Nakoinz , Ulrike Krol , Niels Jansen d, Franziska Jung e, Steffi G. Riedel-Heller , Katharina M.A. Gabriel
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.
Worldwide, the number of people who need lifesaving kidney replacement therapy (KRT) steadily increases, but approximately two thirds of them lack access to KRT and therefore die. Access to KRT…
Published date
February 2025
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Wieringa, FP., Suran, s., Søndergaard, H., Ash, S., Cummins, C., Chaudhuri, AR., Irmak, T., Gerritsen, K., Vollenbroek, J.
I wanted to share this short UCLPartners case study on reducing nitrous oxide waste in dentistry, which may be relevant to local sustainability and clinical teams.It covers a pilot at the Royal…
Published date
May 2026
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Lyne, A., Muirhead, L., Angus, K. and Ale-Gurung, L.
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,…
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.
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.
