Sustainable Kidney Care Delivery and Climate Change - a Call to Action

Overview

Journal Global Health

Publisher Biomed Central

Specialties Health Services
Public Health

Date 2022 Aug 3

PMID 35922809

Authors

See Cheng Yeo

Xi Yan Ooi

Tracy Suet Mun Tan

Affiliations

Soon will be listed here.

Abstract

The delivery of kidney care, particularly haemodialysis treatment, can result in substantial environmental impact through greenhouse emissions, natural resources depletion and waste generation. However, strategies exist to mitigate this impact and improve long term environmental sustainability for the provision of haemodialysis treatment. The nephrology community has begun taking actions to improve the environmental sustainability of dialysis, but much work remains to be done by healthcare professionals, dialysis providers and professional organisations.

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Decarbonisation of Kidney Care in the United Arab Emirates: A Roadmap to an Environmentally Sustainable Care.

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Sandal S, Ethier I, Onu U, Fung W, Bajpai D, Bilchut W J Am Soc Nephrol. 2024; 35(8):1084-1094.

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References

Sehgal A, Slutzman J, Huml A . Sources of Variation in the Carbon Footprint of Hemodialysis Treatment. J Am Soc Nephrol. 2022; 33(9):1790-1795. PMC: 9529184. DOI: 10.1681/ASN.2022010086. View

Chen M, Zhou R, Du C, Meng F, Wang Y, Wu L . The carbon footprints of home and in-center peritoneal dialysis in China. Int Urol Nephrol. 2016; 49(2):337-343. DOI: 10.1007/s11255-016-1418-5. View

Eckelman M, Huang K, Lagasse R, Senay E, Dubrow R, Sherman J . Health Care Pollution And Public Health Damage In The United States: An Update. Health Aff (Millwood). 2020; 39(12):2071-2079. DOI: 10.1377/hlthaff.2020.01247. View

Limb M . NHS could save £1bn by adopting green strategies used in kidney units. BMJ. 2013; 346:f588. DOI: 10.1136/bmj.f588. View

Blankestijn P . Towards sustainable environmental development in nephrology care, research and education. Nat Rev Nephrol. 2020; 17(1):7-8. PMC: 7513683. DOI: 10.1038/s41581-020-00353-8. View

Piccoli G, Cupisti A, Aucella F, Regolisti G, Lomonte C, Ferraresi M . Green nephrology and eco-dialysis: a position statement by the Italian Society of Nephrology. J Nephrol. 2020; 33(4):681-698. PMC: 7381479. DOI: 10.1007/s40620-020-00734-z. View

Chang E, Lim J, Low C, Kassim A . Reuse of dialysis reverse osmosis reject water for aquaponics and horticulture. J Nephrol. 2021; 34(1):97-104. DOI: 10.1007/s40620-020-00903-0. View

Yau A, Agar J, Barraclough K . Addressing the Environmental Impact of Kidney Care. Am J Kidney Dis. 2020; 77(3):406-409. DOI: 10.1053/j.ajkd.2020.09.011. View

Barraclough K, Blashki G, Holt S, Agar J . Climate change and kidney disease-threats and opportunities. Kidney Int. 2017; 92(3):526-530. DOI: 10.1016/j.kint.2017.03.047. View

10.

Barraclough K, Gleeson A, Holt S, Agar J . Green dialysis survey: Establishing a baseline for environmental sustainability across dialysis facilities in Victoria, Australia. Nephrology (Carlton). 2017; 24(1):88-93. DOI: 10.1111/nep.13191. View

11.

Romanello M, McGushin A, Di Napoli C, Drummond P, Hughes N, Jamart L . The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future. Lancet. 2021; 398(10311):1619-1662. PMC: 7616807. DOI: 10.1016/S0140-6736(21)01787-6. View

12.

Barraclough K, Agar J . Green nephrology. Nat Rev Nephrol. 2020; 16(5):257-268. DOI: 10.1038/s41581-019-0245-1. View

13.

Liyanage T, Ninomiya T, Jha V, Neal B, Patrice H, Okpechi I . Worldwide access to treatment for end-stage kidney disease: a systematic review. Lancet. 2015; 385(9981):1975-82. DOI: 10.1016/S0140-6736(14)61601-9. View

14.

Agar J, Perkins A, Tjipto A . Solar-assisted hemodialysis. Clin J Am Soc Nephrol. 2012; 7(2):310-4. PMC: 3280036. DOI: 10.2215/CJN.09810911. View

15.

Connor A, Lillywhite R, Cooke M . The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom. Hemodial Int. 2011; 15(1):39-51. DOI: 10.1111/j.1542-4758.2010.00523.x. View

16.

Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler P . The environmental footprint of health care: a global assessment. Lancet Planet Health. 2020; 4(7):e271-e279. DOI: 10.1016/S2542-5196(20)30121-2. View

17.

Brown L, Buettner P, Canyon D . The energy burden and environmental impact of health services. Am J Public Health. 2012; 102(12):e76-82. PMC: 3519304. DOI: 10.2105/AJPH.2012.300776. View

18.

. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2020; 395(10225):709-733. PMC: 7049905. DOI: 10.1016/S0140-6736(20)30045-3. View

19.

Hoenich N, Levin R, Pearce C . Clinical waste generation from renal units: implications and solutions. Semin Dial. 2005; 18(5):396-400. DOI: 10.1111/j.1525-139X.2005.00078.x. View

20.

Molano-Trivino A, Wancjer B, Neri M, Karopadi A, Rosner M, Ronco C . Blue Planet dialysis: novel water-sparing strategies for reducing dialysate flow. Int J Artif Organs. 2017; . DOI: 10.5301/ijao.5000660. View