ArticleJournal of nephrology2020
Green nephrology and eco-dialysis: a position statement by the Italian Society of Nephrology.
Article in Journal of nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Waste Management and the Perspective of a Green Hospital-A Systematic Narrative Review.International journal of environmental research and public health · 2022Pooled it
- Trial
- Telemedicine-supported assisted home hemodialysis in elderly and multimorbid patients: a real-world cohort study in a public healthcare system.International urology and nephrology · 2026Observational
- A position statement and recommendations for sustainable kidney care.Kidney research and clinical practice · 2026Article
- IPNA's commitment to world kidney day 2026: caring for little kidneys and protecting the planet.Pediatric nephrology (Berlin, Germany) · 2026Article
- A website calculator to benchmark the carbon footprint of haemodialysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026Article
- Sustainable continuous renal replacement therapy: The influence of blood flow rates, effluent dose, autoeffluent, and citrate anticoagulation on carbon dioxide emissions.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026Article
- Environmental Sustainability in Dialysis Units: A Scoping and Integrative Review of Challenges and Innovations in Nephrology.Healthcare (Basel, Switzerland) · 2026Review
- Green nephrology: environmentally sustainable kidney care in pediatrics.Pediatric nephrology (Berlin, Germany) · 2026Review
- Toward Green Dialysis: Efficacy and Sustainability with Reduced Dialysate Flow in Expanded Hemodialysis.Blood purification · 2026Observational
- Air Pollution, Kidney Injury, and Green Nephrology-Thinking About Its Association and Causation.Journal of clinical medicine · 2025Review
- Hemodialysis and Water Management in a Dialysis Unit in Morocco, an Approach to Dealing With Water Scarcity.Hemodialysis international. International Symposium on Home Hemodialysis · 2025Article
- Green teams drive sustainability: a European Rare Kidney Disease Reference Network Survey on dialysis environmental practices.Clinical kidney journal · 2025Article
- Optimizing a Dose Prescription as the First Step of Green Continuous Kidney Replacement Therapy.Kidney medicine · 2025Article
- Comparative Efficacy of Reused Medium Cut-Off Dialyzers on Uremic Toxin and Cytokine Clearance: A Randomized Controlled Trial.Life (Basel, Switzerland) · 2025Article
- Green, Sustainable Nephrology: State of the Art Needs for Education and Implementation.Clinical journal of the American Society of Nephrology : CJASN · 2025Review
- 2023 European Kidney Forum: The future of kidney care - investing in green nephrology to meet the European Green Deal targets.Journal of nephrology · 2025Article
- How to improve the environmental impact in haemodialysis: small actions, big changes.Clinical kidney journal · 2025Article
- Critical care nephrology: opportunities for implementing green practices.Frontiers in medicine · 2025Review
- A Province-Wide Home Dialysis Program Review: Challenges, Strengths, and Future Strategies.Canadian journal of kidney health and disease · 2025Article
Corrections and comments
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High-technology medicine saves lives and produces waste; this is the case of dialysis. The increasing amounts of waste products can be biologically dangerous in different ways: some represent a direct infectious or toxic danger for other living creatures (potentially contaminated or hazardous waste), while others are harmful for the planet (plastic and non-recycled waste). With the aim of increasing awareness, proposing joint actions and coordinating industrial and social interactions, the Italian Society of Nephrology is presenting this position statement on ways in which the environmental impact of caring for patients with kidney diseases can be reduced. Due to the particular relevance in waste management of dialysis, which produces up to 2 kg of potentially contaminated waste per session and about the same weight of potentially recyclable materials, together with technological waste (dialysis machines), and involves high water and electricity consumption, the position statement mainly focuses on dialysis management, identifying ten first affordable actions: (1) reducing the burden of dialysis (whenever possible adopting an intent to delay strategy, with wide use of incremental schedules); (2) limiting drugs and favouring "natural" medicine focussing on lifestyle and diet; (3) encouraging the reuse of "household" hospital material; (4) recycling paper and glass; (5) recycling non-contaminated plastic; (6) reducing water consumption; (7) reducing energy consumption; (8) introducing environmental-impact criteria in checklists for evaluating dialysis machines and supplies; (9) encouraging well-planned triage of contaminated and non-contaminated materials; (10) demanding planet-friendly approaches in the building of new facilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.