Evidence map›Paper›PMID 34239623›Full record

ArticleJournal of rural medicine : JRM2021

Assessment of environmental sustainability in renal healthcare.

Kei Nagai, Hiroaki Suzuki, Atsushi Ueda, John W M Agar, Norihiro Itsubo

Abstract read
In one paragraph

Article in Journal of rural medicine : JRM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Life Cycle Assessment: A Primer for Kidney Professionals.Canadian journal of kidney health and disease · 2025
    Article
  3. Article
  4. Climate change and demand of emergency care in Japan.Journal of rural medicine : JRM · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kei NagaiDepartment of Nephrology, Faculty of Medicine, University of Tsukuba, Japan.
Hiroaki SuzukiFaculty of Environmental and Information Studies, Tokyo City University, Japan.
Atsushi UedaDepartment of Nephrology, Faculty of Medicine, University of Tsukuba, Japan.
John W M AgarDepartment of Renal Medicine, University Hospital Geelong, Australia.
Norihiro ItsuboFaculty of Environmental and Information Studies, Tokyo City University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The health effects of climate change are becoming increasingly important; there are direct effects from heatwaves and floods, and indirect effects from the altered distribution of infectious diseases and changes in crop yield. Ironically, the healthcare system itself carries an environmental burden, contributing to environmental health impacts. Life cycle assessment is a widely accepted and well-established method that quantitatively evaluates environmental impact. Given that monetary evaluations have the potential to motivate private companies and societies to reduce greenhouse gas emissions using market mechanisms, instead of assessing the carbon footprint alone, we previously developed a life cycle impact assessment method based on an endpoint that integrates comprehensive environmental burdens into a single index-the monetary cost. Previous investigations estimated that therapy for chronic kidney disease had a significant carbon footprint in the healthcare sector. We have been aiming to investigate on the environmental impact of chronic kidney disease based on field surveys from the renal department in a hospital and several health clinics in Japan. To live sustainably, it is necessary to establish cultures, practices, and research that aims to conserve resources to provide environmentally friendly healthcare in Japan.

Indexed as

carbon footprintchronic dialysishealthcarelife cycle assessmentlife cycle impact assessment

Identifiers

PMID34239623
PMCPMC8249367

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.