ArticleJournal of nephrology2025
Sustainable health care in a renal centre - carbon saving is coupled with cost-efficiency.
Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
Who cites it
6 citing papers in PubMed.
- Greener care, smarter spending: economic opportunities in sustainable nephrology.Clinical kidney journal · 2026Review
- IPNA's commitment to world kidney day 2026: caring for little kidneys and protecting the planet.Pediatric nephrology (Berlin, Germany) · 2026Article
- Finding the sweet spot in green nephrology: the intersection of environmental sustainability and excellence in patient care.Clinical kidney journal · 2026Review
- Environmental footprint of in-center hemodialysis in Türkiye: A national, scenario-based analysis of water, energy, and waste.PloS one · 2026Article
- Implementing a Protocol for Incremental Hemodialysis in Incident Patients With Kidney Failure: A Quality Improvement Initiative.Canadian journal of kidney health and disease · 2026Article
- Hospital-based health technology assessment of central dialysis fluid delivery system for hemodialysis patients.BMC nephrology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare contributes significantly to global carbon dioxide equivalent emissions, with kidney care contributing disproportionately to this. Renal medicine was one of the first specialities to actively develop a "green" community. This paper is a retrospective review of a series of comprehensive and impactful green initiatives across various aspects of kidney care delivery in a kidney unit from 2007 to 2024.
methodsThe interventions include using e-consultations and virtual clinics, online priming of haemodialysis machines, upgrade of water treatment systems, centralised dialysate acid delivery, use of 1:44 acid concentrate, use of dialysate autoflow function, installation of energy-efficient lighting, and incremental and decremental dialysis practices. Financial and environmental saving estimates for the haemodialysis-related interventions were calculated based on a 40-bed haemodialysis unit. A hybrid carbon footprinting approach was utilised to calculate the greenhouse gas and financial savings.
resultsThe cumulative estimated greenhouse gas and financial savings exceed 1,000 tonnes of carbon dioxide equivalent and £2.8 million, respectively. Among sustainable initiatives in haemodialysis, online priming, use of central acid delivery, dialysate autoflow facility, and incremental and decremental haemodialysis showed the most significant savings.
conclusionsInterventions to facilitate environmental sustainability may require upfront funding and staff investment of time and effort, but the dividend is long-term environmental protection, financial savings, enhanced quality of care, greater staff satisfaction and enhanced service resilience. Sharing these experiences may help other institutions to integrate green initiatives into everyday service planning.
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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.