Evidence map›Paper›PMID 40861171›Full record

ArticleCanadian journal of kidney health and disease2025

A Gap Analysis to Assess the Implementation of Environmentally Sustainable Kidney Care Strategies in Canada.

Isabelle Ethier, Shaifali Sandal, Ahmad Raed Tarakji, Bhavneet Kahlon, Ratna Samanta, Caroline Stigant

Abstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Isabelle EthierDivision of Nephrology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, QC, Canada.ORCID https://orcid.org/0000-0003-4909-0417
Shaifali SandalDivision of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada.ORCID https://orcid.org/0000-0003-1941-0598
Ahmad Raed TarakjiMcMaster University, Waterloo, ON, Canada.ORCID https://orcid.org/0000-0001-8806-4911
Bhavneet KahlonUniversity of Calgary, AB, Canada.
Ratna SamantaDivision of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-3014-7316
Caroline StigantDivision of Nephrology, Island Health Authority, Department of Medicine, University of British Columbia, Vancouver, Canada.ORCID https://orcid.org/0000-0003-2578-0966

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is growing interest in the nephrology community for environmentally sustainable kidney care (ESKC) to alleviate the environmental impact of kidney care services. Objective: This study aimed to assess the knowledge of Canadian kidney care providers regarding their program's ESKC strategies. Design Setting Participants Measurements and Methods: An electronic survey, created by the Canadian Society of Nephrology-Sustainable Nephrology Action Planning committee, was distributed to Canadian kidney care providers. Results: A total of 421 Canadian kidney care providers responded to the survey. Various degrees of implementation of ESKC practices across the country were reported, with higher proportions of respondents reporting the use of strategies related to medication stewardship, clinical care consumables, virtual care options, office consumables, office equipment, and general waste management. It also highlighted the lack of knowledge of kidney care providers about many areas related to ESKC practices, such as energy sourcing, reverse osmosis reject water savings, procurement and product sourcing, as well as policies within the kidney program and contact with environmentally sustainable officers. Knowledge of respondents about certain strategies was also dependent on their role within the unit (eg, nephrologist vs nurse vs management), with nephrologists being relatively more aware of strategies that directly involve them, such as medication stewardship. Finally, variation across provinces was noted in terms of the incorporation of climate change adaptation or preparedness and environmental planning strategies. Limitations: The overrepresentation of people working in academic centers, as well as those from Quebec and British Columbia, may affect the generalizability of results. As respondents may be affiliated with the same units, results reflect knowledge of the individuals regarding the strategies, rather than the presence or implementation of such strategies across units. Conclusions: The ESKC practices from various domains are incorporated at different levels across the country, and there are important gaps in providers' awareness of such strategies, depending on their role within the unit.

Indexed as

climate changeenvironmentally sustainablegreen nephrologysurveysustainabilitysustainable kidney care

Identifiers

PMID40861171
PMCPMC12374084

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.