Evidence map›Paper›PMID 40983321›Full record

ArticleJournal of medical Internet research2025

Establishing a Net-Zero Emissions Kidney Care Center: A Model Proposal for Taiwan.

Mei-Yi Wu, Wei-Cheng Lo, Min-Kuang Tsai, Yuan-Leng Lin, Yih-Giun Cherng, Ming-Che Lee, Mai-Szu Wu

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Mei-Yi Wu *Division of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan.ORCID https://orcid.org/0000-0002-5777-2752
Wei-Cheng Lo *Taipei Medical University Research Center of Urology and Kidney, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-4818-8263
Min-Kuang TsaiDivision of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan.ORCID https://orcid.org/0000-0002-2528-3911
Yuan-Leng LinDivision of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan.ORCID https://orcid.org/0009-0007-0770-0578
Yih-Giun CherngDepartment of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-0201-4380
Ming-Che LeeDepartment of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-0321-910X
Mai-Szu WuDivision of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan.ORCID https://orcid.org/0000-0002-5110-0568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Green nephrology has emerged as a crucial strategy to address the health care sector's role in the climate crisis, particularly due to the high carbon intensity of dialysis-related services. Aligned with global net-zero commitments, sustainable kidney care can reduce environmental impact while maintaining high standards of patient care. This viewpoint paper proposes a net-zero carbon emissions kidney care center model to address global climate change challenges and advance health care sustainability goals. Based on the United Nations Sustainable Development Goals, we developed a 4D framework: digital transformation, low-carbon health care, circular economy, and preventive medicine. The digital transformation dimension features a precision kidney health system integrating acute and chronic kidney injury digital care models. The low-carbon health care dimension focuses on increasing the rates of kidney transplantation and choosing optimal dialysis modality. The circular economy dimension involves dialysis wastewater recycling, repurposing of medical materials, and integration of renewable energy into facility operations. The preventive medicine dimension incorporates telehealth education, behavioral interventions, and health inequality improvements. This net-zero carbon emissions kidney care model represents an environmental, social, and governance approach to ensuring implementation and continual improvement. It also provides actionable steps for implementing sustainable kidney care and serves as a reference model for net-zero emissions health care systems.

Indexed as

Carbon FootprintNephrologyClimate ChangeHumansKidney DiseasesTaiwancircular economydigital transformationdisease preventiongreen nephrologynet-zero carbon emissionssustainable kidney care

Identifiers

PMID40983321
PMCPMC12501530

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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.