Evidence map›Paper›PMID 41030566›Full record

ArticleClinical kidney journal2025

But how green is it actually? Calculating the environmental footprint of kidney care environmental optimizations within haemodialysis.

Brett Duane, James Larkin, Marialuisa Caiazzo, Marta Arenas, Anita Griffin, Juilia Audije-Gil, Frances Mortimer, Harriet Attwell, Aycan Yasar, Rodrigo Martínez-Cadenas and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Brett DuaneTrinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9670-0594
James LarkinTrinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0009-0007-5152-2414
Marialuisa CaiazzoMozarc Medical, Italy.
Marta ArenasDepartment of Renal Transplantation and Nephrology, Fondacion Renal.
Anita GriffinTrinity College Dublin, Dublin, Ireland.
Juilia Audije-GilDepartment of Renal Transplantation and Nephrology, Fondacion Renal.ORCID https://orcid.org/0000-0001-9990-1965
Frances MortimerCentre for Sustainable Healthcare.
Harriet AttwellCentre for Sustainable Healthcare.
Aycan YasarCentre for Sustainable Healthcare.
Rodrigo Martínez-CadenasNephrology and Hypertension Renal Unit, IIS-Fundacion Jimenez Diaz UAM, Madrid, Spain.
Marta Arias-GuillénClinic Barcelona.
Miguel GomezClinic Barcelona.
Abass FehintolaTrinity College Dublin, Dublin, Ireland.
Ingeborg SteinbachCentre for Sustainable Healthcare.
Alberto OrtizNephrology and Hypertension Renal Unit, IIS-Fundacion Jimenez Diaz UAM, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Environmental optimizations in kidney care have been analysed as part of the European Union co-funded KitNewCare project. Methods: Life Cycle Assessments (LCA) using Ecoinvent database and OpenLCA software quantified optimizing resource use (e.g. dialysis machines, reducing flow rates, incremental dialysis), energy-saving measures (e.g. solar energy, efficient lighting) and travel reduction (e.g. home dialysis, telemedicine). Efforts in waste management involve transitioning clinical waste to domestic waste streams, recycling and pyrolysis. Water-saving practices include reclaiming water for non-potable uses and efficient treatment systems. Results: LCA quantified these interventions, revealing significant environmental particularly in reducing travel and resource use. Travel optimizations yielded the most significant CO Conclusion: The study underlines the importance of prioritizing impactful interventions to minimize the environmental footprint of chronic kidney disease care while maintaining clinical efficacy. Challenges include adapting strategies to local contexts, ensuring economic feasibility and integrating renewable energy sources based on regional energy mixes.

Indexed as

carbon footprintforced labourkidney carewater footprint

Identifiers

PMID41030566
PMCPMC12477476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.