Evidence map›Paper›PMID 41133183›Full record

ArticleClinical kidney journal2025

Green teams drive sustainability: a European Rare Kidney Disease Reference Network Survey on dialysis environmental practices.

Emanuele De Simone, Marco Carmelo Morrone, Ece Izel Tatarhan, Marco Pozzato, Dario Roccatello, Roberta Fenoglio, Savino Sciascia

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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. 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

7 authors.

Emanuele De SimoneUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.ORCID https://orcid.org/0000-0002-0760-5737
Marco Carmelo MorroneUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.
Ece Izel TatarhanUniversity of Turin. Department of Clinical and Biological Sciences, Turin, Italy.
Marco PozzatoUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.
Dario RoccatelloUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.
Roberta FenoglioUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.
Savino SciasciaUniversity Center of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net Member) with Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Piedmont and Aosta Valley, ASL Città di Torino, Turin, Italy.ORCID https://orcid.org/0000-0003-1266-9441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: the environmental impact of healthcare is a growing concern, and nephrology, particularly dialysis, is a resource-intensive field. Dialysis involves high energy use, water consumption, significant waste generation, and transport-associated emissions. However, the extent to which "green" dialysis practices have been implemented remains largely unexplored. Methods: A comprehensive survey assessing the adoption of sustainable practices in dialysis covering water, energy, waste, transport and procurement policies was distributed through the European Rare Kidney Disease Reference Network (November 2024 to January 2025). The questionnaire covered key sustainability domains, including water and energy management, waste reduction, transport, and procurement policies. A "Green Score" was developed to quantify the implementation of eco-friendly initiatives. Additionally, a patient survey was conducted to evaluate perceptions of dialysis-related environmental impact and willingness to act. Results: A total of 34 nephrology centers (43% response rate) participated. The mean Green Score indicated that only 39.4% of achievable sustainability measures were in place. Despite widespread awareness, only 26.5% of centers had formal sustainability strategies, 17.6% had dedicated "Green Teams," and just 12.1% utilized measurable indicators to track interventions. Water reuse systems were absent. Plastic recycling programs were present in 79.4% of centers, yet waste-saving initiatives were rare. Notably, the presence of a Green Team was significantly associated with higher Green Scores ( Conclusions: This study highlights critical gaps in sustainable dialysis practices across European nephrology centers. Despite interest, implementation remains limited. The strong association between Green Teams and sustainability scores highlights the need for formalized institutional efforts. Given the significant ecological footprint of dialysis, urgent action is required to integrate sustainable strategies into routine nephrology care.

Indexed as

chronic hemodialysisdialysisgreen nephrologyperitoneal dialysissustainable health

Identifiers

PMID41133183
PMCPMC12541384

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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.