Evidence map›Paper›PMID 42531489›Full record

GuidelineJornal brasileiro de nefrologia

Recommendations of the Brazilian Society of Nephrology for sustainable nephrology in Brazil.

Ana Flavia Moura, Cinthia Kruger Sobral Vieira, André Luiz Pimentel, Luis Claudio Santos Pinto, Fabiana Baggio Nerbass, Fátima Regina Veiga Tostes, Nandressa Dayana Mendes Riso, Rafael Barboza Trancoso, Talita Gavioli Salani, Ciro Bruno Silveira Costa and 2 more

Abstract readPractice Guideline
In one paragraph

Guideline in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Ana Flavia MouraSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-7368-4704
Cinthia Kruger Sobral VieiraSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-4714-2236
André Luiz PimentelSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0001-8459-2386
Luis Claudio Santos PintoSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8039-4075
Fabiana Baggio NerbassSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9936-0185
Fátima Regina Veiga TostesSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0008-7801-6965
Nandressa Dayana Mendes RisoSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0000-0615-0286
Rafael Barboza TrancosoSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0000-0025-2927
Talita Gavioli SalaniSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0008-9525-7496
Ciro Bruno Silveira CostaSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3287-7435
Patrícia Ferreira AbreuSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0007-9860-4812
José A Moura-NetoSociedade Brasileira de Nefrologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-1339-3731

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change has increased the vulnerability of patients with non-dialysis chronic kidney disease (CKD) and those receiving kidney replacement therapy (KRT), who depend on healthcare systems that are highly sensitive to disruptions in electricity, potable water supply, and logistics. At the same time, KRT services are among those with the greatest environmental impact within the healthcare sector, characterized by high water and energy consumption and substantial generation of solid waste. In this context, the incorporation of sustainable practices has become an ethical, clinical, and strategic imperative. In 2023, the Brazilian Society of Nephrology (SBN) established the Committee on Sustainable Nephrology with the objective of developing national guidelines to reduce the environmental impact of kidney care services. After two years of work, the Committee developed ten recommendations structured across key domains, including education, environ-mental indicator monitoring, waste management, efficient use of resources, climate contingency planning, promotion of prevention and kidney transplantation, technological innovation, and sustainability certifications. These recommendations were discussed and approved at the 2nd Convention of the SBN Board of Directors and its Regional Chapters, achieving a 98.5% level of agreement. This document presents the consolidated recommendations, with the aim of supporting the implemen-tation of sustainable practices in kidney care services across the country and pro-moting an environmentally responsible, efficient nephrology practice aligned with the emerging challenges posed by climate change.

Indexed as

Conservation of Natural ResourcesNephrologyBrazilClimate ChangeHumansSocieties, Medical

Identifiers

PMID42531489
PMCPMC13427308

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.