The climate impact of dialysis.

IF 2.2 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Current Opinion in Nephrology and Hypertension Pub Date : 2024-01-01 Epub Date: 2023-10-27 DOI:10.1097/MNH.0000000000000940

Elaine Phua, Yvonne Shen

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引用次数: 0

Abstract

Purpose of review: A reciprocal relationship currently exists between climate change and healthcare, mutually influencing each other. There have been significant planetary shifts in recent decades, marked by escalating temperatures, frequent natural calamities, a disturbing surge in climate-linked fatalities, and a heightened incidence of kidney disease diagnoses.

Recent findings: Dialysis, a life-preserving treatment for kidney failure, extends to 2-3 million patients globally, mainly through in-centre haemodialysis. This treatment exerts an environmental toll, contributing to the healthcare sector's carbon footprint through water usage, energy consumption, waste generation, and current procurement practices. Diligent scrutiny and data collection of these facets have spurred sustainability initiatives, beginning at the local level with water, energy, and waste management. Still, this represents just the tip of the iceberg, with a pressing need for more comprehensive and habitual sustainable dialysis practices.

Summary: This review examines the carbon footprint from dialysis, probes its ecological ramifications, and underscores potential solutions to lessen its climate impact.

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透析对气候的影响。

审查目的：气候变化和医疗保健之间目前存在相互影响的互惠关系。近几十年来，全球发生了重大变化，其特点是气温上升、自然灾害频繁、与气候相关的死亡人数激增，以及肾脏疾病诊断率上升。最近的发现：透析是一种挽救肾衰竭生命的治疗方法，主要通过中心血液透析，在全球范围内已扩展到200-300万患者。这种处理会对环境造成损害，通过用水、能源消耗、废物产生和当前的采购做法，导致医疗保健部门的碳足迹。对这些方面的认真审查和数据收集促进了可持续发展举措，从地方一级开始，包括水、能源和废物管理。尽管如此，这只是冰山一角，迫切需要更全面、更习惯的可持续透析实践。综述：这篇综述考察了透析的碳足迹，探讨了其生态影响，并强调了减轻其气候影响的潜在解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Nephrology and Hypertension 医学-泌尿学与肾脏学

CiteScore

5.70

自引率

6.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： A reader-friendly resource, Current Opinion in Nephrology and Hypertension provides an up-to-date account of the most important advances in the field of nephrology and hypertension. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including pathophysiology of hypertension, circulation and hemodynamics, and clinical nephrology. Current Opinion in Nephrology and Hypertension is an indispensable journal for the busy clinician, researcher or student.