Brett Duane, James Larkin, Marialuisa Caiazzo, Marta Arenas, Anita Griffin, Juilia Audije-Gil, Frances Mortimer, Harriet Attwell, Aycan Yasar, Rodrigo Martínez-Cadenas, Marta Arias-Guillén, Miguel Gomez, Abass Fehintola, Ingeborg Steinbach, Alberto Ortiz
{"title":"但它到底有多环保呢?计算血液透析中肾脏护理环境优化的环境足迹。","authors":"Brett Duane, James Larkin, Marialuisa Caiazzo, Marta Arenas, Anita Griffin, Juilia Audije-Gil, Frances Mortimer, Harriet Attwell, Aycan Yasar, Rodrigo Martínez-Cadenas, Marta Arias-Guillén, Miguel Gomez, Abass Fehintola, Ingeborg Steinbach, Alberto Ortiz","doi":"10.1093/ckj/sfaf220","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Environmental optimizations in kidney care have been analysed as part of the European Union co-funded KitNewCare project.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>LCA quantified these interventions, revealing significant environmental particularly in reducing travel and resource use. Travel optimizations yielded the most significant CO<sub>2</sub> equivalent savings, while incremental dialysis also conserved water and reduced greenhouse gas emissions.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":10435,"journal":{"name":"Clinical Kidney Journal","volume":"18 9","pages":"sfaf220"},"PeriodicalIF":4.6000,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477476/pdf/","citationCount":"0","resultStr":"{\"title\":\"But how green is it actually? Calculating the environmental footprint of kidney care environmental optimizations within haemodialysis.\",\"authors\":\"Brett Duane, James Larkin, Marialuisa Caiazzo, Marta Arenas, Anita Griffin, Juilia Audije-Gil, Frances Mortimer, Harriet Attwell, Aycan Yasar, Rodrigo Martínez-Cadenas, Marta Arias-Guillén, Miguel Gomez, Abass Fehintola, Ingeborg Steinbach, Alberto Ortiz\",\"doi\":\"10.1093/ckj/sfaf220\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Environmental optimizations in kidney care have been analysed as part of the European Union co-funded KitNewCare project.</p><p><strong>Methods: </strong>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). 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But how green is it actually? Calculating the environmental footprint of kidney care environmental optimizations within haemodialysis.
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 CO2 equivalent savings, while incremental dialysis also conserved water and reduced greenhouse gas emissions.
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.
期刊介绍:
About the Journal
Clinical Kidney Journal: Clinical and Translational Nephrology (ckj), an official journal of the ERA-EDTA (European Renal Association-European Dialysis and Transplant Association), is a fully open access, online only journal publishing bimonthly. The journal is an essential educational and training resource integrating clinical, translational and educational research into clinical practice. ckj aims to contribute to a translational research culture among nephrologists and kidney pathologists that helps close the gap between basic researchers and practicing clinicians and promote sorely needed innovation in the Nephrology field. All research articles in this journal have undergone peer review.