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Innovative “green dialysis” initiatives have been implemented successfully in the United Kingdom, European Union, Australia, and elsewhere. The main challenge now lies in achieving rapid and widespread adoption of these practices across diverse regions. Additionally, there is an urgent need for new technologies and models of care. In hemodialysis, key areas for innovation include the development of more efficient water purification systems and energy-saving equipment. For peritoneal dialysis, point-of-care dialysate generation could significantly reduce carbon emissions associated with transport. Across both modalities, the introduction of novel bioplastics or other strategies to reduce harmful disposable materials could greatly mitigate environmental impact.

 

Previously, KDIGO has addressed contemporary dialysis topics such as optimal dialysis prescription, blood pressure and volume management, and approaches for assessing and ameliorating symptom burden. This KDIGO Controversies Conference on Green Dialysis: Environmentally Sustainable Care, Growth, and Innovation intended to be forward-looking, appraising novel promising green dialysis technologies both in the present and beyond. Dr. Katherine Barraclough (Royal Melbourne Hospital, Australia) and Dr. Jennifer Flythe (University of North Carolina, USA) co-chaired this conference.

 

KDIGO is committed to fully offsetting all CO₂ emissions generated by this conference as part of our responsibility towards climate protection. To achieve this, KDIGO supports PROJECT TOGO in West Africa, an innovative initiative that not only restores natural forests but also promotes sustainable agriculture, builds efficient cooking stoves, ensures access to clean drinking water, fosters women-led cooperatives, and establishes educational programs. PROJECT TOGO empowers communities by sharing knowledge, creating long-term self-reliance, and actively contributing to achieving 12 of the 17 UN Global Goals.

 

Related Resources

 

Kidney Care Sustainability Network – be part of forum discussions, find/share case studies and publications, drop into monthly network calls – https://networks.sustainablehealthcare.org.uk/kidney-care

Online short course “Introduction to Sustainable Kidney Care” – free to access (thanks to KitNewCare), available in English, Polish, Spanish, Italian & Dutch – https://networks.sustainablehealthcare.org.uk/resources/free-access-kitnewcare-sustainable-kidney-care-online-course

SusQI Resources for embedding sustainability into quality improvement – https://www.susqi.org

Offer of collaboration on integrating sustainability into curricula for kidney care staff – working through KitNewCare and would love to share approaches / support – please email Frances Mortimer at [email protected]

KitNewCare – a pioneering EU co-funded project to make kidney healthcare more environmentally sustainable, with several clinics actively participating. https://kitnewcare.eu

 

PLENARY PRESENTATION AND PANEL DISCUSSION RECORDINGS

Environmental Impact of Care for Patients with Dialysis-Dependent Kidney Failure Plenary Presentation

Personal & Societal Impact of Non-Eco-Friendly Dialysis Panel Discussion

Moving Toward Sustainable and Greener Dialysis Delivery: Examples from Real World Experience Plenary Presentation

Challenges to Implementing Environmentally Sustainable Dialysis Panel Discussion





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