Sustainable kidney care delivery and climate change – a call to action

Yeo, See Cheng; Ooi, Xi Yan; Tan, Tracy Suet Mun

doi:10.1186/s12992-022-00867-9

Cited by 13 publications

(15 citation statements)

References 21 publications

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“…It meets WHO criteria to be potable water but as it is not yet considered legal for use as such and is thus often drained as wastewater. Methods have now been developed to reduce, reuse, and recycle RW [18,22]. Dialysate effluent, the other by-product of the HD treatment, refers to water that has passed through the dialyser and is thus generated from the clearance of solutes and toxins from the patient's blood.…”

Section: Watermentioning

confidence: 99%

The climate impact of dialysis

Phua,

Shen

2023

Current Opinion in Nephrology &Amp; Hypertension

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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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Section: Watermentioning

confidence: 99%

The climate impact of dialysis

Phua,

Shen

2023

Current Opinion in Nephrology &Amp; Hypertension

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“…A common factor among these populations have been exposure to heat during work, rigorous physical activity, heavy metal exposure, and inadequate water intake. Increased ambient temperature also increases the prevalence of mosquito-borne diseases, increasing the risk for acute kidney injury [6]. Furthermore, extreme weather disasters can lead to disruption of dialysis services, especially with flooding, forest fires, and hurricanes creating supply-chain disruptions [6].…”

Section: Climate Change and Nephrologymentioning

confidence: 99%

“…Increased ambient temperature also increases the prevalence of mosquito-borne diseases, increasing the risk for acute kidney injury [6]. Furthermore, extreme weather disasters can lead to disruption of dialysis services, especially with flooding, forest fires, and hurricanes creating supply-chain disruptions [6].…”

Section: Climate Change and Nephrologymentioning

confidence: 99%

“…For instance, instead of discarding the reverse osmosis reject water, it can be reused for toilets, irrigation, or laundry [10,11 ▪ ]. Moreover, establishing a centralized or embedded system for delivering electrolyte baths in hemodialysis machine can help reduce plastic usage [6]. Innovative ideas like artificial kidneys or stem cell renal cell regeneration could potential contribute to addressing the ecological challenges by reducing resource consumption [10].…”

Section: Climate Change and Nephrologymentioning

confidence: 99%

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Climate crisis and nephrology: a review of climate change's impact on nephrology and how to combat it

Dupuis,

Varshney,

Patel

et al. 2023

Current Opinion in Nephrology &Amp; Hypertension

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Climate change is worsening with tangible effects on our healthcare system. This review aims to examine the repercussions of the climate change on nephrology and explore potential strategies to mitigate its impact. This review examines dialysis's environmental impact, resource recycling methods, and plant-based diets for kidney health. Recent research highlights the advantages of plant-based diets in managing and preventing chronic kidney disease (CKD) and its complications. Integrating these practices can significantly lessen the environmental impact of nephrology. Purpose of review The aim of this study is to discuss the bidirectional relationship of climate change and kidney disease and the impact of nephrology on climate change and to discuss potential solutions. Recent findings Each dialysis session consumes significant amounts of resource; reusing them will aid the environment. Plant-based diets slow renal disease and have a lower carbon footprint, making them ecologically friendly. Summary Climate change is a growing threat to population health and healthcare. Rising temperatures raise the risk of kidney problems. Dialysis treatments also impact the environment through its high resource requirements while generating high volumes of waste and greenhouse gases. Opportunities exist to reduce the environmental impact of dialysis treatments. Plant-based diets serve to benefit both kidney disease and the environment.

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“…2,[5][6][7][8] Overuse of lab testing and other health care services also contributes to global pollution, avoidable greenhouse gas emissions, and climate change. [9][10][11][12][13] Choosing Wisely Canada (CWC) is a national campaign that encourages clinicians and patients to engage in conversations about unnecessary tests, treatments, and procedures and to make sensible and effective care choices. 14 The campaign raises awareness of overused and unnecessary tests, treatments, and procedures by publishing recommendations and other resources produced by national clinician societies that identify specific medical interventions that are not supported by scientific evidence and may unnecessarily expose patients to harm.…”

Section: Introductionmentioning

confidence: 99%

Identifying Overused Lab Tests in Hospital Settings: A Delphi Study

CADTH¹

2023

cjht

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Unnecessary lab testing may lead to inaccurate diagnoses, inappropriate treatment or further testing, and increased strain on our health care system, and can expose patients to potential harm. To identify lab tests that could be considered by Choosing Wisely Canada’s Using Labs Wisely program, we convened a panel of experts that included physicians, medical laboratory professionals, patients, and decision-makers from across Canada. Our objective was to prioritize a list of high-volume laboratory tests that are often ordered unnecessarily in hospital settings. Through a consensus-generating process, the expert panel prioritized 7 lab tests as candidates for reduction or elimination in hospital settings. These were 25-hydroxy vitamin D testing, vitamin B12 testing, thyroid stimulating hormone (TSH) testing, free triiodothyronine (FT3) and free thyroxine (FT4) testing, international normalized ratio (INR) testing, and amylase testing.

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Sustainable kidney care delivery and climate change – a call to action

Cited by 13 publications

References 21 publications

The climate impact of dialysis

The climate impact of dialysis

Climate crisis and nephrology: a review of climate change's impact on nephrology and how to combat it

Identifying Overused Lab Tests in Hospital Settings: A Delphi Study

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