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Green nephrology: Assessment, prospects and practical applications
Maryvonne Hourmant1, Hafsah Hachad2
1CHU de Nantes, service de néphrologie et immunologie clinique, Nantes, France
Nephrologie & Therapeutique
|October 2, 2025
Summary
Implementing an ecological approach in nephrology is essential due to climate change. This includes assessing the carbon footprint of hemodialysis and promoting eco-friendly practices, with patient involvement crucial for success.
Area of Science:
- Environmental Science
- Nephrology
- Public Health
Background:
- Growing climate concerns necessitate ecological strategies in healthcare.
- Nephrology departments and dialysis centers have a significant environmental impact.
- The Green Nephrology Group of the Francophone Society for Nephrology, Dialysis, and Transplantation (SFNDT) has initiated efforts.
Purpose of the Study:
- To highlight the urgency of ecological approaches in nephrology.
- To present the initial assessment of hemodialysis's carbon footprint.
- To advocate for broader environmental considerations in kidney care.
Main Methods:
- Carbon footprint assessment of hemodialysis.
- Development of best practice recommendations.
- Identification of future research and implementation areas.
Main Results:
- Hemodialysis identified as a key area for environmental impact reduction.
- Best practice recommendations for "Green Nephrology" have been issued.
- Eco-prescription, considering medication carbon footprints, is a future avenue.
Conclusions:
- An ecological approach is vital for nephrology and dialysis centers.
- Expanding environmental assessments to transplantation and prevention is needed.
- Patient engagement is critical for successful implementation of sustainable practices.
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