Green Nephrology - Italian Society of Nephrology

🌱 Key takeaway: Transplantation can be both life-saving and climate-conscious But only if sustainability is embedded across the whole pathway #GreenNephrology #SustainableHealthcare

💡 Solutions exist—using the 5Rs: Reduce, Refuse, Reuse, Rethink, Recycle ✔ Telemedicine ✔ Low-impact anesthesia ✔ Reusable materials ✔ Smarter transport & logistics

🌍 Transplantation saves lives—but what’s its environmental cost? A new review in the World Journal of Transplantation explores sustainability across the entire transplant pathway. 🔗 wjgnet.com/2220-3230/full…

How does sustainable nutrition look like in the context of CKD? Over time, there have been numerous recommendations regarding nutrition in CKD: but how is it sustainable? Check it out in one of the latest ERA e-seminars: Speaker: Susi Knöller Moderator: Wesley Visser Panelist @G_ErtanDemirtas Panelist: @maxtorreggiani

1.5°C isn’t lost 🌍 We may overshoot the climate target—but science shows we can still return below it with rapid cuts + net-negative emissions. Every 0.1°C matters. The real risk? Giving up too soon. scientificamerican.com/article/why-th…

🌆 Beyond chemicals • Higher building density → ↑ BP (age 4–5) • Urbanization → ↓ kidney function (esp. LMICs) 👉 The environment shapes early kidney risk 🔗 link.springer.com/article/10.100… #GreenNephrology #PediatricNephrology #EnvironmentalHealth #KidneyHealth

🧪 What are the risks? Exposure to: • Heavy metals (arsenic, cadmium, lead, mercury, uranium) • Plastic-related chemicals (e.g., DEHP) 📈 In 667 children (6–19 yrs): → ↑ DEHP metabolites → +0.55 mg/g ACR → ↑ systolic BP

🌍 Environment & kidney health: a pediatric perspective A recent paper in Pediatric Nephrology highlights environmental exposures as emerging determinants of kidney health in children. Not background noise—real risk factors. 🧵

Takeaway: Rethinking routine practices = real impact Less testing can be: ✔ Safe ✔ Cost-saving ✔ Lower carbon A simple step toward #GreenNephrology 🌍

Safety? ➡ No ↑ hospitalisations ➡ No ↑ hyperkalaemia ➡ Similar potassium control 📉 Slight drop in Hb in target range—worth monitoring

Do haemodialysis patients really need monthly blood tests? A new study explores switching to 6-weekly testing in stable patients 👇 onlinelibrary.wiley.com/doi/10.1111/ne…

Sustainability isn’t an “extra”—it’s part of high-quality care. Greener dialysis can reduce costs, improve efficiency, and protect future health. Time to rethink kidney care. #GreenNephrology #ClimateAndHealth

For #WorldKidneyDay 2026, IPNA promotes “Green Nephrology” 🌍 ✔️ Assess practices ✔️ Reduce water/energy/waste ✔️ Develop practical toolkits ✔️ Engage families ✔️ Scale solutions globally

Kidney care saves lives—but at what environmental cost? Dialysis is resource-intensive (water, energy, plastic), and its footprint is growing with CKD prevalence. A new IPNA editorial calls for action👇 link.springer.com/article/10.100…

Protecting kidney health also means addressing climate change, pollution and environmental risks that contribute to kidney disease. Kidney care must become patient-centered, equitable and environmentally sustainable.

Key strategies include: • stronger CKD screening • patient-centered care • wider access to transplantation • more home dialysis • greener dialysis technologies All essential to reduce both disease burden and environmental footprint.

Kidney health and planetary health are interconnected. A new Kidney International editorial supporting World Kidney Day 2026 calls for transforming kidney care to improve outcomes while reducing environmental impact. sciencedirect.com/science/articl…