<italic>Non sibi sed omnibus</italic>: Chronic Dialysis Care through a Stakeholder Lens.

Since its inception in the 1960s, chronic dialysis has undergone substantial technical evolution. Today, with over 4 million patients on renal replacement therapy worldwide, dialysis has become both a critical public health concern and a structured sector within healthcare economies. Beyond clinical innovation, a silent revolution has reshaped how dialysis units are - or should be - managed: the transition from a shareholder-centered model to one that should embrace a broader stakeholder perspective. This article explores this paradigm shift, proposes a theoretical framework for stakeholder-based dialysis unit management, and discusses its ethical and operational implications in contemporary healthcare.