Current opinion in nephrology and hypertension · 2025
A guide for program development of environmentally sustainable kidney care.
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Fung Winston Wing-Shing, Stigant Caroline E
Аннотация
PURPOSE OF REVIEW: As the health impacts of climate change intensify, health systems globally are transitioning to net zero greenhouse gas emissions and climate resiliency. Kidney care has high environmental impact, and both a coordinated sectoral approach as well as provider-level quality care improvements are needed. Updated, evidence-based strategies for operationalizing environmentally sustainable kidney care are provided.
RECENT FINDINGS: As Earth warms, rising temperatures are adversely impacting kidney health, and both the prevalence and severity of kidney diseases are projected to worsen. Kidney care providers seek ways to implement planetary healthcare, and a framework of improved education, ongoing research activities, enhanced sustainability performance metrics reporting and accountability is described. Optimized disease prevention through nonpharmacologic as well as pharmacologic strategies, ensuring appropriateness of care [some examples include stewardship of laboratory testing and dialysis prescriptions, increased transplantation (preferably live donor) for those living with kidney failure], and lower impact care through technological improvements and better waste management are described.
SUMMARY: Environmentally sustainable kidney care is high-quality care that is implementation-ready in diverse settings.
RECENT FINDINGS: As Earth warms, rising temperatures are adversely impacting kidney health, and both the prevalence and severity of kidney diseases are projected to worsen. Kidney care providers seek ways to implement planetary healthcare, and a framework of improved education, ongoing research activities, enhanced sustainability performance metrics reporting and accountability is described. Optimized disease prevention through nonpharmacologic as well as pharmacologic strategies, ensuring appropriateness of care [some examples include stewardship of laboratory testing and dialysis prescriptions, increased transplantation (preferably live donor) for those living with kidney failure], and lower impact care through technological improvements and better waste management are described.
SUMMARY: Environmentally sustainable kidney care is high-quality care that is implementation-ready in diverse settings.