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Cited by 133Healthcare and Environmental Waste ManagementDialysis and Renal Disease ManagementHealthcare Facilities Design and Sustainability

The DOI matches its Crossref record; 161 of the 162 references it cites were found in a registry or an index.

Green nephrology and eco-dialysis: a position statement by the Italian Society of Nephrology

Open access
On the Behalf of Conservative treatment, Physical activity and Peritoneal dialysis project groups of the Italian Society of Nephrology, Piccoli, Giorgina Barbara, Cupisti, Adamasco, Aucella, Filippo, Regolisti, Giuseppe, Lomonte, Carlo, Ferraresi, Martina, Claudia, D’Alessandro, Ferraresi, Carlo, Russo, Roberto, La Milia, Vincenzo, Covella, Bianca, Rossi, Luigi, Chatrenet, Antoine, Cabiddu, Gianfranca, Brunori, Giuliano·2020·Journal of Nephrology
DOI 10.1007/s40620-020-00734-zPMC PMC7381479
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Abstract

High-technology medicine saves lives and produces waste; this is the case of dialysis. The increasing amounts of waste products can be biologically dangerous in different ways: some represent a direct infectious or toxic danger for other living creatures (potentially contaminated or hazardous waste), while others are harmful for the planet (plastic and non-recycled waste). With the aim of increasing awareness, proposing joint actions and coordinating industrial and social interactions, the Italian Society of Nephrology is presenting this position statement on ways in which the environmental impact of caring for patients with kidney diseases can be reduced. Due to the particular relevance in waste management of dialysis, which produces up to 2 kg of potentially contaminated waste per session and about the same weight of potentially recyclable materials, together with technological waste (dialysis machines), and involves high water and electricity consumption, the position statement mainly focuses on dialysis management, identifying ten first affordable actions: (1) reducing the burden of dialysis (whenever possible adopting an intent to delay strategy, with wide use of incremental schedules); (2) limiting drugs and favouring "natural" medicine focussing on lifestyle and diet; (3) encouraging the reuse of "household" hospital material; (4) recycling paper and glass; (5) recycling non-contaminated plastic; (6) reducing water consumption; (7) reducing energy consumption; (8) introducing environmental-impact criteria in checklists for evaluating dialysis machines and supplies; (9) encouraging well-planned triage of contaminated and non-contaminated materials; (10) demanding planet-friendly approaches in the building of new facilities.

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Figures

Fig. 1 The “R” cycle, and its potential application to dialysis treatment
Fig. 1 The “R” cycle, and its potential application to dialysis treatmentCC BY · PubMed Central
Fig. 2 The circular “cradle to cradle” model: technical waste should nourish the technical cycle, similar to organic waste, nourishing plants and being continously recycled in the biosphere
Fig. 2 The circular “cradle to cradle” model: technical waste should nourish the technical cycle, similar to organic waste, nourishing plants and being continously recycled in the biosphereCC BY · PubMed Central
Fig. 3 The issues regarding ecology and nephrology are like Russian dolls: the smaller ones, regarding eco-dialysis and waste management, lead to reconsider dialysis prescriptions, predialysis care, and eventually education and prevention of kidney diseases
Fig. 3 The issues regarding ecology and nephrology are like Russian dolls: the smaller ones, regarding eco-dialysis and waste management, lead to reconsider dialysis prescriptions, predialysis care, and eventually education and prevention of kidney diseasesCC BY · PubMed Central

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  1. https://www.interfaithsustain.com/faith-ecology-conference-in-jerusalem/#sthash.gizKNNeT.dpuf. Accessed 22nd Nov 2019

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Metadata

Authors
On the Behalf of Conservative treatment, P. A. A. P. D. P. G. O. T. I. S. O. N., Piccoli, G. B., Cupisti, A., Aucella, F., Regolisti, G., Lomonte, C., Ferraresi, M., Claudia, D., Ferraresi, C., Russo, R., La Milia, V., Covella, B., Rossi, L., Chatrenet, A., Cabiddu, G., & Brunori, G.
Affiliations
  • Centre Hospitalier du Mans (FR)
  • University of Pisa (IT)
  • University of Parma (IT)
  • Ospedale Generale Regionale Francesco Miulli (IT)
  • Politecnico di Torino (IT)
  • Azienda Universitaria Ospedaliera Consorziale - Policlinico Bari (IT)
  • Azienda Ospedaliera G. Brotzu (IT)
Corresponding author
Piccoli, Giorgina Barbara
ORCID
Venue
Journal of Nephrology
Publisher
Oxford University Press (OUP)
Published
2020-04-15
Volume
33
Issue
4
Pages
681-698
ISSN
  • 1121-8428 (ISSN-L)
  • 1724-6059
DOI
10.1007/s40620-020-00734-z
PMC
PMC7381479
OpenAlex
W3017075798
Cited by
133
References
162
Citations by year
2026: 21 · 2025: 30 · 2024: 25 · 2023: 22 · 2022: 14 · 2021: 16 · 2020: 5
FWCI
10.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Nephrology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Institutional Research Information System (Università degli Studi di Trento) (submittedVersion, cc-by)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, cc-by)
  • CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion, cc-by)
  • UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare and Environmental Waste Management
  • Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
  • Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
Keywords
environmental impact of dialysis, kidney disease, medication reduction, recycling, water and energy consumption, dialysis machines, sustainable healthcare facilities
MeSH terms
Aged, Renal Dialysis, Humans, Italy, Medical Waste, Nephrology

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