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 accessAbstract
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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“Haemodialysis is another major resource-hungry procedure generating considerable quantities of waste (1.5–8 kg per dialysis)”
From Waste Management and the Perspective of a Green Hospital—A Systematic Narrative Review (2022) · cites this paper as [22]
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The European Green Deal and nephrology: a call for action by the European Kidney Health Alliance
Vanholder, R. C., Agar, J. W. M., Braks, M., Gallego, D., Gerritsen, K. G. F., Harber, M. A., Noruišienė, E., Pancířová, J., Piccoli, G. B., Stamatialis, D. F., et al. (2022) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfac160 · Cited by 117
Self-citationWaste Management and the Perspective of a Green Hospital—A Systematic Narrative Review
Lattanzio, S., Stefanizzi, P., D’ambrosio, M., Cuscianna, E., Riformato, G., Migliore, G., Tafuri, S., & Bianchi, F. P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315812 · Cited by 118
“In fact, in 2020 the Italian Society of Nephrology presented a position statement on how the environmental impact of caring for patients with kidney diseases could be decreased, suggesting, among others, reducing the burden of dialysis, encouraging the re-use of hospital devices, recycling paper, glass and non-contami…”
BackgroundHmida, M. B., Mechichi, T., Piccoli, G. B., & Ksibi, M. (2023) · Kidney International · doi:10.1016/j.kint.2023.04.008 · Cited by 71
Self-citationMauri, A. D., Carrera, D., Bagnati, M., Rolla, R., Vidali, M., Chiarinotti, D., Pane, M., Amoruso, A., & Piano, M. D. (2022) · Nutrients · doi:10.3390/nu14081637 · Cited by 63
Incremental Versus Standard (Full-Dose) Peritoneal Dialysis
Cheetham, M. S., Cho, Y., Krishnasamy, R., Jain, A. K., Boudville, N. C., Johnson, D. W., & Huang, L. (2021) · Kidney International Reports · doi:10.1016/j.ekir.2021.11.019 · Cited by 46
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
- 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
- hybrid
- doi.org
- 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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