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Environmental footprint of peritoneal dialysis in Europe: a comparative life cycle assessment across four European centres

A comparative life cycle assessment of peritoneal dialysis across four European centres (Madrid, Warsaw, Utrecht and Modena), comparing continuous ambulatory, automated and incremental PD to identify regional sustainability differences.

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Scientific papers

Healthcare waste: from incineration to pyrolysis: a comparative life cycle assessment of two different healthcare plastic waste management processes

A comparative life cycle assessment of incineration versus pyrolysis for treating peritoneal dialysis plastic waste, estimating the greenhouse gas savings from switching to pyrolysis.

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Scientific papers

Desafíos ambientales en hemodiálisis: explorando la ruta hacia la sostenibilidad

Spanish-language review analysing the environmental footprint of haemodialysis and setting out indicators and management strategies that any dialysis unit can use to reduce its impact.

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Scientific papers

Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach

An overview of the KitNewCare approach to improving the sustainability and quality of kidney healthcare through life cycle assessments, quality improvement, education and technical innovation.

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Scientific papers

The role of centre characteristics and type of water treatment plant in the environmental impact of hemodialysis

A multicentre study of 20 Spanish haemodialysis centres examining how centre size, operating schedule and water treatment plant type influence water and energy consumption per session.

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Scientific papers

Greener dialysis in practice: life cycle assessment of sustainable practice changes in haemodialysis care

A life cycle assessment at University Medical Centre Utrecht showing how two low-cost practice changes — non-sterile vascular access materials and automated bloodline drainage — substantially reduce the environmental impact of haemodialysis.

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Scientific papers

Impact of the type of Dialysate Acid Concentrate container on the Environmental Footprint of Haemodialysis Centers

A life cycle assessment across 15 Spanish haemodialysis centres comparing the containers used to hold acid concentrate, showing how container choice affects the environmental footprint of dialysis.

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Scientific papers

A life cycle assessment of peritoneal dialysis procurement in Italy: environmental burden and opportunities for improvement

Life cycle assessment of consumable procurement (bags, tubing, machines) for peritoneal dialysis at an Italian nephrology unit, quantifying its environmental burden and identifying opportunities to reduce it.

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Scientific papers

Sustainable Kidney Care: A Life Cycle Assessment of the Peritoneal Dialysis Pathways

Evaluates peritoneal dialysis through a sustainability lens — environmental, social, health and economic — assessing its footprint relative to haemodialysis.

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Scientific papers

Theoretically redesigning peritoneal dialysis products for sustainability: A life cycle inventory approach

Applies life cycle thinking to redesign ten high-use peritoneal dialysis products, using low-carbon transport, renewable energy and improved waste treatment to cut their carbon footprint.

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Scientific papers

Comparing environmental footprints of haemodialysis and online haemodiafiltration in Italy

A process-based life cycle assessment comparing the environmental burden of haemodialysis and online haemodiafiltration, to support evidence-based, sustainable treatment decisions.

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Scientific papers

Green Haemodialysis: Comparison of Dialysis Bags Versus Fresenius Granumix at the AOU Policlinico di Modena, Italy

Compares single-use acid-concentrate bags with an on-site dry-powder (Granumix) delivery system at a Modena hospital, focusing on waste, single-use plastic and transport emissions.

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