Evidence map›Paper›PMID 41315123›Full record

ArticleInternational urology and nephrology2026

Advancing green nephrology: a scoping review of sustainability interventions in kidney care.

Aycan Yasar, James Larkin, Ingeborg Steinbach, Brett Duane, Harriet Attwell-Rogers, Frances Mortimer, Marta Arias-Guillen

Abstract readScoping Review
In one paragraph

Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Aycan YasarCentre for Sustainable Healthcare, Oxford, UK.ORCID http://orcid.org/0009-0002-0265-1838
James LarkinSchool of Dentistry, Child and Public Health, Trinity College Dublin, Dublin, Ireland.ORCID http://orcid.org/0009-0007-5152-2414
Ingeborg SteinbachCentre for Sustainable Healthcare, Oxford, UK.ORCID http://orcid.org/0000-0002-6326-9651
Brett DuaneSchool of Dentistry, Child and Public Health, Trinity College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0001-9670-0594
Harriet Attwell-RogersCentre for Sustainable Healthcare, Oxford, UK.ORCID http://orcid.org/0009-0006-4158-5465
Frances MortimerCentre for Sustainable Healthcare, Oxford, UK.ORCID http://orcid.org/0009-0008-1692-0158
Marta Arias-GuillenNephrology and Renal Transplant Unit, Hospital Clinic, Barcelona, Spain. marias@clinic.cat.ORCID http://orcid.org/0000-0001-8023-2589

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo map and synthesise existing interventions aimed at improving environmental sustainability in kidney care and to identify challenges and opportunities for implementation across treatment modalities.

designScoping review following PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) methodology. The study merged two existing frameworks to form appropriate review questions. DATA SOURCES: Embase, MEDLINE, Scopus, and CINAHL alongside relevant grey literature, searched in September 2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: The review included studies from 1 January 2005 to 30 September 2024 that reported on environmental sustainability interventions in kidney care, including chronic kidney disease, haemodialysis, peritoneal dialysis, kidney transplantation, and conservative management and that provided measurable or descriptive information about the intervention. Conference abstracts and opinion pieces without intervention data were excluded.

resultsOut of 2,512 records screened, 95 studies were included. Environmental interventions were most commonly implemented in haemodialysis (n = 58), followed by chronic kidney disease (n = 19), transplantation (n = 6), peritoneal dialysis (n = 5), and conservative management (n = 1). Some studies addressed multiple modalities; therefore, categories are not mutually exclusive. The most frequent sustainability categories were water use, waste management, procurement optimisation, energy efficiency, and travel reduction. Interventions ranged from dialysate flow reduction and RO water reuse to telemedicine and supply chain redesign. While many demonstrated environmental and economic benefits, reporting was heterogeneous, and studies were concentrated in high-resource settings.

conclusionsThere is growing interest in sustainability within kidney care, particularly in haemodialysis. However, adoption across other modalities remains limited. Future work should prioritise underrepresented areas, standardise metrics, and ensure inclusion of low-resource contexts. Co-design of interventions with patients and staff, combined with consistent reporting using frameworks such as SQUIRE 2.0, is essential. Integration of sustainability into clinical practice and policy is urgently needed to align kidney care with global climate and health goals.

Indexed as

Conservation of Natural ResourcesNephrologyHumansAdvancing green nephrologyChronic kidney diseaseConservative managementEnd-stage kidney diseaseEnvironmental sustainabilityHaemodialysisKidney careKidney transplantationPeritoneal dialysisSustainability interventions

Identifiers

PMID41315123
PMCPMC13194319

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.