Evidence map›Paper›PMID 41982246›Full record

ReviewClinical kidney journal2026

No more waiting: 10 tips to turn kidney transplantation green.

Matthew Welberry Smith, Anthony Wrigley, Alexander Kojro, Angeliki Emmanouilidou, John O'Callaghan, Alexander Woywodt

Abstract readReview
In one paragraph

Review in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Matthew Welberry SmithDepartment of Renal Medicine and Renal Transplantation, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Anthony WrigleySchool of Law, Centre for Professional Ethics, Keele University, Keele, UK.
Alexander KojroDepartment of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Angeliki EmmanouilidouDepartment of Transplantation Surgery, Center for Research and Innovation in Solid Organ Transplantation, Aristotle University School of Medicine, Thessaloniki, Greece.
John O'CallaghanDepartment of Transplant Surgery, University Hospitals of Coventry and Warwickshire NHS Foundation Trust, Coventry, UK.
Alexander WoywodtDepartment of Renal Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.ORCID https://orcid.org/0000-0002-3825-6955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, the environmental impact of kidney transplantation has received much less attention than that of dialysis. Facilitating a pre-emptive transplant is probably one of the most environmentally friendly interventions available in kidney care, as it avoids dialysis, with its requirements for water and energy. However, transplant assessment also requires scrutiny, as it involves a multitude of tests, often with duplication of tests and sometimes with little, if any, evidence (e.g. cardiac testing of asymptomatic patients). Organ retrieval often involves air travel of either the organ or a surgical team, although more innovative approaches, such as drone transport, are being tested. Transplant anaesthesia also has an environmental footprint linked to volatile substances. Surgical tray optimization is well established in other surgical specialties to reduce the effects of repeatedly sterilizing instruments that are only rarely used. Post-transplant patients have a lot of regular blood tests, and it is time we scrutinise those and find a better balance between safe care and environmental footprint. Virtual appointments have become much more common since the COVID-19 pandemic and we should use them where appropriate, for example in long-term care of stable transplant patients. Transplantation is a very research-oriented specialty, and this also has an environmental footprint that is amenable to intervention. In addition, our congresses and conferences have an environmental footprint, and it is for us to promote meetings with just as much learning and interaction but less travel, waste and energy use. The opportunities are there for us to take and our tips provide ideas for clinical teams to turn kidney transplantation into a showcase for excellent, safe and environmentally friendly care in nephrology.

Indexed as

clinical nephrologygreen nephrologyinnovationkidney transplantationsustainability

Identifiers

PMID41982246
PMCPMC13076025

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.