Greener Nephrology: A Strategic Imperative for Sustainable Kidney Care

Dialysis and environmental burdenIn-center hemodialysis (HD) is associated with high water consumption-up to 500 L per session-and annual carbon emissions reaching 10 tons of CO per patient.The cumulative environmental cost of dialysis is equivalent to thousands of vehicle miles driven annually.Home HD systems that use low-flow technology reduce water and energy consumption by up to 75%.Facilities can also invest in reverse osmosis water reuse systems, dialysate flow optimization, and energy-efficient equipment to mitigate the environmental burden while maintaining quality care.