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Our shared responsibility
Hemodialysis is a life-sustaining therapy.[1] At the same time,
the environmental impact of dialysis therapy seems to be particularly high.[2] It consumes a significant amount of water and energy and produces a high amount of waste and CO2 emissions.[3]
Approx.
0
million m3 of fresh water annually are consumed by hemodialysis treatments in Europe.[4] To put this into perspective, this is roughly equivalent to 4,958 Olympic pools/year or 13.5 Olympic pools/day.
Approx.
0
MWh per year is the estimated European energy consumption for hemodialysis.[4] This amount of energy could power a city of approximately 74,847 Dutch families (average Dutch family of five people consumes 4,371 kWh/year).
Approx.
0
tons of waste annually is generated by hemodialysis in Europe.[4] This is the weight equivalent of 10,458 elephants (adult male elephant 6,000 kg).
October 11-14 2025 in Porto, Portugal
We are looking forward to welcoming you at the B. Braun booth and to talking with you about Green Dialysis. A key highlight will be the launch of our new bicarbonate cartridge, Sol-Cart B, with a filling volume of 550 grams. The cartridge is designed to help reduce bicarbonate waste in daily clinical practice.
Beyond that, there are many more products and insights at our booth that can help reduce waste in dialysis. Come by and say hello — we are looking forward to seeing you!
Toward more sustainable kidney care
Healthcare services are necessary for sustaining and improving human
well-being.[1] If the global healthcare sector were a country, it would be the fifth-largest greenhouse gas emitter on the planet.[5] Compared to other fields of medicine, the environmental burden of dialysis is disproportionately high. In fact, dialysis is one of the most resource-intensive fields of medicine. Consequently, kidney care can play a crucial role in advancing toward more sustainable healthcare practices.[6] This is the essence of Green Dialysis.
Our understanding of Green Dialysis is to decrease the environmental burden of dialysis therapy, for example by taking measures to reduce the consumption of energy and water, the amount of waste and the emission of CO2 – without compromising the medical quality of the hemodialysis treatment.[9]
Different areas have been identified where actions can be taken to make dialysis more sustainable in daily practice:
In each of these areas, numerous possibilities for improvement exist. It is essential to first assess the current environmental status of each renal care center individually. This evaluation will help with identifying and implementing practical measures to enhance sustainability in daily practice. A wealth of information and possible measures can be found in literature and initiatives, such as Green Excellence in Dialysis recommendations for sustainable kidney care by EDTNA/ERCA, published in September 2022.[7]
Products and solutions for daily practice
Dialysis is one of the most important waste producers in medicine. Calculations show that each dialysis session generates between 1.5 and 8 kilograms of waste, depending on the attention paid to waste disposal and e.g., emptying the dialysis disposables.[8] Renal Care Centers generate both hazardous waste and non-hazardous waste, and it is highly recommended to strictly separate non-hazardous from hazardous (potentially infectious).[9]
Effective waste management is not only important for ecological but also for economical reasons, as the disposal of hazardous or contaminated waste can be extremely costly.[8] Moreover, the choice of products and solutions may influence the amount of waste generated by hemodialysis treatment.
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