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Our shared responsibility

Green Dialysis

Hemodialysis is a life-sustaining therapy.1,2 At the same time, the environmental impact of dialysis therapy seems to be particularly​ high.3 It consumes a significant amount of water and energy and produces a high amount of waste and CO2 emissions.4 There are ways to reduce this environmental burden: by rethinking processes, products and technologies, building infrastructure, logistics and individual behaviors we can make dialysis more sustainable – without compromising patient care. At B. Braun, we offer products and solutions empowering you to make a difference. It is  time to rethink dialysis therapy towards a more sustainable and environmental conscious future.

  • Approx.

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    million m3 of fresh water annually are consumed by hemodialysis treatments in Europe.5  To put this into perspective, this is roughly equivalent to 4,958 Olympic pools/year or 13.5 Olympic pools/day.[6]

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    MWh per year is the estimated European energy consumption for hemodialysis.5​ 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).6

  • Approx.

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    tons of waste annually is generated by hemodialysis in Europe.5 This is the weight equivalent of 10,458 elephants (adult male elephant 6,000 kg).6

Toward more sustainable kidney care​

Decreasing the environmental impact of hemodialysis in daily clinical practice

2025-04-16-Grafik_EDTNA-Litauen_1000x563px-jkr
Illustration of a B. Braun Renal Care Center surrounded by labeled elements: Building & Infrastructure, Transport & Logistic, Medical Technology, Standardized Processes, Consumables, and Individual Behavior. The scene includes healthcare professionals, patients, medical equipment, and a transport vehicle.

Impact of climate change on CKD​

Dialysis treatment not only negatively impacts our environment, but climate change is assumed to affect global health, including chronic kidney disease (CKD) as well. Several factors can contribute to the increasing prevalence of CKD due to climate change. Rising global temperatures lead to more cases of heat-related kidney injuries.11 In addition, extreme weather events can disrupt healthcare services, resulting in inconsistent treatments. Climate change also affects the spread of diseases that can impact kidney health, increasing the number of patients requiring dialysis.12

When we act with generations of today and tomorrow in mind, we turn today’s choices into tomorrow’s opportunities to protect and improve the health of people around the world.

A child wearing a purple shirt and a backpack is sitting on an adult’s shoulders outdoors, reaching out with one hand to greenery. The adult is the childs father, he is a nephrologist.
Modern white building with the green B. Braun logo on the facade, partially shaded by trees and greenery, with sunlight shining from the top right corner. The entrance and large windows are visible, and the setting appears to be a landscaped outdoor area.

Ideas for daily clinical practice

Dialysis nurse holding a tablet outdoors in a green park, viewing a digital guide, the Green Excellence in Dialysis Booklet.

Green Excellence in Dialysis*

Are you interested in learning more about technological and practical ideas and recommendations for more sustainable kidney care?​
*a collaborative project between B. Braun and EDTNA/ERCA organization
chevron_rightDownload the Green Excellence in Dialysis booklet

Contact our Green Dialysis Experts

The responsible organization is B. Braun Avitum AG

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Thank you for your interest!

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References

  1. Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler PP, Chaves LSM, Capon A, Pencheon D. The environmental footprint of health care: a global assessment. Lancet Planet Health. 2020 Jul;4(7):e271-e279. doi: 10.1016/S2542-5196(20)30121-2. PMID: 32681898.​
  2. Thurlow JS, Joshi M, Yan G, Norris KC, Agodoa LY, Yuan CM, Nee R. Global Epidemiology of End-Stage Kidney Disease and Disparities in Kidney Replacement Therapy. Am J Nephrol. 2021;52(2):98-107. doi: 10.1159/000514550. Epub 2021 Mar 22. PMID: 33752206; PMCID: PMC8057343.​
  3. Barraclough KA, Agar JWM. Green nephrology. Nat Rev Nephrol. 2020 May;16(5):257-268. doi: 10.1038/s41581-019-0245-1. Epub 2020 Feb 7. PMID: 32034297.​
  4. Agar JW. Personal viewpoint: hemodialysis--water, power, and waste disposal: rethinking our environmental responsibilities. Hemodial Int. 2012 Jan;16(1):6-10. doi: 10.1111/j.1542-4758.2011.00639.x. PMID: 22098705.​
  5. Jiménez MDA, Audije-Gil J, Martínez R, Martín Vaquero N, Gómez M, Portillo J, Pereda G, Gascueña DH, Duane B, Sanjuan M, Martín JLF, Dapena F, Ortiz A, Arias M. How to improve the environmental impact in haemodialysis: small actions, big changes. Clin Kidney J. 2024 Dec 20;18(2):sfae407. doi: 10.1093/ckj/sfae407. PMID: 39927256; PMCID: PMC11806634.​
  6. Blankestijn PJ, Bruchfeld A, Cozzolino M, Fliser D, Fouque D, Gansevoort R, Goumenos D, Massy ZA, Rychlık I, Soler MJ, Stevens K, Zoccali C. Nephrology: achieving sustainability. Nephrol Dial Transplant. 2020 Dec 4;35(12):2030-2033. doi: 10.1093/ndt/gfaa193. PMID: 32901289.​
  7. Karliner J, Slotterback S, Boyd R, Ashby B, Steele K. Hesalth care’s climate footfrint: How the health sector contributes to the global climate crisis and opportunities for action.  Health Care Without Harm (HCWH). 2019 Sept; https://global.noharm.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf. Accessed 2025 May 8th​
  8. Wieliczko M, Zawierucha J, Covic A, Prystacki T, Marcinkowski W, Małyszko J. Eco-dialysis: fashion or necessity. Int Urol Nephrol. 2020 Mar;52(3):519-523. doi: 10.1007/s11255-020-02393-2. Epub 2020 Feb 1. PMID: 32008203; PMCID: PMC7060957​
  9. Noruisiene E, Pancirova J, Meier M, Golland J, Hueso X, Hoehle V, Corti V. Green Excellence in dialysis. European Dialysis and Transplant Nurses Associa tion/European Renal Care Association (EDTNA/ERCA). Sept 2022. ISBN: 978-84-09-42876-2. https://www.edtnaerca.org/resource/edtna/files/apps/APP-EN-green-excellence-in-dialysis.pdf. Accessed 2025-09-08​
  10. Piccoli GB, Cupisti A, Aucella F, Regolisti G, Lomonte C, Ferraresi M, D’Alessandro C, Ferraresi C, Russo R, La Milia V, Covella B, Rossi L, Chatrenet A, Cabiddu G, Brunori G; on behalf of the Conservative Treatment, Physical Activity and Peritoneal Dialysis Project Groups of the Italian Society of Nephrology.​ Green nephrology and eco-dialysis: a position statement by the Italian Society of Nephrology. J Nephrol. 2020;33:681–698.​
  11. Johnson RJ, Sánchez-Lozada LG, Newman LS, Lanaspa MA, Diaz HF, Lemery J, Rodriguez-Iturbe B, Tolan DR, Butler-Dawson J, Sato Y, Garcia G, Hernando AA, Roncal-Jimenez CA. Climate Change and the Kidney. Ann Nutr Metab. 2019;74 Suppl 3:38-44. doi: 10.1159/000500344. Epub 2019 Jun 14. PMID: 31203298.​
  12. Shehaj L, Kazancıoğlu R. The Impact of Climate Change on Chronic Kidney Disease. Bezmialem Science 2023;11(4):460-465​
  13. Arias-Guillén M, Martínez Cadenas R, Gómez M, Martín Vaquero N, Pereda G, Audije-Gil J, Portillo J, Quintela M, Castaño I, Luque A, Madueñl F, Ortiz A, Duane B, Arenas MD. Environmental challenges in hemodialysis: Exploring the road to sustainability. Nefrología. 2024​
  14. Société Francophone de Néphrologie Dialyse et Transplantation (SFNDT). Towards green dialysis: Good practice guide. Paris: SFNDT; 2023.​
  15. Pruijm M, Rho E, Woywodt A, Segerer S. Ten tips from the Swiss Working Group on Sustainable Nephrology on how to go green in your dialysis unit. Clin Kidney J. 2024;17(6):sfae144. doi:10.1093/ckj/sfae144.​