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Our shared responsibility
Sustainable solutions in hemodialysis
Dialysis is a life-sustaining therapy that depends on essential resources.¹˒² Addressing its environmental impact is part of responsible care. Sustainable solutions play a key role in Green Dialysis by helping healthcare professionals reduce water and energy consumption, the amount of waste and lower CO2 emissions – all while maintaining high standards of patient care and treatment outcomes across the entire care pathway.
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million m³ of fresh water used p.a. in hemodialysis in Europe.³ Enough to fill ~ 5,000 Olympic pools.⁴
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Approx.
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MWh – the annual energy use for hemodialysis in Europe.³ Enough to power ~75,000 Dutch households.⁴
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tons of waste generated by hemodialysis in Europe annually.³ That's the weight of ~10,500 elephants.⁴
Turning renal care into real care
For us, real care begins with responsibility toward patients, caregivers and the world we share. It starts with personalized treatments tailored to each patient and extends to sustainable solutions. That is why we develop technologies and products that help reduce the environmental impact of dialysis by reducing water and energy consumption, waste and CO2 while supporting high-quality care. This sense of responsibility shapes everything we do. That is what we mean by real care.
Learn moreToward more sustainable kidney care
Reducing the environmental burden of hemodialysis
Dialysis comes with a high environmental burden.⁵ As one of the most resource-intensive fields of medicine, dialysis offers an important opportunity to drive meaningful change.⁶
As both a manufacturer and a renal care provider, we understand these challenges. Our solutions help to reduce water and energy consumption, the amount of waste and CO2 emissions – without compromising treatment quality.
For us,this is the essence of Green Dialysis.
Energy
CO2
Waste
Advancing toward more sustainable renal care requires more than products alone. It is shaped by countless decisions every day and influenced by many factors. From infrastructure and medical technology to processes and individual behavior, opportunities for improvement exist across the entire care environment.3 Understanding the specific situation of each renal care center can help identify measures that support efficient operations and reduce environmental impacts for more sustainable renal care.
Striving for efficient water and energy consumption
A single hemodialysis treatment can require around 477 liters of water and 12.6 kWh of energy.³ Modern water treatment systems help reduce resource consumption⁷, lower operating costs and support environmental goals, creating measurable value for dialysis providers.
Find out how modern water treatment systems can help reduce your footprint and operational costs.
Learn moreSupporting waste reduction in renal care
Dialysis is one of the biggest waste producers in medicine. Each treatment can generate up to 8 kilograms of waste.⁸
Sustainable solutions start with smarter choices. What we use matters. And how we manage it matters even more. Help us rethink how to separate, reduce and choose, because every product, every decision and every step counts – for lower operations costs and less waste in renal care.
Encouraging CO₂ emission reduction in renal care
Healthcare accounts for around 5% of global carbon emissions.⁹ Dialysis is a significant contributor, with a higher carbon footprint than most other medical treatments.¹⁰ Emissions occur across the entire care pathway, creating real opportunities for change.
Impact of climate change on CKD
Not only is dialysis negatively impacting 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.12 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.13
“For me, sustainable dialysis means providing holistic patient care while using resources responsibly. High-quality treatment and environmental responsibility should not be seen as competing priorities, but as integral parts of modern dialysis care. Reducing the ecological footprint of treatment while maintaining high medical standards is responsible care in practice.”
Our commitment in B. Braun renal care centers
At B. Braun, sustainability has long been a company value, and we are committed to shaping a more sustainable future in dialysis. We collaborate with experts and actively contribute to initiatives like the EU-funded KitNewCare project and the EDTNA/ERCA Green Excellence in Dialysis project. As a provider of more than 350 renal care centers worldwide, our journey to reduce our environmental impact began over a decade ago already.
Learn more
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warningReferences
- 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.
- 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.
- 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.
- 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.
- 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.
- 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
- 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.Piccoli GB, Cupisti A, Aucella F, Regolisti G, Lomonte C, Ferraresi M, Claudia D, Ferraresi C, Russo R, La Milia V, Covella B, Rossi L, Chatrenet A, Cabiddu G, Brunori G; On the Behalf of 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 Aug;33(4):681-698. doi: 10.1007/s40620-020-00734-z. Epub 2020 Apr 15. PMID: 32297293; PMCID: PMC7381479.
- Romanello M, Di Napoli C, Drummond P, et al. The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet. 2022;400(10363):1619 1654. doi:10.1016/s0140-6736(22)01540-9
- Eckelman MJ, Huang K, Lagasse R, Senay E, Dubrow R, Sherman JD. Health care pollution and public health damage in the United States: an update. Health Aff (Mill wood). 2020;39(12):2071-2079. doi:10.1377/hlthaff. 2020.01247
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