The two carbon footprint studies so far performed in this area – the UK study by Connor et al, and the Australian study by Lim et al – both opened the door on opportunities for more sustainable renal care across the spectrum of renal disease.
Beyond water, power and waste are significant potentials in Telemedicine and distant review as ways to reduce the demand for travel, and the carbon savings that may flow from wise use of IT platforms. Clearly, there are situations where patient attendance is necessary, but the growing experience in non face-to-face care offers clear sustainability benefit.
Climate change is likely to not only alter the spectrum of renal disease, but to throw up new challenges and opportunities. To this end, the paper by Barrraclough et al in Kidney International has been an important contribution.