Decarbonisation of Kidney Care in the United Arab Emirates: A Roadmap to an Environmentally Sustainable Care.

IF 2.1 Q2 UROLOGY & NEPHROLOGY International Journal of Nephrology and Renovascular Disease Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI:10.2147/IJNRD.S481121
Stephen Geoffrey Holt, Erik Koornneef, Ali Abdul Kareem Al Obeidli, Luke Hubbert, Lindsay Nicholson
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Abstract

Chronic kidney disease (CKD) remains a major public health burden and a leading cause of mortality worldwide and in the United Arab Emirates (UAE). Alongside its clinical and humanistic burden, CKD care is associated with a significant carbon footprint. In this narrative review, we present an overview of the carbon footprint of current CKD treatments and the results of an analysis estimating the carbon footprint of CKD treatments in the UAE. Using the life cycle assessment (LCA) method and local data from the published national reports and inventory sources, we estimated that haemodialysis leads to greenhouse gas (GHG) emissions of ~12.8 tons of CO2 equivalents (CO2eq) per person in the UAE annually. Thus, the decarbonisation of CKD care is crucial in establishing an environmentally sustainable healthcare system. We propose a framework to decarbonise CKD care in the UAE that tackles the carbon footprint of CKD care in the UAE by focusing on three main pillars: Delaying early CKD and slowing its progression; reducing anthropogenic emissions from CKD and dialysis care by promoting best practices and eco-friendly technologies; and enhancing access to kidney transplantation. Such approaches are relevant not only for the UAE but also for global healthcare systems aiming towards net-zero emissions.

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阿拉伯联合酋长国肾脏护理的去碳化:实现环境可持续护理的路线图。
慢性肾脏病(CKD)仍然是一个重大的公共卫生负担,也是全球和阿拉伯联合酋长国(UAE)的主要死亡原因。除临床和人文负担外,慢性肾脏病护理还伴随着巨大的碳足迹。在这篇叙述性综述中,我们概述了目前慢性肾功能衰竭治疗的碳足迹,并介绍了估算阿联酋慢性肾功能衰竭治疗碳足迹的分析结果。通过使用生命周期评估 (LCA) 方法以及从已发布的国家报告和清单来源中获取的本地数据,我们估计血液透析导致阿联酋每人每年排放约 12.8 吨二氧化碳当量 (CO2eq) 的温室气体 (GHG)。因此,慢性肾脏病治疗的去碳化对于建立环境可持续的医疗保健系统至关重要。我们提出了在阿联酋实现慢性肾功能衰竭治疗脱碳的框架,通过关注三大支柱来解决阿联酋慢性肾功能衰竭治疗的碳足迹问题:延缓早期慢性肾功能衰竭并减缓其进展;通过推广最佳实践和生态友好型技术,减少慢性肾功能衰竭和透析护理过程中的人为排放;以及提高肾移植的可及性。这些方法不仅适用于阿联酋,也适用于旨在实现净零排放的全球医疗保健系统。
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来源期刊
CiteScore
3.90
自引率
5.00%
发文量
40
审稿时长
16 weeks
期刊介绍: International Journal of Nephrology and Renovascular Disease is an international, peer-reviewed, open-access journal focusing on the pathophysiology of the kidney and vascular supply. Epidemiology, screening, diagnosis, and treatment interventions are covered as well as basic science, biochemical and immunological studies. In particular, emphasis will be given to: -Chronic kidney disease- Complications of renovascular disease- Imaging techniques- Renal hypertension- Renal cancer- Treatment including pharmacological and transplantation- Dialysis and treatment of complications of dialysis and renal disease- Quality of Life- Patient satisfaction and preference- Health economic evaluations. The journal welcomes submitted papers covering original research, basic science, clinical studies, reviews & evaluations, guidelines, expert opinion and commentary, case reports and extended reports. The main focus of the journal will be to publish research and clinical results in humans but preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies and interventions.
期刊最新文献
Decarbonisation of Kidney Care in the United Arab Emirates: A Roadmap to an Environmentally Sustainable Care [Letter]. Different Dosage Regimens of Rituximab in Primary Membranous Nephropathy Treatment: A Systematic Review. Correlation of Asymmetric Dimethylarginine With Podocytopathy Markers in Diabetic Kidney Disease Patients. Decarbonisation of Kidney Care in the United Arab Emirates: A Roadmap to an Environmentally Sustainable Care. Management of hyperkalemia: Expert consensus from Kuwait - a Modified Delphi Approach.
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