Dialysis is crucial for kidney patients. It also generates a lot of waste.

Nephrologists are trying to quantify the waste as they advocate for environmentally sustainable kidney care, noting the lifesaving therapy generates hundreds of litres of wastewater at least three times a week per patient, along withvast amounts of carbon emissions and single-use plastic.Kidney care waste includes tubing that carries a patient's blood, usually from their arm, to a dialysis machine where it is cleaned of toxins. A second tube returns the blood to the body.

It also wants administrators, governments and industry to help come up with solutions. And they are getting feedback from patients.Nephrologists say many patients are morally distressed by the high volume of waste their therapy generates.

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