Kidney Care
Summary / Key takeaways
Kidney care is among the most resource-intensive areas of healthcare, relying on carbon-heavy sectors such as pharmaceuticals, water, energy, transportation, and waste management. As the prevalence of chronic kidney disease and end-stage kidney disease rises in Canada, so too will its environmental footprint. Dialysis, in particular, has a disproportionate impact, consuming large volumes of water and electricity while generating significant waste. Climate change is also increasing the incidence and progression of kidney disease through factors like extreme heat and air pollution, further driving demand for care. Without intervention, this cycle will intensify both health and environmental burdens.
Sustainable kidney care requires coordinated action across the care continuum. Key tools include strengthening prevention and early detection of chronic kidney disease, optimizing prescribing practices, and reducing low-value or resource-intensive interventions. Building capacity among providers, investing in climate-conscious infrastructure, and measuring environmental impacts through standardized metrics enable more informed, sustainable decision-making.
A system-wide approach is essential. Education empowers kidney care providers to integrate sustainability into clinical practice, while partnerships across sectors support innovation and policy development. Embedding environmental metrics into quality improvement efforts and fostering collaboration between clinicians, researchers, and health systems will drive meaningful change toward resilient, low-carbon kidney care.
Playbook: Sustainable Kidney Care
Suggested Citation:
Stigant C, Nour S, Finkle N, Devitt K. Sustainable Kidney Care. Version 1.0. [Internet]. CASCADES; 2024 [cited DATE]. Available from: https://cascadescanada.ca/.
Supporting Resources

Central Delivery System Case Study
A case study of plastic waste diversion in dialysis by switching to a central acid delivery system.
Case Study

Sustainable Kidney Care Infographic
An introduction to ten environmentally sustainable opportunities in kidney care.
Infographic

Environmentally Sustainable Kidney Care: An Introduction for Nephrology Trainees
The CSN Sustainable Nephrology Committee (SNAP) created a pre-recorded lecture focusing on environmentally sustainable kidney care and climate change. The goal of this lecture is to increase awareness amongst nephrology practitioners of the effects of climate change on kidney care, resiliency and adaptation measures, and how we can become involved from an education as well as quality improvement standpoint. Speakers include: Dr Caroline Stigant (Victoria, BC), Dr Neil Finkle (Halifax, Nova Scotia), Dr Tamara Glavinovic (Ottawa, Ontario), Dr Blake Sandery (BC Childrens), Dr Yohanna (Hamilton, Ontario).
Video

Canadian Society of Nephrology’s Sustainable Nephrology Action Planning (‘SNAP’)
The SNAP committee is comprised of a country-wide group of providers dedicated to aligning kidney care with planetary health principles, thereby advancing patient care within a framework of environmental sustainability.
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