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Abstract: PUB167

Assessing the Current Evidence on Environmental Sustainability in Nephrology: Protocol for a Scoping Review by the International Society of Nephrology, Emerging Leaders Program Cohort 2022-2024

Session Information

Category: Diversity and Equity in Kidney Health

  • 900 Diversity and Equity in Kidney Health

Authors

  • Ethier, Isabelle, Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
  • Bajpai, Divya P., King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India
  • Smyth, Brendan, NHMRC Clinical Trials Centre, Camperdown, New South Wales, Australia
  • Fung, Winston Ws, The Chinese University of Hong Kong, Hong Kong, Hong Kong
  • Pippias, Maria, University of Bristol Faculty of Health Sciences, Bristol, United Kingdom
  • Bagasha, Peace, Mulago National Referral Hospital, Kampala, Kampala, Uganda
  • De Chiara, Letizia, Universita degli Studi di Firenze, Firenze, Toscana, Italy
  • Hafiz, Ehab, Theodor Bilharz Research Institute, Giza, Giza, Egypt
  • Kelly, Dearbhla M., Mater Misericordiae University Hospital, Dublin, Ireland
  • Onu, Ugochi Chika, University of Nigeria, Nsukka, Enugu, Nigeria
  • Sandal, Shaifali, McGill University Health Centre, Montreal, Quebec, Canada
  • Bilchut, Workagegnehu Hailu, University of Gondar, Gondar, Ethiopia

Group or Team Name

  • International Society of Nephrology – Emerging Leaders Program Cohort 2022-2024.
Background

Human-induced climate change is a significant threat to global public health. The healthcare sector contributes significantly to environmental damage through resource depletion and greenhouse gas emissions. Furthermore, nephrology practices have a disproportionately higher share in the carbon footprint produced by medical therapies (e.g. dialysis). This review aims to map the available evidence of green/sustainable nephrology in the literature to better understand the current lacunae in the evidence and challenges faced while adopting eco-friendly practices.

Methods

A search strategy, developed in collaboration with a medical librarian to be used in Medline, and adapted for other databases (PubMed, Embase, Cochrane Library, CINAHL), will be used to retrieve references. A secondary manual search of all references from included studies will be undertaken (snowballing approach). All publications (including original studies, case reports, editorials, review articles, editorial letters, positional statements from professional societies, and conference abstracts) addressing any environmental impact of activity in kidney care; current knowledge or awareness of environmental impact of kidney care impact; any activity, strategy or effort focused on environmental sustainability of kidney care activity; or any barrier or challenge faced in adopting environmentally sustainable kidney care activity will be included. A data extraction table will be used to record the key components and information from the retrieved papers. Extracted data will be analyzed qualitatively using preidentified and newly identified themes.

Results

Results will be summarized using descriptive statistics and narrative summaries around the identified themes, to explore the environmental impact of kidney care and the application of sustainability approaches.

Conclusion

Results from this scoping review, which should be available for presentation in the fall of 2023, will help facilitate the formulation of a planned toolkit by our group, based on relevant components identified, which can direct healthcare professionals to vital resources in sustainable nephrology.