Vol 17, No 1 (2024)
Review paper
Published online: 2024-04-02
Renal replacement therapy and environmental risks
DOI: 10.5603/rdatf.99851
Renal Disease and Transplantation Forum 2024;17(1):19-24.
Abstract
It is estimated that at the end of the 19th century the number of chemical substances present in the environment was about 300,000. Today, according to the Chemical Abstract Service database (CAS, https://www.cas.org/cas-data/cas-registry), the number of known substances (most of which are man-made) is already more than 125,000,000. Although at the level of concentrations that can directly threaten us it is "only" about a million substances, but keeping in mind the synergistic effect, their impact on our health is enormous. One of the most common diseases of civilization is kidney disease, which is mostly asymptomatic, but contributes to the death of millions of people. In cases of end-stage renal failure, renal replacement therapy is necessary. Hemodialysis and peritoneal dialysis, on the one hand, save patients' lives, and on the other hand, have a major impact on environmental pollution and carbon footprint. This paper addresses these interrelationships.
Keywords: chronic kidney diseasedialysis therapyenvironmentcarbon footprint
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