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Editorial

Kidney health for all: Caring for people, protecting the planet

Raymond Vanholder, Dina Abdellatif, Augusto Cesar Soares Dos Santos Jr., Ricardo Correa-Rotter, Natarajan Gopalakrishnan, Bill Wang, Stefanos Roumeliotis, Alessandro Balducci, Ágnes Haris, Manjusha Yadla, and Li-Li Hsiao

Volume 106 (2026) p. 1 - 13

Abstract

Clinical Nephrology, Vol. 106 – No. 1/2026 (1-13)

Kidney health for all: Caring for people, protecting the planet

Raymond Vanholder¹#², Dina Abdellatif³, Augusto Cesar Soares Dos Santos Jr.⁴#⁵, Ricardo Correa-Rotter⁶, Natarajan Gopalakrishnan⁷, Bill Wang⁸, Stefanos Roumeliotis⁹, Alessandro Balducci¹⁰, Ágnes Haris¹¹, Manjusha Yadla¹², and Li-Li Hsiao¹³

¹Nephrology Section, Department of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, ²European Kidney Health Alliance, Brussels, Belgium, ³Department of Nephrology, Cairo University Hospital, Cairo, Egypt, ⁴Faculdade Ciencias Medicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, ⁵Hospital das Clinicas, Ebserh, Universidade Federal de Minas Gerais, Minas Gerais, Brazil, ⁶Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, ⁷Transplant Authority of Tamil Nadu, Chennai, India, ⁸Hong Kong Kidney Foundation, Hong Kong, SAR, China, ⁹²nd Department of Nephrology, AHEPA University Hospital, Medical School, Aristotle University of Thessaloniki, Greece, ¹⁰Italian Kidney Foundation Italy, Rome, Italy, ¹¹Department of Internal Medicine and Nephrology, Péterfy Hospital, Budapest, Hungary, ¹²Department of Nephrology, Gandhi Medical College, Hyderabad, Telangana, India; and ¹³Renal Division, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
The current kidney care model – focused on late-stage disease and in-center hemodialysis – is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life. The 78th World Health Assembly’s recognition of kidney disease as a serious health threat presents a critical opportunity to reshape kidney care. Aligned with this, the 2026 World Kidney Day theme, “Kidney Health for All: Caring for People, Protecting the Planet”, calls for a systematic change. A sustainable model must prioritize early detection and prevention, reducing the need for kidney replacement therapy. Transplantation and home dialysis benefit people with kidney failure, environment and society. Dialysis itself must become more eco-friendly without compromising care quality, recognizing that planetary perturbations in turn affect kidney health. Conservative care should also be considered, particularly for elderly and frail patients, if the quality-of-life benefits outweigh the perspectives offered by dialysis. Achieving this shift requires coordinated action across all stakeholders; education and engagement of the public, policy makers and health professionals to raise awareness about the threat of kidney disease; and an urgent move toward patient-centered care.Correspondence to:
Dr. Stefanos Roumeliotis, MD, PhD, FERA
Nephrologist, Fellow of the World Kidney Day Joint Steering Committee
2nd Department of Nephrology
AHEPA Hospital, Medical School
Aristotle University of Thessaloniki
1 St. Kyriakidi street
54636 Thessaloniki, Greece
Email: [email protected]

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