{"id":"https://openalex.org/W2029079290","doi":"https://doi.org/10.1159/000317200","title":"Clinical Transformation: The Key to Green Nephrology","display_name":"Clinical Transformation: The Key to Green Nephrology","publication_year":2010,"publication_date":"2010-07-02","ids":{"openalex":"https://openalex.org/W2029079290","doi":"https://doi.org/10.1159/000317200","mag":"2029079290","pmid":"https://pubmed.ncbi.nlm.nih.gov/20606480"},"language":"en","primary_location":{"id":"doi:10.1159/000317200","doi":"https://doi.org/10.1159/000317200","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000317200","pdf_url":null,"source":{"id":"https://openalex.org/S4210230090","display_name":"Nephron Clinical Practice","issn_l":"1660-2110","issn":["1660-2110"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nephron Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102765415","display_name":"Andrew Connor","orcid":"https://orcid.org/0000-0003-1775-6712","observed_orcids":["https://orcid.org/0000-0003-1775-6712"]},"institutions":[{"id":"https://openalex.org/I2800775973","display_name":"Dorset County Hospital NHS Foundation Trust","ror":"https://ror.org/04nckd528","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800775973"]},{"id":"https://openalex.org/I4210148645","display_name":"Dorset County Hospital","ror":"https://ror.org/04fc1dc24","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800775973","https://openalex.org/I4210148645"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Andrew Connor","raw_affiliation_strings":["Department of Renal Medicine, Dorset County Hospital, Dorchester, UK. andrew.connor@kintoa.org","Department of Renal Medicine, Dorset County Hospital, Dorchester,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Renal Medicine, Dorset County Hospital, Dorchester, UK. andrew.connor@kintoa.org","institution_ids":["https://openalex.org/I2800775973","https://openalex.org/I4210148645"]},{"raw_affiliation_string":"Department of Renal Medicine, Dorset County Hospital, Dorchester,","institution_ids":["https://openalex.org/I2800775973","https://openalex.org/I4210148645"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004541718","display_name":"Frances Mortimer","orcid":"https://orcid.org/0009-0008-1692-0158","observed_orcids":["https://orcid.org/0009-0008-1692-0158"]},"institutions":[{"id":"https://openalex.org/I4210140215","display_name":"Centre for Sustainable Healthcare","ror":"https://ror.org/044dmqn91","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I4210140215"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Frances Mortimer","raw_affiliation_strings":["The Campaign for Greener Healthcare, Oxford, and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Campaign for Greener Healthcare, Oxford, and","institution_ids":["https://openalex.org/I4210140215"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089845415","display_name":"Charles Tomson","orcid":"https://orcid.org/0000-0002-0224-8726","observed_orcids":["https://orcid.org/0000-0002-0224-8726"]},"institutions":[{"id":"https://openalex.org/I2801253297","display_name":"Southmead Hospital","ror":"https://ror.org/05d576879","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801253297","https://openalex.org/I4405276282"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Charles Tomson","raw_affiliation_strings":["Southmead Hospital, Bristol, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southmead Hospital, Bristol, UK","institution_ids":["https://openalex.org/I2801253297"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.2218,"has_fulltext":false,"cited_by_count":57,"citation_normalized_percentile":{"value":0.9595235,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"116","issue":"3","first_page":"c200","last_page":"c206"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14152","display_name":"Healthcare Facilities Design and Sustainability","score":0.34299999475479126,"subfield":{"id":"https://openalex.org/subfields/3322","display_name":"Urban Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14152","display_name":"Healthcare Facilities Design and Sustainability","score":0.34299999475479126,"subfield":{"id":"https://openalex.org/subfields/3322","display_name":"Urban Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.2685999870300293,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10435","display_name":"Environmental Impact and Sustainability","score":0.04479999840259552,"subfield":{"id":"https://openalex.org/subfields/2305","display_name":"Environmental Engineering"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/climate-change","display_name":"climate change","score":0.6919999718666077},{"id":"https://openalex.org/keywords/healthcare-carbon-footprint","display_name":"carbon footprint of healthcare","score":0.8830000162124634},{"id":"https://openalex.org/keywords/kidney-care","display_name":"kidney care","score":0.9210000038146973},{"id":"https://openalex.org/keywords/disease-prevention","display_name":"disease prevention","score":0.7799999713897705},{"id":"https://openalex.org/keywords/patient-empowerment","display_name":"patient empowerment","score":0.9990000128746033},{"id":"https://openalex.org/keywords/low-carbon-technologies","display_name":"low-carbon technologies","score":0.9700000286102295},{"id":"https://openalex.org/keywords/health-system-sustainability","display_name":"health system sustainability","score":0.5839999914169312},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.6330000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.842101514339447},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.6104824542999268},{"id":"https://openalex.org/C54847362","wikidata":"https://www.wikidata.org/wiki/Q177635","display_name":"Nephrology","level":2,"score":0.5888494253158569},{"id":"https://openalex.org/C2909500400","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient Empowerment","level":3,"score":0.5795809626579285},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5520386099815369},{"id":"https://openalex.org/C3018457447","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Healthcare delivery","level":3,"score":0.5335972905158997},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5294943451881409},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.49521175026893616},{"id":"https://openalex.org/C20555606","wikidata":"https://www.wikidata.org/wiki/Q868575","display_name":"Empowerment","level":2,"score":0.46728619933128357},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2972802519798279},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22926262021064758},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.15609973669052124},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003246","descriptor_name":"Conservation of Energy Resources","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004777","descriptor_name":"Environment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004787","descriptor_name":"Environmental Pollution","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007674","descriptor_name":"Kidney Diseases","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007674","descriptor_name":"Kidney Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D007674","descriptor_name":"Kidney Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014867","descriptor_name":"Water","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015312","descriptor_name":"Hemodialysis Solutions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017744","descriptor_name":"Medical Waste Disposal","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D055772","descriptor_name":"Green Chemistry Technology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057231","descriptor_name":"Climate Change","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058572","descriptor_name":"Carbon Footprint","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058735","descriptor_name":"Environmental Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D059027","descriptor_name":"Recycling","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1159/000317200","doi":"https://doi.org/10.1159/000317200","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000317200","pdf_url":null,"source":{"id":"https://openalex.org/S4210230090","display_name":"Nephron Clinical Practice","issn_l":"1660-2110","issn":["1660-2110"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nephron Clinical Practice","raw_type":"journal-article"},{"id":"pmid:20606480","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20606480","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nephron. Clinical practice","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Climate action","id":"https://metadata.un.org/sdg/13","score":1.0},{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9476000070571899}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W239848632","https://openalex.org/W1520428197","https://openalex.org/W1526392191","https://openalex.org/W1845225129","https://openalex.org/W1983213806","https://openalex.org/W1988608169","https://openalex.org/W2045464997","https://openalex.org/W2046298511","https://openalex.org/W2064454189","https://openalex.org/W2089892570","https://openalex.org/W2120775946","https://openalex.org/W2128556909","https://openalex.org/W2156739230","https://openalex.org/W2169750912","https://openalex.org/W3170999623"],"related_works":["https://openalex.org/W4290608212","https://openalex.org/W4415439330","https://openalex.org/W4392131045","https://openalex.org/W4414399635","https://openalex.org/W2116656293","https://openalex.org/W4393851124","https://openalex.org/W4386956097","https://openalex.org/W4211089910","https://openalex.org/W4315607740","https://openalex.org/W4393850082"],"abstract_inverted_index":{"Climate":[0],"change":[1],"represents":[2],"a":[3,16,44],"major":[4],"global":[5],"public":[6],"health":[7],"threat.":[8],"The":[9],"very":[10],"provision":[11],"of":[12,63],"healthcare":[13],"itself":[14],"has":[15],"significant":[17],"untoward":[18],"effect":[19],"on":[20],"the":[21,37,60],"environment,":[22],"to":[23,29,47],"which":[24],"kidney":[25,50],"care":[26,78],"is":[27],"likely":[28],"contribute":[30],"disproportionately.":[31],"In":[32],"this":[33],"article":[34],"we":[35,40],"describe":[36],"four":[38],"principles":[39],"believe":[41],"will":[42],"underpin":[43],"successful":[45],"transformation":[46],"lower":[48],"carbon":[49],"care:":[51],"disease":[52],"prevention,":[53],"patient":[54,77],"empowerment,":[55],"lean":[56],"service":[57],"delivery":[58],"and":[59,70,79],"preferential":[61],"use":[62],"low-carbon":[64],"technologies.":[65],"We":[66],"illustrate":[67],"their":[68,71],"application":[69],"co-benefits,":[72],"such":[73],"as":[74],"improvements":[75],"in":[76,81],"reductions":[80],"cost,":[82],"with":[83],"examples.":[84]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}