{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T11:39:09Z","timestamp":1772278749153,"version":"3.50.1"},"reference-count":23,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nefrolog\u00eda (English Edition)"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.nefroe.2026.501431","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T08:17:00Z","timestamp":1772266620000},"page":"501431","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unlocking the circular economy potential of spent dialysate in hemodialysis"],"prefix":"10.1016","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9867-2096","authenticated-orcid":false,"given":"Faissal","family":"Tarrass","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meryem","family":"Benjelloun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.nefroe.2026.501431_bib0120","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1007\/s40620-024-01989-6","article-title":"Hemodialysis water reuse within a circular economy approach. What can we add to current knowledge? A point of view","volume":"37","author":"Tarrass","year":"2024","journal-title":"J Nephrol"},{"key":"10.1016\/j.nefroe.2026.501431_bib0125","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1053\/j.ajkd.2008.03.022","article-title":"Recycling wastewater after hemodialysis: an environmental analysis for alternative water sources in arid regions","volume":"52","author":"Tarrass","year":"2008","journal-title":"Am J Kidney Dis"},{"key":"10.1016\/j.nefroe.2026.501431_bib0130","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s11783-019-1136-1","article-title":"Assessment of antibiotic resistance genes in dialysis water treatment processes","volume":"13","author":"Zhu","year":"2019","journal-title":"Front Environ Sci Eng"},{"key":"10.1016\/j.nefroe.2026.501431_bib0135","doi-asserted-by":"crossref","DOI":"10.1016\/j.scitotenv.2023.165184","article-title":"Decreased levels of perfluoroalkyl substances in patients receiving hemodialysis treatment","volume":"896","author":"Huang","year":"2023","journal-title":"Sci Total Environ"},{"key":"10.1016\/j.nefroe.2026.501431_bib0140","doi-asserted-by":"crossref","DOI":"10.1016\/j.etap.2023.104253","article-title":"Microplastics and nanoplastics in haemodialysis waters: emerging threats to be in our radar","volume":"102","author":"Passos","year":"2023","journal-title":"Environ Toxicol Pharmacol"},{"key":"10.1016\/j.nefroe.2026.501431_bib0145","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2020.574968","article-title":"Hospital wastewater as a reservoir for antibiotic resistance genes: a meta-analysis","volume":"8","author":"Zhang","year":"2020","journal-title":"Front Public Health"},{"key":"10.1016\/j.nefroe.2026.501431_bib0150","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.ecoenv.2014.01.009","article-title":"Potential environmental toxicity from hemodialysis effluent","volume":"102","author":"Machado","year":"2014","journal-title":"Ecotoxicol Environ Saf"},{"key":"10.1016\/j.nefroe.2026.501431_bib0155","doi-asserted-by":"crossref","DOI":"10.3390\/su151612639","article-title":"Sources of antibiotic contamination in wastewater and approaches to their removal \u2013 an overview","volume":"15","author":"Samrot","year":"2023","journal-title":"Sustainability"},{"key":"10.1016\/j.nefroe.2026.501431_bib0160","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20105868","article-title":"Microplastics and antibiotic resistance: the magnitude of the problem and the emerging role of hospital wastewater","volume":"20","author":"Tuvo","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.nefroe.2026.501431_bib0165","doi-asserted-by":"crossref","DOI":"10.3390\/su13094656","article-title":"Physical and biological treatment technologies of slaughterhouse wastewater: a review","volume":"13","author":"Musa","year":"2021","journal-title":"Sustainability"},{"key":"10.1016\/j.nefroe.2026.501431_bib0170","doi-asserted-by":"crossref","DOI":"10.1016\/j.memsci.2022.120836","article-title":"Removal of antibiotics and antibiotic resistance genes by self-assembled nanofiltration membranes with tailored selectivity","volume":"659","author":"Zheng","year":"2022","journal-title":"J Membr Sci"},{"key":"10.1016\/j.nefroe.2026.501431_bib0175","article-title":"Research progress in the treatment of high-salinity wastewater","volume":"2706","author":"Zhang","year":"2024","journal-title":"J Physic Conf Ser"},{"key":"10.1016\/j.nefroe.2026.501431_bib0180","doi-asserted-by":"crossref","first-page":"9597","DOI":"10.3390\/su14159597","article-title":"Application of sequential combination of electro-coagulation\/electro-oxidation and adsorption for the treatment of hemodialysis wastewater for possible reuse","volume":"14","author":"Jallouli","year":"2022","journal-title":"Sustainability"},{"key":"10.1016\/j.nefroe.2026.501431_bib0185","article-title":"Evaluation of ozonation and electro oxidation treatment for the removal of organics and salt recovery from RO reject from leather industries: sustainable approach for the management of contaminated salt in CETPs","volume":"200","author":"Maharaja","year":"2025","journal-title":"Appl Catalys O.x"},{"issue":"Suppl. 2","key":"10.1016\/j.nefroe.2026.501431_bib0190","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.nefroe.2023.05.007","article-title":"Nitrogen and phosphorus recovery from hemodialysis wastewater to use as an agricultural fertilizer","volume":"43","author":"Tarrass","year":"2023","journal-title":"Nefrologia (Engl Ed)"},{"key":"10.1016\/j.nefroe.2026.501431_bib0195","article-title":"Low-cost crosslinked PVA membranes as alternative proton exchange membrane in hemodialysis wastewater fed bioelectrochemical fuel cells","volume":"196","author":"Das","year":"2025","journal-title":"Process Safet Environ Protect"},{"key":"10.1016\/j.nefroe.2026.501431_bib0200","doi-asserted-by":"crossref","first-page":"238","DOI":"10.2166\/wrd.2014.058","article-title":"Carbon footprint of water reuse and desalination: a review of greenhouse gas emissions and estimation tools","volume":"4","author":"Cornejo","year":"2014","journal-title":"J Water Reuse Desal"},{"key":"10.1016\/j.nefroe.2026.501431_bib0205","doi-asserted-by":"crossref","first-page":"37","DOI":"10.2166\/wst.2003.0011","article-title":"Nutrients in urine: energetic aspects of removal and recovery","volume":"48","author":"Maurer","year":"2003","journal-title":"Water Sci Technol"},{"key":"10.1016\/j.nefroe.2026.501431_bib0210","doi-asserted-by":"crossref","first-page":"7100","DOI":"10.1021\/es2014264","article-title":"Domestic wastewater treatment as a net energy producer: can this be achieved?","volume":"45","author":"McCarty","year":"2011","journal-title":"Environ Sci Technol"},{"key":"10.1016\/j.nefroe.2026.501431_bib0215","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.2166\/wcc.2024.603","article-title":"Greenhouse gas emissions from sanitation and wastewater management systems: a review","volume":"15","author":"Lambiasi","year":"2024","journal-title":"J Water Climate Change"},{"key":"10.1016\/j.nefroe.2026.501431_bib0220","doi-asserted-by":"crossref","DOI":"10.12688\/f1000research.139552.2","article-title":"Carbon footprint of Nepalese healthcare system: a study of Dhulikhel Hospital","volume":"12","author":"Adhikari","year":"2024","journal-title":"F1000Research"},{"key":"10.1016\/j.nefroe.2026.501431_bib0225","doi-asserted-by":"crossref","DOI":"10.1016\/j.dwt.2025.101301","article-title":"Wastewater recovered struvite: quality assessment for heavy metals, PFAS, and microplastic","volume":"323","author":"Dymaczewski","year":"2025","journal-title":"Desal Water Treat"},{"key":"10.1016\/j.nefroe.2026.501431_bib0230","article-title":"Polymeric membranes for sustainable closed-loop heamodialysis process water management: recent advances and future perspectives","volume":"13","author":"Mu\u2019azu","year":"2025","journal-title":"J Environ Chem Eng"}],"container-title":["Nefrolog\u00eda (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2013251426000441?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2013251426000441?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T08:17:23Z","timestamp":1772266643000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2013251426000441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S2013251426000441"],"URL":"https:\/\/doi.org\/10.1016\/j.nefroe.2026.501431","relation":{},"ISSN":["2013-2514"],"issn-type":[{"value":"2013-2514","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Unlocking the circular economy potential of spent dialysate in hemodialysis","name":"articletitle","label":"Article Title"},{"value":"Nefrolog\u00eda (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nefroe.2026.501431","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Sociedad Espa\u00f1ola de Nefrolog\u00eda. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}],"article-number":"501431"}}