{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:05:14Z","timestamp":1784023514955,"version":"3.55.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Water scarcity is an escalating global challenge with growing relevance for healthcare systems. Nephrology is particularly affected, as dialysis is a life-sustaining yet highly water-intensive therapy. Climate change, droughts, and infrastructure vulnerabilities increasingly threaten reliable water access, exposing the fragility of water-dependent kidney replacement therapies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed the available evidence and practical experience on water use in nephrology and dialysis care, with a focus on feasible strategies to reduce water consumption without compromising patient safety or quality of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identify key domains of water use in dialysis and nephrology practice and present 10 practical, evidence-informed tips to reduce water consumption. These measures span system-level approaches, technological considerations, staff and patient engagement, behavioral change and are applicable across diverse resource settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integrating water stewardship into routine nephrology practice is essential to enhance the long-term resilience of dialysis services. Proactive water conservation represents a clinically relevant, ethical, and achievable component of sustainable kidney care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ckj\/sfag208","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:05:20Z","timestamp":1781611520000},"source":"Crossref","is-referenced-by-count":0,"title":["Ten tips to preserve and reuse water in nephrology"],"prefix":"10.1093","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1367-9691","authenticated-orcid":false,"given":"Susi","family":"Kn\u00f6ller","sequence":"first","affiliation":[{"name":"Gesundheit Nord, Klinikum Bremen-Mitte, Department of Nephrology , Bremen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Weber","sequence":"additional","affiliation":[{"name":"McGill University, Department of Nephrology , Montreal, QC 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