{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T15:05:30Z","timestamp":1789830330831,"version":"4.0.1"},"reference-count":58,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The current kidney care model\u2014focused on late-stage disease and in-center hemodialysis\u2014is 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, \u201cKidney Health for All: Caring for People, Protecting the Planet\u201d, 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, the 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 advantages 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.<\/jats:p>","DOI":"10.1093\/joneph\/aajag117","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:42:27Z","timestamp":1777030947000},"source":"Crossref","is-referenced-by-count":0,"title":["Kidney health for all: caring for people, protecting the\u00a0planet"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2633-1636","authenticated-orcid":false,"given":"Raymond","family":"Vanholder","sequence":"first","affiliation":[{"name":"Nephrology Section, Department of Internal Medicine and Pediatrics, Ghent University Hospital , Ghent ,","place":["Belgium"]},{"name":"European Kidney Health Alliance , Brussels 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