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

The current kidney care model - focused on late-stage disease and in-center hemodialysis - is unsustainable due to 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. In alignment 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, as well as the environment and society. Dialysis itself must become more eco-friendly without compromising quality of care, recognizing that planetary perturbations in turn affect kidney health. Conservative care should also be considered, particularly for elderly and frail patients, when the quality-of-life benefits outweigh those offered by dialysis. Achieving this shift requires coordinated action across all stakeholders; education and engagement of the public, policymakers, and health professionals to raise awareness about the threat of kidney disease; and an urgent move toward patient-centered care.