{
  "abstract": "Recent disasters, including pandemics, armed conflicts, and extreme weather events, have highlighted the fragility of chronic dialysis systems and accelerated a broader shift in disaster nephrology from management and provision of dialysis for acute crush-related kidney injury toward resilience-oriented continuity of care planning for chronic kidney disease and kidney failure. At the World Congress of Nephrology 2026 held in Yokohama, Japan, the Spotlight Session entitled \"When Disasters Are the Norm: A 2050 Kidney Care Simulation\" explored future-oriented approaches to resilient kidney care. Two disaster scenarios and a future-oriented discussion were presented, involving water shortages, digital outages, and logistical disruption. The session discussed practical adaptation strategies including crisis-adapted dialysis protocols, decentralized and home-based dialysis models, low-technology backup systems, and regional coordination frameworks during resource-constrained conditions. The session also examined the potential future role of artificial intelligence (AI)-based forecasting systems which may support anticipatory dialysis preparedness through improved prediction of extreme weather events. Collectively, these discussions suggest that future disaster nephrology will increasingly require resilience-focused, decentralized, and operationally adaptable kidney care systems capable of sustaining continuity of care under conditions of recurrent disruption and infrastructure instability.",
  "abstract_shown": true,
  "affiliations": [
    "Blood Purification Center, Hamamatsu University Hospital, Hamamatsu, Japan.",
    "Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.",
    "Graduate Institute of Toxicology, National Taiwan University College of Medicine, Taipei, Taiwan.",
    "Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.",
    "Division of Nephrology and Hypertension, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.",
    "Department of Internal Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, Connecticut, USA.",
    "Marmara University, Istanbul, Turkey.",
    "Faculty of Medicine, University of Queensland, Brisbane, Australia.",
    "School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.",
    "Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.",
    "Basic-Clinical Convergence Research Institute, University of Ulsan, Ulsan, Republic of Korea.",
    "Department of Medical Science Convergence, Graduate School of Medical Science, University of Ulsan, Ulsan, Republic of Korea.",
    "Division of Nephrology, University Health Network, Toronto, Ontario, Canada.",
    "Division of Nephrology and Hypertension, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sayaka Ishigaki"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Chia-Ter Chao"
    },
    {
      "affs": [
        4,
        5
      ],
      "name": "Ali K Abu-Alfa"
    },
    {
      "affs": [
        6
      ],
      "name": "Serhan Tuglular"
    },
    {
      "affs": [
        7,
        8
      ],
      "name": "Marina Wainstein"
    },
    {
      "affs": [
        9,
        10,
        11,
        12
      ],
      "name": "Kyung Don Yoo"
    },
    {
      "affs": [
        4,
        13
      ],
      "name": "Sabine Karam"
    },
    {
      "name": "International Society of Nephrology Renal Disaster Preparedness Working Group (ISN RDPWG)"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4z1rh14nrp3vv.bib",
  "cited_by": 0,
  "doi": "10.1016/j.ekir.2026.107092",
  "fulltext_url": "https://europepmc.org/articles/PMC13744217",
  "id": "4z1rh14nrp3vv",
  "issns": [
    "2468-0249"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999851",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3604|Disaster Response and Management"
    ]
  ],
  "openalex": "W7214402233",
  "pdf_url": "https://europepmc.org/articles/PMC13744217?pdf=render",
  "pmcid": "PMC13744217",
  "pmid": "42999851",
  "published": "2026-09-25",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/4z1rh14nrp3vv.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:41Z",
      "native_id": "MED:42999851",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999851"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2727|Chronic Kidney Disease and Diabetes",
      "subfield": "general"
    }
  ],
  "title": "When Disasters Are the Norm: A 2050 Kidney Care Simulation. Report of a World Congress of Nephrology 2026 Spotlight Session.",
  "title_text": "When Disasters Are the Norm: A 2050 Kidney Care Simulation. Report of a World Congress of Nephrology 2026 Spotlight Session.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:41Z",
  "url": "https://research.draconitic.com/paper/4z1rh14nrp3vv",
  "venue": "Kidney international reports",
  "versions": []
}