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Peer-reviewedCC BYKidney international reports

When Disasters Are the Norm: A 2050 Kidney Care Simulation. Report of a World Congress of Nephrology 2026 Spotlight Session.

  • Sayaka Ishigaki1
  • Chia-Ter Chao2,3,4
  • Ali K Abu-Alfa5,6
  • Serhan Tuglular7
  • Marina Wainstein8,9
  • Kyung Don Yoo10,11,12,13
  • Sabine Karam5,14
  • International Society of Nephrology Renal Disaster Preparedness Working Group (ISN RDPWG)
14 affiliations
  1. 1Blood Purification Center, Hamamatsu University Hospital, Hamamatsu, Japan.
  2. 2Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
  3. 3Graduate Institute of Toxicology, National Taiwan University College of Medicine, Taipei, Taiwan.
  4. 4Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.
  5. 5Division of Nephrology and Hypertension, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
  6. 6Department of Internal Medicine, Section of Nephrology, Yale University School of Medicine, New Haven, Connecticut, USA.
  7. 7Marmara University, Istanbul, Turkey.
  8. 8Faculty of Medicine, University of Queensland, Brisbane, Australia.
  9. 9School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
  10. 10Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
  11. 11Basic-Clinical Convergence Research Institute, University of Ulsan, Ulsan, Republic of Korea.
  12. 12Department of Medical Science Convergence, Graduate School of Medical Science, University of Ulsan, Ulsan, Republic of Korea.
  13. 13Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
  14. 14Division of Nephrology and Hypertension, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
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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.

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Cite

BibTeXRIS
BibTeX
@article{ishigaki2026when,
  title = {{When Disasters Are the Norm: A 2050 Kidney Care Simulation. Report of a World Congress of Nephrology 2026 Spotlight Session.}},
  author = {Sayaka Ishigaki and Chia-Ter Chao and Ali K Abu-Alfa and Serhan Tuglular and Marina Wainstein and Kyung Don Yoo and Sabine Karam and International Society of Nephrology Renal Disaster Preparedness Working Group (ISN RDPWG)},
  journal = {Kidney international reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.ekir.2026.107092},
  url = {https://europepmc.org/article/MED/42999851},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - When Disasters Are the Norm: A 2050 Kidney Care Simulation. Report of a World Congress of Nephrology 2026 Spotlight Session.
AU  - Sayaka Ishigaki
AU  - Chia-Ter Chao
AU  - Ali K Abu-Alfa
AU  - Serhan Tuglular
AU  - Marina Wainstein
AU  - Kyung Don Yoo
AU  - Sabine Karam
AU  - International Society of Nephrology Renal Disaster Preparedness Working Group (ISN RDPWG)
PY  - 2026
DA  - 2026/09/25
JO  - Kidney international reports
DO  - 10.1016/j.ekir.2026.107092
UR  - https://europepmc.org/article/MED/42999851
AB  - 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.
SN  - 2468-0249
ER  -