Green Dialysis for over a decade

August 11 2013

We have been into ‘green dialysis’ for over a decade now.

We came to ‘think’ green when our successful nocturnal dialysis program delivered more health but less wealth to our home patients.

Though they felt incredibly better, their power and water bills were really hurting them

We decided to try to reduce their water use … and we were so successful in some of the measures we dreamed up, that we then tried ways to reduce their power use, too.

When we realized that what we were applying to home dialysis could equally be applied in our facilities, we decided to push for a green dialysis agenda. The measures we have put in place are now well reported in the literature.

Several of our key papers have been:

  1. Agar JWM. Recycling Dialysis Wastewater: ‘The Elephant in the Room’. (Requested Editorial) Am J Kid Dis. 2008. 52(1): 10-12.
  2. Agar JWM, Simmonds RE, Knight R. Using water wisely: New, essential and affordable water conservation practices for both facility and home hemodialysis. Hemodial. Int. 2009. 13(1): 32-37.
  3. Agar JWM. Solar-assisted Hemodialysis. CJASN. 2012: 7(2): 310-314.
  4. Lim AE, Perkins A, Agar JWM. The Carbon Footprint of an Australian Satellite Haemodialysis Unit. Aust Health Rev. 2013. 37(3): 369-74.
  5. Agar JWM. Green Dialysis. Editorial. Hemodialysis International. (Manuscript in Press, September/October edition, 2013).

Meanwhile, UK dialysis was going green too. While the UK may have come to their green practices a little later, they did it with such commitment that they are now well ahead of us here in Australia, in both organization and in practice.

The UK program has been web-based and web-supported. Their website is an eye-opener … and all who think dialysis could be practiced in a cleaner, more sustainable way should join their website. You will find it at:

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