Green practices for home patients


As the uptake of both home haemodialysis (home HD) and peritoneal dialysis (PD) increase, the additional financial and environmental burdens placed on home patients come into sharper focus.

Both home options have their advantages.

  • PD is easy to learn, and offers a good early option that helps maximally preserve residual native kidney renal function (1).
  • Home HD is well documented to offer better survival (2) and enhanced lifestyle opportunities (3) for those capable of managing HD at home.

However, both have resource implications that must be considered – and minimised wherever possible – for patients and families who decide to take dialysis ‘home’.

The resource conservation and management measures described in this section can help minimize this burden.




  2. Marshall MR, Polkinghorne KR, Kerr PG, Hawley CM, Agar JW, McDonald SP. Intensive hemodialysis and mortality risk in Australian and New Zealand populations.  Am J Kid Dis. 67(4). 617-628. April 2016