Green Hemodialysis: A Possible Way of Nature Friendly and Cost-Effective Kidney Replacement Therapy

被引:1
作者
Hur, Ender [1 ]
Duman, Soner [2 ]
机构
[1] Usak Univ, Fac Med, Dept Nephrol, Usak, Turkiye
[2] Ege Univ, Fac Med, Dept Nephrol, Izmir, Turkiye
来源
TURKISH JOURNAL OF NEPHROLOGY | 2023年 / 32卷 / 04期
关键词
Hemodialysis; low cost; water saving; LANTHANUM CARBONATE; RENAL OSTEODYSTROPHY; WATER CONSERVATION; CALCIUM-CARBONATE; SERUM PHOSPHORUS; BONE-DISEASE; DIALYSIS; MANAGEMENT; PHOSPHATE; EFFICACY;
D O I
10.5152/turkjnephrol.2023.22414
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The most common kind of kidney replacement therapy worldwide is hemodialysis and in comparison to many other medical treatments, hemodialysis programs appear to have an expensive and producing plenty of waste. Hemodialysis systems currently in use are water hungry, but it is possible to reduce it by adjusting the reverse osmosis system and saving the rejected water. The dialysate flow rate could be tailored to low normal limits according to the patient's need. Temperature effect on reverse osmosis system and flow rate must be taken into consideration. There would be no hesitation to use rejected water in different areas if the composition of it is clearly explained. Using a central dialysate system may reduce the amount of waste products, especially plastics, and the cost of dialysate transportation. It is possible to implement the idea of reduce, reuse, recycle, and repair throughout the hemodialysis for decreasing the carbon footprint and health expenditures.
引用
收藏
页码:269 / 276
页数:8
相关论文
共 70 条
[1]   Reusing and recycling dialysis reverse osmosis system reject water [J].
Agar, John W. M. .
KIDNEY INTERNATIONAL, 2015, 88 (04) :653-657
[2]   Green Dialysis: The Environmental Challenges Ahead [J].
Agar, John W. M. .
SEMINARS IN DIALYSIS, 2015, 28 (02) :186-192
[3]   It is time for "green dialysis" [J].
Agar, John W. M. .
HEMODIALYSIS INTERNATIONAL, 2013, 17 (04) :474-478
[4]   Using water wisely: New, affordable, and essential water conservation practices for facility and home hemodialysis [J].
Agar, John W. M. ;
Simmonds, Rosemary E. ;
Knight, Richard ;
Somerville, Christine A. .
HEMODIALYSIS INTERNATIONAL, 2009, 13 (01) :32-37
[5]  
Amato Rebecca L, 2005, Nephrol Nurs J, V32, P151
[6]  
[Anonymous], 2019, Am J Kidney Dis, DOI 10.1053/j.ajkd.2019.09.002
[7]  
[Anonymous], Troubleshooting RO Systems: Problem, Cause, Solution
[8]  
[Anonymous], NAT PRIM DRINK WAT R
[9]   Calcimimetics for secondary hyperparathyroidism in chronic kidney disease patients [J].
Ballinger, Angela E. ;
Palmer, Suetonia C. ;
Nistor, Ionut ;
Craig, Jonathan C. ;
Strippoli, Giovanni F. M. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2014, (12)
[10]   Green nephrology [J].
Barraclough, Katherine A. ;
Agar, John W. M. .
NATURE REVIEWS NEPHROLOGY, 2020, 16 (05) :257-268