The Library
The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom
Tools
Connor, Andrew, Lillywhite, Robert and Cooke, Matthew (Professor of clinical systems design) (2011) The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom. Hemodialysis International, Vol.15 (No.1). pp. 39-51. doi:10.1111/j.1542-4758.2010.00523.x ISSN 1492-7535.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1111/j.1542-4758.2010.00523.x
Abstract
Climate change presents a global health threat. However, the provision of healthcare, including dialysis, is associated with greenhouse gas emissions. The aim of this study was to determine the carbon footprints of the differing modalities and treatment regimes used to deliver maintenance hemodialysis (HD), in order to inform carbon reduction strategies at the level of both individual treatments and HD programs. This was a component analysis study adhering to PAS2050. Emissions factors were applied to data that were collected for building energy use, travel and procurement. Thrice weekly in-center HD has a carbon footprint of 3.8 ton CO(2) Eq per patient per year. The majority of emissions arise within the medical equipment (37%), energy use (21%), and patient travel (20%) sectors. The carbon footprint of providing home HD varies with the regime. For standard machines: 4 times weekly (4 days, 4.5 hours), 4.3 ton CO(2) Eq; 5 times weekly (5 days, 4 hours), 5.1 ton CO(2) Eq; short daily (6 days, 2 hours), 5.2 ton CO(2) Eq; nocturnal (3 nightly, 7 hours), 3.9 ton CO(2) Eq; and nocturnal (6 nightly, 7 hours), 7.2 ton CO(2) Eq. For NxStage equipment: short daily (5.5 days, 3 hours), 1.8 t CO(2) Eq; 6 nightly nocturnal (2.1 ton CO(2) Eq). The carbon footprint of HD is influenced more by the frequency of treatments than by their duration. The anticipated rise in the prevalence of home HD patients, dialyzing more frequently and for longer than in-center patients, will increase the emissions associated with HD programs (despite reductions in patient travel emissions). Emerging technologies, such as NxStage, might offer a solution to this problem.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Divisions: | Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- ) > Warwick HRI (2004-2010) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
Journal or Publication Title: | Hemodialysis International | ||||
Publisher: | Wiley-Blackwell Publishing, Inc. | ||||
ISSN: | 1492-7535 | ||||
Official Date: | January 2011 | ||||
Dates: |
|
||||
Volume: | Vol.15 | ||||
Number: | No.1 | ||||
Page Range: | pp. 39-51 | ||||
DOI: | 10.1111/j.1542-4758.2010.00523.x | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Data sourced from Thomson Reuters' Web of Knowledge
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |