Turkish Journal of Nephrology
Review Article

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


Department of Nephrology, Uşak University Faculty of Medicine, Uşak, Türkiye


Department of Nephrology, Ege University Faculty of Medicine, İzmir, Türkiye

Turkish J Nephrol 2023; 32: 269-276
DOI: 10.5152/turkjnephrol.2023.22414
Read: 329 Downloads: 202 Published: 29 September 2023

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.

Cite this article as: Hür E, Duman S. Green hemodialysis: A possible way of nature friendly and cost effective kidney replacement therapy. Turk J Nephrol. 2023;32(4):269-276.

EISSN 2667-4440