The carbon footprints of home and in-center peritoneal dialysis in China

Objective The provision of healthcare itself is associated with abundant greenhouse gas (GHG) emissions. This study aims to determine the carbon footprints of peritoneal dialysis (PD) with the different modalities and treatment regimes. Methods A total of 68 subjects performed with PD treatment were...

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Published in:International urology and nephrology Vol. 49; no. 2; pp. 337 - 343
Main Authors: Chen, Mindong, Zhou, Rong, Du, Chongbo, Meng, Fulei, Wang, Yanli, Wu, Liping, Wang, Fang, Xu, Yahong, Yang, Xiufen
Format: Journal Article
Language:English
Published: Dordrecht Springer Netherlands 01.02.2017
Springer Nature B.V
Subjects:
Air Pollutants - analysis
Carbon Dioxide - analysis
Carbon Footprint
China
Female
Health Facility Environment - standards
Home Care Services, Hospital-Based - organization & administration
Home Care Services, Hospital-Based - standards
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Needs Assessment
Nephrology
Nephrology - Original Paper
Peritoneal Dialysis, Continuous Ambulatory - adverse effects
Peritoneal Dialysis, Continuous Ambulatory - instrumentation
Peritoneal Dialysis, Continuous Ambulatory - methods
Quality Improvement
Urology
Carbon footprints
Greenhouse gas (GHG) emissions
Peritoneal dialysis
ISSN:0301-1623, 1573-2584
Online Access:Get full text
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Summary:Objective The provision of healthcare itself is associated with abundant greenhouse gas (GHG) emissions. This study aims to determine the carbon footprints of peritoneal dialysis (PD) with the different modalities and treatment regimes. Methods A total of 68 subjects performed with PD treatment were enrolled in this study. Emissions factors were applied to data that were collected for energy consumption, travel, and procurement. Results The carbon footprints generated by the provision of PD treatment for the individual patient were calculated and normalized to a 2-l PD dialysate volume. The fixed emissions were higher in patients who received PD therapy in center than at home, mostly attributing to the consumption of electricity. Conversely, PD treatment performed in center yielded less variable emissions than that of at home, which resulted from reduced constituent percentage of waste disposal and transportation. Collectively, packaging consumption mostly contributed to the total carbon footprints of PD. Conclusion This study for the first time demonstrates the delivery of PD is associated with considerable GHG emissions, which is mainly attributed to packaging materials, transportation, electricity, and waste disposal. These results suggest that carbon reduction strategies focusing on packaging consumption in PD treatment are likely to yield the greatest benefits.
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ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-016-1418-5