Dialysis from the sharp end of the needle: Dialysis Goes Solar Down Under

Nearly fifty years after the advent of chronic hemodialysis, a simple experiment in Australia stands to substantially reduce the cost of hemodialysis through applied solar technology. Dr. John Agar of Geelong Australia began the first home based nocturnal dialysis (NHHD) program in 2000 modeled after the Toronto protocol of Pierratos and Uldall. A recent cost analysis of home self-management revealed annual expenditures were $24,000/pt/year compared to $52,000/pt/year for incenter.

Nevertheless, one of the major barriers for patients utilizing NHHD is water usage and energy usage. Dr. Agar implemented a water conservation program resulting in up to 80% reduction in water bills for the average home patient. In addition, electricity usage remains high especially when applied to more frequent and longer duration dialysis sessions of NHHD. Dr. Agar proposed a pilot study funded by Fresenius Medical Care by applying proven solar technology to further reduce the financial burden of extended hemodialysis and the early results are very promising.

Dialysis from the sharp end of the needle: Dialysis Goes Solar Down Under