TRUNC-HD (Leeds Case Study - Moving from 1:33 to 1:44 Central Acid Concentrate)

This Leeds study evaluated switching haemodialysis acid concentrate from 1:33 to 1:44 dilution to reduce environmental impact. By using a more concentrated solution, each canister produced more dialysate, cutting the number of canisters required, transport needs, and associated clinical waste. 

The change maintained treatment safety and quality while lowering carbon emissions and disposal costs. The initiative highlights how supply chain adjustments in routine dialysis practice can deliver significant sustainability benefits, offering a practical model for renal units aiming to reduce waste and resource use without compromising patient care.