Ontario Renal Network | Reseau Renal de L'Ontario



Dialysis in Ontario

Dialysis is a treatment to remove toxins from the blood when the kidneys have failed because of damage. Approximately 10,000 people in Ontario are receiving dialysis as a renal replacement therapy.

There are two main types of dialysis:

  • Hemodialysis (HD) - A patient's blood is filtered through a machine to remove waste and toxins, and the cleaned blood is returned into the patient's bloodstream. The blood flows through a flexible tube (catheter) inserted in a major vein, usually in the patient's arm.
  • Peritoneal Dialysis (PD) - Fluid flows into the peritoneal cavity, is left there for a while to absorb toxins, and is then drained out through the tube and discarded. PD is always performed at home.

Types of Dialysis:

  • Facility/hospital based hemodialysis
    Dialysis that is done in a hospital setting.
  • Community-based hemodialysis
    Dialysis that is done outside a hospital, e.g., in an office building or shopping plaza; via mobile dialysis
    Services or in an Independent Health Facilities.
LHIN Long-Term Care Hospital
Erie St. Clair Sun Parlor Home, County of Essex
Waterloo Wellington Forest Heights Long-Term Care Centre
Royal Terrace
Stirling Heights Long-Term Care Centre
Wellington Terrace Long-Term Care Home
Hamilton Niagara Haldimand Brant Arbour Creek Long-Term Care Centre
Idlewyld Manor
St. Joseph's Lifecare Centre
Mississauga Halton Leisureworld Caregiving Centre
Wyndham Manor
Toronto Central Drs. Paul and John Rekai Centre
The O'Neill Centre
The Rekai Centre at Sherbourne Place
Central Mariann Nursing Home and Residence
Mon Sheong Richmond Hill Long-Term Care Centre
Simcoe Manor Home for the Aged
Central East Mon Sheong Scarborough Long-Term Care Centre
Yee Hong Centre - Scarborough Finch
Hillsdale Estates
Rockcliffe Nursing Home
South East The John M. Parrott Centre
Carveth Care Centre
North Simcoe Muskoka Grove Park Home (Grove park lodge)
Trillium Manor
Champlain St. Louis Residence
North East St. Joseph's Villa
Villa St. Gabriel Villa
North West Bethammi Nursing Home

Independent/home dialysis

  • Home conventional hemodialysis (HCHD) : Patients perform their own treatment at home for about four hours a day, three to four days a week
  • Home nocturnal/daily hemodialysis (HD/HNHD) : Patients perform their own treatment in the home setting for approximately 3 to 4 hours a day ("daily") or 8 hours overnight ("nocturnal"), five to seven times a week
  • CAPD (Continuous Ambulatory Peritoneal Dialysis) : Patients receive continuous dialysis treatment through an implanted peritoneal catheter. The fluid held in the abdominal cavity is exchanged an average of 4 times over 24 hours.
  • APD (Automated Peritoneal Dialysis) : An automated cycler is used to exchange the fluid while the patient sleeps at night, with or without additional exchanges during the day. 

Read More about Dialysis Services in Ontario