CHAPTER 2 DIALYSIS IN MALAYSIA Goh Bak Leong Lim Yam Ngo Ong Loke Meng Ghazali Ahmad Lee Day Guat Source: 20 th MDTR Report 2012, NRR

Table 2.1.1(a): Stock and flow- HD Patients Year New HD patients Died Transplanted Lost to Follow-up Dialysing at 31 st December Year New HD patients Died Transplanted Lost to Follow-up Dialysing at 31 st December Source: 20 th MDTR Report 2012, NRR

Table 2.1.1(b): Stock and flow- PD Patients Year New PD patients Died Transplanted Lost to Follow-up Dialysing at 31 st December Year New PD patients Died Transplanted Lost to Follow-up Dialysing at 31 st December Source: 20 th MDTR Report 2012, NRR

Table 2.1.2(a): HD Treatment Rate per million population Year Acceptance rate Prevalence rate Year Acceptance rate Prevalence rate Source: 20 th MDTR Report 2012, NRR

Table 2.1.2(b): PD Treatment Rate per million population Year Acceptance rate Prevalence rate Year Acceptance rate Prevalence rate Source: 20 th MDTR Report 2012, NRR

Table 2.1.3: Dialysis Treatment Rate by state, per million population Source: 20 th MDTR Report 2012, NRR

Table 2.2.1: Number of dialysis centres, HD machines and treatment capacity, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.1(a): Number of dialysis centres, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.1(b): Number of HD capacity, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.1(c): Number of dialysis patients, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.1(d): HD capacity to patient ratio, Source: 20 th MDTR Report 2012, NRR

Table 2.2.2(a): Number of dialysis centers, number of HD machines and treatment capacity, HD capacity to patients ratio and number of dialysis patients by state, 2003 Source: 20 th MDTR Report 2012, NRR

Table 2.2.2(b): Number of dialysis centers, number of HD machines and treatment capacity, HD capacity to patients ratio and number of dialysis patients by state, 2007 Source: 20 th MDTR Report 2012, NRR

Table (c): Number of dialysis centers, number of HD machines and treatment capacity, HD capacity to patients ratio and number of dialysis patients by state, 2012 Source: 20 th MDTR Report 2012, NRR

Figure 2.2.2(a): Distribution of hemodialysis centres by State, Number of dialysis centres JoKLKdKeMeNsPPPhPlPrSbSeSwTr State Source: 20 th MDTR Report 2012, NRR

Figure 2.2.2(c): Distribution of patients per million State population, Source: 20 th MDTR Report 2012, NRR ,000 1,100 1,200 1,300 1,400 1,500 Dialysis patients/million population JoKLKdKeMeNsPPPhPlPrSbSeSwTr State

Figure 2.2.2(b): Distribution of dialysis patients by State, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.2(d): HD capacity to patient ratio by State, HD capacity : patient ratio JoKLKdKeMeNsPPPhPlPrSbSeSwTr State Source: 20 th MDTR Report 2012, NRR

Table 2.2.3(a): Growth in HD and HD patients in Private, NGO and Public sectors, Sector PrivateNGOPublic Cumulative HD capacity Cumulative HD patients Cumulative HD capacity Cumulative HD patients Cumulative HD capacity Cumulative HD patients Source: 20 th MDTR Report 2012, NRR

Figure 2.2.3(a): Growth in HD and HD patients in Private, NGO and Public sectors, Source: 20 th MDTR Report 2012, NRR

Table 2.2.3: Number of dialysis centres, HD machines and treatment capacity by sector,

Figure 2.2.3(a)(i): Distribution of dialysis centres by Sector, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.3(b)(ii): Distribution of HD capacity by Sector, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.3(b)(iii): Distribution of dialysis patients by Sector, Source: 20 th MDTR Report 2012, NRR

Figure 2.2.3(b)(iv): HD capacity to patient ratio by Sector, Source: 20 th MDTR Report 2012, NRR

Table 2.3.1(a): Dialysis Treatment Rate by Gender, per million male or female population Gender Male Female Gender Male Female Source: 20 th MDTR Report 2012, NRR

Figure 2.3.1(a): Dialysis Treatment Rate by Gender Source: 20 th MDTR Report 2012, NRR Treatment rate, per million population '93'94'95'96'97'98'99'00'01'02'03'04'05'06'07'08'09'10'11'12 Year MaleFemale

Table 2.3.1(b): Gender Distribution of Dialysis Patients Year New Dialysis patients % Male % Female Dialysing at 31st December % Male % Female Year New Dialysis patients % Male % Female Dialysing at 31st December % Male55 % Female45 Source: 20 th MDTR Report 2012, NRR

Figure 2.3.1(b): Gender Distribution of Dialysis Patients (ii) Dialysing patients at 31 st December(i)New Dialysis patients Source: 20 th MDTR Report 2012, NRR Proportion of patients '93'94'95'96'97'98'99'00'01'02'03'04'05'06'07'08'09'10'11'12 Year MaleFemale Proportion of patients '93'94'95'96'97'98'99'00'01'02'03'04'05'06'07'08'09'10'11'12 Year MaleFemale

Table (a): Dialysis Treatment Rate by Age Group, per million age group population Age groups (years) ≤ ≥ Age groups (years) ≤ ≥ Source: 20 th MDTR Report 2012, NRR

Figure (a): Dialysis Treatment Rate by Age Group Source: 20 th MDTR Report 2012, NRR

Table 2.3.2(b): Percentage Age Distribution of Dialysis Patients Source: 20 th MDTR Report 2012, NRR

Figure 2.3.2(b): Age Distribution of New Dialysis Patients (ii) Dialysing patients at 31 st December(i) New Dialysis Patients Source: 20 th MDTR Report 2012, NRR

Table 2.3.3: Method and Location of Dialysis Patients Year New Dialysis patients % Centre HD % Home and office HD % PD Dialysing at 31 st December % Centre HD % Home and office HD % PD Year New Dialysis patients % Centre HD % Home and office HD % PD Dialysing at 31 st December % Centre HD % Home and office HD % PD Source: 20 th MDTR Report 2012, NRR

Figure 2.3.3: Method and Location of Dialysis Patients (ii) Dialysing patients at 31 st December (i) New Dialysis Patients Source: 20 th MDTR Report 2012, NRR

Table 2.3.4: Funding for Dialysis Treatment Source: 20 th MDTR Report 2012, NRR

Figure 2.3.4: Funding for Dialysis Treatment (ii) Dialysing patients at 31 st December (i) New Dialysis Patients Source: 20 th MDTR Report 2012, NRR

Table 2.3.5: Distribution of Dialysis Patients by Sector Year New Dialysis patients % Public centre % NGO centre % Private centre Dialysing at 31 st December % Government centre % NGO centre % Private centre Year New Dialysis patients % Public centre % NGO centre % Private centre Dialysing at 31 st December % Public centre % NGO centre % Private centre Source: 20 th MDTR Report 2012, NRR

Figure 2.3.5: Distribution of Dialysis Patients by Sector (ii) Dialysing patients at 31 st December (i) New Dialysis Patients Source: 20 th MDTR Report 2012, NRR

Table 2.4: Primary Renal Diseases Year New Dialysis patients % Unknown cause % Diabetes Mellitus % GN/SLE % Polycystic kidney % Obstructive Nephropathy % Toxic Nephropathy % Hypertension % Others Year New Dialysis patients % Unknown cause % Diabetes Mellitus % GN/SLE % Polycystic kidney % Obstructive Nephropathy % Toxic Nephropathy % Hypertension % Others Source: 20 th MDTR Report 2012, NRR

Figure 2.4: Primary Renal Diseases for New Dialysis Patients Diabetes MellitusUnknown cause Toxic Nephropathy, Hypertension & OthersGN and SLE Polycystic kidneyObstructive Nephropathy Source: 20 th MDTR Report 2012, NRR