1. www.nephrothai.org TRT Registry Data 2004 TRT Registry Subcommittee Nephrology Society of Thailand

2. www.nephrothai.org Renal Replacement Therapy Services Mapping for Centers in Thailand 2004 NB: HD Available in 100%, CAPD and KT only in some centers Perimet: Nonthaburi, Nakornpatom Pathumtani, Samutprakarn and Samutsakorn TRT Registry 2004

3. www.nephrothai.org CAPD Service Mapping 2004 (Number of Centers in Thailand) TRT Registry 2004

4. www.nephrothai.org KT Service Mapping 2004 (Number of Centers in Thailand) TRT Registry 2004

5. www.nephrothai.org HD Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

6. www.nephrothai.org CAPD Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

7. www.nephrothai.org KT Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

8. www.nephrothai.org Number of HD Centers Classified by NST Accreditation TRT Registry 2004

9. www.nephrothai.org Number of HD Centers Not Yet Accreditated or Not Undergoing Process by NST in 2004 TRT Registry 2004

10. www.nephrothai.org 18 HD Centers (6%) are Out-Hospital Centers NST Accreditation (2004) TRT Registry 2004

11. www.nephrothai.org In Hospital Dialysis Center with Different Owner (Contracted HD Center) TRT Registry 2004

12. www.nephrothai.org In Hospital Centers and HD Accreditation TRT Registry 2004

13. www.nephrothai.org Distribution of HD Machines by Location Total BKK & Peri Central East NE NorthSouth 11.7% 100% 54.1% 7.3% 6.6% 11.3% 13.4% 7.4% 100% 54.1% 7.3% 6.6% 11.3% 13.4% 7.4% TRT Registry 2004

14. www.nephrothai.org Number of HD Machines in 2004 Classified by Type of Ownership TRT Registry 2004 Foundation Gov Cevil Serv Mil Service Univ Private

15. www.nephrothai.org Cost of HD/Session TRT Registry 2004 Number Of Units Bhts

16. www.nephrothai.org Cost of HD/Session (Bht) Classified by Type of Ownership Bht TRT Registry 2004

17. www.nephrothai.org Cost/HD Session Eliminate those centers with Cost <1500 bhts/session

18. www.nephrothai.org Cost of HD/Session (Bht) Classified by In-Hospital vs Out-Hospital Center Bht TRT Registry 2004

19. www.nephrothai.org Center Distribution with Additional Charge for Dialyzer Total Number Percent of Centers Center Charge with Additional Charge Foundation10 0 0 Governmental 107 3734.6 Cevil Hospital Military Hospital20 420 University Hospital13 646.2 Private 151 2919.2 Total 301 7625.2 TRT Registry 2004

20. www.nephrothai.org Center Distribution with Additional Charge for Dialyzer Total Number Percent of Centers Center Charge with Additional Charge In Hospital Center275 7426.9 Out Hospital Center 18 1 5.6 Total 301 7625.2 TRT Registry 2004

21. www.nephrothai.org Number of Full Time Nephrologist Number of Centers Number of Full-Time Nephrologists TRT Registry 2004

22. www.nephrothai.org Distribution of Nephrologists TRT Registry 2004 NB: Count = number of centers Sum = number of nephrologists 64.9%

23. www.nephrothai.org Distribution of Full-time Certified Senior Renal Nurses % 100 70 3.5 4.5 8.2 9.6 4.2 115 centers (38.2%) have no certified senior renal nurses TRT Registry 2004

24. www.nephrothai.org Ratio of HD Patients / GN TRT Registry 2004

25. www.nephrothai.org Ratio of HD Patients / GN TRT Registry 2004

26. www.nephrothai.org Ratio of HD Patients / GN TRT Registry 2004

27. www.nephrothai.org Alived Patients at the End of 2004 Reported by 258 Centers all over Thailand TRT Registry 2004

28. www.nephrothai.org New Patients (HD+CAPD) in 2004 Reported by 258 Centers all over Thailand TRT Registry 2004

29. www.nephrothai.org Number of Alived Patients Reported from 258 Centers allover Thailand NB Per center: mean, std dev, min and max Count: number of centers Sum: total number of patients TRT Registry 2004

30. www.nephrothai.org New Patients Reported from 258 Centers all-over Thailand NB Per center: mean, std dev, min and max Count: number of centers Sum: total number of patients TRT Registry 2004

31. www.nephrothai.org Number of Patients by Service Ownership Reported by 258 Centers all-over Thailand TRT Registry 2004

32. www.nephrothai.org New Patients by Service Ownership Reported by 258 Centers all-over Thailand TRT Registry 2004

33. www.nephrothai.org Patient Data from 258 Centers (Survey at Dec 31th, 2003, estimate total Thai population 64 M) total %per M pop Point Prevalence –HD8640 77.1 135.0 –PD 554 4.9 8.7 –KT with functioning graft2014 18.0 31.5 –Total 11208100.0 175.2 Incidence –HD3460 86.5 54.1 –PD 185 4.6 2.9 –KT 353 8.8 5.5 –Total3998 100.0 62.5 TRT Registry 2004 * KT data from 3 University Hospitals were missing HD Prevalence adjusted factor: average patients / center = 33.5 HD Incidence adjusted factor: average patients / center = 13.4

34. www.nephrothai.org Estimation for 2003 (Survey at Dec 31th, 2003, estimated total Thai population 64 M) total %per M pop Point Prevalence –HD 11990 79.9 187.3 –PD1000 6.7 15.6 –KT with functioning graft2014 13.4 31.5 –Total 15004100.0 234.4 Incidence –HD4800 90.6 75.0 –PD 144 2.7 2.3 –KT 353 6.7 5.5 –Total5297100.0 82.8 TRT Registry 2004

35. www.nephrothai.org USRDS Data: International Report 2001 Point Prevalence of ESRD on Renal Replacement Therapy Thailand 2003 HD 187 pMp CAPD 16 pMp KT 32 pMp RRT 234 pMp TRT Registry 2004

36. www.nephrothai.org USRDS Data: International Report 2001 Incidence of ESRD on Renal Replacement Therapy Thailand 2003 HD 75.0pMp CAPD 2.3 pMp KT 5.5 pMp RRT 82.8 pMp TRT Registry 2004

37. www.nephrothai.org Patient Data TRT Registry 2004

38. www.nephrothai.org Problem in Analysis Completion of patient data –Total record received7243 records –Reconfirmed data4333 records (59.8%) TRT Registry 2004

39. www.nephrothai.org Reconfirmed Data TRT Registry 2004

40. www.nephrothai.org Causes of Renal Replacement Therapy 2003 TRT Registry 2004

41. www.nephrothai.org Mortality in 2003 Reported only in 161 patients (1.4% of 11208 alived patients) TRT Registry 2004