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CHAPTER 2 DIALYSIS IN MALAYSIA

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 1993-2012. Source: 20 th MDTR Report 2012, NRR. Table 2.1.1(b): Stock and flow- PD Patients 1993-2012.

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CHAPTER 2 DIALYSIS IN MALAYSIA

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

  2. Table 2.1.1(a): Stock and flow- HD Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

  3. Table 2.1.1(b): Stock and flow- PD Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

  4. Table 2.1.2(a): HD Treatment Rate per million population 1993-2012 Source: 20th MDTR Report 2012, NRR

  5. Table 2.1.2(b): PD Treatment Rate per million population 1993-2012 Source: 20th MDTR Report 2012, NRR

  6. Table 2.1.3: Dialysis Treatment Rate by state, per million population 1993-2012 Source: 20th MDTR Report 2012, NRR

  7. Table 2.2.1: Number of dialysis centres, HD machines and treatment capacity, 2000-2012 Source: 20th MDTR Report 2012, NRR

  8. Figure 2.2.1(a): Number of dialysis centres, 1993-2012 Source: 20th MDTR Report 2012, NRR

  9. Figure 2.2.1(b): Number of HD capacity, 1993-2012 Source: 20th MDTR Report 2012, NRR

  10. Figure 2.2.1(c): Number of dialysis patients, 1993-2012 Source: 20th MDTR Report 2012, NRR

  11. Figure 2.2.1(d): HD capacity to patient ratio, 1993-2012 Source: 20th MDTR Report 2012, NRR

  12. 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: 20th MDTR Report 2012, NRR

  13. 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: 20th MDTR Report 2012, NRR

  14. Table 2.2.2 (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: 20th MDTR Report 2012, NRR

  15. 90 80 70 60 Number of dialysis centres 50 40 30 20 10 0 2003 2007 2012 2007 2012 2003 2007 2012 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2007 2012 2003 2007 2012 2003 2003 2007 2012 2003 2003 2007 2012 2007 2012 2003 2007 2012 2003 2007 2012 2003 Jo KL Kd Ke Me Ns PP Ph Pl Pr Sb Se Sw Tr State Figure 2.2.2(a): Distribution of hemodialysis centres by State, 2003-2012 Source: 20th MDTR Report 2012, NRR

  16. Figure 2.2.2(c): Distribution of patients per million State population , 2003-2012 1,500 1,400 1,300 1,200 1,100 1,000 900 Dialysis patients/million population 800 700 600 500 400 300 200 100 0 2003 2003 2007 2012 2003 2007 2012 2007 2012 2003 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2007 2012 2003 2007 2012 2012 2003 2007 2003 2007 2012 2003 2007 2012 2003 2007 2012 Jo KL Kd Ke Me Ns PP Ph Pl Pr Sb Se Sw Tr State Source: 20th MDTR Report 2012, NRR

  17. 5,500 5,000 4,500 4,000 3,500 3,000 Number of dialysis patients 2,500 2,000 1,500 1,000 500 0 2003 2007 2012 2003 2007 2012 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 Jo KL Kd Ke Me Ns PP Ph Pl Pr Sb Se Sw Tr State Figure 2.2.2(b): Distribution of dialysis patients by State, 2003-2012 Source: 20th MDTR Report 2012, NRR

  18. 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2012 2003 2007 2003 2007 2012 2003 2007 2012 2003 2007 2012 2003 2007 2012 Figure 2.2.2(d): HD capacity to patient ratio by State, 2003-2012 4.5 4 3.5 3 2.5 HD capacity : patient ratio 2 1.5 1 .5 0 Jo KL Kd Ke Me Ns PP Ph Pl Pr Sb Se Sw Tr State Source: 20th MDTR Report 2012, NRR

  19. Table 2.2.3(a): Growth in HD and HD patients in Private, NGO and Public sectors, 2000-2012 Source: 20th MDTR Report 2012, NRR

  20. Figure 2.2.3(a): Growth in HD and HD patients in Private, NGO and Public sectors, 2000-2012 Source: 20th MDTR Report 2012, NRR

  21. Table 2.2.3: Number of dialysis centres, HD machines and treatment capacity by sector, 2000-2012

  22. MOH NGO Private University Armed Force 100 90 80 70 60 % of Dialysis Centre 50 40 30 20 10 0 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Figure 2.2.3(a)(i): Distribution of dialysis centres by Sector, 1993-2012 Source: 20th MDTR Report 2012, NRR

  23. MOH NGO Private University Armed Force 100 90 80 70 60 % of HD capacity 50 40 30 20 10 0 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Figure 2.2.3(b)(ii): Distribution of HD capacity by Sector, 1993-2012 Source: 20th MDTR Report 2012, NRR

  24. MOH NGO Private University Armed Force 100 90 80 70 60 % of Dialysis Patients 50 40 30 20 10 0 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Figure 2.2.3(b)(iii): Distribution of dialysis patients by Sector, 1993-2012 Source: 20th MDTR Report 2012, NRR

  25. Figure 2.2.3(b)(iv): HD capacity to patient ratio by Sector, 1993-2012 Source: 20th MDTR Report 2012, NRR

  26. Table 2.3.1(a): Dialysis Treatment Rate by Gender, per million male or female population 1993-2012 Source: 20th MDTR Report 2012, NRR

  27. Male Female 240 210 180 150 Treatment rate, per million population 120 90 60 30 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Figure 2.3.1(a): Dialysis Treatment Rate by Gender 1993-2012 Source: 20th MDTR Report 2012, NRR

  28. Table 2.3.1(b): Gender Distribution of Dialysis Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

  29. Male Female Male Female 60 60 50 50 40 40 Proportion of patients Proportion of patients 30 30 20 20 10 10 0 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Year Figure 2.3.1(b): Gender Distribution of Dialysis Patients 1993-2012 (i)New Dialysis patients (ii) Dialysing patients at 31st December Source: 20th MDTR Report 2012, NRR

  30. Table 2.3.2 (a): Dialysis Treatment Rate by Age Group, per million age group population 1993-2012 Source: 20th MDTR Report 2012, NRR

  31. Figure 2.3.2 (a): Dialysis Treatment Rate by Age Group 1993-2012 Source: 20th MDTR Report 2012, NRR

  32. Table 2.3.2(b): Percentage Age Distribution of Dialysis Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

  33. Age group 1-24 years Age group 1-24 years Age group 25-34 years Age group 25-34 years Age group 35-44 years Age group 35-44 years Age group 45-54 years Age group 45-54 years Age group 55-64 years Age group 55-64 years Age group >=65 years Age group >=65 years 100 100 90 90 80 80 70 70 60 60 Proportion of patients Proportion of patients 50 50 40 40 30 30 20 20 10 10 0 0 '93 '93 '94 '94 '95 '95 '96 '96 '97 '97 '98 '98 '99 '99 '00 '00 '01 '01 '02 '02 '03 '03 '04 '04 '05 '05 '06 '06 '07 '07 '08 '08 '09 '09 '10 '10 '11 '11 '12 '12 Year Year Figure 2.3.2(b): Age Distribution of New Dialysis Patients 1993-2012 (i) New Dialysis Patients (ii) Dialysing patients at 31st December Source: 20th MDTR Report 2012, NRR

  34. Table 2.3.3: Method and Location of Dialysis Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

  35. Centre HD Home and office HD CAPD CAPD Centre HD Home and office HD 100 100 90 90 80 80 70 70 60 60 Proportion of patients Proportion of patients 50 50 40 40 30 30 20 20 10 10 0 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Year Figure 2.3.3: Method and Location of Dialysis Patients 1993-2012 • New Dialysis Patients (ii) Dialysing patients at 31st December Source: 20th MDTR Report 2012, NRR

  36. Table 2.3.4: Funding for Dialysis Treatment 1993-2012 Source: 20th MDTR Report 2012, NRR

  37. Government funded Charity Government funded Charity Self funded Self funded Employer subsidy Others Employer subsidy Others 100 100 90 90 80 80 70 70 Proportion of patients Proportion of patients 60 60 50 50 40 40 30 30 20 20 10 10 0 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Year Figure 2.3.4: Funding for Dialysis Treatment 1993-2012 (ii) Dialysing patients at 31st December (i) New Dialysis Patients Source: 20th MDTR Report 2012, NRR

  38. Table 2.3.5: Distribution of Dialysis Patients by Sector 1993-2012 Source: 20th MDTR Report 2012, NRR

  39. Public centre NGO centre Private centre Public centre NGO centre Private centre 100 100 90 90 80 80 70 70 60 60 Proportion of patients Proportion of patients 50 50 40 40 30 30 20 20 10 10 0 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Year Figure 2.3.5: Distribution of Dialysis Patients by Sector 1993-2012 (ii) Dialysing patients at 31st December • New Dialysis Patients Source: 20th MDTR Report 2012, NRR

  40. Table 2.4: Primary Renal Diseases 1993-2012 Source: 20th MDTR Report 2012, NRR

  41. Diabetes Mellitus Unknown cause Toxic Nephropathy, Hypertension & Others GN and SLE Polycystic kidney Obstructive Nephropathy 100 90 80 70 60 Proportion of patients 50 40 30 20 10 0 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 Year Figure 2.4: Primary Renal Diseases for New Dialysis Patients 1993-2012 Source: 20th MDTR Report 2012, NRR

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