CHAPTER 2: DIALYSIS IN MALAYSIA. Lim Yam Ngo Lim Teck Onn Lee Day Guat

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1 CHAPTER 2: DIALYSIS IN MALAYSIA Lim Yam Ngo Lim Teck Onn Lee Day Guat

2 Table 2.1.1: Stock and flow - Dialysis New Dialysis Died Transplanted Lost to Follow-up Dialysing at 31 st December

3 Table 2.1.2: : Dialysis treatment rate per million population Acceptance rate Prevalence rate

4 Table 2.1.3: Dialysis Treatment Rate by state, per million population 2-29 State Pulau Pinang Melaka Johor Perak Selangor & Putrajaya WP Kuala Lumpur Negeri Sembilan Kedah Perlis Terengganu Pahang Kelantan Sarawak Sabah & WP Labuan

5 Table : Number of dialysis centres, machines and treatment capacity by sector, December 29 Sector centre machines capacity capacity: ratio PD centre PD All Dialysis MOH NGO Private University Armed Force TOTAL

6 Figure 2.2.1(a): Distribution of dialysis centres by Sector, December 29 Number of centres MOH NGO AF PRV UNI Sector Figure 2.2.1(c): Distribution of dialysis by Sector, December 29 Figure 2.2.1(b): Distribution of capacity by Sector, December 29 capacity 11, 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, MOH NGO AF PRV UNI Sector Figure 2.2.1(d): capacity: patient ratio by Sector, December 29 Number of dialysis 8,5 8, 7,5 7, 6,5 6, 5,5 5, 4,5 4, 3,5 3, 2,5 2, 1,5 1, 5 MOH NGO AF PRV UNI Sector capacity : patient ratio MOH NGO AF PRV UNI Sector

7 State Table : Number of dialysis centers, number of machines and treatment capacity, capacity to ratio and number of dialysis by state in December 29 machines machines pmp capacity capacity pmp pmp capacity: patient ratio PD PD PD pmp All dialysis Dialysis treatment rate pmp WP K. Lumpur Pulau Pinang Johor Melaka Negeri Sembilan Perak Selangor & Putrajaya Perlis Kedah Sarawak Pahang Terengganu Kelantan Sabah & Labuan Malaysia

8 Figure 2.2.2(a): Distribution of hemodialysis centres by State, 29 Figure 2.2.2(c): Distribution of /million population by State, 29 Number of dialysis centres Pl Tr Ke Me Ns Ph Sb Sw Ke PP WP Pr Jo Se State Dialysis /million population 1,4 1,3 1,2 1,1 1, Sb Ke Tr Ph Sw Ke Pl Se Pr Ns Me Jo PP WP State Figure 2.2.2(b): Distribution of dialysis by State, 29 Figure 2.2.2(d): capacity to patient ratio by State, 29 Number of dialysis 4, 3,5 3, 2,5 2, 1,5 1, 5 Pl Tr Ke Me Ph Ns Sb Ke Sw PP Pr WP Jo Se State capacity : patient ratio Ke Sw Tr Pl Jo Pr Ke Ns Sb Me WP Se PP Ph State

9 Table 2.2.3: Growth in and in Private, NGO and MOH sectors, 2-29 Sector Private NGO MOH Cumulative capacity Cumulative Cumulative capacity Cumulative Cumulative capacity Cumulative

10 Figure 2.2.3: Growth in and in Private, NGO and MOH sectors, 2-29 Cumulative number capacity patient Growth in capacity and patient, private sector 2-29 Cumulative number capacity patient Growth in capacity and patient, NGO sector 2-29 Cumulative number capacity patient Growth in capacity and patient, MOH sector 2-29

11 Table 2.3.1(a) : Dialysis Treatment Rate by Gender, per million male or female population 2-29 Gender Male Female Figure 2.3.1(a): Dialysis Treatment Rate by Gender 2-29 Male Female Treatment rate, per million population

12 Table 2.3.1(b): Gender Distribution of Dialysis Patients New Dialysis % Male % Female Dialysing at 31 st December % Male % Female

13 Figure 2.3.1(b): Gender Distribution of Dialysis Patients 2-29 (i) New Dialysis (ii) Dialysing at 31 st December Male Female Male Female Proportion of Proportion of

14 Table (a): Dialysis Treatment Rate by Age Group, per million age group population 2-29 Age groups (years)

15 Figure (a): Dialysis Treatment Rate by Age Group 2-29 Treatment rateper million population year Age group 1-14 years Age group years Age group years Age group >=65 years Age group years Age group years Age group years

16 Table : Percentage Age Distribution of Dialysis Patients New Dialysis % 1-14 years % years % years % years % years % years % >=65 years Dialysing at 31 st December % 1-14 years % years % years % years % years % years % >=65 years

17 Figure (b): Age Distribution of New Dialysis Patients 2-29 (i) New dialysing (ii) Dialysing at 31 st December Age group 1-24 years Age group years Age group years Age group years Age group years Age group >=65 years Age group 1-24 years Age group years Age group years Age group years Age group years Age group >=65 years Proportion of Proportion of

18 Table 2.3.3: Method and Location of Dialysis Patients New Dialysis % % Home & office % PD Dialysing at 31 st December % % Home & office % PD

19 Figure 2.3.3: Method and Location of Dialysis Patients 2-29 i) New dialysing ii) Dialysing at 31 st December CAPD Home and office CAPD Home and office Proportion of Proportion of

20 Table 2.3.4: Funding for Dialysis Treatment New Dialysis % by Government % by Charity % self funded % subsidized by Employer % Others Dialysing at 31 st December % by Government % by Charity % self funded % subsidized by Employer % Others

21 Figure 2.3.4: Funding for Dialysis Treatment 2-29 i) New dialysing ii) Dialysing at 31 st December Government funded Charity Self funded Employer subsidy Others Government funded Charity Self funded Employer subsidy Others Proportion of Proportion of

22 Table 2.3.5: Distribution of Dialysis Patients by Sector New Dialysis % Government centre % NGO centre % Private centre Dialysing at 31 st December % Government centre % NGO centre % Private centre

23 Figure 2.3.5: Distribution of Dialysis Patients by Sector 2-29 i) New dialysing Government centre NGO centre Private centre ii) Dialysing at 31 st December Government centre NGO centre Private centre Proportion of Proportion of

24 Table 2.4.1: Primary Renal Diseases New dialysis % Unknown cause % Diabetes Mellitus % GN % SLE % Polycystic kidney % Obstructive Nephropathy % Toxic Nephropathy 1 % Hypertension % Others

25 Figure 2.4.1: Primary Renal Diseases for New Dialysis Patients 2-29 Unknown cause GN and SLE Obstructive Nephropathy Diabetes Mellitus Polycystic kidney Toxic Nephropathy, Hypertension and Others Proportion of