STOCK AND FLOW Table 1.01 DIALYSIS TREATMENT PROVISION Table 2.01

34

I. RENAL REPLACEMENT THERAPY IN MALAYSIA

1.1 STOCK AND FLOW Table 1.01

Stock and Flow of RRT, 1992 - 1999 Year 1992 1993 1994 1995 1996 1997 1998 1999 New Dialysis patients 328 331 507 670 907 1095 1157 1355 New Transplants 115 136 199 100 144 119 77 99 Dialysis deaths 93 102 142 171 217 291 359 455 Transplant deaths 16 19 27 15 29 27 23 23 Dialysing at 31st December 1153 1362 1694 2164 2806 3557 4300 5138 Functioning transplant at 31st December 614 705 851 906 990 1039 1046 1086 35 a New Dialysis and Transplant patients N o . o f p a ti e n ts Year 500 1000 1500 New Dialysis New Transplant 1992 1994 1996 1998 b Patients Dialysing and with Functioning Transplants at 31 st December 1992 – 1999 N o . o f p a ti e n ts Year 2000 4000 6000 Dialysing at 31st December Functioning transplant at 31st December 1992 1994 1996 1998 Figure 1.01 Stock and Flow-of RRT 1992 - 1999 36

1.2 TREATMENT PROVISION RATE Table 1.02

New Dialysis Acceptance Rate and New Transplant Rate per million population 1992 - 1999 _ Acceptance rate 1992 1993 1994 1995 1996 1997 1998 1999 New Dialysis 18 17 26 32 43 51 52 60 New Transplant 6 7 10 5 7 5 3 4 Figure 1.02 New Dialysis Acceptance and New Transplant Rate 1993 - 1999 R a te , p e r m ill io n p o p u la ti o n Year 20 40 60 Dialysis Transplant 1993 1994 1995 1996 1997 1998 1999 37 Table 1.03 RRT Prevalence Rate per million population 1992 – 1999 Prevalence rate 1992 1993 1994 1995 1996 1997 1998 1999 Dialysis 62 71 86 105 133 164 195 227 Transplant 33 37 43 44 47 48 47 48 Figure 1.03 Dialysis and Transplant Prevalence Rate per million population 1993 - 1999 R a te , p e r m ill io n p o p u la ti o n Year 100 200 300 Dialysis Transplant 1993 1994 1995 1996 1997 1998 1999 38 DIALYSIS IN MALAYSIA Dialysis Treatment Provision Patient Demographics Method and Location Primary Renal Disease Death on Dialysis Dialysis Centre, Capacity and Treatment Provision centre survey 2000 39

2. DIALYSIS IN MALAYSIA

2.1 DIALYSIS TREATMENT PROVISION Table 2.01

Stock and flow – Dialysis Patients 1992 – 1999 Year 1992 1993 1994 1995 1996 1997 1998 1999 New Dialysis patients 328 331 507 670 907 1095 1157 1355 Died 93 102 142 171 217 291 359 455 Transplanted 47 36 44 37 56 59 60 65 Lost to FU 6 5 8 16 25 20 21 16 Dialysing at 31st December 1153 1362 1694 2164 2806 3557 4300 5138 Table 2.02 Dialysis Treatment Rate per million population 1992 – 1999 Year 1992 1993 1994 1995 1996 1997 1998 1999 Acceptance rate 18 17 26 32 43 51 52 60 Prevalence rate 62 71 86 105 133 164 195 227 Table 2.03 Dialysis Treatment Rate by State, per million state population 1999 STATE ACCEPTANCE RATE Pulau Pinang 111 Negeri Sembilan Darul Khusus 93 Johor Darul Takzim 88 Selangor W.Persekutuan 83 Negeri Melaka 79 Perak Darul Redzuan 69 Kedah Perlis 55 Pahang Darul Makmur 45 Sarawak 43 Trengganu Darul Iman 33 Sabah 32 Kelantan Darul Naim 25 40 Table 2.04 Dialysis Treatment Rate by Gender, per million male or female population 1996– 1999 Gender 1996 1997 1998 1999 Male 50 61 58 72 Female 43 48 52 54 Figure 2.04 Dialysis Treatment by Gender 1996 - 1999 T re a tme n t ra te , p e r mi lli o n p o p u la ti o n 10 20 30 40 50 1996 1997 1998 1999 Female Male 41 Table 2.05 Dialysis Treatment Rate by Age Group, per million age group population 1996 – 1999 Age groups years 1996 1997 1998 1999 1-14 3 2 3 3 15-24 13 15 15 14 25-34 36 39 38 38 35-44 66 78 75 74 45-54 152 159 169 205 55-64 218 282 284 328 65 160 209 204 261 Figure 2.05.: Dialysis Acceptance Rate by Age Group, 1996 - 1999 T re a tme n t ra te , p e r mi lli o n p o p u la ti o n 100 200 300 400 1996 1997 1998 1999 1-14 15-24 25-34 35-44 45-54 55-64 =65 42

2.2 PATIEN