Stock and Flow RENAL TRANSPLANTATION 124

ALL RENAL REPLACEMENT THERAPY IN MALAYSIA 13th Report of the Malaysian Dialysis and Transplant Registry 2005 2 Figure 1.01: Stock and Flow of RRT, Malaysia 1996 – 2005 a New Dialysis and Transplant patients No. of patients Year 500 1000 1500 2000 2500 3000 New Dialysis 1996 1998 2000 2002 2004

1.1 Stock and Flow

The intake of new dialysis patients continued to grow linearly over the years - from 952 in 1996 to 2774 in 2004. The number of prevalent dialysis patients also increased linearly but more sharply from 2922 in 1996 to 11767 in 2004 and almost 13000 by the end of year 2005. The number of new transplant patients increased from 151 in 1996 to 185 in 2004 and patients with functioning renal transplants increased from 1024 to 1582 over the same period. table and figure 1.01 Table 1.01: Stock and Flow of RRT, Malaysia 1996 – 2005 Year 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 New Dialysis patients 952 1135 1250 1543 1835 2078 2333 2573 2774 2636 New Transplants 151 126 104 127 143 161 168 158 185 133 Dialysis deaths 222 315 373 487 586 810 920 1142 1188 1203 Transplant deaths 31 29 23 25 27 35 31 36 37 37 Dialysing at 31st De- cember 2922 3699 4540 5540 6693 7832 9093 10384 11767 12974 Functioning transplant at 31st December 1024 1083 1114 1176 1250 1334 1426 1498 1582 1659 b Patients Dialysing and with Functioning Transplant at 31st December 1996 – 2005 Dialysing at 31st December 2000 4000 6000 No. of patients 8000 10000 12000 14000 1996 1998 2000 2002 2004 Year No. of patients Year 200 400 600 800 1000 1200 1400 1600 1800 Functioning transplant at 31st December 1996 1998 2000 2002 2004 1996 1998 2000 2002 2004 No. of patients Year 50 100 150 200 New Transplant ALL RENAL REPLACEMENT THERAPY IN MALAYSIA 13th Report of the Malaysian Dialysis and Transplant Registry 2005 ALL RENAL REPLACEMENT THERAPY IN MALAYSIA 13th Report of the Malaysian Dialysis and Transplant Registry 2005 3 3 1.2 Treatment Provision Rate Dialysis acceptance rates continued to increase albeit at a slower rate in the last few years. The dialysis acceptance rate for 2004 was the highest yet at 108 per million population. Data for 2005 are preliminary since at the time preparation of this report there were still many new cases yet to be notified to registry. New transplant rates remained low over the years fluctuating between 5-7 per million population per year. table and figure 1.02 Figure 1.02: New Dialysis Acceptance and New Transplant Rate 1996 - 2005 Table 1.02: New Dialysis Acceptance Rate and New Transplant Rate per million population 1996 – 2005 Acceptance rate 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 New Dialysis 45 52 56 68 78 87 95 103 108 101 New Transplant 7 6 5 6 6 7 7 6 7 5 Rate, per million population Year 20 40 60 80 100 120 Dialysis 1996 1998 2000 2002 2004 Rate, per million 2 4 6 8 1996 1998 2000 2002 2004 Transplant Year Dialysis prevalence rate also increased linearly over the last 10 years, from 138 per million population in 1995 to 460 in 2004 and almost 500 in 2005. The transplant prevalence rate however only showed a slight increase to 63 per million in 2005. table and figure 1.03 Table 1.03: RRT Prevalence Rate per million population 1996 – 2005 Prevalence rate 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Dialysis 138 171 205 244 285 326 371 415 460 497 Transplant 48 50 50 52 53 56 58 60 62 63 Figure 1.03: Dialysis and Transplant Prevalence Rate per million population 1996 - 2005 Rate, per million population Year 100 200 300 400 500 Dialysis 1996 1998 2000 2002 2004 Rate, per million population Year 10 20 30 40 50 60 70 Transplant 1996 1998 2000 2002 2004 DIALYSIS IN MALAYSIA 13th Report of the Malaysian Dialysis and Transplant Registry 2005 4 CHAPTER 2 DIALYSIS IN MALAYSIA Lim Teck Onn Lim Yam Ngo Lee Day Guat DIALYSIS IN MALAYSIA 13th Report of the Malaysian Dialysis and Transplant Registry 2005 5 Table 2.1.1: Stock and flow – Dialysis Patients 1996 – 2005

2.1: PROVISION OF DIALYSIS IN MALAYSIA Registry report 2.1.1 Dialysis treatment provision