ALL RENAL REPLACEMENT THERAPY IN MALAYSIA 1 DIALYSIS IN MALAYSIA 4 DEATH AND SURVIVAL ON DIALYSIS 17 QUALITY OF LIFE AND REHABILITATION OUTCOMES OF DIALYSIS PATIENTS IN MALAYSIA PAEDIATRIC RENAL REPLACEMENT THERAPY 30 MANAGEMENT OF ANAEMIA IN DIALYSIS PAT

xix CONTENTS Page Report Information i Acknowledgement iii Abbreviations iv NRR Advisory Committee Members v About the National Renal Registry vi About MOSS viii Participating Haemodialysis Centres x Participating Peritoneal Dialysis Centres xiv Participating Transplant Follow-up Centres xv Contributing Editors xvi Forwards xvii

CHAPTER 1: ALL RENAL REPLACEMENT THERAPY IN MALAYSIA 1

1.1: Stock and Flow 2 1.2: Treatment Provision Rate 3

CHAPTER 2: DIALYSIS IN MALAYSIA 4

2.1: Provision of Dialysis in Malaysia Registry report 5 2.2: Dialysis provision in Malaysia Centre survey report 6 2.3: Distribution of Dialysis Treatment 10 2.3.1: Gender distribution 10 2.3.2: Age distribution 11 2.3.3: Method and Location of Dialysis 13 2.3.4: Funding for dialysis treatment 14 2.3.5: Distribution of dialysis patients by sector 15 2.4: Primary Renal Disease 16

CHAPTER 3: DEATH AND SURVIVAL ON DIALYSIS 17

3.1: Death on dialysis 18 3.2: Patient survival on dialysis 20 3.3: Survival of incident patients 2000 – 2005 by centre 24

CHAPTER 4: QUALITY OF LIFE AND REHABILITATION OUTCOMES OF DIALYSIS PATIENTS IN MALAYSIA

25 A: Quality of life on dialysis 26 B: Work related rehabilitation 29

CHAPTER 5: PAEDIATRIC RENAL REPLACEMENT THERAPY 30

A: RRT provision for paediatric patients 31 B: Distribution of paediatric dialysis 33 C: Primary renal disease and 35 D: Types of Renal Transplantation 36 E: Survival analysis 36

CHAPTER 6: MANAGEMENT OF ANAEMIA IN DIALYSIS PATIENTS 38

6.1: Treatment for Anemia in Dialysis 39 6.2: Iron status on Dialysis 43 6.3: Haemoglobin outcomes on Dialysis 51 xx

CHAPTER 7: NUTRITIONAL STATUS ON DIALYSIS 56

7.1: Serum Albumin levels on Dialysis 57 7.2: Body Mass Index BMI on Dialysis 61

CHAPTER 8: BLOOD PRESSURE CONTROL AND DYSLIPIDAEMIA 65

8.1: Blood Pressure Control on dialysis 66 8.2: Dyslipidaemia in dialysis patients 74

CHAPTER 9: MANAGEMENT OF RENAL BONE DISEASE IN DIALYSIS PATIENTS 81

9.1: Treatment of renal bone disease 82 9.2: Serum calcium and phosphate control 83

CHAPTER 10: HEPATITIS ON DIALYSIS 93