17
Table 2.3.1 Dialysis Treatment Rate by Gender, per million male or female population 1980– 2003
Gender 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991
Male 6
8 10
8 12
10 10
12 14
13 18
18 Female
2 5
6 6
7 5
6 7
8 9
11 13
Gender 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
Male 22
23 34
39 51
62 62
81 91
95 105
95 Female
17 17
24 32
45 50
56 61
72 87
90 74
Figure 2.3.1 Dialysis Treatment by Gender 1980 – 2003
Trea tm
en t ra
te , pe
r m ill
io n pop
ula tion
25 50
75 100
fem ale m ale
1980 1981
1982 1983
1984 1985
1986 1987
1988 1989
1990 1991
1992 1993
1994 1995
1996 1997
1998 1999
2000 2001
2002 2003
Table 2.3.2 Gender distribution of Dialysis Patients 1980-2003
Year 1980
1981 1982
1983 1984
1985 1986
1987 1988
1989 1990
1991 New Dialysis patients
43 73
104 93
118 106
108 131
162 161
233 247
Male 70
60 63
58 63
66 62
61 64
61 61
60 Female
30 40
37 42
37 34
38 39
36 39
39 40
Dialysing at 31
st
December 59
124 195
252 334
406 467
543 634
704 838
972 Male
73 67
66 63
62 62
63 61
62 63
63 62
Female 27
33 34
37 38
38 37
39 38
37 37
38 Year
1992 1993
1994 1995
1996 1997
1998 1999
2000 2001
2002 2003
New Dialysis patients 333
339 514
680 939
1130 1237
1538 1811
2036 2223
1992 Male
59 57
59 56
54 57
54 58
57 53
55 58
Female 41
43 41
44 46
43 46
42 43
47 45
42 Dialysing at 31
st
December 1178
1399 1743
2230 2914
3689 4519
5522 6663
7775 8954
9795 Male
61 60
60 59
57 57
56 56
56 55
55 55
Female 39
40 40
41 43
43 44
44 44
45 45
45
Figure 2.3.2 Gender Distribution of New Dialysis patients 1980 – 2003
P r
o por
ti on of
pat ient
s
G e n d e r d i s tr i b u t i o n o f n e w d i a l y s i s p a t i e n ts
Y e a r 1 0
2 0 3 0
4 0 5 0
6 0 7 0
M a le F e m a l e
1 9 8 0 1 9 8 2
1 9 8 4 1 9 8 6
1 9 8 8 1 9 9 0
1 9 9 2 1 9 9 4
1 9 9 6 1 9 9 8
2 0 0 0 2 0 0 2
18
Table 2.4.1 Dialysis Treatment Rate by Age Group, per million age group population 1980 – 2003
Age groups years
1980 1981
1982 1983
1984 1985
1986 1987
1988 1989
1990 1991
1-14 1
1 15-24
2 4
5 4
3 3
2 5
5 6
7 7
25-34 9
11 15
13 20
12 10
14 18
13 18
22 35-44
10 22
26 18
24 20
21 26
31 27
27 32
45-54 7
13 21
21 24
19 29
31 18
33 59
55 55-64
10 6
8 18
19 27
30 20
39 30
40 45
=65 2
4 6
5 14
7 5
8 12
21 19
Age groups years
1992 1993
1994 1995
1996 1997
1998 1999
2000 2001
2002 2003
1-14 1
1 1
2 3
3 3
4 4
4 4
4 15-24
6 5
9 10
13 15
15 16
18 22
28 21
25-34 22
23 19
31 39
39 40
43 46
46 50
41 35-44
35 37
51 58
67 80
81 85
98 100
98 78
45-54 66
59 88
121 154
166 172
225 245
244 258
223 55-64
90 67
141 156
226 289
306 370
429 502
511 440
=65 25
58 81
111 167
214 230
299 343
428 479
436
2.4 Dialysis Treatment in Relation to Age In the 1980’s, patients in the working age groups
age 25-54 years have the highest treatment rates, perhaps as expected. In subsequent years with
increasing availability of dialysis treatment, the older age groups with higher incidence of ESRD
have benefited the most. Treatment rates increased most rapidly for patients over the age of 55 years
and are still rising for those 65 years and older. In contrast, intake rates for those 25-44 years of age
have almost leveled off, suggesting perhaps that in recent years no ESRD patients in this age group
are denied treatment. The intake rate for children less than 15 years of age were almost nil until the
early 1990’s and has remained at bout 4 per million child population since 1999. Table 2.4.1 and Figure
2.4.1. With these population treatment rates, new patients in the young adult age groups ages of 25
to 44 years accounted for the largest proportion of patients on dialysis in the 1980s. In subsequent
years, older patients accounted for an increasingly larger proportion of the dialysis population in this
country. By the years 2002-2003, patients age 55 years accounted for half the new intakes, though a
smaller proportion of prevalent patients on account of higher mortality in this age group Table and Fig-
ures 2.4.2.
Figure 2.4.1 Dialysis Treatment Rate by Age Group 1980 - 2003
1 0 0 2 0 0
3 0 0 4 0 0
5 0 0 6 0 0
Tre a
tm ent
rate, pe
r mil
lion pop ulat
io n
1 9 8 0 1 9 8 2
1 9 8 4 1 9 8 6
1 9 8 8 1 9 9 0
1 9 9 2 1 9 9 4
1 9 9 6 1 9 9 8
2 0 0 0 2 0 0 2
Y e a r a g e g r o u p 1 - 1 4
a g e g r o u p 1 5 - 2 4 a g e g r o u p 2 5 - 3 4
a g e g r o u p 3 5 - 4 4 a g e g r o u p 4 5 - 5 4
a g e g r o u p 5 5 - 6 4 a g e g r o u p = 6 5
19
Table 2.4.2 Percentage Age Distribution of Dialysis Patients 1980 – 2003
Year 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991
New dialysis patients 43 73
104 93
118 106
108 131
162 161
233 247
1-14 years 2
5 1
2 2
2 2
1 1
15-24 years 14
11 14
13 5
8 6
9 7
9 11
9 25-34 years
26 26
24 26
34 24
19 22
25 22
19 21
35-44 years 26
33 34
27 27
27 29
29 31
26 19
23 45-54 years
16 16
20 23
19 15
26 25
14 24
31 28
55-64 years 14
5 5
12 11
17 16
11 18
14 14
15 65 years
2 3
3 3
8 4
2 3
4 6
5 Dialysing at 31
st
December 59
124 195
252 334
406 467
543 634
704 838
972 1-14 years
2 4
2 1
1 1
1 1
1 1
1 1
15-24 years 22
14 12
12 10
9 9
9 7
8 8
8 25-34 years
22 23
23 22
27 26
25 24
25 24
23 24
35-44 years 25
33 36
35 31
32 31
31 33
32 30
30 45-54 years
17 17
19 20
20 18
20 21
20 20
23 23
55-64 years 10
7 6
9 9
11 12
11 12
12 12
12 65 years
2 2
2 1
2 3
3 2
2 2
3 3
Year 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
New dialysis patients 333 339
514 680
939 1130 1237 1538 1811 2036 2223 1992 1-14 years
2 2
2 1
2 1
2 2
1 1
2 1
15-24 years 5
5 6
4 5
5 5
4 4
4 5
4 25-34 years
18 19
10 14
13 10
11 9
9 7
8 7
35-44 years 20
23 22
19 17
18 17
16 16
14 13
12 45-54 years
27 23
24 27
25 24
24 27
27 25
25 25
55-64 years 23
17 25
22 24
26 27
26 27
29 28
28 65 years
5 11
11 12
14 15
15 16
17 19
21 22
Dialysing at 31
st
December 1178 1399 1743 2230 2914 3689 4519 5522 6663 7775 8954 9795
1-14 years 1
1 1
1 2
2 2
2 1
1 1
1 15-24 years
7 6
6 6
6 5
5 5
5 5
5 5
25-34 years 23
23 20
19 18
17 16
15 14
13 12
12 35-44 years
28 28
27 26
24 23
22 21
20 20
19 18
45-54 years 24
23 23
24 24
24 24
25 25
25 25
26 55-64 years
14 14
16 17
19 20
21 22
22 23
24 24
65 years 4
5 6
7 8
9 10
11 12
13 14
14
Figure 2.4.2 Age Distribution of Dialysis patients 1980 – 2003
P ro
po rt
ion of
pa tien
ts
Age Distribution of New Dialysis patients 1980-2003
Year 10
20 30
40 50
60 70
80 90
100 Age group 1-24 years
Age group 25-34 years Age group 35-44 years
Age group 45-54 years Age group 55-64 years
Age group =65 years
1980 1982
1984 1986
1988 1990
1992 1994
1996 1998
2000 2002
P ro
por tio
n o
f pat ient
s
Age Distribution of Dialysing Patients at 31st Dec. 1980-2003
Year 10
20 30
40 50
60 70
80 90
100 Age group 1-24 years
Age group 25-34 years Age group 35-44 years
Age group 45-54 years Age group 55-64 years
Age group =65 years
1980 1982
1984 1986
1988 1990
1992 1994
1996 1998
2000 2002
a New Dialysis patients b Dialysing patients at 31st December