19th dialysis transplant 2011

Sponsors:
Malaysian Society of Nephrology
Association of Dialysis Medical Assistants and Nurses

The National Renal Registry is funded with grants from:
The Ministry of Health Malaysia
Roche
AIN Medicare
Baxter Healthcare
Fresenius Medical Care
Lucenxia

June 2012
© National Renal Registry, Malaysia
ISSN 1675-8862

Published by:
The National Renal Registry
Malaysian Society of Nephrology
Suite 1604, Plaza Permata
6, Jalan Kampar

50400 Kuala Lumpur
Malaysia
Telephone. :
Direct Fax :
e-mail
:
Web site :

(603) 4045 8636
(603) 4042 7694
nrr@msn.org.my
http://www.msn.org.my/nrr

Important information:
This report is copyrighted. However it may be freely reproduced without the permission of the National
Renal Registry. Acknowledgment would be appreciated.
Suggested citation is: YN Lim, LM Ong, BL Goh (Eds) Nineteenth Report of the Malaysian Dialysis and
Transplant 2011, Kuala Lumpur 2012
This report is also published electronically on the website of the National Renal Registry at:
http://www.msn.org.my/nrr

Hard copies of the report can be made available with donation of RM60.00 per copy to defray the cost of
printing.

ii

ACKNOWLEDGEMENTS
The Malaysian Dialysis and Transplant Registry of the National Renal Registry would
like to thank each and everyone who have in one way or another contributed to the
success of the Malaysian Dialysis and Transplant Registry.
In particular we would like to thank the following:
The Nephrologists, physicians and staff of the Dialysis and Transplant follow-up
centres: thank you for participating in the Registry. The success of the Registry
depends on you.
The Ministry of Health, Malaysia for financial support and other support seen and
unseen;
The Clinical Research Centre, in particular Dr Goh Pik Pin, Dr Jamaiyah and Dr
Jaya Purany for their tireless effort in supporting the work of registries.
For their generous financial support:•

Roche

•

AIN Medicare

•

Baxter Healthcare

•

Fresenius Medical Care

•

Lucenxia

Terima kasih

iii

NRR ADVISORY COMMITTEE MEMBERS 2010 TO 2012
Members:

MSN appointment:

Facilities

Datuk Dr. Ghazali Ahmad

Chairman

Hospital Kuala Lumpur

Dr. Abdul Halim Abd Gafor

University representative

University Kebangsaan Malaysia Medical
Centre

Dr. S. Prasad Menon

Private sector representative

Sime Darby Medical Centre Subang Jaya

Dato' Dr. Zaki Morad B Mohd Zaher

NGO representative

National Kidney Foundation

Dr. Ong Loke Meng

CRC representative

Hospital Penang

Mr. Husin Harun

ADMAN representative

Hospital Kuala Lumpur

Dr. Wong Hin Seng

eMOSS sub-committee
Chairperson

Hospital Selayang

Dato' Dr. Wan Shaariah Md Yusuf

MRRB sub-committee
Chairperson

Tuanku Ja'afar Hospital

Dr. Lim Yam Ngo

MDTR sub-committee
Chairperson

Hospital Kuala Lumpur

Dr. Lim Teck Onn

MDTR advisor

Indepandent consultant

Dr. Goh Bak Leong

MINR sub-committee
Chairperson

Hospital Serdang

Dr. Rafidah Abdullah

Honorary MSN Treasurer

Hospital Selayang

Statistician

Jasmine Chew Sze Ming

NRR Manager

Lee Day Guat

Clinical Registry Assistant Manager

Choo Cheh Loo
Suhazelini Ali

iv

ABOUT THE MALAYSIAN DIALYSIS AND TRANSPLANT REGISTRY (MDTR)
The Malaysia Dialysis and Transplant Registry (MDTR) collects information on patients with end stage
renal disease (ESRD) on renal replacement therapy (RRT) in Malaysia.
Objectives:
The objectives of the registry are as follows:
1. Describe the natural history of ESRD. The registry shall describe the characteristics of patients with
ESRD, its management, and patient survival and quality of life outcomes with treatment; and shall
describe variation thereof across different groups, healthcare sectors or geographic regions, and its
secular trend over time in Malaysia.
2. Determine effectiveness of treatments for ESRD. The registry shall determine clinical effectiveness
and cost effectiveness of treatments of ESRD in real-world clinical practices in Malaysia.
3. Monitor safety and harm of products and services used in the treatment of ESRD. The registry
shall serve as an active surveillance system for the occurrence of unexpected or harmful events for
products and services.
4. Evaluating access to and quality of treatment services for ESRD. The registry shall assess
differences between providers or patient populations based on performance measures that compare
treatments provided or outcomes achieved with "gold standards" (e.g., evidence-based guidelines) or
comparative benchmarks for specific health outcomes (e.g., risk-adjusted survival rates). Such
programs may be used to identify disparities in access to care, demonstrate opportunities for
improvement, establish differentials for payment by third parties, or provide transparency through

public reporting.
5. To maintain the national renal transplant waiting list electronically – the eMOSS or electronic
Malaysian Organ Sharing System. The dialysis registry shall maintain and update patients on dialysis
who do not have contraindications to kidney transplantation onto the national renal transplant waiting
list according to published agreed criteria. This list is available on the web for ready access by the
transplant physicians any time a deceased kidney becomes available

Registry design:
This is a multi-center, observational cohort study designed to evaluate the health outcomes of patients with
ESRD undergoing treatment at participating clinical centres. Patient inclusion criterion is deliberately
broad and shall include any patient with a confirmed diagnosis of ESRD.
There is no prescribed study visits. Patient shall attend the clinical site as and when required per the
standard of care at the site. Required data shall be collected as they become available.
1. A clinical site shall notify all new patients to the registry, and shall continue to do so until the
termination of the registry. Patients shall be follow-up for life.
2. Participation. Site shall notify the patients’ treatment to the registry in a calendar year of its
participation. A site shall similarly notify patients during each year of its participation in the registry.
.

v

Registry study population:
The registry study population consists of male or female patients with ESRD to be recruited from
participating sites in Malaysia. Participation in this study is voluntary. However, in accordance with the
Private Health-care Facilities Act 1998 (AKTA 586), all dialysis health facility are required to submit data
to the Malaysian Dialysis and Transplant Registry (MDTR).
All clinical centres or sites that satisfy the following selection criteria will be invited to participate:
1. This registry is opened to all clinical sites that provide RRT services for patients with ESRD in
Malaysia.
2. Each site shall have a Principal Investigator who is also a licensed physician / Surgeon and a qualified
professional experienced with ESRD management.
3. Each site shall appoint a Site Coordinator (SC). The SC is the person at the participating clinical site
who is responsible for all aspects of registry management and data collection at site, and who will liaise
with the Clinical Registry Manager (CRM) and Clinical Registry Assistant (CRA) at the Registry
Coordinating Centre (RCC).
4. Each site shall accept responsibility for data collection, as well as for ensuring proper record keeping
and registry document filing.
5. Each site shall agree to comply with the registry procedures and shall be willing to be subjected to
ongoing review of data by CRM or CRA or other representative of MDTR. This may include one or
more site visits by prior arrangement
Patient eligibility criteria:
• All new patients with ESRD undergoing treatment at a participating clinical site are eligible for entry
into the registry.
• In addition, a site may opt to enter existing patients on follow-up at the site into the registry.
Registry data:
The data elements to be collected by the registry shall be relevant and reliable with modest burden to sites,
shall comply with existing data standard where this exists, shall be compatible with established data set
used by other existing registries, and shall employ standard terminology (dictionary) where available.
Two datasets are defined:
• Core dataset: These are data elements that are needed to address the key questions for which the
registry was created.
• Non-core dataset: these are speculative data elements included to provide an opportunity to generate
hypotheses or to explore other subsidiary questions not of primary interest to the registry.
The data domains and related specific data elements to be collected by this registry is tabulated below:
A Identifier
B Demographics

Name, NRIC number, Other identifying document numbers, Address, Contact numbers
Age, Sex, Ethnicity, Educational attainment, Occupation, Household Income group,
Weight & Height, Use of tobacco, Funding for Treatment
C Medical history
Medical history/ comorbidities, Family history
D ESRD diagnosis
Date of first diagnosis, Date re-entering each RRT.
E Laboratory investigations Date & time of tests, Blood chemistry, Hematology, Serology
F Treatment
Modalities of RRT- haemodialysis, peritoneal dialysis; treatment of other uraemic
complications; kidney transplantation
G Outcomes
Patient survival; death, date of death, cause of death
Quality of Life/ Work rehabilitation status
H Economics
Source of funding for dialysis treatment, and immunosuppressive drug treatment for
transplantation
J Healthcare provider
Sector providing dialysis treatment, (private, public or NGO),
characteristics
vi

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Johor Darul Takzim
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.

41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.

Batu Pahat Hospital
Batu Pahat Rotary
BP Renal Care ( Rengit)
BP Renal Care (Batu Pahat)
BP Renal Care (Kluang)
BP Renal Care (Segamat)
BP Renal Care Simpang Renggam
BP Renalcare (Yong Peng)
Che Eng Khor Centre
Hospital Pakar Sultanah Fatimah (Muar)
JB Lions MAA-Medicare Charity Dialysis Centre (1)
JB Lions MAA-Medicare Charity Dialysis Centre (2)
JJ Lions Dialysis Centre
Johor Quarries Association Dialysis Centre
Johor Specialist Hospital
Kluang Hospital
Kluang Utama Specialist Hospital
Kota Tinggi Hospital
Mersing Hospital
Mersing Rotary Centre
Muar Dialysis
Muar Lions Renal Centre
Persatuan Membaiki Akhlak-Che Luan Khor_NKF
Pertubuhan Hemodialisis Muhibbah
Pertubuhan Hemodialisis Muhibbah Segamat
(Labis)
Pertubuhan Kebajikan Amitabha
Pontian Hospital
Pontian Rotary Haemodialysis Centre
Premier Renal Care
Prima Dialysis Kluang
Prima Dialysis Masai
Pusat Dialisis Nefro Utama (Johor Bahru)
Pusat Dialisis Nefro Utama (Kota Tinggi)
Pusat Dialisis Nefro Utama Pontian
Pusat Dialisis Perbadanan Islam (Johor Bahru)
Pusat Dialisis Perbadanan Islam (Pontian)
Pusat Dialisis Waqaf An-nur (Batu Pahat)
Pusat Dialisis Waqaf An-nur (Kota Raya)
Pusat Dialisis Waqaf An-nur (Pasir Gudang)
Pusat Dialysis Ikhlas

vii

Pusat Dialysis Makmur (Senai)
Pusat Haemodialisis Suria (Tangkak)
Pusat Haemodialysis Amal Lexin
Pusat Hemodialisis Ar-Raudhah
Pusat Hemodialisis Bandar Mas
Pusat Hemodialisis Darul Takzim (Batu Pahat)
Pusat Hemodialisis Darul Takzim (Parit Raja)
Pusat Hemodialisis Hidayah
Pusat Hemodialisis Iman
Pusat Hemodialisis MAIJ
Pusat Hemodialisis Mawar (Yong Peng) HD Unit
Pusat Hemodialisis Muar
Pusat Hemodialisis Rotary Kota Tinggi
Pusat Hemodialisis Rotary Kulai
Pusat Hemodialisis Sejahtera (Batu Pahat)
Pusat Hemodialisis Sejahtera Muar
Pusat Hemodialisis Syifa (Bukit Gambir)
Pusat Kesihatan Universiti (UTHO)
Pusat Perubatan Perbadanan Islam (Segamat)
Pusat Rawatan Perbadanan Islam (Kota Tinggi)
Puteri Specialist Hospital
Segamat Hospital
Sinar Haemodialysis (Batu Pahat)
Sinar Haemodialysis (Parit Raja)
Sultan Ismail Hospital
Sultan Ismail Hospital (Paed)
Sultanah Aminah Hospital
Systemic Dialysis Centre
Systemic Dialysis Centre (2)
Tangkak Hospital
Tangkak Lions Renal Centre
Temenggong Seri Maharaja Tun Ibrahim Hospital
The Rotary HD Centre (Johor Bahru)
Total Kidney Care Haemodialysis
Yayasan Pembangunan Keluarga Johor-NKF
Yayasan Rotary Kluang
Zhi En Dialysis Centre

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Kedah Darul Aman
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.
95.

96.
97.
98.
99.
100.
101.
102.
103.

Asia Renal Care (Penang) Kulim
Baling Hospital
Buddhist Tzu Chi Dialysis Centre (Kedah)
Caring Dialysis (Sg. Petani-Selatan)
Caring Dialysis (Sungai Petani-Utara)
Kuala Nerang Hospital
Kulim Hospital
Langkawi Hospital
Metro Specialist Hospital
Northern Dialysis Centre
Pantai Hospital Sungai Petani
Pertubuhan Bakti Fo En Bandar Kulim
Pusat Dialisis Albukhary
Pusat Dialisis Marjina
Pusat Dialisis NKF-Kelab Lions Alor Star
Pusat Dialyisis Ibnu Sina (Kuala Ketil)
Pusat Dialysis K K Tan (Sg Petani)
Pusat Haemodialisis Dr. Ismail

104.
105.
106.
107.
108.
109.
110.
111.
112.

Pusat Haemodialisis Zakat Kedah
Pusat Hemodialisis Beng Siew
Pusat Hemodialisis Mergong
Pusat Hemodialisis S P
Pusat Hemodialisis Syifa (Pendang)
Pusat Kesihatan Jitra
Pusat Pakar Dialisis Traktif (Jitra)
Pusat Rawatan Hemodialisis Yayasan Emkay &
Sultanah Bahiyah
Putra Haemodialysis Centre
Putra Medical Centre
Renal Care (Kedah)
Sik Hospital
Sultan Abdul Halim Hospital
Sultanah Bahiyah Hospital
Superkids Trinity-NKF Dialysis Centre
Yan Hospital
Zaharah Dialisis Center

Kelantan Darul Naim
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123.

124. Pusat Dialisis Yayasan Buah Pinggang
Kebangsaan (Kota Bharu)
125. Pusat Hemodialisis Berkat Seroja (Machang)
126. Pusat Perubatan Tentera (Kota Bharu)
127. Pusat Rawatan Dialisis Islah (Kota Bharu)
128. Raja Perempuan Zainab II Hospital
129. Renal-Link (Kelantan)
130. Tanah Merah Hospital
131. Tengku Anis Hospital
132. Tumpat Hospital
133. Universiti Sains Malaysia Hospital

Gua Musang Hospital
Hudaz Dialysis Centre
Jeli Hospital
KB Rotary-MAA Charity Dialysis
Keluarga Bahagia Haemodialisis
Kuala Krai Hospital
Lions Club Kota Budaya Dialysis Centre
Machang Hospital
Nephrolife Dialysis Centre
Pakar Perdana Hospital
Pasir Mas Hospital

Negeri Melaka
134.
135.
136.
137.
138.
139.
140.
141.
142.

94 Hospital Angkatan Tentera (Terendak)
Alor Gajah Dialysis Centre
Alor Gajah Hospital
Damai Medical & Heart Clinic
Jasin Hospital
Mahkota Medical Centre
Melaka Hospital
Pantai Air Keroh Hospital
Pertubuhan Kebajikan Hemodialisis Hospital
Pakar Putra Melaka
143. Pusat Dialisis Giat Kurnia (Masjid Tanah)
144. Pusat Dialisis Giat Kurnia (Merlimau)
145. Pusat Dialisis Nephrocare (Bukit Piatu)

146.
147.
148.
149.
150.
151.
152.
153.

Pusat Dialysis Comfort
Pusat HD SJAM Bacang Melaka
Pusat Hemodialisis Impian
Pusat Hemodialisis Krisda
Pusat Hemodialisis SJAM Pulau Sebang
Pusat Hemodialisis Yayasan Toh Puan Zurina
Pusat Hemodialysis Suria (Melaka)
Pusat Rawatan Dialisis Nefro Utama (Masjid
Tanah)
154. Sinar Hemodialisis
155. Tenang Haemodialysis Centre
156. Tenang Haemodialysis Jasin

viii

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Negeri Sembilan Darul Khusus
157.
158.
159.
160.
161.
162.
163.
164.
165.
166.
167.
168.
169.
170.
171.
172.
173.

D'kasih Hemodialysis
Giat Kurnia Dialysis Centre (Nilai)
Haemodialysis Mawar Gemas
Jelebu Hospital
Jempol Hospital
Persada Dialysis Centre
Port Dickson Hospital
Pusat Dialisis Suria (Tampin)
Pusat Dialisis Veteran ATM (Senawang)
Pusat Dialysis Azalea
Pusat Haemodialisis Renalife
Pusat Haemodialisis USIM
Pusat Haemodialysis Suria (Senawang)
Pusat Hemodialisis Bayu
Pusat Hemodialisis Berkat Seroja (Kuala Pilah)
Pusat Hemodialisis Gemencheh
Pusat Hemodialisis Mawar (Kuala Pilah)

189.
190.
191.
192.
193.
194.
195.
196.
197.
198.
199.
200.
201.
202.
203.
204.

Bentong Hospital
Caring Dialysis (Jerantut)
Fitra Med
Hospital Sultanah Hajjah Kalsom
Jengka Hospital
Jerantut Hospital
Kuala Lipis Hospital
Kuantan Clinical Diagnostic Centre
Kuantan Medical Centres
Kuantan Specialist Centre
Lipis Dialysis Centre
MAA-Medicare Charity (Mentakab)
Mentakab Haemodialysis Unit
Muadzam Shah Hospital
Nur Iman Dialysis Pahang
Pahang Buddhist Association

174. Pusat Hemodialisis Mawar (Mantin)
175. Pusat Hemodialisis Mawar N. Sembilan (Bahau)
176. Pusat Hemodialisis Mawar N. Sembilan (Lukut)
177. Pusat Hemodialisis Mawar N. Sembilan (Rantau)
178. Pusat Hemodialisis Mawar N. Sembilan
(Seremban)
179. Pusat Hemodialsis Mutiara
180. Pusat Pakar Dialisis Traktif (Kuala Pilah)
181. Pusat Waqaf An-nur (Senawang)
182. Seremban Specialist Hospital
183. Sinar Identiti
184. Tampin Hospital
185. Tuanku Ampuan Najihah Hospital
186. Tuanku Ja'afar Hospital
187. Tuanku Ja'afar Hospital (Paed)
188. YKN Dialisis Kuala Pilah

Pahang Darul Makmur
205.
206.
207.
208.
209.
210.
211.
212.
213.
214.
215.
216.
217.
218.

Pekan Hospital
Pusat Hemodialisis Islam Makmur
Pusat Hemodialisis Jerantut
Pusat Hemodialysis Suria (Bentong)
Pusat Rawatan Dialisis Fitra (Jengka)
Pusat Rawatan Dialisis Fitra (Kuantan)
Pusat Rawatan Dialisis Tun Abdul Razak-NKF
Kuantan
Pusat Rawatan Fitra (Muadzam)
Raub Hospital
SJAM-KPS Haemodialysis Centre 9 (Raub)
Sultan Haji Ahmad Shah Hospital
Suria Dialysis Centre (Temerloh)
Tengku Ampuan Afzan Hospital
Tengku Ampuan Afzan Hospital (Paed)

Perak Darul Ridzuan
219.
220.
221.
222.
223.
224.
225.
226.
227.
228.
229.

230.
231.
232.
233.
234.
235.
236.

Kuala Kangsar Hospital
MAA-Medicare Charity (Teluk Intan)
MB Star Rawatan Dialisis
Nur Dialysis Centre
Parit Buntar Hospital
Persatuan Amal Chin Malaysia Barat
Pertubuhan Perkhidmatan Haemodialisis ArRidzuan
237. Pertubuhan Perkhidmatan Hemodialisis AIXIN
Kerian

96 Hospital Angkatan Tentera (Lumut)
Batu Gajah Hospital
Berchaam Dialysis Centre
C.S. Loo Kidney & Medical Specialist Centre
Caring Dialysis Centre (Sg Siput)
Caring Dialysis Centre (Teluk Intan)
Changkat Melintang Hospital
Fatimah Hospital
Gerik Hospital
Hope Haemodialysis Society Ipoh
Kampar Hospital
ix

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Perak Darul Ridzuan (cont)
238. PMA Chan Meng Khor-MAA Medicare Charity
Dialysis Centre
239. Pulau Pangkor Hospital
240. Pusat Dialisis Darul Iltizam (Slim River)
241. Pusat Dialisis Darul Iltizam (Taiping)
242. Pusat Dialisis Ehsan Perak (Parit Buntar)
243. Pusat Dialisis Intan
244. Pusat Dialisis Kuala Kangsar
245. Pusat Dialisis Makmur (Batu Gajah)
246. Pusat Dialisis Mutiara
247. Pusat Dialisis Mutiara (Ayer Tawar)
248. Pusat Dialisis Penawar Permai
249. Pusat Dialisis Setia (Ipoh)
250. Pusat Dialisis Taiping
251. Pusat Dialisis Taiping (Kamunting)
252. Pusat Dialisis Taiping (Kuala Kangsar)
253. Pusat Dialisis Taiping (Parit Buntar)
254. Pusat Dialysis Setia
255. Pusat Hemodialisis Darul Iltizam (Ipoh)
256. Pusat Hemodialisis Felda
257. Pusat Hemodialisis Kampar Yayasan NanyangSJAM
258. Pusat Hemodialisis Manjung

259.
260.
261.
262.

Pusat Hemodialisis Qaseh
Pusat Hemodialysis Nyata Segar
Pusat Rawatan Dialisis Wan Nong
Putri Haemodialysis Centre (Ipoh)

263. Raja Permaisuri Bainun Hospital
264. Raja Permaisuri Bainun Hospital (Home)
265. Renal Care (Ipoh Specialist)
266.
267.
268.
269.

Selama Hospital
Seri Manjung Hospital
Sg Siput Hospital
SJ Dialysis Centre (Bidor)

270.
271.
272.
273.

SJ Dialysis Centre (Ipoh)
SJAM_KPS Pusat Hemodialisis Centre 15 (Ipoh)
Slim River Hospital (Tanjong Malim)
Taiping Hospital

274.
275.
276.
277.
278.

Tapah Hospital
Teluk Intan Hospital
Woh Peng Cheang Seah
Yayasan Akhlak-NKF Taiping
Yayasan Dialysis Pendidikan Akhlak Perak-NKF
Ipoh

Perlis Indera Kayangan
279. Caring Dialysis (Kangar)
280. Pusat Dialysis Tuanku Syed Putra_NKF

281. Tuanku Fauziah Hospital

Penang
282. Alkom Bakti Dialysis
283.
284.
285.
286.
287.
288.
289.
290.
291.
292.
293.
294.
295.
296.
297.
298.
299.

AMD Rotary (Penang)
Asia Renal Care (Penang) BM
Balik Pulau Hospital
BBA (Butterworth) Dialysis Centre
Buddhist Tzu Chi Dialysis Centre (Butterworth)
Buddhist Tzu Chi HD Centre (Penang)
Bukit Mertajam Hospital
Fo Yi NKF Dialysis Centre (1)
Fo Yi NKF Dialysis Centre (2)
Gleneagles Medical Centre
Happy Kid Nees Dialysis Centre
Island Hospital
K K Tan Specialist (BM)
Kepala Batas Hospital
KPJ Penang Specialist Hospital
Lam Wah Ee Hospital
Lim Boon Sho Dialysis Centre

x

300.
301.
302.
303.

Loh Guan Lye Specialist Centre
MAA-Medicare Charity (Butterworth)
Muhibah Renal Care
NEPH Sdn Bhd

304.
305.
306.
307.
308.
309.
310.
311.
312.
313.
314.
315.
316.
317.

Nucare Dialysis Centre
Pantai Hospital Penang
Penang Adventist Hospital
Penang Caring Dialysis Society
Persatuan Kebajikan Haemodialysis St Anne BM
Pertubuhan Dialisis Rotary-Satu Hati
Pertubuhan Hemodialisis SPS
Province Wellesley Renal Medifund
Pulau Pinang Hospital
Pulau Pinang Hospital (Home)
Pulau Pinang Hospital (Paed)
Pusat Dialisis BMC
Pusat Dialisis Ehsan Perak (Pedar)
Pusat Dialisis SJ (Sg Bakap)

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Penang (cont)
318.
319.
320.
321.
322.
323.
324.
325.
326.
327.

Pusat Haemodialisis Zakat (Jawi)
Pusat Haemodialisis Zakat Tasek Gelugor
Pusat Hemodialisis Bayan Baru
Pusat Hemodialisis Sinona
Pusat Hemodialisis Zakat (Balik Pulau)
Pusat Hemodialisis Zakat (Bukit Mertajam)
Pusat Hemodialisis Zakat (Butterworth)
Pusat Hemodialisis Zakat (Kepala Batas)
Pusat Hemodialisis Zakat (P. Pinang)
Pusat Hemodialysis Bestari

328.
329.
330.
331.
332.
333.
334.
335.
336.

Pusat Rawatan Dialisis Lions-NKF (Penang)
PWRM (BM) Dialysis Centre
Renal Link (Penang)
Seberang Jaya Hospital
Seberang Perai (Bagan)
SJ Dialysis Centre (Seberang Jaya)
Sungai Bakap Hospital
The Penang Community HD Society
TSC Renal Care

Sabah
337.
338.
339.
340.
341.
342.
343.
344.
345.
346.
347.
348.
349.
350.
351.

BBA (Kota Kinabalu) Dialysis Centre
BBA (Tawau) Dialysis Centre
Beaufort Hospital
Beluran Hospital
Caring Dialysis Centre (Sandakan)
Caring Dialysis Centre Kota Kinabalu
Duchess of Kent Hospital
Keningau Hospital
Kota Belud Hospital
Kota Kinabatangan Hospital
Kota Marudu Hospital
Kudat Hospital
Labuan Hospital
Lahad Datu Hospital
Likas Hospital

352.
353.
354.
355.
356.
357.
358.
359.
360.
361.
362.
363.
364.
365.
366.

MAA-Medicare Charity (Kota Kinabalu)
Nobel Dialysis Centre
Papar Hospital
Persatuan Buah Pinggang Sabah
Persatuan Hemodialysis Kinabalu Sabah
Pusat Rawatan Dialisis NKF-MUIS
Queen Elizabeth Hospital
Ranau Hospital
Sabah Medical Centre
Sandakan Kidney Society
Semporna Hospital
Sipitang Hospital
Tambunan Hospital
Tawau Hospital
Tenom Hospital

Sarawak
367.
368.
369.
370.
371.
372.
373.
374.
375.
376.
377.
378.
379.
380.
381.
382.
383.
384.

801 Rumah Sakit Angkatan Tentera (Kuching)
Bau Hospital
Betong Hospital
Bintulu Hospital
CHKMUS-MAA Medicare Charity
Hospital Daerah Daro
Kanowit Hospital
Kapit Hospital
KAS-Rotary-NKF
Kuching Specialist Hospital
Lawas Hospital
Limbang Hospital
Lundu Hospital
Marudi Hospital
Miri Hospital
Miri Red Crescent Dialysis Centre
Mukah Hospital
Normah Medical Specialist Centre

385.
386.
387.
388.
389.
390.
391.
392.
393.
394.
395.
396.
397.

Pusat Dialisis Cahaya
Pusat Dialisis Waqaf An-Nur (Sarawak)
Rejang Medical Centre
Renal Life Dialysis Centre
Renal Therapy Services
Saratok Hospital
Sarawak General Hospital
Sarikei Hospital
Serian Hospital
Sibu Hospital
Sibu Kidney Foundation
Simunjan Hospital
SJAM_KPS Pusat Hemodialisis Centre 10
(Bintulu)
398. SJAM-KPS Haemodialysis Centre 8 (Sibu)
399. Sri Aman Hospital
400. Timberland Medical Centre

xi

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Selangor Darul Ehsan
401.
402.
403.
404.
405.
406.
407.
408.
409.
410.
411.
412.
413.
414.
415.
416.
417.
418.
419.
420.
421.
422.
423.
424.
425.
426.
427.
428.
429.
430.
431.
432.
433.
434.
435.
436.
437.
438.
439.
440.
441.
442.
443.
444.
445.
446.
447.
448.
449.
450.

451.
452.
453.
454.
455.
456.
457.
458.
459.
460.
461.
462.
463.
464.
465.

819 Rumah Sakit Angkatan Tentera
Ampang Hospital
Apex Club of Klang-NKF Charity Dialysis Centre
Assunta Hospital
Bakti-NKF Dialysis Centre
Bangi Dialysis Centre
Banting Hospital
BBA (Puchong) Dialysis Centre
Caring Dialysis Centre (Cheras)
Caring Dialysis Centre (Sabak Bernam)
Caring Dialysis Centre (Sg. Besar)
Caring Dialysis Centre (Tanjong Karang)
Caring Dialysis Centre Andalas (Klang)
Damansara Specialist Hospital
DEMC Dialysis Centre
EAM Dialysis Centre
Haemodialysis Association Klang
Harmoni Dialysis (Damansara)
Harmoni Dialysis (Sg Long)
Healthcare Dialysis Centre
Hemodialisis Yayasan Veteran ATM (S
Kembangan)
Ibnu Al-Nafis Dialysis Centre
Jerteh Dialysis Centre
Kajang Hospital
Kelana Jaya Medical Centre
KPJ Ampang Puteri Specialist Hospital
KPJ Kajang Specialist Hospital
KPJ Selangor Specialist Hospital
Kuala Kubu Bharu Hospital
MAA-Medicare Charity (Kajang)
MB Star Rawatan Dialisis (Kelana Jaya)
Nefrol I-Care
Persatuan Dialisis Kurnia PJ
Pertubuhan Hemodialisis Pasar Besar Meru
Ping Rong-NKF
PJCC Dialysis Centre
PNSB Dialisis Centre
Pusat Dialisis Aiman (Shah Alam)
Pusat Dialisis An'nur
Pusat Dialisis An'nur Seksyen 13
Pusat Dialisis LZS (Kapar)
Pusat Dialisis LZS (Sg. Besar)
Pusat Dialisis LZS (Shah Alam)
Pusat Dialisis MAIS
Pusat Dialisis MAIS Taman Melawati
Pusat Dialisis Mesra (Kuala Selangor)
Pusat Dialisis Mukmin Sungai Buloh
Pusat Dialisis NKF - Dato' Dr GA Sreenevasan
Pusat Dialisis NKF-Rotary Damansara
Pusat Dialisis Pakar Medi-Nefron (Lestari)

466.
467.
468.
469.
470.
471.
472.
473.
474.
475.
476.
477.
478.
479.
480.
481.
482.
483.
484.
485.
486.
487.
488.
489.
490.
491.
492.
493.
494.
495.
496.
497.
498.
499.
500.

xii

Pusat Dialisis Putra Jaya (Kajang)
Pusat Dialisis Rakyat Ampang
Pusat Dialisis Rakyat Sementa
Pusat Dialisis Sijangkang
Pusat Dialisis Touch
Pusat Dialysis Mesra (Kapar)
Pusat Dialysis Mesra (Rahman Putra)
Pusat Dialysis Mesra (Shah Alam)
Pusat Dialysis Mesra KKB
Pusat Haemodialysis Nilam (Seri Kembangan)
Pusat Hemodialisis Fasa (Kg Medan)
Pusat Hemodialisis Fasa (Sri Manja)
Pusat Hemodialisis Kau Ong Yah Ampang
Pusat Hemodialisis Mawar N. Sembilan (Sepang)
Pusat Hemodialisis Mawar N. Sembilan (Seri
Kembangan)
Pusat Hemodialisis Nilam (Semenyih)
Pusat Hemodialisis Permata
Pusat Hemodialisis Shah Alam
Pusat Hemodialysis Yayasan Veteran ATM (Batu
Caves)
Pusat Perubatan Dialisis
Pusat Perubatan Dialisis Dengkil
Pusat Perubatan Primier HUKM
Pusat Rawatan Dialisis Hidayah
Pusat Rawatan Dialisis Hidayah (Sepang)
Pusat Rawatan Dialisis Islah (Batu Caves)
Pusat Rawatan Dialisis Islah (Selayang)
Pusat Rawatan Dialisis Mukmin
Pusat Rawatan Dialisis Nefro Utama (Puchong)
Pusat Rawatan Dialysis Nefro Utama (Kajang
Prima)
Pusat Rawatan Hemodialisis Felina
Putrajaya Hospital
Rawatan Dialysis Bukit Tinggi
Renal Associates
Renal Care Dialysis Services
S.P. Menon Dialysis Centre (Klang)
S.P. Menon Dialysis Centre (Petaling Jaya)
Sayang Dialysis Selayang
Selayang Hospital
Selayang Hospital (Paed)
Serdang Hospital
Sime Darby Medical Centre Subang Jaya
SJAM-KPS Haemodialysis Centre 1 (Raja Muda
Musa)
SJAM-KPS Haemodialysis Centre 11 (Shah Alam)
SJAM-KPS Haemodialysis Centre 12 (Balakong)
SJAM-KPS Haemodialysis Centre 2 (Klang)
SJAM-KPS Haemodialysis Centre 3 (Banting)
SJAM-KPS Haemodialysis Centre 5 (Rawang)
SJAM-KPS Haemodialysis Centre 6 (Kuala
Selangor)
SJAM-KPS Pusat Hemodialisis Tasik Puteri
SJAM-KPS Pusat Hemodialysis Serdang (Station
14)

PARTICIPATING HAEMODIALYSIS CENTRES 2011
Selangor Darul Ehsan (cont)
501.
502.
503.
504.
505.
506.
507.
508.

509.
510.
511.
512.
513.
514.
515.
516.

Smartcare Dialysis Centre (Subang Jaya)
Sri Kota Medical Centre
Sungai Buloh Hospital
Sunway Medical Centre
Sunway Medical Centre (2)
Bangi Dialysis Centre
Banting Hospital
BBA (Puchong) Dialysis Centre

Bangi Dialysis Centre
Banting Hospital
BBA (Puchong) Dialysis Centre
Caring Dialysis Centre (Cheras)
Tulips Dialysis Centre
Universiti Kebangsaan Malaysia Bangi
Yayasan Kebajikan SSL
Yayasan Kebajikan SSL Puchong

Terengganu Darul Iman
517.

Besut Hospital

524. Pusat Hemodialisis Nabilah

518.

Dungun Hospital

525. Pusat Pakar Dialisis Traktif (Besut)

519.

Hulu Terengganu Hospital

526. Pusat Rawatan Dialisis Islah (Kuala Terengganu)

520.

Kemaman Hospital

527. Setiu Hospital

521.

Pusat Dialisis MAIDAM

528. Sultanah Nur Zahirah Hospital

522.

Pusat Dialisis Nuraeen

529. YKN Dialisis (Terengganu)

523.

Pusat Dialisis Terengganu/NKF

Wilayah Persekutuan Kuala Lumpur
530.
531.
532.
533.
534.
535.
536.
537.
538.
539.
540.
541.
542.
543.
544.
545.
546.
547.
548.
549.
550.
551.
552.
553.
554.
555.
556.

Aiman Dialysis Centre
Al-Islam Specialist Hospital
Caring Dialysis (Wangsa Maju)
Charis-NKF Dialysis Centre
Cheras Dialysis Centre
Hospital Angkatan Tentera Tuanku Mizan
Kuala Lumpur Hospital (Home)
Kuala Lumpur Hospital (Paed.)
Kuala Lumpur Hospital (Unit 1)
Kuala Lumpur Hospital (Unit 3)
Kuala Lumpur Hospital (Unit 4)
Kuala Lumpur Lions Renal Centre
MAA-Medicare Charity (Cheras)
MAA-Medicare Charity (Kuala Lumpur)
National Kidney Foundation Dialysis Centre (KL)
Pantai ARC Dialysis Services
Pantai Hospital Ampang
Poliklinik Komuniti Tanglin
Prince Court Medical Centre
Pusat Dialisis Amal MAA-Medicare (Sg Besi)
Pusat Dialisis Bandar Sri Permaisuri
Pusat Dialisis Nefro Utama (Bangsar)
Pusat Dialisis Pusat Punggutan Zakat (Kuala
Lumpur)
Pusat Dialisis Veteran ATM (Seri Rampai)
Pusat Hemodialisis Dato' Lee Kok Chee
Pusat Hemodialisis Desa Aman Puri
Pusat Hemodialisis Harmoni (Cheras)

557.
558.
559.
560.
561.
562.
563.
564.
565.
566.
567.
568.
569.
570.
571.
572.
573.
574.
575.
576.
577.
578.
579.
580.
581.
582.
583.

xiii

Pusat Hemodialisis Harmoni (Shamelin)
Pusat Hemodialisis MAIWP-PICOMS
Pusat Hemodialisis Mawar N. Sembilan (Seputih)
Pusat Hemodialisis PMKL
Pusat Hemodialisis PUSRAWI
Pusat Hemodialisis Waz Lian
Pusat Hemodialisis Yayasan Felda
Pusat Hemodialysis Medipro Alliance
Pusat Pakar Dialysis Traktif
Pusat Pakar Tawakal
Pusat Perubatan Universiti Kebangsaan Malaysia
Pusat Rawatan Dialisis Fungates Superflow-NKF
Pusat Rawatan Dialisis Good Health-NKF (Kg
Pandan)
Pusat Rawatan Dialisis Islah (KL)
Pusat Rawatan Dialisis Nefro Utama (Setapak)
Renal Dialysis Centre
S.P. Menon Dialysis Centre (Kuala Lumpur)
Sentosa Medical Centre
Smartcare Dialysis Clinic (Cheras)
The Kidney Dialysis Centre (1)
The Kidney Dialysis Centre (2)
The Nayang-NKF Dialysis Centre
Tung Shin Hospital
Tung Shin Hospital & Yayasan Nanyang Press
University Malaya Medical Centre
University Malaya Specialist Centre
YKN Dialisis (Kuala Lumpur)

PARTICIPATING PD CENTRES 2011
Johor Darul Takzim

Sabah

1.
2.
3.
4.
5.
6.

19.
20.
21.

BP Renal Care (Batu Pahat)
BP Renal Care (Segamat)
Hospital Pakar Sultanah Fatimah (Muar)
Puteri Specialist Hospital,
Sultan Ismail Hospital (Paed)
Sultanah Aminah Hospital

Duchess of Kent Hospital
Likas Hospital (Paed)
Queen Elizabeth Hospital

Sarawak
22.
23.

Normah Medical Specialist Centre
Sarawak General Hospital

Kedah Darul Aman
7.

Sultanah Bahiyah Hospital

Selangor Darul Ehsan
24.
25.
26.
27.
28.

Kelantan Darul Naim
8.
9.

Raja Perempuan Zainab II Hospital
Universiti Sains Malaysia Hospital

Selayang Hospital (Paed)
Selayang Hospital
Serdang Hospital
Sri Kota Medical Centre
Tengku Ampuan Rahimah Hospital

Negeri Melaka
10.

Melaka Hospital

Terengganu Darul Iman
29.

Sultanah Nur Zahirah Hospital

Negeri Sembilan Darul Khusus
11.
12.

Tuanku Ja'afar Hospital (Paed)
Tuanku Ja'afar Hospital

Wilayah Persekutuan Kuala Lumpur
30.
31.
32.
33.

Pahang Darul Makmur
13.
14.

Tengku Ampuan Afzan Hospital (Paed)
Tengku Ampuan Afzan Hospital

34.
35.

Perak Darul Ridzuan
15.
16.

Raja Permaisuri Bainun Hospital
Renal Care (Ipoh Specialist)

Penang
17.
18.

Pulau Pinang Hospital (Paed)
Pulau Pinang Hospital

xiv

Kuala Lumpur Hospital (Paed.), CAPD Unit
Kuala Lumpur Hospital, CAPD Unit
Prince Court Medical Centre, CAPD Unit
Pusat Perubatan Universiti Kebangsaan
Malaysia, CAPD Unit
Renal Dialysis Centre, CAPD Unit
University Malaya Medical Centre, CAPD Unit

PARTICIPATING TRANSPLANT FOLLOW-UP CENTRES 2011
Johor Darul Takzim

Sabah

1.
2.
3.
4.
5.
6.
7.
8.
9.

20.
21.
22.
23.
24.
25.

Batu Pahat Hospital
Kluang Hospital
Mersing Hospital
Pakar Sultanah Fatimah Muar Hospital
Pontian Hospital
Segamat Hospital
Sultan Ismail Hospital (Paed)
Sultan Ismail Pandan Hospital
Sultanah Aminah Hospital

Sarawak
26.
27.
28.
29.
30.

Kedah Darul Aman
10.

Sultanah Bahiyah Hospital

Kelantan Darul Naim
11.
12.

31.
32.
33.
34.
35.
36.
37.

Melaka Hospital

Negeri Sembilan Darul Khusus
14.

Bintulu Hospital
Miri Hospital
Sarawak General Hospital
Sibu Hospital
Timberland Medical Centre

Selangor Darul Ehsan

Raja Perempuan Zainab II Hospital
Universiti Sains Malaysia Hospital

Negeri Melaka
13.

Duchess of Kent Hospital
Klinik Dr Choo & Liew
Labuan Hospital
Queen Elizabeth Hospital
Sabah Medical Centre
Tawau Hospital

Assunta Hospital
KPJ Ampang Puteri Specialist Hospital
Selayang Hospital
Serdang Hospital
Smartcare Dialysis Centre, Subang Jaya
Tan Medical Renal Clinic
Tg. Ampuan Rahimah Hospital

Tuanku Ja'afar Hospital

Terengganu Darul Iman
38.
39.

Pahang Darul Makmur
15.

Tengku Ampuan Afzan Hospital

Kemaman Hospital
Sultanah Nur Zahirah Hospital

Perak Darul Ridzuan

Wilayah Persekutuan Kuala Lumpur

16.
17.
18.

40.
41.
42.
43.
44.

Raja Permaisuri Bainun Hospital
Renal Care (Ipoh Specialist)
Taiping Hospital

Penang
19.

Pulau Pinang Hospital

45.

xv

Fan Medical Renal Clinic
Kuala Lumpur Hospital (Paed)
Kuala Lumpur Hospital
Prince Court Medical Centre
Pusat Perubatan Universiti Kebangsaan
Malaysia
University Malaya Medical Centre

CONTRIBUTING AUTHORS
Chapter Title

Authors

Institutions

1

All Renal Replacement Therapy in
Malaysia

2

Dialysis in Malaysia

3

Death and Survival on Dialysis

4

QoL and Rehabilitation Outcomes on
Dialysis Patient in Malaysia

5

Paediatric Renal Replacement Therapy

6

Management of Anaemia in Dialysis
Patients

Lim Yam Ngo
Ghazali B Ahmad
Goh Bak Leong
Lee Day Guat
Lim Yam Ngo
Ong Loke Meng
Ghazali B Ahmad
Lee Day Guat
Wong Hin Seng
Ong Loke Meng
Liu Wen Jiun
Chew Thian Fook
Christopher Lim Thiam Seong
Zaki Morad B Mohd Zaher
Lee Ming Lee
Lim Yam Ngo
Lynster Liaw Chiew Tung
Susan Pee
Wan Jazilah Wan Ismail
Philip N. Jeremiah

Kuala Lumpur Hospital
Kuala Lumpur Hospital
Serdang Hospital
National Renal Registry
Kuala Lumpur Hospital
Penang Hospital
Kuala Lumpur Hospital
National Renal Registry
Selayang Hospital
Penang Hospital
Sultanah Aminah Hospital
Seremban Specialist Hospital
University Putra Malaysia
KPJ Kajang Specialist Hospital
Tuanku Ja'afar Hospital
Kuala Lumpur Hospital
Penang Hospital
Sultan Ismail Hospital
Selayang Hospital
KPJ Ampang Puteri Specialist
Hospital
Selayang Hospital
Kuala Lumpur Hospital
University Malaya Specialist
Centre
Sultanah Nur Zahirah Hospital
International Medical
University
Pusat Perubatan Universiti
Kebangsaan Malaysia
Puteri Specialist Hospital
Sarawak General Hospital
Faculty of Allied Health
Sciences University
Kebangsaan Malaysia
Sime Darby Medical Centre
Subang Jaya
Sultanah Aminah Hospital
Sime Darby Medical Centre
Subang Jaya
Kuala Lumpur Hospital
Pulau Pinang Hospital
Sultanah Bahiyah Hospital
Gleneagles Intan Medical
Centre
Pulau Pinang Hospital
Putri Haemodialysis Centre
(Ipoh)
Pantai Air Keroh Hospital
Sarawak General Hospital
Sunway Medical Centre

Bee Boon Cheak
Ghazali B Ahmad
Lim Soo Kun

7

Nutritional Status on Dialysis

Zawawi B Nordin
Winnie Chee Siew Swee
Abdul Halim B Abd Gafor
Ahmad Fauzi B Abd Rahman
Koh Keng Hee
Tilakavati Karupaiah

8

Blood Pressure Control and
Dyslipidaemia

S. Prasad Menon
Hooi Lai Seong
Lee Wan Tin

9

10

Chronic Kidney Disease - Mineral and
Bone Disorders

Hepatitis on Dialysis

Sunita Bavanandan
Rozina Bt Ghazalli
Ching Chen Hua
Fan Kin Sing
Liew Yew Fong
Teo Sue Mei
Chow Yok Wai
Clare Tan Hui Hong
T. Thiruventhiran
xvi

CONTRIBUTING AUTHORS
Chapter Title

Authors

Institutions

11

Tan Chwee Choon

Tengku Ampuan Rahimah
Hospital
Tengku Ampuan Rahimah
Hospital
Selayang Hospital
Tengku Ampuan Rahimah
Hospital
Kuala Lumpur Hospital
Hospital Seberang Jaya
Tuanku Ja'afar Hospital
Serdang Hospital
Gleneagles Intan Medical
Centre
Selayang Hospital

Heaemodialysis Practices

Norleen Bt Zulkarnain Sim
Rafidah Abdullah
Shahnaz Shah Firdaus Khan
12

Chronic Peritoneal Dialysis Practices

13

Renal Transplantation

Sunita Bavanandan
Anita Bhajan Manocha
Lily Mushahar
Goh Bak Leong
Fan Kin Sing
Rohan Malek Bin Dato' Dr.
Johan
Rosnawati Yahya
S. Prasad Menon
Tan Si Yen
Wong Hin Seng

xvii

Kuala Lumpur Hospital
Sime Darby Medical Centre
Subang Jaya
Prince Court Medical Centre
Selayang Hospital

FOREWORD
The last twelve months saw further increase in new dialysis centres across the nation to accommodate new
patients with chronic kidney disease (CKD) needing renal replacement therapy. This increase is fuelled by
a significant growth in the private haemodialysis sector helping to maintain an exceptionally high ratio of
the usage of haemodialysis modality compared to peritoneal dialysis. Even though a positive growth in the
number of local renal transplant from deceased donors is seen lately, the actual number remains seriously
low and is unable to match the rising number of patients being listed in the national transplant waiting list.
Several initiatives taken at the national level to address some of the issues highlighted in past MDTR
reports requiring attention will need further scrutiny to judge its effectiveness. The low ratio of trained
dialysis nurses and medical assistants working in private and NGO HD units is being addressed by
increasing the capacity of post basic renal nursing training and providing more places for such training for
applicants from these two sectors. The need to lower the percentage of patients with renal anaemia
without access to the therapeutically effective treatment with Erythropoeisis Stimulating Agents (ESA)
had prompted the Ministry of Health to introduce ESA subsidy scheme for eligible patients in NGO units
in late 2009. At the regulatory end, formal process of licencing and renewal of licensing of HD units is
happening regularly receiving mixed response from the operators. Whether these developments actually
led to progressive improvements in the quality of the services rendered will require close scrutiny and
further evaluation.
While we are encouraged by the consistently high percentage of participation in the MDTR, the quality of
the participation including the percentage of response in the fields surveyed in the annual return still has
room for improvement. Several initiatives at the national level are being considered to improve the quality
of the annual returns in addition to convincing the habitual non participators that it will be in their interest
to do so eventually.
In addition to providing standard reports annually, we do encourage and welcome further research and
clinical studies related to the data published in the annual report. Currently, a group of researchers from
International Islamic University Malaysia and University Putra Malaysia are working together in
collaboration with the registry and several data providers to focus on specific areas relevant to the
rehabilitation and quality of life in dialysis patients. A study on depression, anxiety and stress in patients
on maintenance Peritoneal and Hemodialysis (Evaluation of Psychological Profile and Quality of Life of
Dialysis Patents in Malaysia) in this country will provide additional information beyond that which was
provided in the annual report. NRR welcome an expression of interest from any relevant party to perform
more quality initiatives aimed at improving the specific or overall outcome of patients on dialysis or post
renal transplant in this country.
As usual, issues related to funding of this useful national initiative loom in the air causing trepidations that
this registry will not out-last its usefulness. All efforts and contributions towards ensuring continued
funding for this important national registry is highly appreciated and treasured.
My heartfelt thanks to everyone including SDPs, corporate sponsors , expert panel members, the Editors,
MDTR advisory committee and NRR committee members, Ministry of Health Malaysia and lastly but not
the least all the members of the management team led by Staff Nurse Lee Day Guat for all the
contributions towards making this 19th MDTR report possible.

Datuk Dr Ghazali Ahmad
Chairman
NRR Advisory Committee
2010-2012

xviii

CONTENTS
Page
iii

Acknowledgement
NRR Advisory Board Members

iv

About The Malaysian Dialysis and Transplant Registry (MDTR

v

Participating Haemodialsyis Centres

vii

Participating Chronic Peritoneal Dialsysis Centres

xiv

Participating Transplant Follow-up Centres

xv

Contributing Editors

xvi

Foreword

xviii

Contents

xix

List of Tables

xxi

List of Figures

xxix

Executive Summary

xxxvii

Abbreviations

xxxviii

CHAPTER 1:
Section 1.1:
Section 1.2:
CHAPTER 2:
Section 2.1:
2.1.1
2.1.2
Section 2.2:
2.2.1
2.2.2
Section 2.3
2.3.1:
2.3.2:
2.3.3:
2.3.4:
2.3.5:
Section 2.4:
CHAPTER 3:
Section 3.1:
Section 3.2:
3.2.1
3.2.2
3.2.3
3.2.4.
Section 3.3:
3.3.1
3.3.2
Section 3.4
3.4.1
3.4.2
3.4.3
3.4.4
3.4.5

ALL RENAL REPLACEMENT THERAPY IN MALAYSIA
Stock and flow
Treatment provision rate
DIALYSIS IN MALAYSIA
Provision of dialysis in Malaysia (registry report)
Dialysis treatment provision
Geographic distribution
Dialysis provision in Malaysia (Centre survey report)
Growth in dialysis in Malaysia by state and sector
Manpower in dialysis centres
Distribution of dialysis Treatment
Gender distribution
Age distribution
Method and location of dialysis
Funding for dialysis treatment
Distribution of dialysis patients by sector
Primary renal disease
DEATH AND SURVIVAL ON DIALYSIS
Death on dialysis
Patient survival on dialysis
Patient survival by type of dialysis modality
Patient survival by year of starting dialysis
Patient survival by age at starting dialysis
Patient survival by diabetic status
Survival of incident dialysis patients by centre
Survival of incident haemodialysis patients 2002-2010 by centre
Survival of incident PD patients by centre
Adusted mortality of dialysis patient
Adjusted hazard ratio for mortality of dialysis patients
Adjusted hazard ratio for mortality of haemodialysis patients
Adjusted hazard ratio for mortality of peritoneal dialysis patients
Risk adjusted mortality rate for haemodialysis patients by haemodialysis
centres
Risk Adjusted Mortality Rate by PD centres

xix

1
2
3
5
6
6
6
7
7
22
24
24
26
28
29
30
31
33
34
36
36
38
39
40
41
41
42
43
43
45
48
50
50

Page
CHAPTER 4:
Section A:
Section B:
CHAPTER 5:
Section A:
Section B:
Section C:
Section D:
Section E:
CHAPTER 6:
Section 6.1:
Section 6.2:
Section 6.3:
CHAPTER 7:
Section 7.1:
Section 7.2:
Section 7.3:
CHAPTER 8:
Section 8.1:
Section 8.2:
CHAPTER 9:
Section 9.1:
Section 9.2:
Section 9.3:
CHAPTER 10:
Section A:
Section B:
Section C:
CHAPTER 11:
Section 11.1:
Section 11.2:
Section 11.3:
CHAPTER 12:
Section 12.1
Section 12. 2
Section 12.3
Section 12.4
CHAPTER 13:
Section 13.1:
Section 13.2:
Section 13.3:
Section 13.4:
13.4.1:
13.4.2
Section 13.5:
Section 13.6:
13.6.1
13.6.2
13.6.3
13.6.4
13.6.5
13.6.7
Section 13.7:
APPENDIX I
APPENDIX II

QUALITY OF LIFE AND REHABILITATION OUTCOMES OF
DIALYSIS PATIENTS IN MALAYSIA
QoL Index score
Work related rehabilitation
PAEDIATRIC RENAL REPLACEMENT THERAPY
RRT provision for paediatric patients
Distribution of paediatric dialysis patients
Primary renal disease
Types of renal transplantation
Survival analysis
MANAGEMENT OF ANAEMIA IN DIALYSIS PATIENTS
Treatment for anaemia in patient on Dialysis
Iron status on dialysis
Haemoglobin outcomes on dialysis
NUTRITIONAL STATUS ON DIALYSIS
Serum albumin levels on dialysis
Body Mass Index (BMI) on dialysis
Nutritional parameters
BLOOD PRESSURE CONTROL AND DYSLIPIDAEMIA
Blood Pressure Control on dialysis
Dyslipidaemia in dialysis patients
CHRONIC KIDNEY DISEASE - MINERAL BONE DIORDERS
Treatment of hyperphosphateamia
Serum calcium and phosphate control
Serum parathyroid hormone control
HEPATITIS ON DIALYSIS
Prevalence
Centre variation
Seroconversion risks
HAEMODIALYSIS PRACTICES
Vascular access and its complications
HD prescription
Technique survival on dialysis
PERITONEAL DIALYSIS PRACTICES
Modalities and prescription of PD
Achievement of solute clearance and peritoneal transport
Technique survival on PD
PD Peritonitis
RENAL TRANSPLANTATION
Stock and flow
Recipients' charateristics
Transplant practices
Transplant outcomes
Post ransplant complications
Deaths and graft loss
Patient and graft survival
Cardiovascular risk in renal transplant recipients
Risk factors for ischaemic heart disease
Blood pressure classification according to JNC VI criteria, 2007-2011
Level of allograft function
Body mass Index
Lipid profile
Blood pressure control
QoL index score in renal transplant recipients
DATA MANAGEMENT
ANALYSIS SETS, STATISTICAL METHODS AND DEFINITIONS
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V– X

LIST OF TABLES
Chapter
Table 1.1

Table 1.3

Table Listing
Stock and flow of RRT, Malaysia 2002-2011
New dialysis acceptance rate and new transplant rate per million population
2002-2011
RRT prevalence rate per million population 2002-2011

Table 2.1.1

Stock and flow-Dialysis Patients 2002-2011

6

Table 2.1.2

Dialysis Treatment Rate per million population 2002-2011

6

Table 2.1.3

Dialysis Treatment Rate by state, per million population 2002-2011
Number and density of Dialysis Centres in Malaysia by State and Sector,
Year 2002 to 2011.
Number and density of HD centres in Malaysia by State and Sector, 20022011
Number and density of PD centres in Malaysia by State and Sector, 20022011
Number and density of HD machines in Malaysia by State and Sector, 20022011
Number and Prevalence Rate of Dialysis Patients (HD & PD) in Malaysia by
State and Sector, 2002-2011
Number and Prevalence Rate of Hemodialysis Patients in Malaysia by State
and Sector, 2002-2011
Number and Prevalence Rate of PD Patients in Malaysia by State and Sector,
2002-2011
HD Capacity to Patient Ratio among HD Centres in Malaysia by State and
Sector, 2002-2011
Number & density of Certified Dialysis Nurses/ Medical technicians in
Malaysia by State and Sector, 2002-2011
Dialysis Treatment Rate by Gender, per million male or female population
2002-2011
Gender Distribution of Dialysis Patients 2002-2011
Dialysis Treatment Rate by Age Group, per million age group population
2002-2011
Percentage Age Distribution of Dialysis Patients 2002-2011
Method and Location of Dialysis Patients 2002-2011
Funding for Dialysis Treatment 2002-2011
Distribution of Dialysis Patients by Sector 2002-2011
Primary Renal Diseases 2002-2011
Deaths on dialysis 2002-2011
Causes of death on dialysis 2002-2011
Patient survival by dialysis modality analysis (censored for change of
modality)
Patient survival by dialysis modality analysis (not censored for change of
modality)
Unadjusted patient survival by year of entry, 2002-2011
Unadjusted patient survival by age, 2002-2011
Unadjusted patient survival by diabetes mellitus status, 2002-2011
Adjusted hazard ratio for mortality of dialysis patients uncensored for change
of modality (2002-2011)
Adjusted hazard ratio for mortality of HD patients uncensored for change of
modality (2002-2011 cohort)
Adjusted hazard ratio for mortality of PD patients uncensored for change of
modality (2002-2011 cohort)
Cumulative distribution of QoL-Index score in relation to dialysis modality,
all dialysis patients 2002-2011

6

Table 1.2

Table 2.2.1
Table 2.2.2
Table 2.2.3
Table 2.2.4
Table 2.2.5
Table 2.2.6
Table 2.2.7
Table 2.2.8
Table 2.2.9
Table 2.3.1(a)
Table 2.3.1(b)
Table 2.3.2 (a)
Table 2.3.2
Table 2.3.3
Table 2.3.4
Table 2.3.5
Table 2.4.1
Table 3.1.1
Table 3.1.2
Table 3.2.1(a)
Table 3.2.1(b)
Table 3.2.2
Table 3.2.3
Table 3.2.4
Table 3.4.1
Table 3.4.2
Table 3.4.3
Table 4.1

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LIST OF TABLES
Chapter
Table 4.2
Table 4.3
Table 4.4
Table 4.5
Table 4.6
Table 4.7
Table 4.8:
Table 4.9:
Table 5.1
Table 5.2
Table 5.3(a)
Table 5.3(b)
Table 5.4
(a)
(b)
Table 5.5
Table 5.6
Table 5.7
Table 5.8
Table 5.9
Table 5.10(a)
Table 5.10(b)
Table 5.11
Table 5.12
Table 6.1.1
Table 6.1.2
Table 6.1.3
Table 6.1.4
Table 6.1.5
Table 6.1.6
Table 6.1.7
Table 6.1.8
Table 6.2.1
Table 6.2.2
Table 6.2.3
Table 6.2.4
Table 6.2.5

Table Listing
Cumulative distribution of QoL-Index score in relation to DM, all dialysis
patients 2002-2011
Cumulative distribution of QoL-index score in relation to gender, all dialysis
patients 2002-2011
Cumulative distribution of QoL-index score in relation to age, all dialysis
patients 2002-2011
Cumulative distribution of QoL-Index score in relation to year of entry, HD
patients 2002-2011
Cumulative distribution of QoL-Index score in relation to year of entry, PD
patients 2002-2011
Work related rehabilitation in relation to modality, dialysis patients, 2002 to
2011
Work related rehabilitation in relation to year of entry, HD patients 2002 to
2011
Work related rehabilitation in relation to year of entry, PD patients 2002 to
2011
Stock and flow of Paediatric Renal Replacement Therapy (RRT) 2002-2011
Paediatric dialysis and transplant rates per million age-group population 20022011
Dialysis treatment rate by state, per million state age group populations, 20022011
New dialysis patients by state, 2002-2011
Number of new dialysis and transplant patients by gender 2002-2011
New Dialysis
New Transplant
New RRT rate, per million age related population by age group 2002-2011
New dialysis by treatment modality 2002-2011
New dialysis by sector 2002-2011
Primary renal disease by sex, 2002-2011
Types of renal transplantation, 2002-2011
Patient survival by dialysis modality analysis (not censored with change of
modality)
Patient survival by dialysis modality analysis (censored with change of
modality)
Dialysis technique surviv