15th dialysis transplant 2007
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
15TH REPORT
OF THE MALAYSIAN
DIALYSIS & TRANSPLANT REGISTRY
2007
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
Ain Medicare
Baxter Healthcare
Fresenius Medical Care
Roche
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
August 2008
© Natonal Renal Regstry, Malaysa
ISSN 1675-8862
Publshed by:
The Natonal Renal Regstry
Malaysan Socety of Nephrology
2nd Floor, MMA House
124, Jalan Pahang
50286 Kuala Lumpur
Malaysa
Telephone.
Drect Fax
e-mal
Web ste
: (603) 4045 8636
: (603) 4042 7694
: nrr@msn.org.my
: http://www.msn.org.my/nrr
Important nformaton:
Ths report s copyrghted. However t may be freely reproduced wthout the permsson of the Natonal Renal
Regstry. Acknowledgment would be apprecated. Suggested ctaton s: YN Lm, TO Lm (Eds). Ffteenth
Report of the Malaysan Dalyss and Transplant Regstry 2007. Kuala Lumpur 2007
Ths report s also publshed electroncally on the webste of the Natonal Renal Regstry at:
http://www.msn.org.my/nrr
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ACKNOWLEDGEMENTS
The Natonal Renal Regstry would lke to thank the followng :
All the nephrologists and staff of the dialysis and transplant follow-up centres
for their hard work and participation,
The Ministry of Health, Malaysia for support seen and unseen,
Our ndustry sponsors for ther generous support :Ain Medicare
Baxter Healthcare
Fresenius Medical Care
Roche
The staff of the Clinical Research Centre particularly Lim Jie Ying,
Hoo Lin Ping and Azizah Alimat
Members of the National Transplant Registry who have kindly contributed to this Report
&
All who have in one way or another supported the National Renal Registry
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
NRR ADVISORY COMMITTEE MEMBERS
2008 - 2010
MALAYSIAN SOCIETY OF NEPHROLOGY NOMINEES
Charman : Dr. Zaki Morad B Mohd Zaher
Members : Dr. Lim Teck Onn
Dr. Lim Yam Ngo
Dr. T. Thiruventhiran
Dr. Tan Hee Wu
Dr. Wong Hin Seng
ASSOCIATION OF DIALYSIS MEDICAL ASSISTANTS & NURSES NOMINEES
Members : Tam Chong Chiang
Norlida Omar
Secretarat : Lee Day Guat
NRR OFFICE STAFF
Clncal Regstry Manager : Lee Day Guat
Clncal Research Assstant : Suhazelini Ali
Choo Cheh Loo
Nor Azliana Ramli
CRC TECHNICAL SUPPORT STAFF
Drector : Dr. Lim Teck Onn
Epdemologst : Dr. Jamaiyah Haniff
IT Manager : Celine Tsai Pao Chien
Database Admnstrator : Lim Jie Ying
Network Admnstrator : Kevin Ng Hong Heng
Adlan Ab Rahman
Scott
Statstcan : Hoo Ling Ping
Wahidah Tumijan
Webmaster : Patrick Lum See Kai
Desktop Publsher : Azizah Alimat
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT THE NATIONAL RENAL REGISTRY
The Natonal Renal Regstry (NRR) has ts orgn n
the Dalyss and Transplant Regstry establshed by the
Department of Nephrology n 1992. Its ownershp was
subsequently transferred to the Malaysan Socety of
Nephrology n 1995. The sponsors of NRR are the Malaysan
Socety of Nephrology (MSN) and the Assocaton of
Dalyss Medcal Assstants and Nurses (ADMAN).
Sponsors
The Malaysan Socety of Nephrology s the sponsor of the
Natonal Renal Regstry and the Malaysan Organ Sharng
System (MOSS). The Assocaton of Dalyss Medcal
Assstants and Nurses (ADMAN) has been nvted to be the
co-sponsor.
Advisory Committee
The objectives of the NRR are to :
Ths s the commttee establshed by the sponsors to oversee
the operatons of the regstry and MOSS. Interested partes
ncludng source data producers, Renal Regstry Unt and
target groups or users are represented on ths commttee.
1. Determne the dsease burden attrbutable to End Stage
Renal Dsease (ESRD), and ts geographc and temporal
trends n Malaysa.
2. Determne the outcomes, and factors nluencng
outcomes of Renal Replacement Therapy (RRT).
National Renal Registry Office
3. Evaluate the RRT program.
The NRR ofice s the coordnatng center that collects
and analyses the data. It publshes the annual report of
Malaysan Dalyss & Transplant Regstry and the Drectory
of Dalyss Centres n Malaysa. The Clncal Regstry
Manager (CRM) oversees the daly operaton of the NRR.
The Clncal Research Centre of Hosptal Kuala Lumpur
provdes the epdemologcal, statstcal and nformaton
technologcal support to NRR.
4. Stmulate and facltate research on RRT and ESRD.
5. Mantan the natonal renal transplant watng lst.
The NRR organization is as follows :
Sponsors
Source Data Producers
GN
Registry
Advisory
Committee
These are the dalyss centres that collect the requred
data. It s the most crtcal and yet dficult element of the
system. It has to be systematc and unform, and producers
of source data need to be traned and motvated to ensure
hgh data qualty.
MOSS
Users or Target groups
These are the ndvduals or nsttutons to whom the
regular regstry reports are addressed. It s ther need for
nformaton to assst n the plannng and mplementng
dsease treatment, control and preventon actvty that
justfy the nvestment n the regstry. They nclude:
NRR Co-ordinating Office
1. the renal communty
2. the RRT provder
3. the publc health practtoner
Advisory
Committee
4. the decson maker n varous government and non-
Target groups
or Users
government agences who have responsbltes for any
aspects of ESRD treatment, preventon and control
5. the researcher wth an nterest n ESRD and RRT.
6. the press and the publc.
Owner
The Malaysan Socety of Nephrology
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT MOSS
Malaysan Organ Sharng System or MOSS was started
n 1997. In 2006, t was upgraded to a web applcaton
named e-MOSS and was ofically launched by Y. B. Dato
Dr. Hj. Abd Latff B Ahmad, the Deputy Mnster of Health,
Malaysa on 1st September 2006.
Participation in e-MOSS :
Ths system s located n a secured ste; https://www.macr.org.
my/emoss. There are lnks provded from http://msn.org.my
or http://msn.org.my/nrr. All dalyss centres are welcome to
be an e-MOSS user.
MOSS s managed by the MOSS sub-commttee of the
MOSS/NRR commttee establshed under the Malaysan
Socety of Nephrology (MSN).
How to register with e-MOSS?
1. The dalyss centre needs to regster as an e-MOSS
user. Regstraton nstructon and ts documents are
avalable n the web applcaton.
2. Regstered centre can nomnate more users. However,
the authorzaton must be from the centre’s doctor ncharge.
3. All e-MOSS users need to complete a user agreement
form and submt t to NRR for processng.
The objectives of e-MOSS
1. To mantan a lst of patents who have voluntarly
enrolled as potental recpents n the cadaverc kdney
transplantaton program n Malaysa.
2. To prortse the watng lst accordng to an agreed
crtera and ts scorng system.
3. To update the watng lsts accordng to the specied
crtera.
Management of e-MOSS :
1. Make operatonal decsons concernng MOSS.
2. Secure vews of nephrologsts and other clncal staff
regardng ts polces and operatons.
3. Identfy nephrologsts to assst n the potental recpent
management.
All patents regstered wth NRR shall be lsted n the
e-MOSS on the followng day accordng to the crtera set
n the e-MOSS. These are the lstng where patents wll
be grouped:
1. SOS Lst
2. On Wat Lst
3. Auto Off Lst (Pendng data update)
4. Temporary Off Lst
5. Pendng Evaluaton
6. Inelgble for transplant
7. Death and Transplanted
The role of e-MOSS :
1. SOS List :
All patents regstered wth NRR wll be ncluded n the
e-MOSS. However, the subsequent management of the
patents’ lsts depends on the partcpatng centres.
1. The doctor carng for dalyss patents who are potental
recpents can now effectvely mantan ther patents
on the lsts and update ther patents’ treatment
nformaton regularly.
2. The transplant coordnatng centres can now access
the potental recpents’ lstng that s ranked accordng
to the pre-determned crtera. The patent could be
easly contactable n the event of organ donaton.
Patents on ths lst are gven specal prorty as they as
expected to have lfespan of less than a year unless renal
transplantatons are performed. Only nephrologsts can
request placement of patents nto ths lst and patent wll
only be placed nto ths lst after approval s obtaned from
the MOSS Commttee.
4. To enable cadaver organs to be allocated n a far and
equtable manner.
5. To facltate centres to effectvely manage ther patents
on the transplant watng lst
The functions of the MOSS sub-committee are :
2. On Wait List
Patents lsted here are patents who have met the crtera.
These are the potental cadaver organ recpents.
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT MOSS (Cont.)
3. Auto Off List (Pending data update)
5. Pending Evaluation
If the partcpatng centre dd not submt the Annual Return
(Haemodalyss & Pertoneal Dalyss) of a patent who s
n the ‘On Wat Lst’, the system wll automatcally placed
the patent nto ths lst. The patent n ths lst wll not be
elgble for organ transplantaton.
The potental elgble patents wll be lsted n the ‘Pendng
Lst’ upon regstraton wth NRR. The doctor n-charge
needs to assess the sutablty of the patents for a transplant
to enable the patent to be lsted n the Wat lst.
6. Ineligible for transplant
The patent wll be placed back nto the “On wat lst”
subsequently f the serology results have been updated and
the patent wll not be penalzed.
System auto lst those patents who do not meet eMOSS crtera.
7. Death and Transplanted
4. Temporary Off List
These are patents who had a transplant and the graft s stll
functonng and those patents who had passed away.
Doctor n charge should place the patent who s temporarly
unit for a transplant nto ths lst so that he/she wll not be
contacted n the event of organ donaton.
Transplant nephrologsts wll place the patent who s
temporarly unit for a transplant nto ths lst f he/she s
not it for a transplant when contacted durng the organ
donaton event.
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007
JOHOR
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.
Amtabha Haemodalyss Centre Johor Bahru, HD Unt
Batu Pahat Hosptal, HD Unt
Batu Pahat Rotary, HD Unt
BP Renal Care ( Rengt), HD Unt
BP Renal Care (Kluang), HD Unt
BP Renal Care (Segamat), HD Unt
BP Renal Care, HD Unt
BP Renalcare (Batu Pahat), HD Unt
Che Eng Khor Centre, HD Unt
Hosptal Pakar Sultanah Fatmah Muar, HD Unt
JB Lons MAA-Medcare Charty Dalyss Centre (1), HD Unt
JB Lons MAA-Medcare Charty Dalyss Centre (2), HD Unt
JJ Lons Dalyss Centre, HD Unt
Johor Specalst Hosptal, HD Unt
Kluang Hosptal, HD Unt
Kota Tngg Hosptal, HD Unt
Mersng Hosptal, HD Unt
Mersng Rotary Centre, HD Unt
Muar Dalyss, HD Unt
Muar Lons Renal Centre, HD Unt
Persatuan Membak Akhlak-Che Luan Khor_NKF, HD Unt
Pertubuhan Hemodalss Muhbbah Segamat (Labs), HD Unt
Pertubuhan Hemodalss Muhbbah, HD Unt
Pontan Hosptal, HD Unt
Pontan Rotary Haemodalyss Centre, HD Unt
Premer Renal Care, HD Unt
Prma Dalyss Kluang, HD Unt
Pusat Dalss & Keshatan Masjd Bandar Baru Uda, HD Unt
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.
Pusat Dalss Nefro Utama (Johor Bahru), HD Unt
Pusat Dalss Nefro Utama (Kota Tngg), HD Unt
Pusat Dalss Nefro Utama (Pontan), HD Unt
Pusat Dalss Perbadanan Islam (Pontan), HD Unt
Pusat Dalss Waqaf An-nur (Batu Pahat), HD Unt
Pusat Dalss Waqaf An-nur (Kota Raya), HD Unt
Pusat Dalss Waqaf An-nur (Pasr Gudang), HD Unt
Pusat Dalyss Makmur, HD Unt
Pusat Haemodalss Sura (Tangkak), HD Unt
Pusat Haemodalyss Amal Lexn
Pusat Hemodalss Darul Takzm, HD Unt
Pusat Hemodalss Hdayah, HD Unt
Pusat Hemodalss Rotary Kota Tngg, HD Unt
Pusat Hemodalss Rotary Kula, HD Unt
Pusat Perubatan Perbadanan Islam (Segamat), HD Unt
Puter Specalst Hosptal, HD Unt
Segamat Hosptal, HD Unt
Sultan Ismal Hosptal (Paed), HD Unt
Sultan Ismal Hosptal, HD Unt
Sultanah Amnah Hosptal, HD Unt
Systemc Dalyss Centre, HD Unt
Tangkak Hosptal, HD Unt
Tangkak Lons Renal Centre
Temenggong Ser Maharaja Tun Ibrahm Hosptal, HD Unt
The Rotary HD Centre (Johor Bahru), HD Unt
Yayasan Pembangunan Keluarga Johor-NKF, HD Unt
Yayasan Rotary Kluang, HD Unt
Zh En Dalyss Centre, HD Unt
KEDAH
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
807 Rumah Sakt Angkatan Tentera (Sg. Petan), HD Unt
Balng Hosptal, HD Unt
Buddhst Tzu Ch (Jtra), HD Unt
Kuala Nerang Hosptal, HD Unt
Kulm Haemodalyss (CS Tan), HD Unt
Kulm Hosptal, HD Unt
Langkaw Hosptal, HD Unt
Metro Specalst Hosptal, HD Unt
Pertubuhan Bakt Fo En Bandar Kulm, HD Unt
Pusat Dalss K K Tan (Kulm), HD Unt
Pusat Dalyss K K Tan (Sg Petan), HD Unt
Pusat Haemodalss Dr. Ismal, HD Unt
Pusat Hemodalss Beng Sew, HD Unt
Pusat Hemodalss Mergong, HD Unt
Pusat Hemodalss S P, HD Unt
Pusat Keshatan Jtra, HD Unt
Pusat Rawatan Hemodalss Yayasan Emkay & Sultanah
Bahyah, HD Unt
Putra Medcal Centre, HD Unt
Rawatan Dalss Amal Lon_NKF, HD Unt
Renal Care (Kedah), HD Unt
Renal Medcare, HD Unt
Sk Hosptal, HD Unt
Sultan Abdul Halm Hosptal, HD Unt
Sultanah Bahyah Hosptal, HD Unt
Superkds Trnty-NKF Dalyss Centre, HD Unt
Yan Hosptal, HD Unt
KELANTAN
v
83.
Gua Musang Hosptal, HD Unt
84.
KB Rotary-MAA Charty Dalyss, HD Unt
85.
Kuala Kra Hosptal, HD Unt
86.
Machang Hosptal, HD Unt
87.
Pakar Perdana Hosptal, HD Unt
88.
Pasr Mas Hosptal, HD Unt
89.
Pusat Dalss Yayasan Buah Pnggang Kebangsaan (Kota
Bharu), HD Unt
90.
Pusat Perubatan Tentera (Kota Bharu), HD Unt
91.
Pusat Rawatan Dalss Islah (Kota Bharu), HD Unt
92.
Raja Perempuan Zanab II Hosptal, HD Unt
93.
Renal-Lnk (Kelantan), HD Unt
94.
Tanah Merah Hosptal, HD Unt
95.
Tengku Ans Hosptal, HD Unt
96.
Tumpat Hosptal, HD Unt
97.
USM Hosptal, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
146.
147.
148.
MELAKA
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
94 Hosptal Angkatan Tentera (Terendak), HD Unt
Alor Gajah Dalyss Centre, HD Unt
Alor Gajah Hosptal, HD Unt
Amtabha Centre (Melaka), HD Unt
Dama Medcal & Heart Clnc, HD Unt
Mahkota Medcal Centre, HD Unt
Melaka Hosptal, HD Unt
Panta Ar Keroh Hosptal, HD Unt
Pusat Dalss Gat Kurna (Masjd Tanah), HD Unt
Pusat Dalyss Comfort, HD Unt
Pusat HD SJAM Bacang Melaka, HD Unt
Pusat Hemodalss SJAM Pulau Sebang, HD Unt
Pusat Hemodalss Sura (Jasn), HD Unt
Snar Hemodalss, HD Unt
Tenang Haemodalyss Centre, HD Unt
Tenang Haemodalyss Jasn, HD Unt
Yakn Jaya, HD Unt
Yayasan Kebajkan The Southern Melaka, HD Unt
PERAK
149.
150.
151.
152.
153.
154.
155.
156.
157.
158.
159.
160.
161.
162.
163.
164.
NEGERI SEMBILAN
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
Haemodalyss Mawar Gemas, HD Unt
Jelebu Hosptal, HD Unt
Persada Dalyss Centre, HD Unt
Port Dckson Hosptal, HD Unt
Pusat Dalss Sura (Tampn), HD Unt
Pusat Hemodalss Berkat Seroja, HD Unt
Pusat Hemodalss Mawar N. Semblan (Bahau), HD Unt
Pusat Hemodalss Mawar N. Semblan (Lukut), HD Unt
Pusat Hemodalss Mawar N. Semblan (Rantau), HD Unt
Pusat Hemodalss Mawar N. Semblan (Seremban), HD Unt
Pusat Pakar Dalss Traktf (Kuala Plah), HD Unt
Pusat Waqaf An-nur (Senawang), HD Unt
Seremban Specalst Hosptal, HD Unt
Tampn Hosptal, HD Unt
Tuanku Ampuan Najhah Hosptal, HD Unt
Tuanku Jaafar Hosptal (Paed), HD Unt
Tuanku Jaafar Hosptal, HD Unt
165.
166.
167.
168.
169.
170.
171.
172.
173.
174.
175.
176.
177.
178.
179.
180.
181.
182.
183.
184.
185.
186.
187.
188.
189.
190.
191.
192.
193.
194.
195.
196.
PAHANG
133.
134.
135.
136.
137.
138.
139.
140.
141.
142.
143.
144.
145.
Sultan Haj Ahmad Shah Hosptal, HD Unt
Tengku Ampuan Afzan Hosptal (Paed), HD Unt
Tengku Ampuan Afzan Hosptal, HD Unt
Bentong Hosptal, HD Unt
Jengka Hosptal, HD Unt
Jerantut Hosptal, HD Unt
Kuala Lps Hosptal, HD Unt
Kuantan Clncal Dagnostc Centre, HD Unt
MAA-Medcare Charty (Mentakab), HD Unt
Mentakab Haemodalyss Unt, HD Unt
Muadzam Shah Hosptal, HD Unt
Pahang Buddhst Assocaton, HD Unt
Pekan Hosptal, HD Unt
Pusat Hemodalss Islam Makmur, HD Unt
Raub Hosptal, HD Unt
SJAM-KPS Haemodalyss Centre 9 (Raub), HD Unt
x
96 Hosptal Angkatan Tentera (Lumut), HD Unt
Batu Gajah Hosptal, HD Unt
Berchaam Dalyss Centre, HD Unt
Changkat Melntang Hosptal, HD Unt
Emnur Teguh, HD Unt
Gerk Hosptal, HD Unt
Hope Haemodalyss Socety Ipoh, HD Unt
Ipoh Hosptal, HD Unt
Ipoh Hosptal, Home Unt
Kampar Hosptal, HD Unt
Kuala Kangsar Hosptal, HD Unt
MAA-Medcare Charty (Teluk Intan), HD Unt
Part Buntar Hosptal, HD Unt
Perak Communty Specalst Hosptal, HD Unt
Persatuan Amal Chn Malaysa Barat, HD Unt
Pertubuhan Perkhdmatan Haemodalss Ar-Rdzuan,
HD Unt
Pertubuhan Perkhdmatan Hemodalss AIXIN Keran,
HD Unt
PMA Chan Meng Khor-MAA Medcare Charty Dalyss
Centre
Pulau Pangkor Hosptal, HD Unt
Pusat Dalss Darul Iltzam Tapng, HD Unt
Pusat Dalss Ehsan Perak (Part Buntar), HD Unt
Pusat Dalss Intan, HD Unt
Pusat Dalss Kuala Kangsar, HD Unt
Pusat Dalss LZS (Kapar), HD Unt
Pusat Dalss Mutara, HD Unt
Pusat Dalss Penawar Perma, HD Unt
Pusat Dalss Seta (Ipoh)
Pusat Dalss Tapng (Kamuntng), HD Unt
Pusat Dalss Tapng (Kuala Kangsar), HD Unt
Pusat Dalss Tapng (Part Buntar), HD Unt
Pusat Dalss Tapng, HD Unt
Pusat Dalyss Seta, HD Unt
Pusat Hemodalss Darul Iltzam (Ipoh), HD Unt
Pusat Hemodalss Darul Iltzam Tapah, HD Unt
Pusat Hemodalss Kampar, Yayasan Nanyang, HD Unt
Pusat Hemodalss Manjung, HD Unt
Pusat Rawatan Dalss Wan Nong, HD Unt
Renal Care (Ipoh Specalst), HD Unt
Selama Hosptal, HD Unt
Ser Manjung Hosptal, HD Unt
Sg Sput Hosptal, HD Unt
Slm Rver Hosptal (Tanjong Malm), HD Unt
Tapng Hosptal, HD Unt
Tapah Hosptal, HD Unt
Teluk Intan Hosptal, HD Unt
Woh Peng Cheang Seah, HD Unt
Yayasan Akhlak-NKF Tapng, HD Unt
Yayasan Dalyss Penddkan Akhlak Perak-NKF Ipoh, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
PERLIS
245.
Kota Marudu Hosptal, HD Unt
197.
Tuanku Fauzah Hosptal, HD Unt
246.
Kudat Hosptal, HD Unt
198.
Tuanku Syed Putra Haemodalyss Centre, HD Unt
247.
Labuan Hosptal, HD Unt
248.
Lahad Datu Hosptal, HD Unt
249.
Lkas Hosptal, HD Unt
250.
MAA-Medcare Charty (Kota Knabalu), HD Unt
PENANG
199.
AMD Rotary (Penang), HD Unt
200.
Asa Renal Care (Penang), HD Unt
251.
Nobel Dalyss Centre, HD Unt
201.
Balk Pulau Hosptal, HD Unt
252.
Papar Hosptal, HD Unt
202.
Buddhst Tzu Ch Dalyss Centre (Butterworth), HD Unt
253.
Persatuan Buah Pnggang Sabah, HD Unt
203.
Buddhst Tzu Ch HD Centre (Penang), HD Unt
254.
Persatuan Hemodalyss Knabalu Sabah, HD Unt
204.
Bukt Mertajam Hosptal, HD Unt
255.
Queen Elzabeth Hosptal, HD Unt
205.
Bukt Mertajam Specalst Hosptal, HD Unt
256.
Ranau Hosptal, HD Unt
206.
Fo Y NKF Dalyss Centre, HD Unt
257.
Rotary Tawau Tanjung, HD Unt
207.
Fo Y NKF Dalyss Centre (2)
258.
Sabah Medcal Centre, HD Unt
208.
Gleneagles Medcal Centre, HD Unt
259.
Sandakan Kdney Socety, HD Unt
209.
Island Hosptal, HD Unt
260.
Semporna Hosptal, HD Unt
210.
K K Tan Specalst (BM), HD Unt
261.
Sptang Hosptal, HD Unt
211.
Kepala Batas Hosptal, HD Unt
212.
Lam Wah Ee Hosptal, HD Unt
262.
Tambunan Hosptal, HD Unt
213.
Loh Guan Lye Specalst Centre, HD Unt
263.
Tawau Hosptal, HD Unt
214.
MAA-Medcare Charty (Butterworth), HD Unt
264.
Tenom Hosptal, HD Unt
215.
NEPH Sdn Bhd, HD Unt
216.
Panta Mutara Hosptal, HD Unt
217.
Penang Adventst Hosptal, HD Unt
218.
Penang Carng Dalyss Socety, HD Unt
219.
Pertubuhan Dalss Rotary-Satu Hat, HD Unt
220.
Pertubuhan Hemodalss SPS, HD Unt
221.
Provnce Wellesley Renal Medfund, HD Unt
222.
Pulau Pnang Hosptal (Home), HD Unt
223.
Pulau Pnang Hosptal (Paed), HD Unt
224.
Pulau Pnang Hosptal, HD Unt
225.
Pusat Dalss Ehsan Perak (Pedar), HD Unt
226.
Pusat Haemodalss Zakat (Jaw), HD Unt
227.
Pusat Haemodalyss St Anne BM, HD Unt
228.
Pusat Hemodalss Zakat (Balk Pulau), HD Unt
229.
Pusat Hemodalss Zakat (Bukt Mertajam), HD Unt
230.
Pusat Hemodalss Zakat (Butterworth), HD Unt
231.
PWRM (BM) Dalyss Centre, HD Unt
232.
Renal Lnk (Penang), HD Unt
233.
Seberang Jaya Hosptal (Butterworth), HD Unt
234.
Seberang Pera (Bagan), HD Unt
235.
SJ Dalyss Centre, HD Unt
236.
Sunga Bakap, HD Unt
237.
The Penang Communty HD Socety, HD Unt
238.
TSC Renal Care, HD Unt
SARAWAK
265.
266.
267.
268.
269.
270.
271.
272.
273.
274.
275.
276.
277.
278.
279.
280.
281.
282.
283.
284.
285.
286.
287.
288.
289.
290.
291.
292.
293.
294.
SABAH
239.
Beaufort Hosptal, HD Unt
240.
Beluran Hosptal, HD Unt
241.
Duchess of Kent Hosptal, HD Unt
242.
Kenngau Hosptal, HD Unt
243.
Kota Belud Hosptal, HD Unt
244.
Kota Knabatangan Hosptal, HD Unt
x
801 Rumah Sakt Angkatan Tentera (Kuchng), HD Unt
Bau Hosptal, HD Unt
Betong Hosptal, HD Unt
Bntulu Hosptal, HD Unt
CHKMUS-MAA Medcare Charty, HD Unt
Kanowt Hosptal, HD Unt
Kapt Hosptal, HD Unt
KAS-Rotary-NKF, HD Unt
Kuchng Specalst Hosptal, HD Unt
Lawas Hosptal, HD Unt
Lmbang Hosptal, HD Unt
Lundu Hosptal, HD Unt
Marud Hosptal, HD Unt
Mr Hosptal, HD Unt
Mr Red Crescent Dalyss Centre, HD Unt
Mukah Hosptal, HD Unt
Normah Medcal Specalst Centre, HD Unt
Rejang Medcal Centre, HD Unt
Saratok Hosptal, HD Unt
Sarawak General Hosptal, HD Unt
Sarke Hosptal, HD Unt
Seran Hosptal, HD Unt
Sbu Hosptal, HD Unt
Sbu Kdney Foundaton, HD Unt
Smunjan Hosptal, HD Unt
SJAM-KPS Haemodalyss Centre 8 (Sbu), HD Unt
SJAM-KPS Pusat Hemodalss Centre 10, (Bntulu), HD Unt
Sr Aman Hosptal, HD Unt
Tmberland Medcal Centre, HD Unt
819 Rumah Sakt Angkatan Tentera, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
SELANGOR
341.
Reddy Clnc
295.
Ampang Hosptal, HD Unt
342.
Renal Assocates, HD Unt
296.
Ampang Puter Specalst Hosptal, HD Unt
343.
S.P. Menon Dalyss Centre (Klang), HD Unt
297.
Apex Club of Klang-NKF Charty Dalyss Centre, HD Unt
344.
S.P. Menon Dalyss Centre (Petalng Jaya), HD Unt
298.
Assunta Hosptal, HD Unt
345.
Selangor Medcal Centre, HD Unt
299.
Bakt-NKF Dalyss Centre, HD Unt
346.
Selayang Hosptal (Paed), HD Unt
300.
Bang Dalyss Centre, HD Unt
347.
Selayang Hosptal, HD Unt
301.
Bantng Hosptal, HD Unt
348.
Serdang Hosptal, HD Unt
302.
Berjaya NKF Dalyss Centre, HD Unt
349.
SJAM-KPS Haemodalyss Centre 1 (Raja Muda Musa), HD Unt
303.
Carng Dalyss Centre (Tanjong Karang), HD Unt
350.
SJAM-KPS Haemodalyss Centre 11 (Shah Alam), HD Unt
304.
Damansara Specalst Hosptal, HD Unt
351.
SJAM-KPS Haemodalyss Centre 2 (Klang), HD Unt
305.
EAM Dalyss Centre, HD Unt
352.
SJAM-KPS Haemodalyss Centre 3 (Bantng), HD Unt
306.
Haemodalyss Assocaton Klang, HD Unt
353.
SJAM-KPS Haemodalyss Centre 5 (Rawang), HD Unt
307.
Haemodalyss Edna, HD Unt
354.
SJAM-KPS Haemodalyss Centre 6 (Kuala Selangor), HD Unt
308.
Healthcare Dalyss Centre, HD Unt
355.
Smartcare Dalyss Centre (Subang Jaya), HD Unt
309.
Hemodalss Yayasan Veteran ATM, HD Unt
356.
Sr Kota Medcal Centre, HD Unt
310.
Kajang Dalyss Centre, HD Unt
357.
Subang Jaya Medcal Centre, HD Unt
311.
Kajang Hosptal, HD Unt
358.
Sunga Buloh Hosptal, HD Unt
312.
Kelana Jaya Medcal Centre, HD Unt
359.
Sunway Medcal Centre (2), HD Unt
313.
Kuala Kubu Bharu Hosptal, HD Unt
360.
Sunway Medcal Centre, HD Unt
314.
MAA-Medcare Charty (Kajang), HD Unt
361.
Syukur Elt Sdn Bhd, HD Unt
315.
Persatuan Dalss Kurna PJ, HD Unt
362.
Tanjung Karang Hosptal, HD Unt
316.
Persatuan Dalss Touch, HD Unt
363.
Tengku Ampuan Jemaah Hosptal, HD Unt
317.
Png Rong-NKF, HD Unt
364.
Tengku Ampuan Rahmah Hosptal, HD Unt
318.
PNSB Dalss Centre, HD Unt
365.
Unverst Kebangsaan Malaysa Bang, HD Unt
319.
Pusat Dalss Aman (Shah Alam), HD Unt
366.
Yayasan Kebajkan SSL Puchong, HD Unt
320.
Pusat Dalss LZS (Sg. Besar), HD Unt
367.
Yayasan Kebajkan SSL, HD Unt
321.
Pusat Dalss LZS (Shah Alam), HD Unt
322.
Pusat Dalss Pakar Med-Nefro, HD Unt
323.
Pusat Dalss Sjangkang, HD Unt
368.
Besut Hosptal, HD Unt
324.
Pusat Dalyss Mesra (Kapar), HD Unt
369.
Dungun Hosptal, HD Unt
325.
Pusat Dalyss Mesra (Rahman Putra), HD Unt
370.
Hulu Terengganu Hosptal, HD Unt
326.
Pusat Dalyss Mesra (Shah Alam), HD Unt
371.
Kemaman Hosptal, HD Unt
327.
Pusat Dalyss Mesra KKB, HD Unt
372.
Pusat Dalss Epc, HD Unt
328.
Pusat Dalyss Putra Jaya (Semenyh), HD Unt
373.
Pusat Dalss Terengganu/NKF, HD Unt
329.
Pusat Hemodalss Fasa, HD Unt
374.
Pusat Hemodalss Nablah, HD Unt
330.
Pusat Hemodalss Kau Ong Yah Ampang, HD Unt
331.
Pusat Hemodalss Majls Perbandaran Kelang, HD Unt
375.
Pusat Rawatan Dalss Islah (Kuala Terengganu), HD Unt
332.
Pusat Hemodalss Mawar N. Semblan (Sepang), HD Unt
376.
Sultanah Nur Zahrah Hosptal, HD Unt
333.
377.
YKN Dalss (Terengganu), HD Unt
334.
Pusat Hemodalss Mawar N. Semblan
Kembangan), HD Unt
Pusat Perubatan Prmer HUKM, HD Unt
335.
Pusat Rawatan Dalss Islah (Batu Caves), HD Unt
336.
Pusat Rawatan Dalss Nefro Utama (Puchong Jaya),
HD Unt
337.
Pusat Rawatan Dalss Traktf (Selayang), HD Unt
338.
Pusat Rawatan Hemodalss Felna, HD Unt
339.
Putrajaya Hosptal, HD Unt
340.
Rawatan Dalyss Bukt Tngg, HD Unt
TERENGGANU
(Ser
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
WILAYAH PERSEKUTUAN KUALA LUMPUR
378.
Aman Dalyss Centre, HD Unt
379.
Chars-NKF Dalyss Centre, HD Unt
380.
Cheras Dalyss Centre, HD Unt
381.
Kampong Baru Medcal Centre, HD Unt
382.
Kuala Lumpur Hosptal (Home), HD Unt
383.
Kuala Lumpur Hosptal (Paed.), HD Unt
384.
Kuala Lumpur Hosptal (Unt 1), HD Unt
385.
Kuala Lumpur Hosptal (Unt 3), HD Unt
386.
Kuala Lumpur Hosptal (Unt 4), HD Unt
387.
Kuala Lumpur Lons Renal Centre, HD Unt
388.
MAA-Medcare Charty (Cheras), HD Unt
389.
MAA-Medcare Charty (Kuala Lumpur), HD Unt
390.
MDZ Haemodalyss Centre, HD Unt
391.
Natonal Kdney Foundaton Dalyss Centre (KL), HD Unt
392.
Panta Indah Hosptal, HD Unt
393.
Panta Medcal Centre (2), HD Unt
394.
Panta Medcal Centre (KL), HD Unt
395.
Polklnk Komunt Tangln, HD Unt
396.
Pusat Dalss Falah, HD Unt
397.
Pusat Dalss Pusat Punggutan Zakat (Kuala Lumpur), HD Unt
398.
Pusat Hemodalss Dato’ Lee Kok Chee, HD Unt
399.
Pusat Hemodalss Harmon, HD Unt
400.
Pusat Hemodalss PUSRAWI, HD Unt
401.
Pusat Hemodalss Waz Lan, HD Unt
402.
Pusat Hemodalss Yayasan Felda, HD Unt
403.
Pusat Pakar Tawakal, HD Unt
404.
Pusat Rawatan Dalss Nefro Utama (Setapak), HD Unt
405.
Renal Dalyss Centre, HD Unt
406.
Rotary Damansara-NKF Dalyss, HD Unt
407.
S.P. Menon Dalyss Centre (Kuala Lumpur), HD Unt
408.
Smartcare Dalyss Clnc, HD Unt
409.
The Kdney Dalyss Centre 1, HD Unt
410.
The Kdney Dalyss Centre 2, HD Unt
411.
The Nayang-NKF Dalyss Centre, HD Unt
412.
Traktf Specalst Dalyss Centre (Wangsa Maju), HD Unt
413.
Tung Shn Hosptal & Yayasan Nanyang Press, HD Unt
414.
Tung Shn Hosptal, HD Unt
415.
UKM Hosptal, HD Unt
416.
Unversty Malaya Medcal Centre, HD Unt
417.
Unversty Malaya Specalst Centre, HD Unt
418.
YKN Dalss (Kuala Lumpur), HD Unt
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING PERITONEAL
DIALYSIS CENTRES
JOHOR
BP Renal Care, CAPD Unt
BP Renal Care, Segamat, CAPD Unt
Sultan Ismal Hosptal (Paed), CAPD Unt
Sultanah Amnah Hosptal, CAPD Unt
KEDAH
Sultanah Bahyah Hosptal, CAPD Unt
Raja Perempuan Zanab II Hosptal , CAPD Unt
USM Hosptal, CAPD Unt
MELAKA
Dama Medcal & Heart Clnc, CAPD Unt
Melaka Hosptal, CAPD Unt
NEGERI SEMBILAN
Tuanku Jaafar Hosptal (Paed), CAPD Unt
Tuanku Jaafar Hosptal, CAPD Unt
PAHANG
Tengku Ampuan Afzan Hosptal (Paed), CAPD Unt
Tengku Ampuan Afzan Hosptal, CAPD Unt
PARTICIPATING TRANSPLANT
FOLLOW-UP CENTRES
JOHOR
Batu Pahat Hosptal, Tx Unt
Hosptal Sultan Ismal Pandan (Paed), Tx Unt
Pakar Sultanah Fatmah Muar Hosptal, Tx Unt
Pontan Hosptal, Tx Unt
Segamat Hosptal, Tx Unt
Hosptal Sultan Ismal Pandan, Tx Unt
Kluang Hosptal, Tx Unt
Sultanah Amnah Hosptal, Tx Unt
KEDAH
Alor Setar Hosptal, Tx Unt
KELANTAN
Kota Bharu Hosptal, Tx Unt
MAA-Medcare Charty Dalyss (KB Rotary), Tx Unt
USM Hosptal, Tx Unt
MELAKA
Dama Medcal & Heart Clnc, Tx Unt
Mahkota Medcal Centre, Tx Unt
Melaka Hosptal, Tx Unt
NEGERI SEMBILAN
Hosptal Tuanku Ja’afar Seremban, Tx Unt
PAHANG
Tg. Ampuan Afzan Hosptal, Tx Unt
PERAK
96 Hosptal Angkatan Tentera (Lumut), CAPD Unt
Ipoh Hosptal, CAPD Unt
Renal Care (Ipoh Specalst), CAPD Unt
PENANG
Pulau Pnang Hosptal (Paed), CAPD Unt
Pulau Pnang Hosptal, CAPD Unt
SABAH
Queen Elzabeth Hosptal, CAPD Unt
Sabah Medcal Centre, CAPD Unt
SARAWAK
Sarawak General Hosptal, CAPD Unt
SELANGOR
Selayang Hosptal (Paed), CAPD Unt
Selayang Hosptal, CAPD Unt
Serdang Hosptal, CAPD Unt
Sr Kota Medcal Centre, CAPD Unt
Tengku Ampuan Rahmah Hosptal, CAPD Unt
TERENGGANU
Sultanah Nur Zahrah Hosptal, CAPD Unt
WILAYAH PERSEKUTUAN KUALA LUMPUR
Kuala Lumpur Hosptal (Paed.), CAPD Unt
Kuala Lumpur Hosptal, CAPD Unt
UKM Hosptal, CAPD Unt
Unversty Malaya Medcal Centre, CAPD Unt
PERAK
Ipoh Hosptal, Tx Unt
Tapng Hosptal, Tx Unt
PENANG
Pulau Pnang Hosptal, Tx Unt
SABAH
Duchess of Kent Hosptal, Tx Unt
Lkas Hosptal, Tx Unt
Queen Elzabeth Hosptal, Tx Unt
Sabah Medcal Centre, Tx Unt
Tawau Hosptal, Tx Unt
SARAWAK
Bntulu Hosptal Tx Unt
Mr Hosptal, Tx Unt
Sarawak General Hosptal, Tx Unt
Sbu Hosptal, Tx Unt
Tmberland Medcal Centre, Tx Unt
SELANGOR
Ampang Puter Specalst Hosptal, Tx Unt
Selayang Hosptal, Tx Unt
Serdang Hosptal, Tx Unt
Sr Kota Medcal Centre, Tx Unt
Sunway Medcal Centre, Tx Unt
Tan Medcal Renal Clnc, Tx Unt
Tg. Ampuan Rahmah Hosptal, Tx Unt
TERENGGANU
Kemaman Hosptal, Tx Unt
Kuala Terengganu Hosptal, Tx Unt
WILAYAH PERSEKUTUAN KUALA LUMPUR
Kuala Lumpur Hosptal (Paed), Tx Unt
Kuala Lumpur Hosptal, Tx Unt
Renal Dalyss Centre, Tx Unt
Smartcare Dalyss Centre (Cheras), Tx Unt
UKM Hosptal, Tx Unt
Unversty Malaya Medcal Centre, Tx Unt
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTRIBUTING EDITORS
CHAPTER TITLE
1
2
3
4
5
6
7
8
EDITORS
INSTITUTIONS
Renal Replacement Therapy Lm Yam Ngo
n Malaysa
Lm Teck Onn
Lee Day Guat
Dalyss n Malaysa
Lm Yam Ngo
Lm Teck Onn
Lee Day Guat
Economcs of Dalyss
Lm Teck Onn
Adran Goh
Lm Yam Ngo
Rozna Ghazall
Zak Morad Mohd Zaher
Abu Bakar Suleman
Death & Survval on Dalyss
Wong Hn Seng
Ong Loke Meng
Wan Shaarah Md Yusuf
QoL and Work
Lu Wen Jun
Rehabltaton on Dalyss
Chew Than Fook
Alnda Chu Sze Fung
Zak Morad B Mohd Zaher
Paedatrc Renal
Lee Mng Lee
Replacement Therapy
Lynster Law
Susan Pee
Wan Jazlah Wan Ismal
Lm Yam Ngo
Treatment of Anaema n
Phlp N. Jeremah
Dalyss Patents
Bee Boon Cheak
Kuala Lumpur Hosptal
Clncal Research Centre
Kuala Lumpur Hosptal
Kuala Lumpur Hosptal
Clncal Research Centre
Kuala Lumpur Hosptal
Clncal Research Centre
ClncResearch Sdn Bhd
Kuala Lumpur Hosptal
Pulau Pnang Hosptal
Internatonal Medcal Unversty
Internatonal Medcal Unversty
Kuala Lumpur Hosptal
Penang Hosptal
Tuanku Jaafar Hosptal, Seremban
Sultanah Amnah Hosptal, Johor
Tuanku Jaafar Hosptal, Seremban
Unversty Putra Malaysa
Internatonal Medcal Unversty
Tuanku Jaafar Hosptal, Seremban
Pulau Pnang Hosptal
Sultan Ismal Hosptal, Johor
Selayang Hosptal
Kuala Lumpur Hosptal
Ampang Puter Specalst Hosptal
Selayang Hosptal
Nutrton Status on Dalyss
Wnne Chee Sew Swee
Faculty of Alled Health Scences
Unversty Kebangsaan Malaysa
Tlakavat Karupaah
Ahmad Fauz Abdul Rahman
Prasad Menon
Lee Wan Tn
Faculty of Alled Health Scences
Unversty Kebangsaan Malaysa
Puter Specalst Hosptal
Subang Jaya Medcal Centre
Subang Jaya Medcal Centre
Rozna Bt Ghazall
Fan Kn Sng
Chng Chen Hua
Lew Yew Fong
Teo Sue Me
Clare Tan Hu Hong
Foo Su Me
Tan Chwee Choon
Shahnaz Shah Frdaus Khan
Raidah Abdullah
Norleen Bt Zulkarnan Sm
Sunta Bavanandan
Lly Mushahar
Pulau Pnang Hosptal
Gleneagle Intan Medcal Centre
Sultanah Bahyah Hosptal, Alor Setar
Pulau Pnang Hosptal
Ipoh Hosptal
Sarawak Hosptal
Ipoh Hosptal
Tengku Ampuan Rahmah Hosptal, Klang
Tengku Ampuan Rahmah Hosptal
Selayang Hosptal
Tengku Ampuan Rahmah Hosptal
Kuala Lumpur Hosptal
Kuala Lumpur Hosptal
Goh Bak Leong
Zak Morad Mohd Zaher
Fan Kn Sng
Lly Mushahar
Rohan Malek
S Prasad Menon
Tan S Yen
Serdang Hosptal
Internatonal Medcal Unversty
Gleneagle Intan Medcal Centre
Kuala Lumpur Hosptal
Selayang Hosptal
Subang Jaya Medcal Centre
Unversty Malaya Medcal Centre
9
Blood Pressure Control and
Dyslpdema
10
Renal Bone Dsease
11
Hepatts on Dalyss
12
Haemodalyss Practces
13
Chronc Pertoneal Dalyss
Practces
14
Renal Transplantaton
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
FOREWORD
The plannng of facltes for Renal Replacement Therapy (RRT) n a developng country lke Malaysa was relatvely
easy n the last 10-20 years. Ths was because the demand for RRT was hgh and resources, partcularly inancal, were
lmted. There was no danger of buldng excess capacty. Every sngle space n a new faclty partcularly n the publc
sector was used.
A igure of 100 per mllon new cases of End Stage Renal Dsease (ESRD) per year was used for plannng and management
purposes so assduously that t was frequently quoted n the newspapers, by poltcans and by mnstry of health oficals.
All sectors, the government, the non-proit organzatons and the prvate healthcare provders worked towards provdng
more places for Hemodalyss (HD) treatment.
Quetly, wthout much fanfare or any dsplay of prde that “we have made t!”, the country reached the magc igure of
100 per mllon n 2003 and moved on to the present rate of 130 per mllon. Even more mpressve was the fact that n
2007, eght of the fourteen states accepted more than 130 new patents per mllon wth four of these states acceptng
more than 190 per mllon.
We have ndeed come a long way. No other country wth our level of natonal ncome has come close to these igures.
We (all stakeholders n ths dalyss provson) deserve to be congratulated. Success, however, calls for evaluaton and
reevaluaton of strateges, f not for anythng else, to acheve greater success.
A cursory look at the igures reveals that a state wth the hghest treatment rate accepted more than three tmes the
number of patents per mllon populaton than the one wth the lowest. Ths s contnually beng addressed and the
stuaton has mproved compared to a few years earler. Another set of data showed that states wth hgh treatment rates
do not have optmal HD capacty to patent rato ndcatng that there s now excess capacty. There are some dalyss
centres runnng on one shft a day or on alternate days. Should we waste resources just because the publc and the
government contnue to be generous to ESRD patents? Can some of these resources be dverted for other potentally
beneical ntatves lke screenng for kdney dseases and effectve publc educaton?
One other consderaton s to use some of the resources to develop Pertoneal Dalyss (PD) treatment n the NGO
hemodalyss centres. Presently long-term PD s avalable almost exclusvely n publc sector hosptals. Slghtly over
ten percent of patents on dalyss n 2007 were on PD. Some mechansm can be worked out where NGO centers can
collaborate wth publc sector hosptals n offerng patents PD as another choce of dalyss modalty. Such collaboraton
can nclude havng the Tenchkoff Catheter nserton and treatment for pertonts to be done n publc hosptals. The
NGO centres can provde day care servces lke transfer set change and perodc revew of patents by nephrologsts.
PD should be consdered even n states wth low treatment rate. The development costs of settng up a Hemodalyss
centre s ncreasng wth the rsng cost of constructon materals and labour. The costs of CAPD (or Automated PD) may
come down when the number of patents on ths treatment ncreases.
Ths basc prncple n economcs, economy of scale, made us very successful wth hemodalyss treatment. We now pay
less for dalysers, needles, bloodlnes and dalysates than we dd 10-15 years ago. The other major reason for affordable
hemodalyss was openng up the hemodalyss supples market to as many players as possble wthout compromsng
qualty.
Once agan our grattude goes to Ms Lee Day Guat and her team for ther commtment and dedcaton n puttng together
ths 15th report. We also thank the chapter edtors, the report edtors Drs Lm Yam Ngo and Lm Teck Onn and the staff
of all partcpatng centres for sendng the data relgously every year. We hope that by studyng our centre results, we
wll be able to further mprove the patents’ survval and qualty of lfe and reduce the varaton across many centres.
Dr. Rozina Ghazalli
Charperson
Dr. Zaki Morad Mohd Zaher
Co - Charperson
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS
Acknowledgement
NRR Advsory Commttee Members
About the Natonal Renal Regstry
About MOSS
Partcpatng Haemodalsys Centres
Partcpatng Chronc Pertoneal Dalsyss Centres
Partcpatng Transpalnt Follow-up Centres
Contrbutng Edtors
Foreword
Contents
Lst of Tables
Lst of Fgures
Report Summary
Abbrevatons
CHAPTER 1
v
v
v
v
x
x
xv
xv
xv
xx
xxv
xxx
xxx
:
ALL RENAL REPLACEMENT THERAPY IN MALAYSIA
1
:
:
Stock and Flow
Treatment Provson Rate
2
3
CHAPTER 2
:
DIALYSIS IN MALAYSIA
4
2.1
2.1.1
2.1.2
2.2
2.2.2
2.2.3
2.3
2.3.1
2.3.2
2.3.3
2.3.4
2.3.5
2.4
:
:
:
:
:
:
:
:
:
:
:
:
:
Provson of Dalyss n Malaysa (regstry report)
Dalyss treatment provson
Geographc dstrbuton
Dalyss provson n Malaysa (Centre survey report)
Geograpc dstrbuton (Centre survey)
Growth n dalyss provson by sector
Dstrbuton of Dalyss Treatment
Gender dstrbuton
Age dstrbuton
Method and Locaton of dalyss
Fundng for Dalyss Treatment
Dstrbuton of dalyss patents by sector
Prmary Renal Dsease
5
5
5
6
7
10
11
11
12
14
15
16
17
CHAPTER 3
:
ECONOMICS OF DIALYSIS
18
Introducton
Dalyss and ncome
Dalyss prces and affordablty
Dalyss access and equalty
19
19
20
22
1.1
1.2
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS (Cont.)
CHAPTER 4
:
DEATH AND SURVIVAL ON DIALYSIS
23
4.1
4.2
4.2.1
4.2.2
4.2.3
4.2.4
4.3
4.3.1
4.3.2
4.4
4.4.1
4.4.2
4.4.3
:
:
:
:
:
:
:
:
:
:
:
:
:
Death on Dalyss
Patent Survval on Dalyss
Patent survval by type of dalyss modalty
Patent survval by year of startng dalyss
Patent survval by Age at startng dalyss
Patent survval by Dabetc status
Survval of ncdent patents by centre
Survval of ncdent haemodalyss patents 2000 - 2007 by centre
Survval of ncdent CAPD patents 2000 - 2007 by centre
Adusted Mortalty of dalyss patent
Adjusted hazard rato for mortalty of dalyss patents
Varaton n odds rato of death by state 2007
Varaton n odds rato of death by dalyss centre
24
26
26
28
29
30
31
31
32
33
33
36
37
CHAPTER 5
:
QUALITY OF LIFE AND REHABILITATION OUTCOMES OF DIALYSIS PATIENTS IN
MALAYSIA
38
Secton A : Qualty of lfe on dalyss
Secton B : Work related rehabltaton
39
42
PAEDIATRIC RENAL REPLACEMENT THERAPY
43
Secton A : RRT provson for paedatrc patents
Secton B : Dstrbuton of paedatrc dalyss
Secton C : Prmary renal dsease and
Secton D : Types of Renal Transplantaton
44
46
48
48
Secton E : Survval analyss
49
:
MANAGEMENT OF ANAEMIA IN DIALYSIS PATIENTS
51
:
:
:
Treatment for Anema n Dalyss
Iron status on Dalyss
Haemoglobn outcomes on Dalyss
52
56
64
:
NUTRITIONAL STATUS ON DIALYSIS
69
:
:
Serum Albumn levels on Dalyss
Body Mass Index (BMI) on Dalyss
70
74
:
BLOOD PRESSURE CONTROL AND DYSLIPIDAEMIA
80
:
:
Blood Pressure Control on dalyss
Dyslpdaema n dalyss patents
81
91
CHAPTER 6
CHAPTER 7
7.1
7.2
7.3
CHAPTER 8
8.1
8.2
CHAPTER 9
9.1
9.2
:
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS (cont.)
CHAPTER 10 :
MANAGEMENT OF RENAL BONE DISEASE IN DIALYSIS PATIENTS
98
Treatment of renal bone dsease
Serum calcum and phosphate control
Serum Parathyrod Hormone control
99
100
109
CHAPTER 11 :
HEPATITIS ON DIALYSIS
116
CHAPTER 12 :
HAEMODIALYSIS PRACTICES
122
Vascular access and ts complcatons
HD prescrpton
Technque survval on dalyss
123
125
137
CHRONIC PERITONEAL DIALYSIS PRACTICES
141
PD Practces - PD Modes
Acheved solute clearance and pertoneal transport
Technque survval on PD
Patent Survval on PD
PD Pertonts
142
144
146
153
155
RENAL TRANSPLANTATION
158
Stock and Flow
Recpent Charaterstc
Transplant Practces
Transplant Outcomes
Post ransplant complcaton
Deaths and graft loss
Patent and Graft Survval
Cardovascular rsk n renal transplant recpents
Rsk factors for schsemc heart dsease
Blood Pressure classicaton accordng to JNC VI crtera, 2005, 2006, and 2007
159
161
162
165
164
165
168
172
172
174
10.1
10.2
10.3
12.1
12.2
12.3
:
:
:
:
:
:
CHAPTER 13 :
13.1
13.2
13.3
13.4
13.5
:
:
:
:
:
CHAPTER 14 :
14.1
14.2
14.3
14.4
14.4.1
14.4.2
14.5
14.6
14.6.1
14.6.2
APPENDIX I
:
:
:
:
:
:
:
:
:
:
DATA MANAGEMENT
APPENDIX II ANALYSIS SETS, STATISTICAL METHODS AND DEFINITIONS
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
LIST OF TABLES
Table 1.1
Table 1.2
Table 1.3
Table 2.1.1
Table 2.1.2
Table 2.1.3
Table 2.2.1
Table 2.2.2(a)
Table 2.2.3
Table 2.3.1(a)
Table 2.3.1(b)
Table 2.3.2(a)
Table 2.3.2(b)
Table 2.3.3
Table 2.3.4
Table 2.3.5
Table 2.4.1
Table 3.1
Table 3.2
Table 3.3
Table 3.4
Table 3.5
Table 4.1.1
Table 4.1.2
Table 4.2.1(a)
Table 4.2.1(b)
Table 4.2.2
Table 4.2.3
Table 4.2.4
Table 4.4.1
Table 4.4.2
Table 4.4.3
Table 5.1
Table 5.2
Table 5.3
Table 5.4
Table 5.5
Table 5.6
Table 5.7
Table 5.8
Stock and Flow of RRT, Malaysa 1998-2007
New Dalyss Acceptance Rate and New Transplant Rate per mllon populaton 1998-2007
RRT Prevalence Rate per mllon populaton 1998-2007
Stock and low – Dalyss patents 1998-2007
Dalyss Treatment Rate per mllon populaton 1998-2007
Dalyss Treatment Rate by State, per mllon state populaton 1998-2007
Number of dalyss centres, HD machnes and treatment capacty by sector, December 2007
Number of dalyss centres, number of HD machnes and treatment capacty,
HD capacty to patent rato and number of dalyss patents by state n December 2007
Growth n HD capacty and HD patents n Prvate, NGO and MOH sectors, 1998-2007
Dalyss Treatment Rate by Gender, per mllon male or female populaton 1998-2007
Gender dstrbuton of Dalyss Patents 1998-2007
Dalyss Treatment Rate by Age Group, per mllon age group populaton 1998-2007
Percentage Age Dstrbuton of Dalyss Patents 1998-2007
Method and Locaton of Dalyss 1998-2007
Fundng for Dalyss Treatment 1998-2007
Dstrbuton of Dalyss Patents by Sector 1998-2007
Prmary Renal Dsease 1998-2007
Trends n Malaysan GDP, populaton health and dalyss provson, 1980-2005
Prevalence of RRT among varous regons n the world and by Countres’
per capta Gross Natonal Income (GNI) accordng to World Bank Classicaton
Trends n dalyss market prces, 1990-2005
Trends n dalyss fundng & provder mx. 1990-2005
Dalyss Treatment n Malaysa 1997-2004
Deaths on Dalyss 1998-2007
Causes of Death on Dalyss 1998-2007
Patent survval by dalyss modalty analyss censored for change of madalty
Patent survval by dalyss modalty analyss as per ITT
Unadjusted patent survval by year of entry, 1998-2007
Unadjusted patent survval by age, 1998-2007
Unadjusted patent survval by Dabetc status, 1998-2007
Adjusted hazard rato for mortalty of dalyss patents (1998 -2007 cohort)
Varaton n odds rato of death by state, dalyss patents 2007
Varaton n odds rato of death by centre, dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to dalyss modalty,
All Dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Dabetes melltus,
All Dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Gender, All Dalyss
patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Age, All Dalyss
patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Year of entry,
HD patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Year of entry,
CAPD patents 1998-2007
Work related rehabltaton n relaton to Modalty, Dalyss patents 1998-2007
Work related rehabltaton n relaton to Year of Entry, HD patents 1998-2007
xx
2
3
3
5
5
5
6
8
10
11
11
12
13
14
15
16
17
19
20
20
21
22
24
25
26
27
28
29
30
33
36
37
39
39
40
40
41
41
42
42
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
LIST OF TABLES (cont.)
Table 5.9
Table 6.1
Table 6.2
Table 6.3(a)
Table 6.3(b)
Table 6.8
Table 6.9
Table 6.10(a)
Table 6.10(b)
Table 6.11
Table 6.12
Table 7.1.1
Table 7.1.2
Table 7.1.3
Table 7.1.4
Table 7.1.5
Table 7.1.6
Table 7.1.7
Table 7.1.8
Table 7.2.1
Table 7.2.2
Table 7.2.3
Table 7.2.4
Table 7.2.5
Table 7.2.6
Table 7.2.7
Table 7.2.8
Table 7.2.9
(a)
(b)
(c)
(d)
Table 7.2.10:
(a)
(b)
(c)
(d)
Table 7.3.1
Table 7.3.2
Table 7.3.3
Table 7.3.4
Table 7.3.5
(a)
(b)
(c)
Table 7.3.6:
(a)
Work related rehabltaton n relaton to Year of Entry, CAPD patents 1998-2007
Stock and Flow, Paedatrc Renal Replacement Therapy 1998-2007
Paedatrc Dalyss and Transplant Treatment Rates per mllon age-group
populaton 1998-2007
Dalyss Treatment Rate by State, per mllon state age group populaton 1998-2007
Dalyss Treatment by State n absolute number; 1998-2007
Prmary Renal Dsease 1998-2007
Types of renal transplant 1998-2007
Patent survval by modalty analyss as per ITT
Patent survval by modalty analyss censored wth change of maodalty
Dalyss technque survval by modalty 1998-2007
Transplant Graft survval 1998-2007
Treatment for Anema, HD patents 1998-2007
Treatment for Anema, CAPD patents 1998-2007
Varaton n Erythropoetn utlzaton (% patents) among HD centres, 2007
Varaton n Erythropoetn utlzaton (% patents) among CAPD centres, 2007
Varaton n medan weekly Erythropoetn dose (u/week) among HD centres 2007
Varaton n medan weekly Erythropoetn dose (u/week) among CAPD centres 2007
Varaton n use of blood transfuson (% patents) among HD centres, 2007
Varaton n use of blood transfuson (% patents) among CAPD centres, 2007
Dstrbuton of Serum Ferrtn wthout Erythropoetn, HD patents 1998-2007
Dstrbuton of Serum Ferrtn wthout Erythropoetn, CAPD patents 1998-2007
Dstrbuton of Serum Ferrtn on Erythropoetn, HD patents 1998-2007
Dstrbuton of Serum Ferrtn on Erythropoetn, CAPD patents 1998-2007
Dstrbuton of transferrn saturaton wthout Erythropoetn, HD patents 1998-2007
Dstrbuton of transferrn saturaton wthout Erythropoetn, CAPD patents 1998-2007
Dstrbuton of transferrn saturaton on Erythropoetn, HD patents 1998-2007
Dstrbuton of transferrn saturaton on Erythropoetn, CAPD patents 1998-2007
Varaton n ron status outcomes among HD centres 2007
Medan serum ferrtn among patents on erythropoetn
Proporton of patents on erythropoetn wth serum Ferrtn >100 ng/ml, HD centres
Medan transferrn saturaton among patents on erythropoetn, HD centres
Proporton of patents on erythropoetn wth transferrn saturaton >20%, HD centres
Varaton n Iron status outcome among CAPD centres 2007
Medan serum Ferrtn among patents on eryth
15TH REPORT
OF THE MALAYSIAN
DIALYSIS & TRANSPLANT REGISTRY
2007
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
Ain Medicare
Baxter Healthcare
Fresenius Medical Care
Roche
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
August 2008
© Natonal Renal Regstry, Malaysa
ISSN 1675-8862
Publshed by:
The Natonal Renal Regstry
Malaysan Socety of Nephrology
2nd Floor, MMA House
124, Jalan Pahang
50286 Kuala Lumpur
Malaysa
Telephone.
Drect Fax
e-mal
Web ste
: (603) 4045 8636
: (603) 4042 7694
: nrr@msn.org.my
: http://www.msn.org.my/nrr
Important nformaton:
Ths report s copyrghted. However t may be freely reproduced wthout the permsson of the Natonal Renal
Regstry. Acknowledgment would be apprecated. Suggested ctaton s: YN Lm, TO Lm (Eds). Ffteenth
Report of the Malaysan Dalyss and Transplant Regstry 2007. Kuala Lumpur 2007
Ths report s also publshed electroncally on the webste of the Natonal Renal Regstry at:
http://www.msn.org.my/nrr
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ACKNOWLEDGEMENTS
The Natonal Renal Regstry would lke to thank the followng :
All the nephrologists and staff of the dialysis and transplant follow-up centres
for their hard work and participation,
The Ministry of Health, Malaysia for support seen and unseen,
Our ndustry sponsors for ther generous support :Ain Medicare
Baxter Healthcare
Fresenius Medical Care
Roche
The staff of the Clinical Research Centre particularly Lim Jie Ying,
Hoo Lin Ping and Azizah Alimat
Members of the National Transplant Registry who have kindly contributed to this Report
&
All who have in one way or another supported the National Renal Registry
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
NRR ADVISORY COMMITTEE MEMBERS
2008 - 2010
MALAYSIAN SOCIETY OF NEPHROLOGY NOMINEES
Charman : Dr. Zaki Morad B Mohd Zaher
Members : Dr. Lim Teck Onn
Dr. Lim Yam Ngo
Dr. T. Thiruventhiran
Dr. Tan Hee Wu
Dr. Wong Hin Seng
ASSOCIATION OF DIALYSIS MEDICAL ASSISTANTS & NURSES NOMINEES
Members : Tam Chong Chiang
Norlida Omar
Secretarat : Lee Day Guat
NRR OFFICE STAFF
Clncal Regstry Manager : Lee Day Guat
Clncal Research Assstant : Suhazelini Ali
Choo Cheh Loo
Nor Azliana Ramli
CRC TECHNICAL SUPPORT STAFF
Drector : Dr. Lim Teck Onn
Epdemologst : Dr. Jamaiyah Haniff
IT Manager : Celine Tsai Pao Chien
Database Admnstrator : Lim Jie Ying
Network Admnstrator : Kevin Ng Hong Heng
Adlan Ab Rahman
Scott
Statstcan : Hoo Ling Ping
Wahidah Tumijan
Webmaster : Patrick Lum See Kai
Desktop Publsher : Azizah Alimat
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT THE NATIONAL RENAL REGISTRY
The Natonal Renal Regstry (NRR) has ts orgn n
the Dalyss and Transplant Regstry establshed by the
Department of Nephrology n 1992. Its ownershp was
subsequently transferred to the Malaysan Socety of
Nephrology n 1995. The sponsors of NRR are the Malaysan
Socety of Nephrology (MSN) and the Assocaton of
Dalyss Medcal Assstants and Nurses (ADMAN).
Sponsors
The Malaysan Socety of Nephrology s the sponsor of the
Natonal Renal Regstry and the Malaysan Organ Sharng
System (MOSS). The Assocaton of Dalyss Medcal
Assstants and Nurses (ADMAN) has been nvted to be the
co-sponsor.
Advisory Committee
The objectives of the NRR are to :
Ths s the commttee establshed by the sponsors to oversee
the operatons of the regstry and MOSS. Interested partes
ncludng source data producers, Renal Regstry Unt and
target groups or users are represented on ths commttee.
1. Determne the dsease burden attrbutable to End Stage
Renal Dsease (ESRD), and ts geographc and temporal
trends n Malaysa.
2. Determne the outcomes, and factors nluencng
outcomes of Renal Replacement Therapy (RRT).
National Renal Registry Office
3. Evaluate the RRT program.
The NRR ofice s the coordnatng center that collects
and analyses the data. It publshes the annual report of
Malaysan Dalyss & Transplant Regstry and the Drectory
of Dalyss Centres n Malaysa. The Clncal Regstry
Manager (CRM) oversees the daly operaton of the NRR.
The Clncal Research Centre of Hosptal Kuala Lumpur
provdes the epdemologcal, statstcal and nformaton
technologcal support to NRR.
4. Stmulate and facltate research on RRT and ESRD.
5. Mantan the natonal renal transplant watng lst.
The NRR organization is as follows :
Sponsors
Source Data Producers
GN
Registry
Advisory
Committee
These are the dalyss centres that collect the requred
data. It s the most crtcal and yet dficult element of the
system. It has to be systematc and unform, and producers
of source data need to be traned and motvated to ensure
hgh data qualty.
MOSS
Users or Target groups
These are the ndvduals or nsttutons to whom the
regular regstry reports are addressed. It s ther need for
nformaton to assst n the plannng and mplementng
dsease treatment, control and preventon actvty that
justfy the nvestment n the regstry. They nclude:
NRR Co-ordinating Office
1. the renal communty
2. the RRT provder
3. the publc health practtoner
Advisory
Committee
4. the decson maker n varous government and non-
Target groups
or Users
government agences who have responsbltes for any
aspects of ESRD treatment, preventon and control
5. the researcher wth an nterest n ESRD and RRT.
6. the press and the publc.
Owner
The Malaysan Socety of Nephrology
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT MOSS
Malaysan Organ Sharng System or MOSS was started
n 1997. In 2006, t was upgraded to a web applcaton
named e-MOSS and was ofically launched by Y. B. Dato
Dr. Hj. Abd Latff B Ahmad, the Deputy Mnster of Health,
Malaysa on 1st September 2006.
Participation in e-MOSS :
Ths system s located n a secured ste; https://www.macr.org.
my/emoss. There are lnks provded from http://msn.org.my
or http://msn.org.my/nrr. All dalyss centres are welcome to
be an e-MOSS user.
MOSS s managed by the MOSS sub-commttee of the
MOSS/NRR commttee establshed under the Malaysan
Socety of Nephrology (MSN).
How to register with e-MOSS?
1. The dalyss centre needs to regster as an e-MOSS
user. Regstraton nstructon and ts documents are
avalable n the web applcaton.
2. Regstered centre can nomnate more users. However,
the authorzaton must be from the centre’s doctor ncharge.
3. All e-MOSS users need to complete a user agreement
form and submt t to NRR for processng.
The objectives of e-MOSS
1. To mantan a lst of patents who have voluntarly
enrolled as potental recpents n the cadaverc kdney
transplantaton program n Malaysa.
2. To prortse the watng lst accordng to an agreed
crtera and ts scorng system.
3. To update the watng lsts accordng to the specied
crtera.
Management of e-MOSS :
1. Make operatonal decsons concernng MOSS.
2. Secure vews of nephrologsts and other clncal staff
regardng ts polces and operatons.
3. Identfy nephrologsts to assst n the potental recpent
management.
All patents regstered wth NRR shall be lsted n the
e-MOSS on the followng day accordng to the crtera set
n the e-MOSS. These are the lstng where patents wll
be grouped:
1. SOS Lst
2. On Wat Lst
3. Auto Off Lst (Pendng data update)
4. Temporary Off Lst
5. Pendng Evaluaton
6. Inelgble for transplant
7. Death and Transplanted
The role of e-MOSS :
1. SOS List :
All patents regstered wth NRR wll be ncluded n the
e-MOSS. However, the subsequent management of the
patents’ lsts depends on the partcpatng centres.
1. The doctor carng for dalyss patents who are potental
recpents can now effectvely mantan ther patents
on the lsts and update ther patents’ treatment
nformaton regularly.
2. The transplant coordnatng centres can now access
the potental recpents’ lstng that s ranked accordng
to the pre-determned crtera. The patent could be
easly contactable n the event of organ donaton.
Patents on ths lst are gven specal prorty as they as
expected to have lfespan of less than a year unless renal
transplantatons are performed. Only nephrologsts can
request placement of patents nto ths lst and patent wll
only be placed nto ths lst after approval s obtaned from
the MOSS Commttee.
4. To enable cadaver organs to be allocated n a far and
equtable manner.
5. To facltate centres to effectvely manage ther patents
on the transplant watng lst
The functions of the MOSS sub-committee are :
2. On Wait List
Patents lsted here are patents who have met the crtera.
These are the potental cadaver organ recpents.
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
ABOUT MOSS (Cont.)
3. Auto Off List (Pending data update)
5. Pending Evaluation
If the partcpatng centre dd not submt the Annual Return
(Haemodalyss & Pertoneal Dalyss) of a patent who s
n the ‘On Wat Lst’, the system wll automatcally placed
the patent nto ths lst. The patent n ths lst wll not be
elgble for organ transplantaton.
The potental elgble patents wll be lsted n the ‘Pendng
Lst’ upon regstraton wth NRR. The doctor n-charge
needs to assess the sutablty of the patents for a transplant
to enable the patent to be lsted n the Wat lst.
6. Ineligible for transplant
The patent wll be placed back nto the “On wat lst”
subsequently f the serology results have been updated and
the patent wll not be penalzed.
System auto lst those patents who do not meet eMOSS crtera.
7. Death and Transplanted
4. Temporary Off List
These are patents who had a transplant and the graft s stll
functonng and those patents who had passed away.
Doctor n charge should place the patent who s temporarly
unit for a transplant nto ths lst so that he/she wll not be
contacted n the event of organ donaton.
Transplant nephrologsts wll place the patent who s
temporarly unit for a transplant nto ths lst f he/she s
not it for a transplant when contacted durng the organ
donaton event.
v
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007
JOHOR
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.
Amtabha Haemodalyss Centre Johor Bahru, HD Unt
Batu Pahat Hosptal, HD Unt
Batu Pahat Rotary, HD Unt
BP Renal Care ( Rengt), HD Unt
BP Renal Care (Kluang), HD Unt
BP Renal Care (Segamat), HD Unt
BP Renal Care, HD Unt
BP Renalcare (Batu Pahat), HD Unt
Che Eng Khor Centre, HD Unt
Hosptal Pakar Sultanah Fatmah Muar, HD Unt
JB Lons MAA-Medcare Charty Dalyss Centre (1), HD Unt
JB Lons MAA-Medcare Charty Dalyss Centre (2), HD Unt
JJ Lons Dalyss Centre, HD Unt
Johor Specalst Hosptal, HD Unt
Kluang Hosptal, HD Unt
Kota Tngg Hosptal, HD Unt
Mersng Hosptal, HD Unt
Mersng Rotary Centre, HD Unt
Muar Dalyss, HD Unt
Muar Lons Renal Centre, HD Unt
Persatuan Membak Akhlak-Che Luan Khor_NKF, HD Unt
Pertubuhan Hemodalss Muhbbah Segamat (Labs), HD Unt
Pertubuhan Hemodalss Muhbbah, HD Unt
Pontan Hosptal, HD Unt
Pontan Rotary Haemodalyss Centre, HD Unt
Premer Renal Care, HD Unt
Prma Dalyss Kluang, HD Unt
Pusat Dalss & Keshatan Masjd Bandar Baru Uda, HD Unt
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.
Pusat Dalss Nefro Utama (Johor Bahru), HD Unt
Pusat Dalss Nefro Utama (Kota Tngg), HD Unt
Pusat Dalss Nefro Utama (Pontan), HD Unt
Pusat Dalss Perbadanan Islam (Pontan), HD Unt
Pusat Dalss Waqaf An-nur (Batu Pahat), HD Unt
Pusat Dalss Waqaf An-nur (Kota Raya), HD Unt
Pusat Dalss Waqaf An-nur (Pasr Gudang), HD Unt
Pusat Dalyss Makmur, HD Unt
Pusat Haemodalss Sura (Tangkak), HD Unt
Pusat Haemodalyss Amal Lexn
Pusat Hemodalss Darul Takzm, HD Unt
Pusat Hemodalss Hdayah, HD Unt
Pusat Hemodalss Rotary Kota Tngg, HD Unt
Pusat Hemodalss Rotary Kula, HD Unt
Pusat Perubatan Perbadanan Islam (Segamat), HD Unt
Puter Specalst Hosptal, HD Unt
Segamat Hosptal, HD Unt
Sultan Ismal Hosptal (Paed), HD Unt
Sultan Ismal Hosptal, HD Unt
Sultanah Amnah Hosptal, HD Unt
Systemc Dalyss Centre, HD Unt
Tangkak Hosptal, HD Unt
Tangkak Lons Renal Centre
Temenggong Ser Maharaja Tun Ibrahm Hosptal, HD Unt
The Rotary HD Centre (Johor Bahru), HD Unt
Yayasan Pembangunan Keluarga Johor-NKF, HD Unt
Yayasan Rotary Kluang, HD Unt
Zh En Dalyss Centre, HD Unt
KEDAH
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
807 Rumah Sakt Angkatan Tentera (Sg. Petan), HD Unt
Balng Hosptal, HD Unt
Buddhst Tzu Ch (Jtra), HD Unt
Kuala Nerang Hosptal, HD Unt
Kulm Haemodalyss (CS Tan), HD Unt
Kulm Hosptal, HD Unt
Langkaw Hosptal, HD Unt
Metro Specalst Hosptal, HD Unt
Pertubuhan Bakt Fo En Bandar Kulm, HD Unt
Pusat Dalss K K Tan (Kulm), HD Unt
Pusat Dalyss K K Tan (Sg Petan), HD Unt
Pusat Haemodalss Dr. Ismal, HD Unt
Pusat Hemodalss Beng Sew, HD Unt
Pusat Hemodalss Mergong, HD Unt
Pusat Hemodalss S P, HD Unt
Pusat Keshatan Jtra, HD Unt
Pusat Rawatan Hemodalss Yayasan Emkay & Sultanah
Bahyah, HD Unt
Putra Medcal Centre, HD Unt
Rawatan Dalss Amal Lon_NKF, HD Unt
Renal Care (Kedah), HD Unt
Renal Medcare, HD Unt
Sk Hosptal, HD Unt
Sultan Abdul Halm Hosptal, HD Unt
Sultanah Bahyah Hosptal, HD Unt
Superkds Trnty-NKF Dalyss Centre, HD Unt
Yan Hosptal, HD Unt
KELANTAN
v
83.
Gua Musang Hosptal, HD Unt
84.
KB Rotary-MAA Charty Dalyss, HD Unt
85.
Kuala Kra Hosptal, HD Unt
86.
Machang Hosptal, HD Unt
87.
Pakar Perdana Hosptal, HD Unt
88.
Pasr Mas Hosptal, HD Unt
89.
Pusat Dalss Yayasan Buah Pnggang Kebangsaan (Kota
Bharu), HD Unt
90.
Pusat Perubatan Tentera (Kota Bharu), HD Unt
91.
Pusat Rawatan Dalss Islah (Kota Bharu), HD Unt
92.
Raja Perempuan Zanab II Hosptal, HD Unt
93.
Renal-Lnk (Kelantan), HD Unt
94.
Tanah Merah Hosptal, HD Unt
95.
Tengku Ans Hosptal, HD Unt
96.
Tumpat Hosptal, HD Unt
97.
USM Hosptal, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
146.
147.
148.
MELAKA
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
94 Hosptal Angkatan Tentera (Terendak), HD Unt
Alor Gajah Dalyss Centre, HD Unt
Alor Gajah Hosptal, HD Unt
Amtabha Centre (Melaka), HD Unt
Dama Medcal & Heart Clnc, HD Unt
Mahkota Medcal Centre, HD Unt
Melaka Hosptal, HD Unt
Panta Ar Keroh Hosptal, HD Unt
Pusat Dalss Gat Kurna (Masjd Tanah), HD Unt
Pusat Dalyss Comfort, HD Unt
Pusat HD SJAM Bacang Melaka, HD Unt
Pusat Hemodalss SJAM Pulau Sebang, HD Unt
Pusat Hemodalss Sura (Jasn), HD Unt
Snar Hemodalss, HD Unt
Tenang Haemodalyss Centre, HD Unt
Tenang Haemodalyss Jasn, HD Unt
Yakn Jaya, HD Unt
Yayasan Kebajkan The Southern Melaka, HD Unt
PERAK
149.
150.
151.
152.
153.
154.
155.
156.
157.
158.
159.
160.
161.
162.
163.
164.
NEGERI SEMBILAN
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
Haemodalyss Mawar Gemas, HD Unt
Jelebu Hosptal, HD Unt
Persada Dalyss Centre, HD Unt
Port Dckson Hosptal, HD Unt
Pusat Dalss Sura (Tampn), HD Unt
Pusat Hemodalss Berkat Seroja, HD Unt
Pusat Hemodalss Mawar N. Semblan (Bahau), HD Unt
Pusat Hemodalss Mawar N. Semblan (Lukut), HD Unt
Pusat Hemodalss Mawar N. Semblan (Rantau), HD Unt
Pusat Hemodalss Mawar N. Semblan (Seremban), HD Unt
Pusat Pakar Dalss Traktf (Kuala Plah), HD Unt
Pusat Waqaf An-nur (Senawang), HD Unt
Seremban Specalst Hosptal, HD Unt
Tampn Hosptal, HD Unt
Tuanku Ampuan Najhah Hosptal, HD Unt
Tuanku Jaafar Hosptal (Paed), HD Unt
Tuanku Jaafar Hosptal, HD Unt
165.
166.
167.
168.
169.
170.
171.
172.
173.
174.
175.
176.
177.
178.
179.
180.
181.
182.
183.
184.
185.
186.
187.
188.
189.
190.
191.
192.
193.
194.
195.
196.
PAHANG
133.
134.
135.
136.
137.
138.
139.
140.
141.
142.
143.
144.
145.
Sultan Haj Ahmad Shah Hosptal, HD Unt
Tengku Ampuan Afzan Hosptal (Paed), HD Unt
Tengku Ampuan Afzan Hosptal, HD Unt
Bentong Hosptal, HD Unt
Jengka Hosptal, HD Unt
Jerantut Hosptal, HD Unt
Kuala Lps Hosptal, HD Unt
Kuantan Clncal Dagnostc Centre, HD Unt
MAA-Medcare Charty (Mentakab), HD Unt
Mentakab Haemodalyss Unt, HD Unt
Muadzam Shah Hosptal, HD Unt
Pahang Buddhst Assocaton, HD Unt
Pekan Hosptal, HD Unt
Pusat Hemodalss Islam Makmur, HD Unt
Raub Hosptal, HD Unt
SJAM-KPS Haemodalyss Centre 9 (Raub), HD Unt
x
96 Hosptal Angkatan Tentera (Lumut), HD Unt
Batu Gajah Hosptal, HD Unt
Berchaam Dalyss Centre, HD Unt
Changkat Melntang Hosptal, HD Unt
Emnur Teguh, HD Unt
Gerk Hosptal, HD Unt
Hope Haemodalyss Socety Ipoh, HD Unt
Ipoh Hosptal, HD Unt
Ipoh Hosptal, Home Unt
Kampar Hosptal, HD Unt
Kuala Kangsar Hosptal, HD Unt
MAA-Medcare Charty (Teluk Intan), HD Unt
Part Buntar Hosptal, HD Unt
Perak Communty Specalst Hosptal, HD Unt
Persatuan Amal Chn Malaysa Barat, HD Unt
Pertubuhan Perkhdmatan Haemodalss Ar-Rdzuan,
HD Unt
Pertubuhan Perkhdmatan Hemodalss AIXIN Keran,
HD Unt
PMA Chan Meng Khor-MAA Medcare Charty Dalyss
Centre
Pulau Pangkor Hosptal, HD Unt
Pusat Dalss Darul Iltzam Tapng, HD Unt
Pusat Dalss Ehsan Perak (Part Buntar), HD Unt
Pusat Dalss Intan, HD Unt
Pusat Dalss Kuala Kangsar, HD Unt
Pusat Dalss LZS (Kapar), HD Unt
Pusat Dalss Mutara, HD Unt
Pusat Dalss Penawar Perma, HD Unt
Pusat Dalss Seta (Ipoh)
Pusat Dalss Tapng (Kamuntng), HD Unt
Pusat Dalss Tapng (Kuala Kangsar), HD Unt
Pusat Dalss Tapng (Part Buntar), HD Unt
Pusat Dalss Tapng, HD Unt
Pusat Dalyss Seta, HD Unt
Pusat Hemodalss Darul Iltzam (Ipoh), HD Unt
Pusat Hemodalss Darul Iltzam Tapah, HD Unt
Pusat Hemodalss Kampar, Yayasan Nanyang, HD Unt
Pusat Hemodalss Manjung, HD Unt
Pusat Rawatan Dalss Wan Nong, HD Unt
Renal Care (Ipoh Specalst), HD Unt
Selama Hosptal, HD Unt
Ser Manjung Hosptal, HD Unt
Sg Sput Hosptal, HD Unt
Slm Rver Hosptal (Tanjong Malm), HD Unt
Tapng Hosptal, HD Unt
Tapah Hosptal, HD Unt
Teluk Intan Hosptal, HD Unt
Woh Peng Cheang Seah, HD Unt
Yayasan Akhlak-NKF Tapng, HD Unt
Yayasan Dalyss Penddkan Akhlak Perak-NKF Ipoh, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
PERLIS
245.
Kota Marudu Hosptal, HD Unt
197.
Tuanku Fauzah Hosptal, HD Unt
246.
Kudat Hosptal, HD Unt
198.
Tuanku Syed Putra Haemodalyss Centre, HD Unt
247.
Labuan Hosptal, HD Unt
248.
Lahad Datu Hosptal, HD Unt
249.
Lkas Hosptal, HD Unt
250.
MAA-Medcare Charty (Kota Knabalu), HD Unt
PENANG
199.
AMD Rotary (Penang), HD Unt
200.
Asa Renal Care (Penang), HD Unt
251.
Nobel Dalyss Centre, HD Unt
201.
Balk Pulau Hosptal, HD Unt
252.
Papar Hosptal, HD Unt
202.
Buddhst Tzu Ch Dalyss Centre (Butterworth), HD Unt
253.
Persatuan Buah Pnggang Sabah, HD Unt
203.
Buddhst Tzu Ch HD Centre (Penang), HD Unt
254.
Persatuan Hemodalyss Knabalu Sabah, HD Unt
204.
Bukt Mertajam Hosptal, HD Unt
255.
Queen Elzabeth Hosptal, HD Unt
205.
Bukt Mertajam Specalst Hosptal, HD Unt
256.
Ranau Hosptal, HD Unt
206.
Fo Y NKF Dalyss Centre, HD Unt
257.
Rotary Tawau Tanjung, HD Unt
207.
Fo Y NKF Dalyss Centre (2)
258.
Sabah Medcal Centre, HD Unt
208.
Gleneagles Medcal Centre, HD Unt
259.
Sandakan Kdney Socety, HD Unt
209.
Island Hosptal, HD Unt
260.
Semporna Hosptal, HD Unt
210.
K K Tan Specalst (BM), HD Unt
261.
Sptang Hosptal, HD Unt
211.
Kepala Batas Hosptal, HD Unt
212.
Lam Wah Ee Hosptal, HD Unt
262.
Tambunan Hosptal, HD Unt
213.
Loh Guan Lye Specalst Centre, HD Unt
263.
Tawau Hosptal, HD Unt
214.
MAA-Medcare Charty (Butterworth), HD Unt
264.
Tenom Hosptal, HD Unt
215.
NEPH Sdn Bhd, HD Unt
216.
Panta Mutara Hosptal, HD Unt
217.
Penang Adventst Hosptal, HD Unt
218.
Penang Carng Dalyss Socety, HD Unt
219.
Pertubuhan Dalss Rotary-Satu Hat, HD Unt
220.
Pertubuhan Hemodalss SPS, HD Unt
221.
Provnce Wellesley Renal Medfund, HD Unt
222.
Pulau Pnang Hosptal (Home), HD Unt
223.
Pulau Pnang Hosptal (Paed), HD Unt
224.
Pulau Pnang Hosptal, HD Unt
225.
Pusat Dalss Ehsan Perak (Pedar), HD Unt
226.
Pusat Haemodalss Zakat (Jaw), HD Unt
227.
Pusat Haemodalyss St Anne BM, HD Unt
228.
Pusat Hemodalss Zakat (Balk Pulau), HD Unt
229.
Pusat Hemodalss Zakat (Bukt Mertajam), HD Unt
230.
Pusat Hemodalss Zakat (Butterworth), HD Unt
231.
PWRM (BM) Dalyss Centre, HD Unt
232.
Renal Lnk (Penang), HD Unt
233.
Seberang Jaya Hosptal (Butterworth), HD Unt
234.
Seberang Pera (Bagan), HD Unt
235.
SJ Dalyss Centre, HD Unt
236.
Sunga Bakap, HD Unt
237.
The Penang Communty HD Socety, HD Unt
238.
TSC Renal Care, HD Unt
SARAWAK
265.
266.
267.
268.
269.
270.
271.
272.
273.
274.
275.
276.
277.
278.
279.
280.
281.
282.
283.
284.
285.
286.
287.
288.
289.
290.
291.
292.
293.
294.
SABAH
239.
Beaufort Hosptal, HD Unt
240.
Beluran Hosptal, HD Unt
241.
Duchess of Kent Hosptal, HD Unt
242.
Kenngau Hosptal, HD Unt
243.
Kota Belud Hosptal, HD Unt
244.
Kota Knabatangan Hosptal, HD Unt
x
801 Rumah Sakt Angkatan Tentera (Kuchng), HD Unt
Bau Hosptal, HD Unt
Betong Hosptal, HD Unt
Bntulu Hosptal, HD Unt
CHKMUS-MAA Medcare Charty, HD Unt
Kanowt Hosptal, HD Unt
Kapt Hosptal, HD Unt
KAS-Rotary-NKF, HD Unt
Kuchng Specalst Hosptal, HD Unt
Lawas Hosptal, HD Unt
Lmbang Hosptal, HD Unt
Lundu Hosptal, HD Unt
Marud Hosptal, HD Unt
Mr Hosptal, HD Unt
Mr Red Crescent Dalyss Centre, HD Unt
Mukah Hosptal, HD Unt
Normah Medcal Specalst Centre, HD Unt
Rejang Medcal Centre, HD Unt
Saratok Hosptal, HD Unt
Sarawak General Hosptal, HD Unt
Sarke Hosptal, HD Unt
Seran Hosptal, HD Unt
Sbu Hosptal, HD Unt
Sbu Kdney Foundaton, HD Unt
Smunjan Hosptal, HD Unt
SJAM-KPS Haemodalyss Centre 8 (Sbu), HD Unt
SJAM-KPS Pusat Hemodalss Centre 10, (Bntulu), HD Unt
Sr Aman Hosptal, HD Unt
Tmberland Medcal Centre, HD Unt
819 Rumah Sakt Angkatan Tentera, HD Unt
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
SELANGOR
341.
Reddy Clnc
295.
Ampang Hosptal, HD Unt
342.
Renal Assocates, HD Unt
296.
Ampang Puter Specalst Hosptal, HD Unt
343.
S.P. Menon Dalyss Centre (Klang), HD Unt
297.
Apex Club of Klang-NKF Charty Dalyss Centre, HD Unt
344.
S.P. Menon Dalyss Centre (Petalng Jaya), HD Unt
298.
Assunta Hosptal, HD Unt
345.
Selangor Medcal Centre, HD Unt
299.
Bakt-NKF Dalyss Centre, HD Unt
346.
Selayang Hosptal (Paed), HD Unt
300.
Bang Dalyss Centre, HD Unt
347.
Selayang Hosptal, HD Unt
301.
Bantng Hosptal, HD Unt
348.
Serdang Hosptal, HD Unt
302.
Berjaya NKF Dalyss Centre, HD Unt
349.
SJAM-KPS Haemodalyss Centre 1 (Raja Muda Musa), HD Unt
303.
Carng Dalyss Centre (Tanjong Karang), HD Unt
350.
SJAM-KPS Haemodalyss Centre 11 (Shah Alam), HD Unt
304.
Damansara Specalst Hosptal, HD Unt
351.
SJAM-KPS Haemodalyss Centre 2 (Klang), HD Unt
305.
EAM Dalyss Centre, HD Unt
352.
SJAM-KPS Haemodalyss Centre 3 (Bantng), HD Unt
306.
Haemodalyss Assocaton Klang, HD Unt
353.
SJAM-KPS Haemodalyss Centre 5 (Rawang), HD Unt
307.
Haemodalyss Edna, HD Unt
354.
SJAM-KPS Haemodalyss Centre 6 (Kuala Selangor), HD Unt
308.
Healthcare Dalyss Centre, HD Unt
355.
Smartcare Dalyss Centre (Subang Jaya), HD Unt
309.
Hemodalss Yayasan Veteran ATM, HD Unt
356.
Sr Kota Medcal Centre, HD Unt
310.
Kajang Dalyss Centre, HD Unt
357.
Subang Jaya Medcal Centre, HD Unt
311.
Kajang Hosptal, HD Unt
358.
Sunga Buloh Hosptal, HD Unt
312.
Kelana Jaya Medcal Centre, HD Unt
359.
Sunway Medcal Centre (2), HD Unt
313.
Kuala Kubu Bharu Hosptal, HD Unt
360.
Sunway Medcal Centre, HD Unt
314.
MAA-Medcare Charty (Kajang), HD Unt
361.
Syukur Elt Sdn Bhd, HD Unt
315.
Persatuan Dalss Kurna PJ, HD Unt
362.
Tanjung Karang Hosptal, HD Unt
316.
Persatuan Dalss Touch, HD Unt
363.
Tengku Ampuan Jemaah Hosptal, HD Unt
317.
Png Rong-NKF, HD Unt
364.
Tengku Ampuan Rahmah Hosptal, HD Unt
318.
PNSB Dalss Centre, HD Unt
365.
Unverst Kebangsaan Malaysa Bang, HD Unt
319.
Pusat Dalss Aman (Shah Alam), HD Unt
366.
Yayasan Kebajkan SSL Puchong, HD Unt
320.
Pusat Dalss LZS (Sg. Besar), HD Unt
367.
Yayasan Kebajkan SSL, HD Unt
321.
Pusat Dalss LZS (Shah Alam), HD Unt
322.
Pusat Dalss Pakar Med-Nefro, HD Unt
323.
Pusat Dalss Sjangkang, HD Unt
368.
Besut Hosptal, HD Unt
324.
Pusat Dalyss Mesra (Kapar), HD Unt
369.
Dungun Hosptal, HD Unt
325.
Pusat Dalyss Mesra (Rahman Putra), HD Unt
370.
Hulu Terengganu Hosptal, HD Unt
326.
Pusat Dalyss Mesra (Shah Alam), HD Unt
371.
Kemaman Hosptal, HD Unt
327.
Pusat Dalyss Mesra KKB, HD Unt
372.
Pusat Dalss Epc, HD Unt
328.
Pusat Dalyss Putra Jaya (Semenyh), HD Unt
373.
Pusat Dalss Terengganu/NKF, HD Unt
329.
Pusat Hemodalss Fasa, HD Unt
374.
Pusat Hemodalss Nablah, HD Unt
330.
Pusat Hemodalss Kau Ong Yah Ampang, HD Unt
331.
Pusat Hemodalss Majls Perbandaran Kelang, HD Unt
375.
Pusat Rawatan Dalss Islah (Kuala Terengganu), HD Unt
332.
Pusat Hemodalss Mawar N. Semblan (Sepang), HD Unt
376.
Sultanah Nur Zahrah Hosptal, HD Unt
333.
377.
YKN Dalss (Terengganu), HD Unt
334.
Pusat Hemodalss Mawar N. Semblan
Kembangan), HD Unt
Pusat Perubatan Prmer HUKM, HD Unt
335.
Pusat Rawatan Dalss Islah (Batu Caves), HD Unt
336.
Pusat Rawatan Dalss Nefro Utama (Puchong Jaya),
HD Unt
337.
Pusat Rawatan Dalss Traktf (Selayang), HD Unt
338.
Pusat Rawatan Hemodalss Felna, HD Unt
339.
Putrajaya Hosptal, HD Unt
340.
Rawatan Dalyss Bukt Tngg, HD Unt
TERENGGANU
(Ser
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING HAEMODIALYSIS CENTRES 2007 (cont.)
WILAYAH PERSEKUTUAN KUALA LUMPUR
378.
Aman Dalyss Centre, HD Unt
379.
Chars-NKF Dalyss Centre, HD Unt
380.
Cheras Dalyss Centre, HD Unt
381.
Kampong Baru Medcal Centre, HD Unt
382.
Kuala Lumpur Hosptal (Home), HD Unt
383.
Kuala Lumpur Hosptal (Paed.), HD Unt
384.
Kuala Lumpur Hosptal (Unt 1), HD Unt
385.
Kuala Lumpur Hosptal (Unt 3), HD Unt
386.
Kuala Lumpur Hosptal (Unt 4), HD Unt
387.
Kuala Lumpur Lons Renal Centre, HD Unt
388.
MAA-Medcare Charty (Cheras), HD Unt
389.
MAA-Medcare Charty (Kuala Lumpur), HD Unt
390.
MDZ Haemodalyss Centre, HD Unt
391.
Natonal Kdney Foundaton Dalyss Centre (KL), HD Unt
392.
Panta Indah Hosptal, HD Unt
393.
Panta Medcal Centre (2), HD Unt
394.
Panta Medcal Centre (KL), HD Unt
395.
Polklnk Komunt Tangln, HD Unt
396.
Pusat Dalss Falah, HD Unt
397.
Pusat Dalss Pusat Punggutan Zakat (Kuala Lumpur), HD Unt
398.
Pusat Hemodalss Dato’ Lee Kok Chee, HD Unt
399.
Pusat Hemodalss Harmon, HD Unt
400.
Pusat Hemodalss PUSRAWI, HD Unt
401.
Pusat Hemodalss Waz Lan, HD Unt
402.
Pusat Hemodalss Yayasan Felda, HD Unt
403.
Pusat Pakar Tawakal, HD Unt
404.
Pusat Rawatan Dalss Nefro Utama (Setapak), HD Unt
405.
Renal Dalyss Centre, HD Unt
406.
Rotary Damansara-NKF Dalyss, HD Unt
407.
S.P. Menon Dalyss Centre (Kuala Lumpur), HD Unt
408.
Smartcare Dalyss Clnc, HD Unt
409.
The Kdney Dalyss Centre 1, HD Unt
410.
The Kdney Dalyss Centre 2, HD Unt
411.
The Nayang-NKF Dalyss Centre, HD Unt
412.
Traktf Specalst Dalyss Centre (Wangsa Maju), HD Unt
413.
Tung Shn Hosptal & Yayasan Nanyang Press, HD Unt
414.
Tung Shn Hosptal, HD Unt
415.
UKM Hosptal, HD Unt
416.
Unversty Malaya Medcal Centre, HD Unt
417.
Unversty Malaya Specalst Centre, HD Unt
418.
YKN Dalss (Kuala Lumpur), HD Unt
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
PARTICIPATING PERITONEAL
DIALYSIS CENTRES
JOHOR
BP Renal Care, CAPD Unt
BP Renal Care, Segamat, CAPD Unt
Sultan Ismal Hosptal (Paed), CAPD Unt
Sultanah Amnah Hosptal, CAPD Unt
KEDAH
Sultanah Bahyah Hosptal, CAPD Unt
Raja Perempuan Zanab II Hosptal , CAPD Unt
USM Hosptal, CAPD Unt
MELAKA
Dama Medcal & Heart Clnc, CAPD Unt
Melaka Hosptal, CAPD Unt
NEGERI SEMBILAN
Tuanku Jaafar Hosptal (Paed), CAPD Unt
Tuanku Jaafar Hosptal, CAPD Unt
PAHANG
Tengku Ampuan Afzan Hosptal (Paed), CAPD Unt
Tengku Ampuan Afzan Hosptal, CAPD Unt
PARTICIPATING TRANSPLANT
FOLLOW-UP CENTRES
JOHOR
Batu Pahat Hosptal, Tx Unt
Hosptal Sultan Ismal Pandan (Paed), Tx Unt
Pakar Sultanah Fatmah Muar Hosptal, Tx Unt
Pontan Hosptal, Tx Unt
Segamat Hosptal, Tx Unt
Hosptal Sultan Ismal Pandan, Tx Unt
Kluang Hosptal, Tx Unt
Sultanah Amnah Hosptal, Tx Unt
KEDAH
Alor Setar Hosptal, Tx Unt
KELANTAN
Kota Bharu Hosptal, Tx Unt
MAA-Medcare Charty Dalyss (KB Rotary), Tx Unt
USM Hosptal, Tx Unt
MELAKA
Dama Medcal & Heart Clnc, Tx Unt
Mahkota Medcal Centre, Tx Unt
Melaka Hosptal, Tx Unt
NEGERI SEMBILAN
Hosptal Tuanku Ja’afar Seremban, Tx Unt
PAHANG
Tg. Ampuan Afzan Hosptal, Tx Unt
PERAK
96 Hosptal Angkatan Tentera (Lumut), CAPD Unt
Ipoh Hosptal, CAPD Unt
Renal Care (Ipoh Specalst), CAPD Unt
PENANG
Pulau Pnang Hosptal (Paed), CAPD Unt
Pulau Pnang Hosptal, CAPD Unt
SABAH
Queen Elzabeth Hosptal, CAPD Unt
Sabah Medcal Centre, CAPD Unt
SARAWAK
Sarawak General Hosptal, CAPD Unt
SELANGOR
Selayang Hosptal (Paed), CAPD Unt
Selayang Hosptal, CAPD Unt
Serdang Hosptal, CAPD Unt
Sr Kota Medcal Centre, CAPD Unt
Tengku Ampuan Rahmah Hosptal, CAPD Unt
TERENGGANU
Sultanah Nur Zahrah Hosptal, CAPD Unt
WILAYAH PERSEKUTUAN KUALA LUMPUR
Kuala Lumpur Hosptal (Paed.), CAPD Unt
Kuala Lumpur Hosptal, CAPD Unt
UKM Hosptal, CAPD Unt
Unversty Malaya Medcal Centre, CAPD Unt
PERAK
Ipoh Hosptal, Tx Unt
Tapng Hosptal, Tx Unt
PENANG
Pulau Pnang Hosptal, Tx Unt
SABAH
Duchess of Kent Hosptal, Tx Unt
Lkas Hosptal, Tx Unt
Queen Elzabeth Hosptal, Tx Unt
Sabah Medcal Centre, Tx Unt
Tawau Hosptal, Tx Unt
SARAWAK
Bntulu Hosptal Tx Unt
Mr Hosptal, Tx Unt
Sarawak General Hosptal, Tx Unt
Sbu Hosptal, Tx Unt
Tmberland Medcal Centre, Tx Unt
SELANGOR
Ampang Puter Specalst Hosptal, Tx Unt
Selayang Hosptal, Tx Unt
Serdang Hosptal, Tx Unt
Sr Kota Medcal Centre, Tx Unt
Sunway Medcal Centre, Tx Unt
Tan Medcal Renal Clnc, Tx Unt
Tg. Ampuan Rahmah Hosptal, Tx Unt
TERENGGANU
Kemaman Hosptal, Tx Unt
Kuala Terengganu Hosptal, Tx Unt
WILAYAH PERSEKUTUAN KUALA LUMPUR
Kuala Lumpur Hosptal (Paed), Tx Unt
Kuala Lumpur Hosptal, Tx Unt
Renal Dalyss Centre, Tx Unt
Smartcare Dalyss Centre (Cheras), Tx Unt
UKM Hosptal, Tx Unt
Unversty Malaya Medcal Centre, Tx Unt
x
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTRIBUTING EDITORS
CHAPTER TITLE
1
2
3
4
5
6
7
8
EDITORS
INSTITUTIONS
Renal Replacement Therapy Lm Yam Ngo
n Malaysa
Lm Teck Onn
Lee Day Guat
Dalyss n Malaysa
Lm Yam Ngo
Lm Teck Onn
Lee Day Guat
Economcs of Dalyss
Lm Teck Onn
Adran Goh
Lm Yam Ngo
Rozna Ghazall
Zak Morad Mohd Zaher
Abu Bakar Suleman
Death & Survval on Dalyss
Wong Hn Seng
Ong Loke Meng
Wan Shaarah Md Yusuf
QoL and Work
Lu Wen Jun
Rehabltaton on Dalyss
Chew Than Fook
Alnda Chu Sze Fung
Zak Morad B Mohd Zaher
Paedatrc Renal
Lee Mng Lee
Replacement Therapy
Lynster Law
Susan Pee
Wan Jazlah Wan Ismal
Lm Yam Ngo
Treatment of Anaema n
Phlp N. Jeremah
Dalyss Patents
Bee Boon Cheak
Kuala Lumpur Hosptal
Clncal Research Centre
Kuala Lumpur Hosptal
Kuala Lumpur Hosptal
Clncal Research Centre
Kuala Lumpur Hosptal
Clncal Research Centre
ClncResearch Sdn Bhd
Kuala Lumpur Hosptal
Pulau Pnang Hosptal
Internatonal Medcal Unversty
Internatonal Medcal Unversty
Kuala Lumpur Hosptal
Penang Hosptal
Tuanku Jaafar Hosptal, Seremban
Sultanah Amnah Hosptal, Johor
Tuanku Jaafar Hosptal, Seremban
Unversty Putra Malaysa
Internatonal Medcal Unversty
Tuanku Jaafar Hosptal, Seremban
Pulau Pnang Hosptal
Sultan Ismal Hosptal, Johor
Selayang Hosptal
Kuala Lumpur Hosptal
Ampang Puter Specalst Hosptal
Selayang Hosptal
Nutrton Status on Dalyss
Wnne Chee Sew Swee
Faculty of Alled Health Scences
Unversty Kebangsaan Malaysa
Tlakavat Karupaah
Ahmad Fauz Abdul Rahman
Prasad Menon
Lee Wan Tn
Faculty of Alled Health Scences
Unversty Kebangsaan Malaysa
Puter Specalst Hosptal
Subang Jaya Medcal Centre
Subang Jaya Medcal Centre
Rozna Bt Ghazall
Fan Kn Sng
Chng Chen Hua
Lew Yew Fong
Teo Sue Me
Clare Tan Hu Hong
Foo Su Me
Tan Chwee Choon
Shahnaz Shah Frdaus Khan
Raidah Abdullah
Norleen Bt Zulkarnan Sm
Sunta Bavanandan
Lly Mushahar
Pulau Pnang Hosptal
Gleneagle Intan Medcal Centre
Sultanah Bahyah Hosptal, Alor Setar
Pulau Pnang Hosptal
Ipoh Hosptal
Sarawak Hosptal
Ipoh Hosptal
Tengku Ampuan Rahmah Hosptal, Klang
Tengku Ampuan Rahmah Hosptal
Selayang Hosptal
Tengku Ampuan Rahmah Hosptal
Kuala Lumpur Hosptal
Kuala Lumpur Hosptal
Goh Bak Leong
Zak Morad Mohd Zaher
Fan Kn Sng
Lly Mushahar
Rohan Malek
S Prasad Menon
Tan S Yen
Serdang Hosptal
Internatonal Medcal Unversty
Gleneagle Intan Medcal Centre
Kuala Lumpur Hosptal
Selayang Hosptal
Subang Jaya Medcal Centre
Unversty Malaya Medcal Centre
9
Blood Pressure Control and
Dyslpdema
10
Renal Bone Dsease
11
Hepatts on Dalyss
12
Haemodalyss Practces
13
Chronc Pertoneal Dalyss
Practces
14
Renal Transplantaton
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
FOREWORD
The plannng of facltes for Renal Replacement Therapy (RRT) n a developng country lke Malaysa was relatvely
easy n the last 10-20 years. Ths was because the demand for RRT was hgh and resources, partcularly inancal, were
lmted. There was no danger of buldng excess capacty. Every sngle space n a new faclty partcularly n the publc
sector was used.
A igure of 100 per mllon new cases of End Stage Renal Dsease (ESRD) per year was used for plannng and management
purposes so assduously that t was frequently quoted n the newspapers, by poltcans and by mnstry of health oficals.
All sectors, the government, the non-proit organzatons and the prvate healthcare provders worked towards provdng
more places for Hemodalyss (HD) treatment.
Quetly, wthout much fanfare or any dsplay of prde that “we have made t!”, the country reached the magc igure of
100 per mllon n 2003 and moved on to the present rate of 130 per mllon. Even more mpressve was the fact that n
2007, eght of the fourteen states accepted more than 130 new patents per mllon wth four of these states acceptng
more than 190 per mllon.
We have ndeed come a long way. No other country wth our level of natonal ncome has come close to these igures.
We (all stakeholders n ths dalyss provson) deserve to be congratulated. Success, however, calls for evaluaton and
reevaluaton of strateges, f not for anythng else, to acheve greater success.
A cursory look at the igures reveals that a state wth the hghest treatment rate accepted more than three tmes the
number of patents per mllon populaton than the one wth the lowest. Ths s contnually beng addressed and the
stuaton has mproved compared to a few years earler. Another set of data showed that states wth hgh treatment rates
do not have optmal HD capacty to patent rato ndcatng that there s now excess capacty. There are some dalyss
centres runnng on one shft a day or on alternate days. Should we waste resources just because the publc and the
government contnue to be generous to ESRD patents? Can some of these resources be dverted for other potentally
beneical ntatves lke screenng for kdney dseases and effectve publc educaton?
One other consderaton s to use some of the resources to develop Pertoneal Dalyss (PD) treatment n the NGO
hemodalyss centres. Presently long-term PD s avalable almost exclusvely n publc sector hosptals. Slghtly over
ten percent of patents on dalyss n 2007 were on PD. Some mechansm can be worked out where NGO centers can
collaborate wth publc sector hosptals n offerng patents PD as another choce of dalyss modalty. Such collaboraton
can nclude havng the Tenchkoff Catheter nserton and treatment for pertonts to be done n publc hosptals. The
NGO centres can provde day care servces lke transfer set change and perodc revew of patents by nephrologsts.
PD should be consdered even n states wth low treatment rate. The development costs of settng up a Hemodalyss
centre s ncreasng wth the rsng cost of constructon materals and labour. The costs of CAPD (or Automated PD) may
come down when the number of patents on ths treatment ncreases.
Ths basc prncple n economcs, economy of scale, made us very successful wth hemodalyss treatment. We now pay
less for dalysers, needles, bloodlnes and dalysates than we dd 10-15 years ago. The other major reason for affordable
hemodalyss was openng up the hemodalyss supples market to as many players as possble wthout compromsng
qualty.
Once agan our grattude goes to Ms Lee Day Guat and her team for ther commtment and dedcaton n puttng together
ths 15th report. We also thank the chapter edtors, the report edtors Drs Lm Yam Ngo and Lm Teck Onn and the staff
of all partcpatng centres for sendng the data relgously every year. We hope that by studyng our centre results, we
wll be able to further mprove the patents’ survval and qualty of lfe and reduce the varaton across many centres.
Dr. Rozina Ghazalli
Charperson
Dr. Zaki Morad Mohd Zaher
Co - Charperson
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS
Acknowledgement
NRR Advsory Commttee Members
About the Natonal Renal Regstry
About MOSS
Partcpatng Haemodalsys Centres
Partcpatng Chronc Pertoneal Dalsyss Centres
Partcpatng Transpalnt Follow-up Centres
Contrbutng Edtors
Foreword
Contents
Lst of Tables
Lst of Fgures
Report Summary
Abbrevatons
CHAPTER 1
v
v
v
v
x
x
xv
xv
xv
xx
xxv
xxx
xxx
:
ALL RENAL REPLACEMENT THERAPY IN MALAYSIA
1
:
:
Stock and Flow
Treatment Provson Rate
2
3
CHAPTER 2
:
DIALYSIS IN MALAYSIA
4
2.1
2.1.1
2.1.2
2.2
2.2.2
2.2.3
2.3
2.3.1
2.3.2
2.3.3
2.3.4
2.3.5
2.4
:
:
:
:
:
:
:
:
:
:
:
:
:
Provson of Dalyss n Malaysa (regstry report)
Dalyss treatment provson
Geographc dstrbuton
Dalyss provson n Malaysa (Centre survey report)
Geograpc dstrbuton (Centre survey)
Growth n dalyss provson by sector
Dstrbuton of Dalyss Treatment
Gender dstrbuton
Age dstrbuton
Method and Locaton of dalyss
Fundng for Dalyss Treatment
Dstrbuton of dalyss patents by sector
Prmary Renal Dsease
5
5
5
6
7
10
11
11
12
14
15
16
17
CHAPTER 3
:
ECONOMICS OF DIALYSIS
18
Introducton
Dalyss and ncome
Dalyss prces and affordablty
Dalyss access and equalty
19
19
20
22
1.1
1.2
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS (Cont.)
CHAPTER 4
:
DEATH AND SURVIVAL ON DIALYSIS
23
4.1
4.2
4.2.1
4.2.2
4.2.3
4.2.4
4.3
4.3.1
4.3.2
4.4
4.4.1
4.4.2
4.4.3
:
:
:
:
:
:
:
:
:
:
:
:
:
Death on Dalyss
Patent Survval on Dalyss
Patent survval by type of dalyss modalty
Patent survval by year of startng dalyss
Patent survval by Age at startng dalyss
Patent survval by Dabetc status
Survval of ncdent patents by centre
Survval of ncdent haemodalyss patents 2000 - 2007 by centre
Survval of ncdent CAPD patents 2000 - 2007 by centre
Adusted Mortalty of dalyss patent
Adjusted hazard rato for mortalty of dalyss patents
Varaton n odds rato of death by state 2007
Varaton n odds rato of death by dalyss centre
24
26
26
28
29
30
31
31
32
33
33
36
37
CHAPTER 5
:
QUALITY OF LIFE AND REHABILITATION OUTCOMES OF DIALYSIS PATIENTS IN
MALAYSIA
38
Secton A : Qualty of lfe on dalyss
Secton B : Work related rehabltaton
39
42
PAEDIATRIC RENAL REPLACEMENT THERAPY
43
Secton A : RRT provson for paedatrc patents
Secton B : Dstrbuton of paedatrc dalyss
Secton C : Prmary renal dsease and
Secton D : Types of Renal Transplantaton
44
46
48
48
Secton E : Survval analyss
49
:
MANAGEMENT OF ANAEMIA IN DIALYSIS PATIENTS
51
:
:
:
Treatment for Anema n Dalyss
Iron status on Dalyss
Haemoglobn outcomes on Dalyss
52
56
64
:
NUTRITIONAL STATUS ON DIALYSIS
69
:
:
Serum Albumn levels on Dalyss
Body Mass Index (BMI) on Dalyss
70
74
:
BLOOD PRESSURE CONTROL AND DYSLIPIDAEMIA
80
:
:
Blood Pressure Control on dalyss
Dyslpdaema n dalyss patents
81
91
CHAPTER 6
CHAPTER 7
7.1
7.2
7.3
CHAPTER 8
8.1
8.2
CHAPTER 9
9.1
9.2
:
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
CONTENTS (cont.)
CHAPTER 10 :
MANAGEMENT OF RENAL BONE DISEASE IN DIALYSIS PATIENTS
98
Treatment of renal bone dsease
Serum calcum and phosphate control
Serum Parathyrod Hormone control
99
100
109
CHAPTER 11 :
HEPATITIS ON DIALYSIS
116
CHAPTER 12 :
HAEMODIALYSIS PRACTICES
122
Vascular access and ts complcatons
HD prescrpton
Technque survval on dalyss
123
125
137
CHRONIC PERITONEAL DIALYSIS PRACTICES
141
PD Practces - PD Modes
Acheved solute clearance and pertoneal transport
Technque survval on PD
Patent Survval on PD
PD Pertonts
142
144
146
153
155
RENAL TRANSPLANTATION
158
Stock and Flow
Recpent Charaterstc
Transplant Practces
Transplant Outcomes
Post ransplant complcaton
Deaths and graft loss
Patent and Graft Survval
Cardovascular rsk n renal transplant recpents
Rsk factors for schsemc heart dsease
Blood Pressure classicaton accordng to JNC VI crtera, 2005, 2006, and 2007
159
161
162
165
164
165
168
172
172
174
10.1
10.2
10.3
12.1
12.2
12.3
:
:
:
:
:
:
CHAPTER 13 :
13.1
13.2
13.3
13.4
13.5
:
:
:
:
:
CHAPTER 14 :
14.1
14.2
14.3
14.4
14.4.1
14.4.2
14.5
14.6
14.6.1
14.6.2
APPENDIX I
:
:
:
:
:
:
:
:
:
:
DATA MANAGEMENT
APPENDIX II ANALYSIS SETS, STATISTICAL METHODS AND DEFINITIONS
xv
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
LIST OF TABLES
Table 1.1
Table 1.2
Table 1.3
Table 2.1.1
Table 2.1.2
Table 2.1.3
Table 2.2.1
Table 2.2.2(a)
Table 2.2.3
Table 2.3.1(a)
Table 2.3.1(b)
Table 2.3.2(a)
Table 2.3.2(b)
Table 2.3.3
Table 2.3.4
Table 2.3.5
Table 2.4.1
Table 3.1
Table 3.2
Table 3.3
Table 3.4
Table 3.5
Table 4.1.1
Table 4.1.2
Table 4.2.1(a)
Table 4.2.1(b)
Table 4.2.2
Table 4.2.3
Table 4.2.4
Table 4.4.1
Table 4.4.2
Table 4.4.3
Table 5.1
Table 5.2
Table 5.3
Table 5.4
Table 5.5
Table 5.6
Table 5.7
Table 5.8
Stock and Flow of RRT, Malaysa 1998-2007
New Dalyss Acceptance Rate and New Transplant Rate per mllon populaton 1998-2007
RRT Prevalence Rate per mllon populaton 1998-2007
Stock and low – Dalyss patents 1998-2007
Dalyss Treatment Rate per mllon populaton 1998-2007
Dalyss Treatment Rate by State, per mllon state populaton 1998-2007
Number of dalyss centres, HD machnes and treatment capacty by sector, December 2007
Number of dalyss centres, number of HD machnes and treatment capacty,
HD capacty to patent rato and number of dalyss patents by state n December 2007
Growth n HD capacty and HD patents n Prvate, NGO and MOH sectors, 1998-2007
Dalyss Treatment Rate by Gender, per mllon male or female populaton 1998-2007
Gender dstrbuton of Dalyss Patents 1998-2007
Dalyss Treatment Rate by Age Group, per mllon age group populaton 1998-2007
Percentage Age Dstrbuton of Dalyss Patents 1998-2007
Method and Locaton of Dalyss 1998-2007
Fundng for Dalyss Treatment 1998-2007
Dstrbuton of Dalyss Patents by Sector 1998-2007
Prmary Renal Dsease 1998-2007
Trends n Malaysan GDP, populaton health and dalyss provson, 1980-2005
Prevalence of RRT among varous regons n the world and by Countres’
per capta Gross Natonal Income (GNI) accordng to World Bank Classicaton
Trends n dalyss market prces, 1990-2005
Trends n dalyss fundng & provder mx. 1990-2005
Dalyss Treatment n Malaysa 1997-2004
Deaths on Dalyss 1998-2007
Causes of Death on Dalyss 1998-2007
Patent survval by dalyss modalty analyss censored for change of madalty
Patent survval by dalyss modalty analyss as per ITT
Unadjusted patent survval by year of entry, 1998-2007
Unadjusted patent survval by age, 1998-2007
Unadjusted patent survval by Dabetc status, 1998-2007
Adjusted hazard rato for mortalty of dalyss patents (1998 -2007 cohort)
Varaton n odds rato of death by state, dalyss patents 2007
Varaton n odds rato of death by centre, dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to dalyss modalty,
All Dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Dabetes melltus,
All Dalyss patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Gender, All Dalyss
patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Age, All Dalyss
patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Year of entry,
HD patents 1998-2007
Cumulatve dstrbuton of QoL-Index score n relaton to Year of entry,
CAPD patents 1998-2007
Work related rehabltaton n relaton to Modalty, Dalyss patents 1998-2007
Work related rehabltaton n relaton to Year of Entry, HD patents 1998-2007
xx
2
3
3
5
5
5
6
8
10
11
11
12
13
14
15
16
17
19
20
20
21
22
24
25
26
27
28
29
30
33
36
37
39
39
40
40
41
41
42
42
15th Report of The Malaysan Dalyss & Transplant Regstry 2007
LIST OF TABLES (cont.)
Table 5.9
Table 6.1
Table 6.2
Table 6.3(a)
Table 6.3(b)
Table 6.8
Table 6.9
Table 6.10(a)
Table 6.10(b)
Table 6.11
Table 6.12
Table 7.1.1
Table 7.1.2
Table 7.1.3
Table 7.1.4
Table 7.1.5
Table 7.1.6
Table 7.1.7
Table 7.1.8
Table 7.2.1
Table 7.2.2
Table 7.2.3
Table 7.2.4
Table 7.2.5
Table 7.2.6
Table 7.2.7
Table 7.2.8
Table 7.2.9
(a)
(b)
(c)
(d)
Table 7.2.10:
(a)
(b)
(c)
(d)
Table 7.3.1
Table 7.3.2
Table 7.3.3
Table 7.3.4
Table 7.3.5
(a)
(b)
(c)
Table 7.3.6:
(a)
Work related rehabltaton n relaton to Year of Entry, CAPD patents 1998-2007
Stock and Flow, Paedatrc Renal Replacement Therapy 1998-2007
Paedatrc Dalyss and Transplant Treatment Rates per mllon age-group
populaton 1998-2007
Dalyss Treatment Rate by State, per mllon state age group populaton 1998-2007
Dalyss Treatment by State n absolute number; 1998-2007
Prmary Renal Dsease 1998-2007
Types of renal transplant 1998-2007
Patent survval by modalty analyss as per ITT
Patent survval by modalty analyss censored wth change of maodalty
Dalyss technque survval by modalty 1998-2007
Transplant Graft survval 1998-2007
Treatment for Anema, HD patents 1998-2007
Treatment for Anema, CAPD patents 1998-2007
Varaton n Erythropoetn utlzaton (% patents) among HD centres, 2007
Varaton n Erythropoetn utlzaton (% patents) among CAPD centres, 2007
Varaton n medan weekly Erythropoetn dose (u/week) among HD centres 2007
Varaton n medan weekly Erythropoetn dose (u/week) among CAPD centres 2007
Varaton n use of blood transfuson (% patents) among HD centres, 2007
Varaton n use of blood transfuson (% patents) among CAPD centres, 2007
Dstrbuton of Serum Ferrtn wthout Erythropoetn, HD patents 1998-2007
Dstrbuton of Serum Ferrtn wthout Erythropoetn, CAPD patents 1998-2007
Dstrbuton of Serum Ferrtn on Erythropoetn, HD patents 1998-2007
Dstrbuton of Serum Ferrtn on Erythropoetn, CAPD patents 1998-2007
Dstrbuton of transferrn saturaton wthout Erythropoetn, HD patents 1998-2007
Dstrbuton of transferrn saturaton wthout Erythropoetn, CAPD patents 1998-2007
Dstrbuton of transferrn saturaton on Erythropoetn, HD patents 1998-2007
Dstrbuton of transferrn saturaton on Erythropoetn, CAPD patents 1998-2007
Varaton n ron status outcomes among HD centres 2007
Medan serum ferrtn among patents on erythropoetn
Proporton of patents on erythropoetn wth serum Ferrtn >100 ng/ml, HD centres
Medan transferrn saturaton among patents on erythropoetn, HD centres
Proporton of patents on erythropoetn wth transferrn saturaton >20%, HD centres
Varaton n Iron status outcome among CAPD centres 2007
Medan serum Ferrtn among patents on eryth