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World Market for Dialysis Equipment and Services
June 1, 2011
This report looks at both the equipment and service aspects of the dialysis industry. The
industry enjoys a unique place in the healthcare sector. The industry encompasses two
very lucrative segments -- the medical device industry (dialysis products and supplies
segment) and the healthcare services industry (dialysis services segment).
The dialysis industry remains a robust, multi-billion dollar business that has managed to
fuel its growth engine in the past 5 years. What makes this market more interesting and
challenging is its relatively small customer base - a bit under two million dialysis patients
form its entire universe. It is the high value of these customers that make this a
competitive industry.
Detailed Forecasts to 2015
In-Depth Profiles of the Competitive Companies in Dialysis Treatment,
Equipment and Supplies.
Scores of Figures and Tables featuring useful data, demographic and market
trends that can be used to supplement internal memos or presentation.
Detailed World Dialysis Market Review including specific reviews of the
dialysis service, equipment and supplies market in the United States, Japan, UK,
Italy, India, China and Australia and Canada.
Market Share of Major Care and Equipment Providers.
The Changing Regulatory Environment.
Detailed Patient Demographics Current Data, Forecasts and Trends.
Kalorama’s trusted information-gathering process provides most accurate study of the
kidney dialysis market available today. Information and analysis presented in this report
is based on extensive interviews with senior management of top companies and in the
kidney dialysis and equipment industry. While major research literature and government
information is culled, key market insights originate from interviews with industry leaders.
There are several key issues and trends impacting the future of the dialysis market.
Demographics, insurance and reimbursement issues, and consolidation in the industry
will continue to influence the outcome of the market in the future. Issues and trends
explored in this study include:
Prevalence of Diabetes in Developing Regions

2. Increasing Life Expectancy Worldwide
Hospital Admissions for Infection
Insurance and Reimbursement Issues
Access to Care for Native Populations
Kidney Transplantation
Product Development and Innovation
Consolidation and Joint Ventures in the Industry
Home Dialysis
Heat Disinfection for Water Quality
Dialysis Treatment Comfort
National Salt Reduction Initiative
Product managers, marketing managers, business development executives, advertising
agency executives and information and research center librarians are among the
individuals who will find this round-up of the kidney dialysis and dialysis equipment
market essential.
TABLE OF CONTENTS
TABLE OF CONTENTS CHAPTER ONE: EXECUTIVE SUMMARY
Background
Scope and Methodology
Size and Growth of the Market
Key Issues and Trends Affecting the Market
Leading Competitors
CHAPTER TWO: INTRODUCTION
Overview of the Kidney
Kidney Diseases
Treatment Options
o Dialysis
o Kidney Transplant
o The Artificial Kidney
Comparison of Treatment Options
o In-Center Hemodialysis
o Home Hemodialysis
o CAPD (Continuous ambulatory peritoneal dialysis)
o CCPD (Continuous Cycler Peritoneal Dialysis)
o IPD (Intermittent Peritoneal Dialysis)
o Kidney Transplantation
Epidemiology and Demographic Patterns

3. o ESRD Trends
o Dialysis Treatment Demand
o Dialysis Treatment Preferences: Major Countries
CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET
Overview
World Demographics
Prevalence of Diabetes in China and India
Hospital Admissions for Infection
Increasing Life Expectancy Worldwide
Insurance and Reimbursement Issues
o Reimbursement in the United States
Access to Care for Native Populations Around the Globe
Trends in Kidney Transplantation
Product Development and Innovation
o Dialyzers
o Nephera Ltd
o Prismaflex System Software
o XCorporeal, Inc.
o Implantable Artificial Kidney
Consolidation and Joint Ventures in the Industry
Home Dialysis
Heat Disinfection for Water Quality
Dialysis Treatment and Comfort
o Dialysis on Cruise Ships
Company Commitments to the National Salt Reduction Initiative
CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET
Overview
Hemodialysis Products and Supplies
HD Machines
Blood Line
Dialyzer Market
Hemodialysis Access Products Market
Peritoneal Dialysis Products and Supplies
o Peritoneal Dialysis—A Part of Integrated Care
o Peritoneal Dialysis Transfer Sets
o Peritoneal Dialysis Catheters
o Peritoneal Dialysis Machines
o Factors Affecting Demand
o Innovative Products
o Fresenius Medical Care
o Baxter International
o Gambro

4. Market Overview by Region
o United States
o Japan
o Germany
o France
o United Kingdom
o Italy
o Canada
o India
o China
o Australia
Market Analysis
o Market Analysis by Country
o Competitive Summary
CHAPTER FIVE: DIALYSIS SERVICES MARKET
Overview
o Dialysis Service Centers
Leading Suppliers and Services
o Fresenius Medical Care
o DaVita
Market Overview by Region
Regional Variation of Dialysis Cost
o United States
o Japan
o Germany
o France
o United Kingdom
o Italy
o Canada
o India
o China
o Australia
Market Analysis
o Market Analysis by Country
o Competitive Summary
CHATPER SIX: MARKET AND COMPETITOR ANALYSIS
Market Overview
o Market Analysis by Country
o Leading Competitors
CHAPTER SEVEN: LEADING MANUFACTURERS

5. Overview
Asahi Kasai Kuraray Medical
B.Braun AG
Baxter Healthcare
Bellco
DaVita
Diaverum
Fresenius Medical Care
Gambro AB
Kawasumi Laboratories Inc.
Medionics International
Nikkiso Europe GmbH
CHATPER EIGHT: LIST OF MAJOR COMPANIES
LIST OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
Table 1-1: The Worldwide Dialysis Market, 2005-2015
Figure 1-1: The Worldwide Dialysis Market, 2005-2015
CHAPTER TWO: INTRODUCTION
Table 2-1: Composition of Plasma, Nephric Filtrate, and Urine
Figure 2-1: Incidence of ESRD vs. Transplants in United States
Table 2-2: Kidney Transplant Rates by Country (20 Countries), 2004-2008
Table 2-3: Number of ESRD Patients by Geographical Market (United States,
France, United Kingdom, Japan, Canada, ROW) 2005-2008
Table 2-4: ESRD Prevalence by Country (31 Countries), 2005-2008
Figure 2-2: ESRD Prevalence by Country (31 Countries) 2008
Table 2-5: Number of Dialysis Patients by Geographical Market (North America,
Asia-Pacific, EAME, Latin America) 2010
Table 2-6: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or
Peritoneal Dialysis) in 33 Selected Countries, 2007-2008
Figure 2-3: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or
Peritoneal Dialysis) in 32 Selected Countries, 2008
CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET
Table 3-1: World Population by Selected Geographical Region, 2010 - 2050
Figure 3-1: World Population by Selected Geographical Region, 2010-2050
Table 3-2: Percent Population Over 65 by Year and Region, 2010-2050
Figure 3-2: Estimated World Population by Age, 2010 and 2050
Table 3-3: Diabetes Statistics
Table 3-4: Average Life Expectancy in Years by Country 1980 and 2011
Figure 3-3: Average Life Expectancy in Years by Country 1980 and 2011

6. Figure 3-5: Medicare Total ESRD Expenditures (in USD Billions), 2006-2008
Figure 3-6: Annual Cost of Dialysis Care in the United States by Type of Expense
(Composite Treatment Rate, Hospitalization, Epogen/Other Drugs, Physician
Costs, Other) in Dollars and Percentage Share
Table 3-7: Comparison Between New Bundled and Composite Medicare
Reimbursement Program (1983-2010 and 2011+)
CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET
Figure 4-1: Hemodialysis Patients by Selected Country (15 countries)
Percentage of Total Dialysis Patients
Figure 4-2: Worldwide Hemodialysis Machine Demand (Installed Capacity Units),
2005-2015
Figure 4-3: Worldwide Market for Home-Use Hemodialysis Machines, (Installed
Capacity in Units), 2005-2015
Figure 4-4: Worldwide Blood Lines Market, Units in Millions, 2005-2015
Figure 4-5: Worldwide Dialyzer Market, Modules in Millions, 2005-2015
Table 4-1: Differences in Source of Access by Region (North America, Europe,
Asia, Latin America/Africa) and Type (AV Graft, AV Fistula, Catheter),
Percentage of Patients
Figure 4-6: Worldwide Fistula Needles Market, Units in Millions, 2005-2015
Figure 4-7: Worldwide Hemodialysis Catheter Market, Units, 2005-2015
Figure 4-8: Worldwide AV Graft Market, Patients, 2005-2015
Figure 4-10: Peritoneal Dialysis Patients by Selected Country (15 countries)
Percentage of Total Dialysis Patients
Figure 4-11: Worldwide Peritoneal Transfer Set Market, Units, 2005-2015
Figure 4-12: Peritoneal Dialysis Machines Market, Units, 2005-2015
Table 4-2: Leading Providers of Dialysis Equipment and Supplies, 2010
Figure 4-13: Leading Providers of Dialysis Equipment and Supplies, 2010
Table 4-3: Access Preferences in the United States Percentage of Patients by
Access Type (AV Grafts, AV Fistula, Catheter)
Table 4-4: Access Preferences in Japan Percentage of Patients
Table 4-5: Access Preferences in Germany, Percentage of Patients
Table 4-6: Access Preferences in France Percentage of Patients
Table 4-7: Access Preferences in the U.K. Percentage of Patients
Table 4-8: Access Preferences in Italy Percentage of Patients
Table 4-9: Access Preferences in Canada, Percentage of Patients
Table 4-12: Access Preferences in Australia Percentage of Patients
Table 4-13: The Worldwide Market for Dialysis Products by Dialysis Type, 2005-
2015
Figure 4-14: The Worldwide Market for Dialysis Products by Dialysis Type, 2005-
2015
Table 4-14: Dialysis Product Market, Dollar Volume by Region, 2010
Figure 4-15: Dialysis Product Market, Market Share by Region, 2010
Table 4-15: Worldwide Hemodialysis Products Competitor Analysis, 2010

7. Figure 4-16: Worldwide Hemodialysis Products Market Share, 2010 (% Market
Share)
Table 4-16: Worldwide Peritoneal Dialysis Products Competitor Analysis, 2010
Figure 4-17: Worldwide Peritoneal Dialysis Products Market Share, 2010 (%
Market Share)
CHAPTER FIVE: DIALYSIS SERVICES MARKET
Figure 5-1: Worldwide Dialysis Centers (Number of Facilities), 2001-2010
Table 5-1: Leading Providers of Dialysis Services, 2010
Figure 5-2: Leading Providers of Dialysis Services, 2010
Figure 5-3: U.S. Dialysis Facilities (Number of Clinics), 1991-2006
Figure 5-4: U.S. Dialysis Patients at Years End, 1991-2010
Table 5-4: The Worldwide Market for Dialysis Services, 2005-2015
Figure 5-5: The Worldwide Market for Dialysis Services, 2005-2015
Table 5-5: Dialysis Service Market, Dollar Volume by Region, 2010
Figure 5-6: Dialysis Service Market, Market Share by Region, 2010
Table 5-6: Worldwide Dialysis Service Market, Competitor Analysis, 2010
Figure 5-7: Worldwide Dialysis Service Market Share, 2010 (% Market Share)
CHAPTER SIX: MARKET AND COMPETITOR ANALYSIS
Table 6-1: The Worldwide Dialysis Market by Type, 2005-2015
Figure 6-1: The Worldwide Dialysis Market by Type, 2005-2015
Figure 6-2: Dialysis Industry: Proportion Products vs Services, 2010
Table 6-2: Dialysis Products and Services Market, Dollar Volume by Region,
2015
Figure 6-3: Dialysis Products and Services Market, Dollar Volume by Region,
2010
Table 6-3: Worldwide Dialysis Product and Service Market, Dollar Volume by
Competitor, 2006, 2008 and 2010
Figure 6-1: Worldwide Dialysis Product and Service Market by Company
Performance, 2006-2010
Figure 6-4: Worldwide Dialysis Product and Service Market Share, 2010 (%
Market Share)
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