World Market for Dialysis Equipment and Services

World Market for Dialysis Equipment and Services

The dialysis 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 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 - only 1.8 million dialysis patients form its entire universe. But of course, these are high-value customers. The stable customer base also explains how the dialysis industry is noncyclical in nature and is only minimally affected by the vagaries of economic downturns.

• Detailed Forecasts to 2013


• In-Depth Profiles of the Key Players in Hemodialysis and Peritoneal Dialysis Treatment, Equipment and Supplies.


• 70 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.


• Products in Development; R&D Spending by Company.

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.


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.

EXECUTIVE SUMMARY

BACKGROUND

SCOPE AND METHODOLOGY

SIZE AND GROWTH OF THE MARKET

KEY ISSUES AND TRENDS AFFECTING THE MARKET

LEADING COMPETITORS

INTRODUCTION

OVERVIEW OF THE KIDNEY

Sodium

Water

Tubular Secretion

Other Functions of Kidney

KIDNEY DISEASES

Acute Renal Failure

Chronic Renal Failure

End-Stage Renal Disease (ESRD)

TREATMENT OPTIONS

Dialysis

Hemodialysis (HD)

Peritoneal Dialysis

Kidney Transplant

The Artificial Kidney

COMPARISON OF TREATMENT OPTIONS

In-Center Hemodialysis

Home Hemodialysis

CAPD (Continuous ambulatory peritoneal dialysis)

CCPD (Continuous Cycler Peritoneal Dialysis)

IPD (Intermittent Peritoneal Dialysis)

Kidney Transplantation

EPIDEMIOLOGY AND DEMOGRAPHIC PATTERNS

ESRD Trends

Dialysis Treatment Demand

Dialysis Treatment Preferences: Major Countries

KEY ISSUES AND TRENDS AFFECTING THE MARKET

OVERVIEW

WORLD DEMOGRAPHICS

INCREASING LIFE EXPECTANCY WORLDWIDE

INSURANCE AND REIMBURSEMENT ISSUES

Reimbursement in the United States

Reimbursement Method

Reimbursement Components

Reimbursement in Japan

Reimbursement in Germany

Reimbursement in France

Reimbursement in United Kingdom

Reimbursement in Italy

Reimbursement in Canada

Reimbursement in India

Reimbursement in China

PRODUCT DEVELOPMENT AND INNOVATION

Dialyzers

Nephera Ltd

Prismaflex System Software

XCR-6 Platform

CONSOLIDATION AND JOINT VENTURES IN THE INDUSTRY

HOME DIALYSIS

HEAT DISINFECTION FOR WATER QUALITY

DIALYSIS TREATMENT AND COMFORT

BARRIERS TO NEW TECHNOLOGY AND INNOVATION

DIALYSIS EQUIPMENT AND SUPPLIES MARKET

OVERVIEW

HEMODIALYSIS PRODUCTS AND SUPPLIES

HD Machines

Innovations in HD Machines

Home-use Machines

Blood Lines

Dialyzer Market

Innovative Products in the Market

Market Scenario

Hemodialysis Access Products Market

Catheter Access

AV Fistulae Access

The Dialysis Outcomes and Practice Patterns Study (DOPPS)

Fistula Needles Market

Catheter Market

AV Graft Market

Cannulae Market

PERITONEAL DIALYSIS PRODUCTS AND SUPPLIES

Peritoneal Dialysis—A Part of Integrated Care

Peritoneal Dialysis Transfer Sets

Peritoneal Dialysis Catheters

Brand Example of Peritoneal Dialysis Catheter

Peritoneal Dialysis Machines

Factors Affecting Demand

Innovative Products

Fresenius Medical Care

Baxter International

Gambro

MARKET OVERVIEW BY REGION

United States

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Home-Use Machines Market

Blood lines Market

Dialyzers Market

Access Products Market

Peritoneal Dialysis Products & Supplies Market

Peritoneal Dialysis Machines

Peritoneal Transfer Sets

Japan

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Home-Use Hemodialysis Machines Market

Blood lines Market

Dialyzers Market

Access Products Market

Peritoneal Dialysis Products & Supplies Market

Germany

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood lines Market

Dialyzers Market

Hemodialysis Access Products

Peritoneal Dialysis Products & Supplies Market

Transfer Set Market

France

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood Lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Peritoneal Dialysis Machines Market

Transfer Set Market

United Kingdom

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Italy

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood Lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Peritoneal Dialysis Machines Market

Transfer Set Market

Canada

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood Lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Peritoneal Dialysis Machines Market

Peritoneal Dialysis Transfer Set Market

India

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Transfer Set Market

China

Hemodialysis Equipment & Supplies Market

Hemodialysis Machines Market

Blood Lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Transfer Set Market

Australia

Hemodialysis Products & Supplies Market

Hemodialysis Machines Market

Blood Lines Market

Dialyzers Market

Hemodialysis Access Products Market

Peritoneal Dialysis Products & Supplies Market

Peritoneal Dialysis Machines Market

Transfer Set Market

MARKET ANALYSIS

Market Analysis by Country

Competitive Summary

DIALYSIS SERVICES MARKET

OVERVIEW

Dialysis Service Centers

LEADING SUPPLIERS AND SERVICES

Fresenius Medical Care

DaVita

MARKET OVERVIEW BY REGION

Regional Variation of Dialysis Cost

United States

Japan

Germany

France

United Kingdom

Italy

Canada

India

China

Australia

MARKET ANALYSIS

Market Analysis by Country

Competitive Summary

MARKET AND COMPETITOR ANALYSIS

MARKET OVERVIEW

Market Analysis by Country

Leading Competitors

LEADING MANUFACTURERS

OVERVIEW

Asahi Kasai Kuraray Medical Co., Ltd

B.Braun AG

Diapact CRRT

DialogPlus

Hemodialysis Disposables

Peritoneal Dialysis

Baxter International

PD Machines

PD solutions

Bellco SpA

Formula

Formula 2000

Dialyzers

Pivipol Blood Lines

Accessories

Concentrate Solutions

Hemofilteration On-line with Endogenous Reinfusion

Caravan Medical Division Inc.

CardioMed Supplies Inc

Dual Floating Hemodialysis Vascular Access Catheter

Fast Flow Hemodialysis Vascular Access Catheter

High Flow Hemodialysis Vascular Access Catheter

Raulerson IJ Hemodialysis Vascular Access Catheter

Straight and Curved Hemodialysis Vascular Access Catheter

Hemocath Silicone Hemodialysis Vascular Access Catheter

Peritoneal Dialysis Catheters

Clinical Accessories

DaVita Inc

Debiotech SA

Diaverum

Fresenius Medical Care

Chronic Hemodialysis

Acute Therapy

Home Therapy

Gambro AB

Kawasumi Laboratories Inc

Medionics International Inc

Minntech Corp.

Nikkiso Medical Gmbh

NxStage Medical, Inc

TERUMO CORPORATION

TABLE OF EXHIBITS

CHAPTER ONE: EXECUTIVE SUMMARY

Table 1-1: The Worldwide Dialysis Market, 2005-2013

Figure 1-1: The Worldwide Dialysis Market, 2005-2013

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 (35 Countries), 2004-2006

Table 2-3: Number of ESRD Patients by Geographical Market (United States, Germany, United Kingdom, Japan, ROW) 2004-2007

Table 2-4: ESRD Prevalence by Country (33 Countries), 2004-2006

Table 2-5: Number of Dialysis Patients by Geographical Market (North America, Asia-Pacific, EAME, Latin America) 2005

Table 2-6: Distribution of Dialysis Patient Cases by Type (HD vs PD) and by Selected Country (United States, Germany, United Kingdom, Japan, ROW) 2004-2006

Table 2-7: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or Peritoneal Dialysis) in 36 Selected Countries, 2005-2006

CHAPTER THREE: KEY ISSUES AND TRENDS AFFECTING THE MARKET

Table 3-1: World Population by Selected Geographical Region, 2008 - 2050

Figure 3-1: World Population by Selected Geographical Region, 2008–2050

Table 3-2: World Population by Age and Geographical Region, 2008

Figure 3-2: World Population by Age and Geographical Region, 2008

Table 3-3: Percent Population Over 65 by Year and Region

Figure 3-3: World Population by Age, 2008 and 2050

Table 3-4: Average Life Expectancy in Years by Country 1980 and 2008

Figure 3-4: Average Life Expectancy in Years by Country 1980 and 2008

Figure 3-5: Medicare Dialysis Expenditures (Expenditure in USD Billions), 1991-2006

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

CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET

Figure 4-1Peritoneal Dialysis Patients by Selected Country (15 countries) Percentage of Total Dialysis Patients

Figure 4-2: Worldwide Hemodialysis Machine Demand (Installed Capacity Units), 2005-2013

Figure 4-3: Worldwide Market for Home-Use Hemodialysis Machines, (Installed Capacity in Units), 2005-2013

Figure 4-4: Worldwide Blood Lines Market, Units in Millions, 2005-2013

Figure 4-5: Worldwide Dialyzer Market, Modules in Millions, 2005-2013

Table 4-1: Differences in Source of Access by Region (U.S., Europe, Japan, Asia, Latin America/Africa) and Type (AV Graft, AV Fistula, Catheter), Percentage of Patients

Figure 4-6: Worldwide Fistula Needles Market, Units in Millions, 2005-201386

Figure 4-7: Worldwide Hemodialysis Catheter Market, Units, 2005-2013

Figure 4-8: Worldwide AV Graft Market, Patients, 2005-2013

Figure 4-9: Worldwide Hemodialysis Cannulae Market, Units, 2005-2013

Figure 4-10: Peritoneal Dialysis Patients by Selected Country (14 countries) Percentage of Total Dialysis Patients

Figure 4-1: Worldwide Peritoneal Transfer Set Market, Units, 2005-2013

Figure 4-1: Peritoneal Dialysis Machines Market, Units, 2005-2013

Table 4-: Leading Providers of Dialysis Equipment and Supplies, 2008

Figure 4-13: Leading Providers of Dialysis Equipment and Supplies, 2008 . 100

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 4-10: Access Preferences in India Percentage of Patients

Table 4-11: Access Preferences in China 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, 2005-2013

Figure 4-14: The Worldwide Market for Dialysis Products by Dialysis Type, 2005-2013

Table 4-14: Dialysis Product Market, Dollar Volume by Region, 2008

Figure 4-15: Dialysis Product Market, Market Share by Region, 2008

Table 4-15: Worldwide Hemodialysis Products Market, Dollar Volume by Competitor, 2006-2008

Figure 4-16: Worldwide Hemodialysis Products market share, 2008 (% Market Share)

Table 4-16: Worldwide Peritoneal Dialysis Products Market, Dollar Volume by Competitor, 2006-2008

Figure 4-17: Peritoneal Dialysis Product Market, Market Share by Leading Competitor, 2008

CHAPTER FIVE: DIALYSIS SERVICES MARKET

Figure 5-1: Worldwide Dialysis Centers (Number of Facilities), 2002-2008. 140

Table 5-1: Leading Providers of Dialysis Services, 2008

Figure 5-2: Leading Providers of Dialysis Services, 2008

Table 5-2: Dialysis Treatment Average Costs per Patient per Year for Selected Countries

Figure 5-3: U.S. Dialysis Facilities (Number of Clinics), 1991-2006

Figure 5-4: U.S. Dialysis Patients at Years End, 1991-2006

Table 5-3: Percentage of Patients Receiving Dialytic Treatment in Private Facilities in Twelve Italian Regions

Table 5-4: The Worldwide Market for Dialysis Services, 2005-2013

Figure 5-5: The Worldwide Market for Dialysis Services, 2005-2013

Table 5-5: Dialysis Service Market, Dollar Volume by Region, 2008

Figure 5-6: Dialysis Service Market, Market Share by Region, 2008

Table 5-6: Worldwide Dialysis Service Market, Dollar Volume by Competitor, 2006-2008

Figure 5-7: Worldwide Dialysis Service Market Share, 2008 (% Market Share)

CHAPTER SIX: MARKET AND COMPETITOR ANALYSIS

Table 6-1: The Worldwide Dialysis Market by Type, 2005-2013

Compound Annual Growth Rate

Figure 6-1: The Worldwide Dialysis Market by Type, 2005-2013

Figure 6-2: Dialysis Industry: Proportion Products vs Services, 2008

Table 6-2: Dialysis Products and Services Market, Dollar Volume by Region, 2008

Figure 6-3: Dialysis Products and Services Market, Dollar Volume by Region, 2008

Table 6-3: Worldwide Dialysis Product and Service Market, Dollar Volume by Competitor, 2006-2008

Figure 6-4: Worldwide Dialysis Product and Service Market Share, 2008 (% Market Share)