The Growing Demand for Dialysis: Global Expansion and Future Outlook

The Dialysis Market was valued at $20.26  billion in 2023. This market is expected to reach $36.6  billion by 2031, from an estimated $21.92  billion in 2024, at a CAGR of 7.6% during the forecast period 2024-2031.

Chronic kidney disease (CKD) is an alarming global health issue, driven by conditions like diabetes, high blood pressure, obesity, and smoking. The most severe form of CKD, End-Stage Renal Disease (ESRD), is characterized by irreversible kidney damage, requiring either dialysis or a kidney transplant to sustain life. As global populations age and the incidence of diabetes and hypertension rises, so does the prevalence of CKD and ESRD. This, in turn, is driving a surge in demand for dialysis services worldwide.

Understanding the Causes of ESRD

Diabetes and hypertension are the leading causes of CKD and ESRD globally. From 2015 to 2017, 75% of kidney failure cases were linked to these two conditions. In 47% of new ESRD patients, diabetes was the primary diagnosis, followed by hypertension, accounting for 29%. Other factors contributing to ESRD include:

Glomerulonephritis (kidney inflammation)

Inherited conditions like polycystic kidney disease

Immune diseases such as lupus

Obstructions like kidney stones or enlarged prostate

Frequent urinary tract infections

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The Rising Prevalence of CKD and ESRD

Globally, the prevalence of CKD is about 13%, with the risk of ESRD increasing as populations age. By 2050, it is expected that nearly all regions of the world will have a quarter or more of their populations aged 60 and above. The number of patients undergoing treatment for kidney failure is projected to double, increasing from 2.6 million in 2010 to 5.4 million by 2030.

The Role of Dialysis in Treating ESRD

Due to the global shortage of kidney organs available for transplantation, dialysis has become the most widely used treatment for ESRD. This preference has led to the expansion of dialysis centers globally. In 2019, there were approximately 45,600 dialysis centers worldwide, treating an average of 75 patients per center.

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Regional Insights into the Growth of Dialysis Centers

Africa: Senegal has seen a dramatic increase in dialysis patients, growing from 50 patients in 2010 to over 800 by 2018. In 2019, the country opened 10 new hemodialysis centers and two peritoneal dialysis centers to meet growing demand.

Argentina: The country has 597 dialysis centers, with 68 government-owned facilities and a majority (63%) operating as independent dialysis centers. Foreign-owned companies operate the remaining centers.

China: Fresenius Medical Care AG & Co. KGaA, a global leader in dialysis services, launched its first independent dialysis center in China in 2017 and plans to open 100 more renal hospitals and dialysis centers within five years.

United States: The U.S. has seen rapid growth in dialysis center construction. For instance, in 2018, DaVita Inc. expanded its network of outpatient dialysis centers by opening 154 new centers, a combination of new developments and acquisitions.

Malaysia: The Ministry of Health (MOH) offers subsidized dialysis services, leading to an expansion of dialysis centers across the country. The number of centers increased from 205 in 2000 to 758 by 2014 and continues to rise.

India: In 2018, Fresenius Medical Care AG & Co. KGaA collaborated with Sri Ramakrishna Hospital to open a state-of-the-art dialysis center in Tamil Nadu. India’s government has also announced plans for additional standalone dialysis centers under its Healthcare Union Budget 2016 initiative.

Brazil: The number of dialysis centers in Brazil grew by nearly 40%, from 550 centers in 2002 to 781 in 2018, with a majority located in the southeast region. Most of these centers (72%) are privately owned.

The Dialysis Market Outlook

As dialysis centers continue to expand worldwide, there is a corresponding rise in the demand for dialysis equipment, including machines, dialyzers, and consumables. This growing demand is expected to drive the global hemodialysis and peritoneal dialysis market at a compound annual growth rate (CAGR) of 4.4%, reaching $17.69 billion by 2027, according to Meticulous Research®.

Conclusion

The rising prevalence of CKD and ESRD, coupled with aging populations and the increasing incidence of diabetes and hypertension, has led to a growing need for dialysis services. The global expansion of dialysis centers reflects this need, with countries around the world investing in infrastructure to meet the demand for life-sustaining dialysis treatments. As the number of patients requiring dialysis continues to rise, the dialysis market is set to experience significant growth in the coming years, fueled by advancements in technology and healthcare infrastructure.

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