Review Article

Impact of National Economy and Policies on End-Stage Kidney Care in South Asia and Southeast Asia

Table 2

ESKD treatment demographics in SA and SEA.

VariablesOverallHigher economies (HE)/lower economies (LE)
NMeanSDMedianMinMaxNMeanSDMedianMinMax

Modality-wise distribution
HD (%)1564.928.17010956/967.6/63.278.7/67.327.9/29.815/1087.1/95
PD (%)1510.112.270.5466/919.1/410.1/3.415.5/3.18.8/0.546/10
KT (%)159.21050.8396/913.4/6.47.4/513.7/64/0.839/21
Cs (%)1516.326.40084.56/90.2/270/200.4/29.90/01/84.5

Distribution of HD frequency
Less than 2 weeks156.812.420486/90.2/11.20/100.4/14.70/01/48
Exactly 2 weeks1544.934501926/915.9/64.23.9/6225.1/24.11/1665/92
More than 2 weeks1548.338.6362996/983.9/24.695.5/1225/25.235/299/80

Infrastructure and manpower
Absolute number of dialysis centres14498.9784.5134630006/8414.3/562.4385/134413.2/1005.16/48880/3000
Dialysis centres/million population148.59.72.20.627.86/817/2.19.5/1.516.8/1.82.1/0.627.8/5.5
Dialysis machines/dialysis unit1516.712.2155406/926.7/1030/59.8/8.715/540/30
Nephrologists/million159.215.31.720.0459.86/920.8/1.519.6/1.914.8/0.945.6/0.0459.8/6.5
Dialysis units/million147.28.72.220.627.86/815.2/2.19.4/1.513.99/1.82.1/0.627.8/5.5

Dropout rate
Yearly dropout rate1134.728.615.310905/612.3/53.41.9/26.612/57.510/1515.3/90
Due to death1068.734.18615.399.55/593.6/43.87/31.898/43.288/15.399.5/95.5
Due to KT1013.315.850.546.35/55.64/20.65.8/19.72/100.5/4.512/46.3
Due to financial reasons1018.225.720705/50.8/27.11.3/27.10/38.40/03/70

ESKD, end-stage kidney disease; PD, peritoneal dialysis; HD, hemodialysis; KT, kidney transplant; CS, conservative.