1. Growing a peritoneal dialysis program: A single-center experience. Dialysis and Transplantation. 2011 Aug;40(8):343-348.
2. Managing a rapidly growing peritoneal dialysis program with more than 1000 patients involves multiple challenges, labor constraints, logistics, and excessive geographic distance. This paper describes how Sun Yat-sen University, Guangzhou, China, manages those issues, while simultaneously improving quality of the care and, subsequently, clinical.

DUBLIN--(BUSINESS WIRE)--The 'Peritoneal Dialysis Market Share, Size and Growth, By Type, By End-User By Product And Segment Forecasts, 2016-2026' report has been added to ResearchAndMarkets.com's offering.

Increasing occurrences of renal failure due to hypertension, stress, and diabetes mellitus globally, are the major factors influencing the market growth.

The Peritoneal Dialysis Market is estimated to reach USD 5.58 Billion by 2027. This can be mainly associated with the growing incidences of chronic diseases and technological advancements that are expected to become the most common growth factors globally in the coming years.

The percentage of patients on HHD dropped over the following 20 years as peritoneal dialysis (PD) began to grow in popularity, but in the 1990s, HHD began to gain favor in the dialysis community once again. Today, home hemodialysis (HHD) is growing in popularity due to developments in equipment, self-cannulation and training programs. Background:Automated peritoneal dialysis (APD) is a growing PD modality but as with other home dialysis methods, the lack of monitoring of patients' adherence to prescriptions is a limitation with potential negative impact on clinical outcome parameters. Managing a rapidly growing peritoneal dialysis program with more than 1000 patients involves multiple challenges, labor constraints, logistics, and excessive geographic distance.

Peritoneal dialysis (PD) is a method of dialysis that uses dialysis solution and the inner lining of the abdomen to drain blood when the kidneys are not functioning efficiently. This method is mostly performed at home and principally works to remove excess waste products and fluid from the blood. ESRD (End-stage renal disease), which is generally known as kidney failure, is a significant factor for the growth of the market. Diabetes is the most common cause of ESRD, whereas high blood pressure is the second most common cause of ESRD. High blood pressure and diabetes are the most common chronic disease among the global population, and a shortage of kidneys for transplantation due to stringent regulations regarding kidney transplantation in several countries are some of the factors that are responsible for stimulating the market growth. However, the lack of awareness and limited demand in underdeveloped countries are some factors that may hinder the market growth. The rise in demand for home peritoneal dialysis treatment and increased opportunities in weak and emerging markets would create future opportunities.

Due to the presence of key players, favorable reimbursement policies, and a rising number of chronic diseases, and several initiatives by the government, North America accounts for the largest share of around 35.3% of the market by 2019.

Further key findings from the report suggest

• Peritoneal dialysis is the cleansing of blood and the elimination of extra fluids by using the peritoneal membrane, the body's natural filter.
• Hemodialysis is a method of pumping out the blood to an artificial kidney system and is returned to the body with the help of tubing accessories.
• The peritoneal membrane is the lining that circles the abdominal cavity, including the stomach, spleen, liver, and intestines.
• CAPD type segment is expected to grow at a rate of 5.4% during the forecast period due to portability, low cost, and freedom from machines.
• The growing population, increasing rates of chronic diseases, and rising healthcare expenditure are the fundamental factors that are boosting the growth of the market across the globe.
• A growing aging population that needs long term care requirements, raising awareness about hospital-acquired infections, and growing usage of technologies among patients are few factors that are expected to expand usage rates.
• The hospital-based dialysis segment accounts for a market share of approximately 31.2% by 2019.
• Innovative product development and collaborative developments are some critical strategic initiatives taken by the players in this industry to fortify their position in the competition.
• The presence of unique diagnostic and therapeutic medical technologies that enable quick and accurate diagnosis is the primary factor for the growth of this segment.
• The benefits of peritoneal dialysis involve no use of needles, minimum clinic visits, and continuous therapy supplies similar to the kidney's natural functioning.
• The peritoneal dialysis solution segment accounted for the largest share of nearly 23.3% by 2019.
• Europe accounted for a share of about 26.3% in 2019 and is expected to grow at a rate of 5.3% during the forecast period.
• Key participants include Nipro, Covidien, B. Braun Melsungen, Diversified Specialty Institute Holdings, DaVita Healthcare Partners, Baxter International, Dialysis Clinic, Medical Components, Northwest Kidney Centers, Fresenius Medical Care, Huaren Pharmaceutical, NephroPlus, Satellite Healthcare, NxStage Medical, Renal Services, Sandor, Sichuan Kelun Pharmaceutical, and U.S. Renal Care.

Key Topics Covered:

Chapter 1. Market Synopsis

Chapter 2. Executive Summary

Chapter 3. Indicative Metrics

Chapter 4. Peritoneal Dialysis Market Segmentation & Impact Analysis

Chapter 5. Peritoneal Dialysis Market By Type Insights & Trends

Chapter 6. Peritoneal Dialysis Market By End-User Insights & Trends

Chapter 7. Peritoneal Dialysis Market By Product Insights & Trends

Chapter 8. Peritoneal Dialysis Market Regional Outlook

Chapter 9. Competitive Landscape

Chapter 10. Company Profiles

• Baxter International
• Nipro
• B. Braun Melsungen
• DaVita Healthcare Partners Co.idien
• Dialysis Clinic
• Fresenius Medical Care
• Diversified Specialty Institute Holdings
• Medical Components
• Huaren Pharmaceutical
• NephroPlus
• Northwest Kidney Centers
• Satellite Healthcare
• NxStage Medical
• Renal Services
• Sandor
• Sichuan Kelun Pharmaceutical
• U.S. Renal Care

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Medically reviewed by Drugs.com. Last updated on Nov 16, 2020.

• Care Notes

WHAT YOU NEED TO KNOW:

What is peritoneal dialysis?

Peritoneal dialysis is done to remove wastes, chemicals, and extra fluid from your body. A liquid called dialysate is put into your abdomen through a catheter (thin tube). The liquid stays in your abdomen for several hours at a time. This is called dwell time. The dialysate pulls wastes, chemicals, and extra fluid from your blood through the peritoneum. The peritoneum is a thin lining on the inside of your abdomen. The peritoneum works as a filter as the wastes are pulled through it. The process of filling and emptying your abdomen with dialysate is called an exchange.

Growing Your Peritoneal Dialysis Programs

What are the types of peritoneal dialysis, and how are they done?

• Continuous ambulatory peritoneal dialysis (CAPD) means you do the exchanges by hand. An exchange will take about 40 minutes. The solution will stay in your abdomen for at least 4 to 6 hours. You may need to change the solution 4 or more times during the day. You can sleep with the solution in your abdomen through the night without having to wake up for an exchange.
• Automated peritoneal dialysis (APD) uses a machine called a cycler. It puts the dialysate in your abdomen and drains it out after the exchange is complete. You may do 1 exchange by hand that lets the dialysate dwell in your abdomen during the day. At night, you can connect your catheter to the cycler to drain it. Peritoneal dialysis exchanges will also be done while you sleep. If you sleep for 8 to 9 hours, the machine may do 3 to 5 exchanges during that time. Your dialysis team will teach you how to set up and use the cycler.

How do I get ready to do a CAPD exchange?

Exchanges should be done in a well-lit room. There should be no pets, dander, strong breezes, or fans in the room. They can increase your risk for an infection.

• Gather your supplies.
  • Dialysate bag and waste product bag
  • IV stand (used to hang your dialysate bag)
  • Y-shaped tubing and tubing clamps
  • Medical gloves and a medical mask
  • New plastic syringe without a needle (if needed)
• Wash your hands with soap and water. Scrub them for at least 15 seconds. Dry your hands well with a clean towel or new paper towel. Your healthcare provider may also recommend that you use an alcohol-based hand gel after you dry your hands. The gel will help kill any bacteria that remain after you wash your hands.
• Put on your mask, and then your gloves. Make sure the mask covers both your nose and your mouth. This will help prevent germs from your nose or mouth reaching the exit site. Put on your gloves. Do not touch anything other than the bandage and your supplies when your gloves are on.

How is a CAPD exchange done?

• Flush the tubing with dialysate. Connect the lower end of the Y tubing to your catheter. Connect the 2 other ends of the tubing to the dialysate bag and the waste bag. Clamp the tubing that goes to your abdomen. Allow 100 milliliters (mL) of fresh dialysate to flow out of the bag. Let it drain down the tubing into the waste bag. Then clamp the tubing that goes to the waste bag.
• Let the dialysate flow into your abdomen. Hang the bag at a higher level than your abdomen. Remove the clamp to let the rest of the dialysate flow into your abdomen. This should take no more than 10 minutes. You may lie, sit, or stand while the dialysate flows in. After all of the dialysate is in your abdomen, wash your hands and put on new gloves. Disconnect the catheter from the tubing. Clamp the catheter closed. Leave the dialysate in your abdomen for 3 to 5 hours of dwell time.
• Drain the dialysate out of your abdomen. Wash your hands again. Put on your mask and new gloves. Connect the Y tubing to the catheter. Clamp the tubing that goes to the dialysate bag. Hang the bag at a lower level than your abdomen. Remove the clamp from the tubing that goes to the waste bag. Let the dialysate drain from your abdomen into the waste bag. It should take less than 45 minutes to drain the dialysate out of your abdomen. The dialysate that drains out should be clear. Then close the waste bag and dispose of it as directed. Wash your hands.

What do I need to know about weight gain?

Weight gain may happen from extra sugar you will get from the dialysate. You will get instructions for a dialysis diet to follow. The diet will help you get the right nutrients and calories. Weight gain may also happen if your body is retaining (holding in) fluid. Do the following to manage weight gain from extra fluid:

• Limit liquids as directed by your healthcare provider. Keep a record of the amount of liquid you drink and urine you pass each day. This is called intake and output.
• Weigh yourself each day. Sudden weight gain can be a sign of fluid retention. Use the same scale in the same place each time. Weigh yourself after you use the bathroom but before you eat. Keep a record of your weight each day.
• Bring your intake and output and daily weight records to follow-up visits. Your healthcare provider will tell you if you have too much fluid in your body, and what to do to correct it.

When should I call my doctor?

• You have trouble breathing or a dull pain in your abdomen while you do a dialysis exchange.
• Dialysate is not flowing correctly into or out of your abdomen during an exchange.
• Your catheter has a crack or hole in it, or it has come part or all of the way out of your abdomen.
• You have constipation, stomach pain, and are vomiting.
• A new bump has grown in your abdomen since you started doing CAPD exchanges.
• Your catheter exit site is red, tender, painful, or draining fluid or pus.
• The dialysate that drains out of your abdomen looks cloudy.
• The exit site is bigger than it used to be.
• You have sudden weight gain, or your arms or legs are swollen.
• You have a fever or chills.
• You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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