The market for
peritoneal dialysis can be segmented on the basis of the type of
products, services and application. Peritoneal dialysis catheters,
implantation systems, peritoneal solution and other accessories
constitute some of the products used in the dialysis process.
Dialysis refers to
the process of cleaning the blood in case of kidney failure or
improper functioning of kidneys. There are two types of dialysis;
hemodialysis and peritoneal dialysis. Hemodialysis involves pumping
out of the blood to an artificial kidney system and is returned back
to the body with the help of tubing accessories. Peritoneal dialysis
involves the cleansing of blood along with removal of extra fluids by
utilizing body’s natural filter, the peritoneal membrane.
Peritoneal membrane is the lining that surrounds the abdominal cavity
comprising spleen, stomach, liver and intestines.
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The solution or
dialysate is placed in the peritoneum and the membrane filters fluids
and waste from the blood into the solution which is then drained from
the peritoneum after several hours and is again substituted with
fresh dialysate. Peritoneal dialysis renders a lot of advantages or
benefits such as minimal clinic visits (once in a month), no use of
needles, supplies continuous therapy similar to natural functioning
of kidney. The therapy is easy to perform even while travelling and
sleeping thereby avoiding frequent visits to the dialysis center. On
the other hand, peritoneal dialysis possesses some disadvantages such
as need for the placement of a permanent catheter and imposing risk
of infection. This type of dialysis is one of the great treatment
modalities available for the patients interested to perform the
dialysis at home.
Currently, it is
perceived that the rate of peritoneal dialysis is declining
worldwide. However substantial evidence is rarely available in the
public domain. Assessment of longitudinal trends in the use of
peritoneal dialysis was published in the Journal of the American
Society of Nephrology (JASN). The study was focused on assessing the
global trends of peritoneal dialysis from 1997 to 2008 spread across
130 countries. As per this data, around 59% patients were treated
with peritoneal dialysis in developing countries and around 41% were
treated in developed countries. Over the period of 12 years, the
number of peritoneal patients increased in developed countries (by
21.8 per million population) and developing countries (by 24.9
patients per million).
The market for
peritoneal dialysis can be segmented on the basis of the type of
products, services and application. Peritoneal dialysis catheters,
implantation systems, peritoneal solution and other accessories
constitute some of the products used in the dialysis process.
Services include homecare services and education about the peritoneal
dialysis process. Application segment can be further analyzed by two
types namely, automated peritoneal dialysis (APD) and continuous
ambulatory peritoneal dialysis (CAPD). Geographically, North America
and Europe would account for the major revenue contributors due to
increased awareness and high accessibility to the products and
services in these regions. On the contrary, Asia Pacific and Rest of
the World (RoW) promise lucrative opportunities for the market growth
due to large patient population base and unmet healthcare needs.
Regulatory policies elucidating the safety and precautionary measures
to reduce the risk of infection would govern the market growth.
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The major factors
favoring the market growth are increasing number of patients
suffering from chronic ailments such as diabetes and hypertension
which would result in kidney failure and inturn increase the demand
for peritoneal dialysis. For instance, as per the data enumerated by
the International Diabetes Federation (IDF) and World Heart
Federation (WHF), there are more than 300 million diabetics and more
than 900 million people suffering from elevated blood pressure. In
addition, increasing prevalence of renal diseases would further
propel the market growth. On the other hand, factors such as risk of
infection and permanent placement of catheter outside the body might
hamper the market growth. Baxter International, B. Braun Melsungen
AG, Fresenius Medical Care, Diversified Specialty Institute Holdings
and DaVita Healthcare Partners are some of the key players operating
in this market.
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