Chronic kidney disease (CKD) refers to the slow loss of kidney function over time. As per the severity of the disease, CKD can be classified into five stages, the fifth being the most severe, in which the kidneys lose nearly all their ability to function. This stage is known as End Stage Renal Disease (ESRD). Since ESRD is a progressive diseases and can never be reversed, there are only two options left for its treatment, either kidney transplantation or dialysis. Dialysis is a process for removing waste from the body, and can be done by two main methods, peritoneal dialysis (PD) or hemodialysis (HD). The dialysis market can also be segmented into dialysis products & dialysis services market. The major dialysis products include dialyzers, hemodialysis machines, along with peritoneal dialysis products. Dialysis services refer to the treatments given by the specialized physicians and care persons to the patients.

Diabetes and high blood pressure are the two major reasons for kidney failures and the ever increasing cases of both these diseases have led to an increasing number of patients suffering from CKD and consequently end stage renal diseases. Since dialysis is a long term treatment, and is quite expensive, the increasing insurance density is likely to boost up the dialysis market. Also, due to the shortage of kidney donors, a significantly large number of ESRD patients are not able to get their kidneys transplanted and therefore have to rely only on dialysis for their lifetime. Due to all the above mentioned factors, coupled with some others, the dialysis market is likely to grow considerably in the coming years.

Presently, North America is the largest market for dialysis, followed by Asia Pacific, but in the years to come, the dialysis market is expected to be driven by emerging markets of Asia Pacific region, including China and India and therefore the share of Asia Pacific in the global dialysis market is likely to increase.

There are certain factors that impact the global dialysis market, one of the most important one is the bundled reimbursement model, which is likely to influence the market.

The dialysis market is highly consolidated with three major players accounting for a significantly large share in the market. In 2010, Fresenius Medical Care remained the market leader in the global dialysis market.

Report scope

The current report presents the global dialysis market in detail as well as the dialysis market in the most significant region, the US. The present report also describes the trends prevailing in the dialysis industry as well as the growth drivers for the industry. Also the key issues being faced by the industry, including the cost structure and the risks associated with dialysis are also discussed. Along with describing the whole competitive scenario in the global as well as regional dialysis market, the report also profiles the three largest players in the industry, Fresenius Medical Care, Baxter International and DaVita Inc.

1. Introduction

1.1 Chronic Kidney Disease (CKD)
1.2 End Stage Renal Disease (ESRD)
1.3 ESRD: Treatment Options
1.4 Dialysis and its Types

2. Global Dialysis Market

2.1 Market Size

ESRD Patient Growth
Dialysis Patient Growth
Regional Breakdown
Market Value
Dialysis Clinics Segmentation

2.2 Dialysis Market Segments

Dialysis Products Market
Dialysis Services Market

3. US Dialysis Market

ESRD Rates
Dialysis Population
Medicare and Non-Medicare Spending
Industry Capacity Share
Top Companies by Patients

4. Market Dynamics

4.1 Key Trends

4.1.1 Distribution of Dialysis Clinics by Type of Operators
4.1.2 Higher Mortality Risk at for-Profit Dialysis Chains in the US
4.1.3 PD Preferred over HD
4.1.4 Bundled Reimbursement Model

4.2 Growth Drivers

4.2.1 Diabetic Population
4.2.2 Rapidly Ageing Population
4.2.3 Increasing Insurance Density
4.2.4 Population with High Blood Pressure
4.2.5 Increasing Consumption of Illegal or Non-prescription Drugs
4.2.6 Shortage of Kidney Donors

5. Key Issues and Challenges

5.1 Risks and Side Effects
5.2 High Associated Costs

6. Dialysis Market - Competitive Landscape

Competitive Overview
Global Market Share
Segment Market Share
Top Regional Providers by Patients

7. Company Profiles

7.1 Fresenius Medical Care

Business Description
Key Financials
Business Strategies
Growth Strategy
Research & Developmental Activities

7.2 Baxter International Inc.

Business Description
Key Financials
Business Strategies
Strategic Acquisitions
Stress on Quality Management

7.3 DaVita Inc.

Business Description
Key Financials
Business Strategies
Strengthening Core Values
Growth through Alliances

8. Market Outlook

8.1 Market Forecast

8.2 Forecast Methodology

8.2.1 Dependent and Independent Variables
8.2.2 Correlation Analysis
8.2.3 Regression Analysis

List of Charts

Types of Dialysis
Worldwide Patients with End Stage Renal Disease (2005-2010)
Patients with End Stage Renal Disease - Share by Mode of Treatment (2010)
Dialysis Patients Worldwide (2005-2010)
Global Prevalence Rates of ESRD and Dialysis (2004-2010)
Global Dialysis Market Size (2005-2010)
Global Dialysis Market - Value share by Regions (2010)
Global Dialysis Market - Value Share by Regions (2015E)
Dialysis Clinics Worldwide - Share by Type of Operators (2010)
Global Dialysis Market Segmental Breakdown - by Value (2010)
Global Dialysis Products Market (2006-2010)
Global Dialysis Services Market (2006-2010)
ESRD Incident Rates in the US (2001-2008)
Dialysis Population in the US (2001-2008)
Share of Type of Dialysis Clinics Worldwide - by Regions (2010)
World Population with Diabetes, Age Group 20-79 years (2006-2012)
Ageing Population Worldwide (age>65) 2005-2015
Global Insurance Density (2003-2009)
Percent of Patients on Kidney Transplant Waiting List in the US (2001-2008)
Dialysis Products - Global Share by Companies (2010)
Hemodialysis Products - Global Share by Companies (2010)
Peritoneal Dialysis Products - Global Share by Companies (2010)
Top 5 Dialysis Providers Worldwide by Number of Patients Treated (2010)
North American - Number of Dialysis Patients Treated by Companies (2010)
Europe - Number of Dialysis Patients Treated by Companies (2010)
Asia Pacific - Number of Dialysis Patients Treated by Companies (2010)
Latin America - Number of Dialysis Patients Treated by Companies (2010)
Fresenius Revenue (2007-2010)
Fresenius Revenue - Share by Segments (2010)
Fresenius Revenue Breakdown by Geography (2010)
Baxter Revenue (2007-2010)
Baxter Revenue - Share by Segments (2010)
Baxter Revenue - Share by Geographical Segments (2010)
Baxter R&D Investment (2006-2010)
DaVita Revenue (2007-2010)
DaVita Revenue - Share by Segments (2010)
Dialysis Market Forecasts (2010-2014E)

List of Tables

Stages of Chronic Kidney Disease
Advantages and Disadvantages of Hemodialysis
Advantages and Disadvantages of Peritoneal Dialysis
Dialysis Patients - by Region (2010)
ESRD Medicare and Non-Medicare Spending in the US (2008)
US Dialysis Industry Capacity (2003-2009)
US Dialysis Industry Capacity - Share by Types (2009)
Ten Largest US Renal Providers (2010)
US Home Dialysis Patients - by Companies (2009 & 2010)
Operating Cost of Dialysis Centers-Share Breakdown by Type of Costs in the US
Market Position of Companies in Dialysis Market - by Product Groups (2010)
Dependent & Independent Variables (2005- 2009)
Correlation Matrix
Model Summary - Coefficient of Determination
Regression Coefficients Output