TRT Registry Data 2004 TRT Registry Subcommittee Nephrology Society of Thailand

Renal Replacement Therapy Services Mapping for Centers in Thailand 2004 NB: HD Available in 100%, CAPD and KT only in some centers Perimet: Nonthaburi, Nakornpatom Pathumtani, Samutprakarn and Samutsakorn TRT Registry 2004

CAPD Service Mapping 2004 (Number of Centers in Thailand) TRT Registry 2004

KT Service Mapping 2004 (Number of Centers in Thailand) TRT Registry 2004

HD Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

CAPD Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

KT Centers in Thailand in 2004 Classified by Ownership TRT Registry 2004

Number of HD Centers Classified by NST Accreditation TRT Registry 2004

Number of HD Centers Not Yet Accreditated or Not Undergoing Process by NST in 2004 TRT Registry 2004

18 HD Centers (6%) are Out-Hospital Centers NST Accreditation (2004) TRT Registry 2004

In Hospital Dialysis Center with Different Owner (Contracted HD Center) TRT Registry 2004

In Hospital Centers and HD Accreditation TRT Registry 2004

Distribution of HD Machines by Location Total BKK & Peri Central East NE NorthSouth 11.7% 100% 54.1% 7.3% 6.6% 11.3% 13.4% 7.4% 100% 54.1% 7.3% 6.6% 11.3% 13.4% 7.4% TRT Registry 2004

Number of HD Machines in 2004 Classified by Type of Ownership TRT Registry 2004 Foundation Gov Cevil Serv Mil Service Univ Private

Cost of HD/Session TRT Registry 2004 Number Of Units Bhts

Cost of HD/Session (Bht) Classified by Type of Ownership Bht TRT Registry 2004

Cost/HD Session Eliminate those centers with Cost <1500 bhts/session

Cost of HD/Session (Bht) Classified by In-Hospital vs Out-Hospital Center Bht TRT Registry 2004

Center Distribution with Additional Charge for Dialyzer Total Number Percent of Centers Center Charge with Additional Charge Foundation Governmental Cevil Hospital Military Hospital University Hospital Private Total TRT Registry 2004

Center Distribution with Additional Charge for Dialyzer Total Number Percent of Centers Center Charge with Additional Charge In Hospital Center Out Hospital Center Total TRT Registry 2004

Number of Full Time Nephrologist Number of Centers Number of Full-Time Nephrologists TRT Registry 2004

Distribution of Nephrologists TRT Registry 2004 NB: Count = number of centers Sum = number of nephrologists 64.9%

Distribution of Full-time Certified Senior Renal Nurses % centers (38.2%) have no certified senior renal nurses TRT Registry 2004

Ratio of HD Patients / GN TRT Registry 2004

Ratio of HD Patients / GN TRT Registry 2004

Ratio of HD Patients / GN TRT Registry 2004

Alived Patients at the End of 2004 Reported by 258 Centers all over Thailand TRT Registry 2004

New Patients (HD+CAPD) in 2004 Reported by 258 Centers all over Thailand TRT Registry 2004

Number of Alived Patients Reported from 258 Centers allover Thailand NB Per center: mean, std dev, min and max Count: number of centers Sum: total number of patients TRT Registry 2004

New Patients Reported from 258 Centers all-over Thailand NB Per center: mean, std dev, min and max Count: number of centers Sum: total number of patients TRT Registry 2004

Number of Patients by Service Ownership Reported by 258 Centers all-over Thailand TRT Registry 2004

New Patients by Service Ownership Reported by 258 Centers all-over Thailand TRT Registry 2004

Patient Data from 258 Centers (Survey at Dec 31th, 2003, estimate total Thai population 64 M) total %per M pop Point Prevalence –HD –PD –KT with functioning graft –Total Incidence –HD –PD –KT –Total TRT Registry 2004 * KT data from 3 University Hospitals were missing HD Prevalence adjusted factor: average patients / center = 33.5 HD Incidence adjusted factor: average patients / center = 13.4

Estimation for 2003 (Survey at Dec 31th, 2003, estimated total Thai population 64 M) total %per M pop Point Prevalence –HD –PD –KT with functioning graft –Total Incidence –HD –PD –KT –Total TRT Registry 2004

USRDS Data: International Report 2001 Point Prevalence of ESRD on Renal Replacement Therapy Thailand 2003 HD 187 pMp CAPD 16 pMp KT 32 pMp RRT 234 pMp TRT Registry 2004

USRDS Data: International Report 2001 Incidence of ESRD on Renal Replacement Therapy Thailand 2003 HD 75.0pMp CAPD 2.3 pMp KT 5.5 pMp RRT 82.8 pMp TRT Registry 2004

Patient Data TRT Registry 2004

Problem in Analysis Completion of patient data –Total record received7243 records –Reconfirmed data4333 records (59.8%) TRT Registry 2004

Reconfirmed Data TRT Registry 2004

Causes of Renal Replacement Therapy 2003 TRT Registry 2004

Mortality in 2003 Reported only in 161 patients (1.4% of alived patients) TRT Registry 2004