Addressing the burden of dialysis around the world: A summary of the roundtable discussion on dialysis economics at the First International Congress of Chinese Nephrologists 2015

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The prevalence of end‐stage renal disease (ESRD) and the demand for renal replacement therapy (RRT) is increasing worldwide. A roundtable discussion on ‘dialysis economics: sustainability of managing dialysis burden around the world’ was held on 11 December 2015 in Hong Kong during the First International Congress of Chinese Nephrologists.
The roundtable discussion had nephrology opinion leaders and dialysis experts from Hong Kong, China, Canada, England, Malaysia, Singapore, Taiwan and the United States who presented the current situation of RRT ways in addressing the burden of dialysis in their respective localities.
‘The incidence and prevalence of ESRD are increasing worldwide. By 2030, the worldwide use of RRT is projected to more than double to 5439 million people with the most growth occurring in Asia.1 Many ESRD patients in the low‐income countries do not have access to treatment for ESRD and might have died prematurely.1 Renal replacement therapy is an expensive treatment modality, and the cost of managing a patient on dialysis is estimated to be 6.8–48 times greater than the national average.2 The choice of the predominant mode of dialysis in many countries is influenced by cultural issues, economic considerations, reimbursement policy and the existing national healthcare system.
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