Malaysian Society of Nephrology Ministry of Health Malaysia

WHY focus on the effective

management of chronic kidney disease?

• Global maintenance dialysis population from 1990 to 2010

Worldwide rising trend in the incidence of ESRD and the number of new dialysis patients

Renal Replacement Therapy in Malaysia Prevalence Rate 1980 - 2003

Year 2000 2001 2002 2003 2004

New Dialysis Patient 1811 2036 2223 1992 2538

% unknown cause 30 31 31 30 28

% diabetic nephropathy 45 46 50 51 54

% glomerulonephritis 9 7 6 5 4

% SLE 2 2 1 1 1

% polycystic kidney disease 1 2 1 1 1

% obstuctive nephropathy 3 4 3 3 3

% hypertension 12 9 7 7 8

% toxic nephropathy 0 1 0 0 1

% miscellaneous 1 1 1 1 1

RENAL REPLACEMENT PROGRAM-MALAYSIAPrimary Renal Disease 2000 – 2003

Percent of incident dialysis patients with diabetes 2002

0 10 20 30 40 50 60

CroatiaQatar

CanadaAustria

GermanyTaiwan

JapanFinland

Rep of KoreaU.S.

New ZealandTurkey

Spain/Canary Is.Malaysia

Percent of patientsSource :USRDS

The Burden of ESRD:

• Economic

• Medical

• Social

End Stage Renal Disease

Dialysis mode Cost per life year saved

Haemodialysis

CAPD

RM 33,642

RM 31,635

Hooi et al, Nephrology, 2005

• Economic

• Medical

• Social

The burden of ESRD

Medical burden of ESRD

• Patients with ESRD have other medical problems especially Cardiovascular diseases

Cardiovascular mortality in dialysis patients is 10 – 20 times higher than in the general population (GP)

More elderly patients are being accepted for dialysis

Increased Co-morbidity

The Medical Burden Of Chronic Renal Failure

ESRD due to diabetes is frequently accompanied by other organ complications of diabetes

The Medical Burden Of Chronic Renal Failure

• Economic

• Medical

• Social

The burden of ESRD

Kidney Health Education Campaign

“The Freedom to Live”

A Public Service Effort by the Malaysian Society of Nephrology

(MSN) in collaboration with Baxter

Campaign Objectives

• Increase general public awareness regarding kidney disease, causes and prevention

• Educate patients on proper management to prevent disease progression

• Educate patients on effective treatment of kidney failure : Haemodialysis, Peritoneal dialysis and Transplant

The campaign

• Integrated media campaign

• Comprehensive, focused coverage in targeted publications ( dailies, magazines) and broadcast media (TV, radio) over a 12 month period

• Overall positioning: Call for early detection and proper management of kidney disease

“The Freedom to Live”

Rationale

*Prevention / proper treatment of kidney disease preserves the quality of life

*It is still possible to lead a full and active life, with a few adjustments to accommodate their treatment

Key messages

• Kidney disease is a serious disease -

if not properly managed it may cause severe loss in the quality of life and even death

Key messages

• With the increase in the number of diabetic and hypertensive patients in our population, there is an increasing number of patients at risk of chronic kidney disease

Prevention is of utmost importance

Key messages

• Progression of kidney disease can be prevented by

-early detection

-blood pressure control

-blood sugar control

-other specific measures

Key messages

• Effective treatment for kidney failure is available

-Peritoneal dialysis

-Haemodialysis

-Transplant

Key messages

• It is possible to enjoy the freedom to live through improved quality of life when kidney disease is properly treated and managed

Thank You