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1、Dialysis Equipment and Services Market 5th Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. THEWORLDWIDEMARKET FOR DIALYSIS EQUIPMENT,SUPPLIES AND SERVICES AKALORA
2、MA INFORMATION MARKETINTELLIGENCE REPORT The Worldwide Market for Dialysis Equipment, Supplies and Services has been prepared by Kalorama Information. We serve business and industrial clients in the United States and abroad with a complete line of information services and research publications. Kalo
3、rama Information Market Intelligence Reports are specifically designed to aid the action-oriented executive by providing a thorough presentation of essential data and concise analysis. Author: Melissa Elder Publication Date: April 2013 New York, New York (800) 298-5699 Outside the U.S. (212) 807-265
4、7 FAX: (212) 807-2676 www.KaloramaI E-MAIL: KLI1393075 COPYRIGHT 2013 Kalorama Information a division of MarketR, Inc. Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohib
5、ited. TABLE OF CONTENTS CHAPTER ONE: EXECUTIVE SUMMARY ? Background 1? Scope and Methodology 1? Size and Growth of the Market 2? Key Issues and Trends Affecting the Market .5? Leading Competitors .6? CHAPTER TWO: INTRODUCTION ? Overview of the Kidney 7? Kidney Diseases .12? Treatment Options 29? Dia
6、lysis 29? Kidney Transplant .33? The Artificial Kidney 39? Comparison of Treatment Options 39? In-Center Hemodialysis .39? Home Hemodialysis 40? CAPD (Continuous ambulatory peritoneal dialysis) .40? CCPD (Continuous Cycler Peritoneal Dialysis) .40? IPD (Intermittent Peritoneal Dialysis) .41? Kidney
7、Transplantation .41? Epidemiology and Demographic Patterns 42? ESRD Trends .42? Dialysis Treatment Demand 46? Dialysis Treatment Preferences: Major Countries .48? CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET ? Overview .53? World Demographics 54? Prevalence of Diabetes 60? Diabetes in Europ
8、e 61? Diabetes in Africa, Middle East, Asia Pacific .63? Table of Contents Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Diabetes in North Ame
9、rica 66? Diabetes in South and Central America 68? Hospital Admissions for Infection 70? Hospital Days of Care .71? Admissions for Dialysis Patients .76? Increasing Life Expectancy Worldwide 78? Mortality and Dialysis Patients 80? Insurance and Reimbursement Issues .88? Reimbursement in the United S
10、tates .88? Access to Care for Native Populations Around the Globe .93? Trends in Kidney Transplantation 94? Transplant Tourism .99? Dialysis Treatment and Comfort .99? Dialysis-Specific Clothing 100? Dialysis on Cruise Ships 100? Home Dialysis 101? Heat Disinfection for Water Quality .102? Product D
11、evelopment and Innovation .103? Innovation Pathway at FDA 103? Dialyzers 103? Nephera Ltd .104? Prismaflex System Software .104? Wearable Artificial Kidney .104? Implantable Artificial Kidney .105? Consolidation and Joint Ventures in the Industry .105? Recent Activity .107 Outlook .108 Company Commi
12、tments to the National Salt Reduction Initiative .108? CHAPTER FOUR: DIALYSIS EQUIPMENT AND SUPPLIES MARKET ? Overview .111? Hemodialysis Products and Supplies .111? HD Machines .112? Blood Lines .117? Dialyzer Market .118? Table of Contents Copyright 2013 Kalorama Information Reproduction without p
13、rior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in an
14、y part, is strictly prohibited. Hemodialysis Access Products Market .121? Peritoneal Dialysis Products and Supplies 131? Peritoneal DialysisA Part of Integrated Care 133? Peritoneal Dialysis Transfer Sets 134? Peritoneal Dialysis Catheters .136? Peritoneal Dialysis Machines 137? Factors Affecting De
15、mand 139? Innovative Products .140? Fresenius Medical Care .143? Baxter International .145? Gambro 145? Market Overview by Region 146? United States 146? Japan 149? Germany 152? France 155? United Kingdom 157? Italy 161? Canada .163? India .165? China .166? Australia 167? Market Analysis .170? Marke
16、t Analysis by Country .173? Competitive Summary .175? CHAPTER FIVE: DIALYSIS SERVICES MARKET ? Overview .181? Dialysis Service Centers 181? New Trends in Nocturnal In-Center Dialysis 183? Leading Suppliers and Services .183? Fresenius Medical Care .183? DaVita .183? Kuratorium fr Dialyse .184? Marke
17、t Overview by Region 186? Regional Variation of Dialysis Cost 186? United States 187? Japan 189? Germany 190? France 190? Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part
18、, is strictly prohibited. Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. United Kingdom 191? Italy 191? Canada .192? India .192? China .193? Au
19、stralia 193? Market Analysis .195? Market Analysis by Country .198? Competitive Summary .200? CHAPTER SIX: MARKET AND COMPETITOR ANALYSIS ? Market Overview .203? Market Analysis by Country .207? Leading Competitors .209? Table of Contents Copyright 2013 Kalorama Information Reproduction without prio
20、r written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any p
21、art, is strictly prohibited. CHAPTER SEVEN: COMPANY PROFILES ? Overview .212? Asahi Kasei Medical 214? Company Overview .214? Financial Performance and Products .215? B.Braun AG .216? Company Overview .216? Financial Performance and Products .217? Baxter Healthcare 218? Company Overview .218? Financ
22、ial Performance and Products .219? Bellco .221? Company Overview .221? Financial Performance and Products .221? DaVita .223? Company Overview .223? Financial Performance and Products .224? Diaverum 225? Company Overview .225? Fresenius Medical Care 226? Company Overview .226? Financial Performance a
23、nd Products .227? Fuso Pharmaceutical .229? Company Overview .229? Gambro AB 230? Company Overview .230? Financial Performance and Products .231? Kawasumi Laboratories 232? Company Overview .232? Financial Performance and Products .233? Medionics International 234? Company Overview .234? Products .2
24、34? Nikkiso Medical .235? Company Overview .236? Financial Performance and Products .236? Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Table
25、of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Nipro Corporation .237? Company Overview .237? Financial Performance and Products .237? NxStage Medica
26、l 240? Company Overview .240? Financial Performance and Products .240? LIST OF MAJOR COMPANIES.243? Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibit
27、ed. LIST OF EXHIBITS Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. LIST OF EXHIBITS CHAPTER ONE: EXECUTIVE SUMMARY? Table 1-1 The Worldwide Di
28、alysis Market, 2007-2017 .3? Figure 1-1 The Worldwide Dialysis Market, 2007-2017 .3? CHAPTER TWO: INTRODUCTION? Table 2-1: Composition of Plasma, Nephric Filtrate, and Urine 9? Figure 2-1: Incidence of ESRD vs. Transplants in United States .35? Table 2-2: Kidney Transplant Rates by Country (31 Count
29、ries), 2005-2010 37? Figure 2-2: Kidney Transplant Rates by Country (31 Countries) 2010 .38? Table 2-3: Number of ESRD Patients by Geographical Region (United States, Japan, Brazil, France, United Kingdom, Canada, ROW) 2005-2010 42? Table 2-4: ESRD Prevalence by Country (36 Countries), 2005-2010 .43
30、? Figure 2-3: ESRD Prevalence by Country (36 Countries) 2010 45? Table 2-5: Number of Dialysis Patients by Geographical Region (North America, Asia-Pacific, EAME, Latin America) 2010 47? Table 2-6: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or Peritoneal Dialysis) in 40 Selected
31、Countries, 2000 and 2010 .49? Figure 2-4: Dialysis Modality Preference (Hemodialysis, Home Hemodialysis, or Peritoneal Dialysis) in 31 Selected Countries, 2000 51? CHAPTER THREE: ISSUES AND TRENDS AFFECTING THE MARKET? Table 3-1: World Population by Selected Geographical Region, 2010 - 2050 .55? Fig
32、ure 3-1: World Population by Selected Geographical Region, 20102050 .56? Figure 3-2: The World Population, 1980-2050 .57? Table 3-2: Percent Population Over 65 by Year and Region, 2010-2050 .58? Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in a
33、ny media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. Table of Contents Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibite
34、d. Figure 3-3: Estimated World Population by Age, 2010 and 2050 .59? Table 3-3: Global Diabetes Statistics Snapshot (2012) .61? Table 3-4: Europe Diabetes Statistics, 2012 61? Table 3-5: Europe Diabetes Statistics by Country, 2012 .62? Figure 3-4: Europe Diabetes Statistics by Country, 2012 63? Tabl
35、e 3-6: Africa, Middle East, Asia Pacific Diabetes Statistics, 2012 .64? Table 3-7: Africa, Middle East, Asia Pacific Diabetes Statistics by Country, 2012 65? Figure 3-5: Africa, Middle East, Asia Pacific Diabetes Statistics by Country, 2012 .66? Table 3-8: North America Diabetes Statistics, 2012 .67
36、? Table 3-9: North America Diabetes Statistics by Country, 2012 67? Figure 3-6: North America Diabetes Statistics by Country, 2012 68? Table 3-10: South and Central America Diabetes Statistics, 2012 .69? Table 3-11: South and Central America Diabetes Statistics by Country, 2012 .69? Figure 3-7: Sout
37、h and Central America Diabetes Statistics by Country, 2012 .70? Table 3-12: Adjusted All-Cause that is, about a quarter of a humans blood is in the kidneys at any one time. Every minute, more than 1 quart of blood passes through the kidneys, adding up to about 425 gallons of blood each day. The kidn
38、eys cleanse all of the blood in the body about every 50 minutes. The kidneys are part of the urinary tract, which also consists of ureters, the bladder, and urethra. These organs work together to produce, transport, store, and excrete urine, the yellowish fluid that contains waste products removed f
39、rom the blood. Urine contains the by- products of our bodys metabolism: salts, toxins, and water. The composition of urine can indicate pathology. For instance, blood, protein, or white blood cells in the urine may indicate injury, infection, or inflammation of the kidneys; glucose in the urine may
40、be an indication of diabetes. The kidneys lie just under the rib cage in the back, one on each side. The right kidney is located below the liver, so it is a little lower than the left one. Each kidney is about 5 inches long, 3 inches wide, and 1 inch thick. Each kidney has an outer layer called the
41、cortex, which contains Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. CHAPTER TWO Introduction OVERVIEW OF THE KIDNEY The kidneys, each about the size of a child
42、s fist, perform several functions essential to healththe most important of which is to filter blood and produce urine. Without the kidneys, waste products and other toxins would soon build up in the blood to fatal levels. The kidneys also regulate blood pressure, the level of vital salts in the bloo
43、d, and hormone secretion that controls the production of red blood cells. The kidneys represent about 0.5% of the total weight of the body, but receive up to 25% of the total arterial blood pumped by the heart; that is, about a quarter of a humans blood is in the kidneys at any one time. Every minut
44、e, more than 1 quart of blood passes through the kidneys, adding up to about 425 gallons of blood each day. The kidneys cleanse all of the blood in the body about every 50 minutes. The kidneys are part of the urinary tract, which also consists of ureters, the bladder, and urethra. These organs work
45、together to produce, transport, store, and excrete urine, the yellowish fluid that contains waste products removed from the blood. Urine contains the by- products of our bodys metabolism: salts, toxins, and water. The composition of urine can indicate pathology. For instance, blood, protein, or whit
46、e blood cells in the urine may indicate injury, infection, or inflammation of the kidneys; glucose in the urine may be an indication of diabetes. The kidneys lie just under the rib cage in the back, one on each side. The right kidney is located below the liver, so it is a little lower than the left
47、one. Each kidney is about 5 inches long, 3 inches wide, and 1 inch thick. Each kidney has an outer layer called the cortex, which contains Chapter Two: Introduction 8 Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter develop
48、ed, in whole or in any part, is strictly prohibited. Chapter Two: Introduction 8 Copyright 2013 Kalorama Information Reproduction without prior written permission, in any media now in existence or hereafter developed, in whole or in any part, is strictly prohibited. the filtering units. Its middle r
49、egion, the medulla, has 10 to 15 fan-shaped structures called pyramids. These pyramids drain urine into cup-shaped tubes called calyxes. A layer of fat surrounds the kidneys to cushion them and help hold them in place. At the place where the bean shape is dented, facing toward the center of the body, large blood vessels enter and leave the kidney. The renal artery sends fresh blood into the kidney to be filtered. Filtered bl