Global Dialysis Services Market - Focused Insights 2024-2029

MARKET INSIGHTS

The global dialysis services market was valued at USD 75.32 billion in 2023 and is expected to reach USD 88.01 billion by 2029, growing at a CAGR of 2.63% during the forecast period. The market growth is mainly attributable to the increasing potential patient population with kidney diseases, the popularity and efficiency of dialysis services over alternative methods, rising attention, coverage, and expenditure on kidney care, and government support, accelerating the market growth. The kidney care sector is witnessed for continued development, investment, and funding to improve health services deliveries, access, and patient management. In the past few years, healthcare services have transformed from hospitals to homes, positively influencing demand for home dialysis services.

Dialysis is a clinical treatment that removes extra fluid and waste from the blood when kidneys cannot proceed with this procedure—those individuals who suffer from kidney failure. Two types of dialysis services are provided in healthcare settings: hemodialysis and peritoneal dialysis.

MARKET TRENDS & OPPORTUNITIES

Rapid Shift in Centralize Dialysis Services to Dialysis on Wheels

Dialysis is a life-saving therapy that replaces kidney function. Kidney health become a public health emergency in developing countries. It increases demand for better access to dialysis services LMICs. Mobile dialysis services bring dialysis services to underserved and remote areas, allowing patients to access dialysis. Furthermore, it reduces limitations and challenges regarding traveling and access to care. Moreover, these facilities are reducing the burden of centralized hospitals. Reduction in waiting time is a significant factor with decentralized and mobile dialysis service facilities. By decentralizing the dialysis services, these new facilities can help deliver required dialysis services on time and improve overall health outcomes and satisfaction. Mobile dialysis services can easily target those areas with a higher risk of kidney conditions and actively engage with at-risk patient populations. Also, it can enhance early screening and education and help identify and manage kidney diseases before they progress to requiring other dialysis facilities.

These facilities are proven to manage chronic kidney diseases through screening, monitoring blood pressure, managing medications, and coordinating care with other healthcare facilities. It can deliver training in home dialysis services directly to the patients. Mobile facilities integrate only the finest dialysis equipment and components that offer high-quality care and dialysis services.

Expanding Application of Home Dialysis Services & System Innovations

Worldwide, the rising interest in home dialysis (HD) utilization offers system innovations and higher revenue growth opportunities. The growing preference for home dialysis leads to increased patient and provides knowledge infrastructure innovations, including transitioning dialysis units and community dialysis houses, policies, and home-to-home transitions to reduce in-center dialysis causes and costs. According to Fresenius Medical Care, more than 4.2 million people were on dialysis globally, and 12% received home dialysis services in 2023. This number increased almost 2% from the COVID-19 pandemic. In upcoming years, the demand for home dialysis will rise significantly.

Furthermore, infrastructure, including community dialysis houses and transitional dialysis units, could increase self-care efficacy. From a policy perspective, adopting an HD preference mandate and offering financial support to recover increased costs for providers and patients can lead to a high uptake of home dialysis services.

Rising Preference for Dialysis Over Alternative Methos

Dialysis is a life-saving therapy that replaces kidney function. In recent years, as technology continues to develop home hemodialysis & peritoneal dialysis, the demand for dialysis services is increasing over alternative methods. Kidney transplantation is one of the alternative treatments in CKD and AKI management. However, the lack of access, lower number of donors, and high cost are some factors that positively influence the demand for dialysis services over kidney transplantation treatments.

A kidney transplant is a complex procedure. In addition, the requirement for suitable donors and risks associated with surgeries, infections, and rejection of kidneys are shifting patients and medical professionals towards dialysis services. Compared to the cost of kidney transplantation, there are challenges associated with suitable kidneys. In addition, despite having successful kidney transplantation surgeries, the risk associated with infections and proper functions is considerably high. It led to increasing demand for dialysis services.

INDUSTRY RESTRAINTS

Increasing Cost of Dialysis Services

The cost of dialysis services is a major obstacle for patients. The high cost of dialysis services hampers the market growth. Most patients do not receive health insurance through Medicare for kidney care, which creates limited access to dialysis services and poses an extreme cost burden. Some countries do not cover the charges for dialysis services. Many developing and underdeveloped countries lack insurance coverage, forcing them to pay for medical expenses, which is very expensive. According to the JAMA Internal Medicine, in 2021, monthly spending on outpatient dialysis services for end-stage-kidney- disease patients is three times higher for those insured in the individual market than Medicare-insured patients.

SEGMENT INSIGHTS

INSIGHT BY SERVICE

The global dialysis services market by service is segmented into hemodialysis and peritoneal dialysis. The hemodialysis segment holds the largest share of the global dialysis services market, followed by peritoneal dialysis. The segment's dominating share can be attributed to its effectiveness in treating obesity and abdominal scarring. Furthermore, patient commitment and training are not necessary for this service. Dialysis, particularly hemodialysis, is becoming increasingly readily available in high-income nations. Significant segmental expansion is also driven by increased efficiency, greater accessibility, and more affordable pricing.

INSIGHT BY DISEASE TYPE

The global dialysis services market by disease type is categorized into chronic kidney disease and acute kidney failure. Chronic kidney failure accounted for a higher market share and will likely dominate the market throughout the forecast period. Chronic kidney diseases can progress to end-stage kidney disease (ESKD) after some time. Due to the increasing prevalence of CKD, the person's kidney is unable to filter blood in some proportion, necessitating kidney replacement, renal replacement, or transplantation. Such a condition shows the gradual loss of kidney function over time. The prevalence of CKD is significantly high, and it demands dialysis treatments. Globally, millions of people are living with CKD, and it has become one of the leading public health concerns.

INSIGHT BY AGE GROUP

The global dialysis services market by age group is segmented into those above 60 and less than 60. In 2023, the above-60 age group held the largest global dialysis services market share. The aging population, their poor socioeconomic conditions, and the increasing prevalence of hypertension, diabetes, and viral infections, such as HIV, led to kidney disorders. These are the major causes of ESKD in people aged 60 and above. The increasing elderly/geriatric population with various kidney disorders is one of the major factors driving the market growth. The growing prevalence of ESKD among older people, such as those in the 65 and older age group, is significantly increasing the demand for renal replacement therapy.

INSIGHT BY PROVIDER

Home dialysis shows prominent growth based on the provider, with the highest CAGR during the forecast period. With the advent of home hemodialysis, the renal care sector has seen a major shift in recent years. First and foremost, home dialysis services substantially improve patients' quality of care and life. New technologies are transforming the dialysis sector on a worldwide scale. In addition, patients' interest in receiving home hemodialysis treatment has significantly increased due to worries about community-spread illness during the COVID-19 pandemic. Home dialysis services have been rising since 2010, as home dialysis and home hemodialysis services have proven to improve mortality outcomes, kidney functional status, and blood pressure control. Cost-effectiveness also fuels segmental growth.

GEOGRAPHICAL ANALYSIS

North America is one of the leading regions in the global dialysis services market due to the high prevalence of chronic kidney disease and the constantly increasing dialysis services rate. In North America, the US witnessed significant access to dialysis services, and Canada witnessed rising expenditure on dialysis services. The US dominates the region due to the high prevalence of kidney diseases and significant demand for dialysis services. The US people spend significantly on kidney diseases accounted for significant demand for dialysis services. Moreover, higher healthcare expenditure and availability of healthcare services drive the region's high utilization of dialysis services.

COMPETITIVE LANDSCAPE

The global dialysis services market report contains exclusive data on 27 vendors. The market is highly fragmented, and very few global companies dominate it. The market is characterized by many local vendors offering dialysis services in only one country. Though the market already has 100s of traditional dialysis service providers, new companies are coming into existence with innovative solutions and services. Fresenius Medical Care, DaVita, B. Braun, Dialysis Clinic, NephroPlus, Innovative Renal Care, and Baxter are some leading companies in the global dialysis services market. These vendors are continuously increasing their expansion with acquisitions of small dialysis provider entities and are expected to dominate the market with continued engagement in advanced dialysis service deliveries.