Global peritoneal dialysis market is estimated to be valued at USD 9.42 Bn in 2024 and is expected to reach USD 13.90 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 5.7% from 2024 to 2031.
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Growing incidence of end-stage renal disease (ESRD) globally due to rising geriatric population and increase in prevalence of lifestyle diseases such as diabetes and hypertension can boost demand for peritoneal dialysis. Favorable government initiatives like Medicare and Medicaid Coverage (U.S.) and reimbursement programs for dialysis boosts the adoption of peritoneal dialysis. Furthermore, innovations in peritoneal dialysis solutions and systems by leading players can provide less painful and more convenient treatment options, which will attract more ESRD patients to opt for peritoneal dialysis.
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Insights By Product Types - Rising prevalence of kidney diseases drives demand for peritoneal dialysis solutions
In terms of product types, peritoneal dialysis solutions segment is expected to dominate the market with 42.1% market share in 2024, due to the growing incidence of chronic kidney and end-stage renal diseases. These solutions, essential for peritoneal dialysis therapy, generate the highest revenue. Innovations in composition, such as advanced pH buffers, osmotic agents, and electrolytes, have improved their effectiveness and biocompatibility, boosting its global demand.
Insight, By Applications – Automated peritoneal dialysis (APD) segment leads owing to clinical advantages
In terms of applications, automated peritoneal dialysis (APD) segment is estimated to contribute the highest market share of 52.12% in 2024, owing to increasing adoption of automated peritoneal dialysis systems. APD offers several clinical advantages over continuous ambulatory peritoneal dialysis (CAPD) such as improved clearance of waste products, flexibility in treatment schedules and improved quality of life. With technological advancements, modern APD systems have become compact, easy to use and programmable. This has boosted their adoption significantly.
Insights By End User- Rising elderly population boosts adoption in hospitals
In terms of end user, hospitals segment is estimated to contribute the highest market share of 32.12% in 2024, owing to rising elderly population globally. Elderly are more vulnerable to develop chronic kidney diseases due to age related complications. With aging population worldwide, prevalence of kidney failure cases increases steadily. This has increased the dependency on hospitals-based dialysis procedures including peritoneal dialysis.
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Dominating Region- North America
North America is expected to dominate the peritoneal dialysis industry with an estimated market share of 37.2% in 2024, due to factors such as strong healthcare infrastructure and widespread medical insurance coverage. Government initiatives, like Home Dialysis Incentives (U.S.) to promote home-based dialysis therapies, have also contributed to larger patient population opting for peritoneal dialysis. In February 2023, the National Kidney Foundation's Innovation Fund provided support to Relavo, a company focused on developing home dialysis solutions powered by PeritoneX technology.
Fastest-Growing Region- Asia Pacific
Asia Pacific region exhibits the fastest growth, due to growing incidences of kidney diseases such as diabetes and hypertension. Many countries like India are actively working to expand healthcare access, and this boosts adoption of peritoneal dialysis technologies. Improving IP environment also encourages local manufacturers to enter the market.
Peritoneal Dialysis Market Outlook for Key Countries
U.S.- Leading Market with Advanced Healthcare Infrastructure
The U.S. peritoneal dialysis industry is projected to witness growth significantly due to high prevalence of ESRD and well-established healthcare system. In January 2022, according to the National Kidney Foundation, approximately 785,000 Americans live with kidney failure, with a significant portion relying on dialysis treatments.
Canada- Government Support and Increasing Awareness
Canada's market is expanding due to government initiatives such as provincial reimbursement programs in Canada promoting home dialysis. In October 2024, the Canadian government announced new funding to expand home dialysis programs, with the goal of improving access for patients, particularly those in remote areas. This initiative is designed to make home-based dialysis treatments more widely available and reduce the need for patients to travel long distances for in-center care.
Japan- Technological Innovations and Aging Population
Japan's peritoneal dialysis market is characterized by advanced medical technology and rapidly aging population. In April 2020, the Ministry of Health reported that over 30% of dialysis patients in Japan uses peritoneal dialysis, reflecting the country's commitment to improving patient care.
China- Rapid Growth Driven by Healthcare Reforms
China's peritoneal dialysis industry is experiencing rapid growth due to healthcare reforms and increasing awareness of dialysis options. In March 2023, as per the National Library of Medicine, the number of patients receiving peritoneal dialysis has doubled in the past five years, highlighting the growing acceptance of this treatment in China.
India- Emerging Market with Rising Healthcare Investments
India's peritoneal dialysis industry is growing due to increased healthcare investments and awareness of kidney diseases. In August 2023, the Indian government launched initiatives like Pradhan Mantri National Dialysis Programme, to promote home dialysis, which is expected to drive market growth significantly.
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Top Strategies Followed by Global Peritoneal Dialysis Market Players
Emerging Startups in the Global Peritoneal Dialysis Market
Innovative Technologies- Certain startups are developing cutting-edge solutions to disrupt the market. Medtronic plc tests implantable bio-artificial kidneys created through tissue engineering. In March 2024, AiCure launched an AI platform that monitors medication adherence during peritoneal dialysis treatment through smartphones.
Sustainable Solutions- Some startups focus on sustainability in peritoneal dialysis.In September 2023, Renewville designed a point-of-care water purification system for producing hygienic dialysate using offshore wind energy. Nephrogix developed a dialysis membrane made from renewable biopolymers that can be composted after use.
Market Contribution- Startups address unmet needs through niche innovations. Dialyze Direct provides on-demand dialysis services directly to patients. In August 2023, Quanta Dialysis Technologies created a simple, portable dialysis machine ideal for home healthcare.
Key Takeaways from Analyst
Growing prevalence of end-stage renal disease (ESRD) around the world can aid the market expansion. Rising geriatric population who are more prone to chronic kidney diseases can also boost demand for peritoneal dialysis treatments. However, factors like risk of peritonitis and mechanical failures associated with peritoneal dialysis poses threat to market players.
North America currently dominates the peritoneal dialysis market and is expected to retain its leading position due to availability of advanced dialysis products and rising healthcare spending in the U.S. and Canada. Within North America, the U.S. market holds the major share. Europe is also a prominent region and growing patient awareness about peritoneal dialysis therapies will support revenue growth in this region.
Asia Pacific region, especially China and India, presents lucrative opportunities and is projected to exhibit fastest growth over the forecast period. Increasing healthcare developments and improving reimbursement scenarios in developing Asian countries boosts the adoption of peritoneal dialysis therapies. Large dialysis dependent ESRD patient pool and rising healthcare expenditure drives the market growth.
Peritoneal Dialysis Market Report Coverage
Report Coverage | Details | ||
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Base Year: | 2023 | Market Size in 2024: | US$ 9.42 Bn |
Historical Data for: | 2019 to 2023 | Forecast Period: | 2024 to 2031 |
Forecast Period 2024 to 2031 CAGR: | 5.7% | 2031 Value Projection: | US$ 13.90 Bn |
Geographies covered: |
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Segments covered: |
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Companies covered: |
Baxter International Inc., Fresenius Medical Care AG & Co. KGaA, Medtronic plc, B. Braun Melsungen AG, Nipro Corporation, Cook Medical, Asahi Kasei Medical Co., Ltd., Gambro (part of Fresenius), Dialife SA, Renal Solutions, Inc., Toray Industries, Inc., Nihon Kohden Corporation, Baxter Healthcare Corporation, SWS Hemodialysis Care, Inc., and Astellas Pharma Inc. |
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Growth Drivers: |
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Restraints & Challenges: |
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Market Driver- Increasing prevalence of end-stage renal disease (ESRD)
Rising prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) across the world can boost demand for peritoneal dialysis treatment. In May 2024, according to the Centers for Disease Control and Prevention (CDC) 2023 Report, chronic kidney disease (CKD) affects approximately 35.5 million people in the U.S. annually. As per the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) in 2022, 25,499 individuals in the U.S. underwent kidney transplants.
Market Challenge- High costs associated with peritoneal dialysis equipment and solutions
Peritoneal dialysis requires specialized equipment and frequent dialysis solution exchanges, which leads to high treatment costs for patients. The equipment required includes a peritoneal dialysis cycler or other device to automate the fluid exchange process, specialized tubing sets and connectors, as well as sterile bags of dialysis solution that must be changed several times per day or week. The costs of these supplies and equipment pose a significant burden on healthcare systems and patients alike.
Market Opportunity- Technological advancements in dialysis equipment
Technological advancements have the potential to transform the peritoneal dialysis market and increase accessibility of treatment to more patients worldwide. New and innovative product designs allow for simpler, more user-friendly machines and systems that reduce cost of goods. Smaller, more portable cyclers have increased flexibility for home dialysis. Integrated automated systems help minimize human errors. Advances in biocompatible solutions reduce side effects like inflammation and allow for extended wear times of tubing and catheters between exchanges.
What growth in peritoneal dialysis market mean for different stakeholders?
Peritoneal dialysis industry has multiple players with varied designations and offers multiple opportunities based on their scope of operations.
Key Medical Devices Stakeholder
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Opportunities Due to Peritoneal Dialysis Industry Growth |
Retail Pharmacies |
Offering medical devices for home use, such as blood glucose monitors and digital thermometers, expanding product offerings and customer care services. |
Medical Device Manufacturers |
Expansion of product lines to include innovative devices such as wearables, smart implants, and AI-driven diagnostic tools. |
Healthcare Providers |
Opportunities to adopt and integrate cutting-edge medical devices into patient care, improving outcomes and expanding service offerings. |
Biotech Firms |
Collaborating on the development of combination products, such as drug-device combinations, offering new treatment options and expanding markets. |
Regulatory Affairs Specialists |
Growing demand for expertise in navigating the complex regulatory landscape for medical device approvals, ensuring compliance with global standards. |
Supply Chain and Logistics Providers |
Managing the distribution of sensitive and high-value medical devices, including ensuring compliance with medical regulations and standards. |
Medical Device Consultants |
Providing strategic guidance on product development, regulatory compliance, and market entry for medical device companies. |
Healthcare Training Institutions |
Expanding training programs to include the use of advanced medical devices, preparing healthcare professionals for the latest technological advancements. |
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About Author
Ghanshyam Shrivastava - With over 20 years of experience in the management consulting and research, Ghanshyam Shrivastava serves as a Principal Consultant, bringing extensive expertise in biologics and biosimilars. His primary expertise lies in areas such as market entry and expansion strategy, competitive intelligence, and strategic transformation across diversified portfolio of various drugs used for different therapeutic category and APIs. He excels at identifying key challenges faced by clients and providing robust solutions to enhance their strategic decision-making capabilities. His comprehensive understanding of the market ensures valuable contributions to research reports and business decisions.
Ghanshyam is a sought-after speaker at industry conferences and contributes to various publications on pharma industry.
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