Table 1.
Basic information on chronic dialysis in Canada
| No. of patients on chronic dialysis in countrya | 22,100 |
| Incidence rate of ESKD pmppaa | 202 |
| Prevalent rate of ESKD pmppaa | 790 (dialysis only); 1350 (including transplant) |
| Mean age of incident patients,a yr | 63 |
| Prevalent patients on home dialysis,a % | 25 (20 PD and 5 HHD) |
| Location of dialysis units | Mainly hospital based |
| Economic model for dialysis units | Not for profit |
| Reimbursement per HDb | US$251b |
| Staffing in HD units | Mainly registered nurses |
| Typical patient-to-nurse ratio | 3:1 |
| Average duration of HD session, h | 3–4 |
| Proportion of patients on HD using fistula, graft, and catheterc | 36% fistula, 5% graft, 59% catheter |
| No. of times patient on HD seen by nephrologist | Once a week |
| Nephrologist reimbursement model for dialysis | Fee for service—mainly modality independent |
pmppa, per million population per year; PD, peritoneal dialysis; HHD, home hemodialysis; HD, hemodialysis.
a
On the basis of Canadian Registry 2016 data, which exclude Quebec from where data are not available (Quebec accounts for 22% of the Canadian population).
b
On the basis of Ontario HD “bundle.”
c
Data from Ontario Renal Network 2017.