Provision of Peritoneal Dialysis Treatment in Canada

The number of centers offering any type of peritoneal dialysis in Canada remained stable between 1999 and 2003 (76.0 and 78.0 respectively). At year-end, the peritoneal dialysis patients PMP remained the same or decreased in the year 2003 compared to the rates in 1999 among almost all of the provinces except for Alberta, British Columbia and Saskatchewan. (Figure 17). The highest rate in 2003 was observed in New Brunswick being 217.0 PMP and the lowest of 79.0 PMP in Alberta.

The overall proportion of incident and prevalent patients on peritoneal dialysis in Canada decreased to 17.9% and 19.1% respectively (Figure 18). A similar decrease of both rates was observed in all provinces except for Saskatchewan where the proportion of incident patients increased, and British Columbia where the proportion of prevalent patients remained unchanged.

Two main types of peritoneal dialysis; continuing ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) seem to have switched roles in peritoneal dialysis practice in Canada (Figure 19). In 2003, the most common form of peritoneal dialysis in Canada became APD, with 3,518.0 patients representing 52.0% of the total on peritoneal dialysis in comparison with the much higher proportion of CAPD of 64.0% in 1999.

Looking by province, the trend of an increasing proportion of APD treatment in Canada was noted (Figure 20) when compared with 1999, except for Saskatchewan. Most recently in 2003, the proportion of APD is close to or over 60.0% in Manitoba, Ontario and BC. The largest increase, over 100.0%, was observed for APD in BC, which was noted to be 56.0% in 2003. The lowest proportion for APD (28.0%) was seen in Nova Scotia.