Renal Replacement Therapy in Canada in 2003

Chronic Kidney Disease (CKD) is classified into 5 stages by the Kidney Foundation of Unites States of America. This classification system has been widely accepted by the Nephrology community internationally. End stage renal disease (ESRD) represents the most severe category (Stage 5) where kidney function is at 15% or less of normal. Patients usually initiate renal replacement therapy (RRT) between 5 and 15% of normal. RRT consists of life long treatment with dialysis and/or a kidney transplant. Each year at least one in 10,000 Canadians starts RRT in Canada and one out of every 1,000 Canadians received RRT in the year 2003.

This issue of CORRinSites provides information on the distribution of RRT centers in Canada by province. The treatment modality distribution for patients on RRT in Canada is also reported. This information is summarized using data from the Facility Profile Questionnaire for December 31st 2003.

This report is presented in the following sections:

This information may be valuable to medical professionals, patients, students, journalists, health care planners, hospital providers and others interested in dialysis treatment.


  1. Incidence and prevalence of ESRD patients and number of dialysis and functioning transplant cases were calculated using collected patient level data after they were compared with the data obtained by the facility profile.
  2. The information on facilities providing haemodialysis and peritoneal dialysis practices was gathered using data collected from the year end annual survey among facilities providing care in Canada. Three facilities in BC (Royal Inland Hospital, Royal Columbian and New Westminster) did not report data for the year 2003.This results in a lower number of dialysis patients obtained by the survey compared to the patient level data.
  3. Provincial rates per million of the population for prevalent patients were obtained using the data from the facility survey and population numbers for Canada published by Statistics Canada.
  4. The abbreviations for the names of the provinces are used as following: AB (Alberta), BC (British Columbia), SK (Saskatchewan), MB (Manitoba), NS (Nova Scotia, /Prince Edwards Islands), NL (Newfoundland), ON (Ontario), NWT (North Western Territories) and QC (Quebec)

This issue of CORR inSITES was prepared by CIHI's CORR Senior Analyst, Lilyanna Trpeski with assistance of Norma Hall, analyst for CORR. CORR would like to acknowledge the contribution of Dr. Stanley Fenton, Senior Staff Physician, University Health Network, Emeritus Professor of Medicine, University of Toronto, in the preparation of this report.

This electronic report presents analyses that have not formerly been published by CIHI/CORR. This report was prepared in November 2005. Future estimates are subject to revision.

When using this report or parts thereof, please ensure appropriate citation.

Suggested citation:

Canadian Institute for Health Information (CIHI). (2005). Renal Replacement Therapy in Canada in 2003

The Canadian Organ Replacement Register (CORR) is the national information system that collects, records, analyzes and reports the level of activity and outcomes of vital organ transplantation and renal dialysis. Managed by the Canadian Institute for Health Information (CIHI), CORR provides statistics that track long-term trends for organ transplantation, organ donation and renal dialysis activity, and makes comparative data available in order to facilitate better treatment decisions.

The Canadian Institute for Health Information (CIHI) is an independent, pan-Canadian, not-for-profit organization working to improve the health of Canadians and the health care system by providing quality health information. CIHI's mandate, as established by Canada's health ministers, is to coordinate the development and maintenance of a common approach to health information for Canada. To this end, CIHI is responsible for providing accurate and timely information that is needed to establish sound health policies, manage the Canadian health system effectively and create public awareness of factors affecting good heath. CORR became a registry of CIHI in 1995.

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