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Malaysian Society of Nephrology Ministry of Health Malaysia

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  • GM everyone and thank you for being here. im going to start off in the first half by providing u with a brief overvw of te facts and figures pertaining to renal disease here in Malaysia. so as to set the stage for the second half where I will cover the rationale and objectives of the Fr to Live campaign .
  • The reason is this – there is an alarming trend worldwide for a rising incidence of ESRD…. In fact it is estimated that the no.of global dialysis pts will almostdouble from the year 2000 to the year 2010 to reach more than 2 million people
  • This is Data from our malaysian NRR which shows the rising number of patients being accepted onto dialysis in our country
  • There are many different causes of kidney failure but diabetes is responsible for an ever increasing no. of cases.. This is similar to the trend seen worldwide
  • ESRD places enormous burdens on the individual as well as the country’s health care resources. We can classify the impact of ESRD in terms of the economic, medical and social consequences
  • Rx of ESRD is very costly for e.g. in the US the cost of RX in 1997 was 13 billion USD
  • In Malaysia , the cost per life year saved is RM 33,642 for HD and 31,635 for CAPD.
  • There is aso a significant medical burden a/w ESRD
  • In fact studies have shown that deaths from CVd are 10-20 times higher c.f. the gen pop
  • The medical burden is also increasing b/c…. This pt population is more likely to have other medical problems apart from kidney failure d/t their advanced age
  • At the same time ESRD….such as in the brain, heart, peripheral blood vessels and eyes.
  • Last but not least there is the social burden of ESRD.
  • So The need to prevent or retard the progression of renal disease is obvious. This is why the MSN in collaboration with Baxter have developed a kidney health education campaign, entitled”Freedom….”
  • This campaign takes the form of a integrated….
  • The theme of this campaign, “the Freedom …” was chosen because we hope to reach the public with the message that prevention or proper Rx….. We also want to encourage and educate patients that even with advanced kidney disease, it is …
  • In closing I would just like to reiterate the key messages. Firstly,
  • Finally,
  • Transcript

    • 1. WHY focus on the effective management of chronic kidney disease?
    • 2. Worldwide rising trend in the incidence of ESRD and the number of new dialysis patients
      • Global maintenance dialysis population from 1990 to 2010
    • 3. Renal Replacement Therapy in Malaysia Prevalence Rate 1980 - 2003
    • 4. RENAL REPLACEMENT PROGRAM-MALAYSIA Primary Renal Disease 2000 – 2003 8 7 7 9 12 % hypertension 1 0 3 1 1 5 51 30 1992 2003 1 1 3 1 1 4 54 28 2538 2004 1 1 4 2 2 7 46 31 2036 2001 1 1 % miscellaneous 0 0 % toxic nephropathy 3 3 % obstuctive nephropathy 1 1 % polycystic kidney disease 1 2 % SLE 6 9 % glomerulonephritis 50 45 % diabetic nephropathy 31 30 % unknown cause 2223 1811 New Dialysis Patient 2002 2000 Year
    • 5. Source :USRDS
    • 6.
      • The Burden of ESRD :
      • Economic
      • Medical
      • Social
      End Stage Renal Disease
    • 7.  
    • 8. Hooi et al, Nephrology, 2005 RM 33,642 RM 31,635 Haemodialysis CAPD Cost per life year saved Dialysis mode
    • 9.
      • Economic
      • Medical
      • Social
      The burden of ESRD
    • 10. Medical burden of ESRD
      • Patients with ESRD have other medical problems especially Cardiovascular diseases
    • 11. Cardiovascular mortality in dialysis patients is 10 – 20 times higher than in the general population (GP)
    • 12. More elderly patients are being accepted for dialysis Increased Co-morbidity The Medical Burden Of Chronic Renal Failure
    • 13.
      • ESRD due to diabetes is frequently accompanied by other organ complications of diabetes
      The Medical Burden Of Chronic Renal Failure
    • 14.
      • Economic
      • Medical
      • Social
      The burden of ESRD
    • 15. Kidney Health Education Campaign
      • “ The Freedom to Live”
      • A Public Service Effort by the Malaysian Society of Nephrology (MSN)
      • in collaboration with Baxter
    • 16. Campaign Objectives
      • Increase general public awareness regarding kidney disease, causes and prevention
      • Educate patients on proper management to prevent disease progression
      • Educate patients on effective treatment of kidney failure : Haemodialysis, Peritoneal dialysis and Transplant
    • 17. The campaign
      • Integrated media campaign
      • Comprehensive, focused coverage in targeted publications ( dailies, magazines) and broadcast media (TV, radio) over a 12 month period
      • Overall positioning: Call for early detection and proper management of kidney disease
    • 18. “The Freedom to Live”
      • Rationale
      • *Prevention / proper treatment of kidney disease preserves the quality of life
      • *It is still possible to lead a full and active life, with a few adjustments to accommodate their treatment
    • 19. Key messages
      • Kidney disease is a serious disease -
      • if not properly managed it may cause severe loss in the quality of life and even death
    • 20. Key messages
      • With the increase in the number of diabetic and hypertensive patients in our population, there is an increasing number of patients at risk of chronic kidney disease
      • Prevention is of utmost importance
    • 21. Key messages
      • Progression of kidney disease can be prevented by
      • -early detection
      • -blood pressure control
      • -blood sugar control
      • -other specific measures
    • 22. Key messages
      • Effective treatment for kidney failure is available
      • -Peritoneal dialysis
      • -Haemodialysis
      • -Transplant
    • 23. Key messages
      • It is possible to enjoy the freedom to live through improved quality of life when kidney disease is properly treated and managed
    • 24.
      • Thank You