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                             ONE-YEAR COMPARISONS
         TREATMENT                                          2016              2015           % CHANGE           PATIENTS
         HAEMODIALYSIS                                  1810              1763                +2.7%                    +47
         PERITONEAL DIALYSIS                          208                197                 +5.6%                    +11
         HOME HAEMODIALYSIS                        57                  55                   +3.6                       +2
         TRANSPLANT                                        2379              2314                +2.8%                    +65
         ESKD TOTAL                                         4454              4329                +2.9%                   +125

        57 patients. It is also interesting that above the imaginary  HD patients.
        line, from Dublin to Galway, there is nowhere that offers  With the completion of the new Beaumont and Limerick
        peritoneal dialysis (PD) locally in the patients’ choice of  facilities it is my belief that, after Tallaght Dialysis Unit is
        treatments. What is going on in this day and age?     replaced, all the hospital based facilities have now been
           PD might be a more practical option in this less   upgraded over the last 10 years or so.
        populated part of Ireland because of the longer journeys for  Is it time to consider smaller (4-6 station) HD facilities to
        patients. Must you have a local PD unit or could you be  capture the next phase of growth in areas of longer journey
        trained centrally for the treatment option to be given to  times? West Cork, Roscommon, south Tipperary, Clare,
        you? I will stand corrected if someone can offer a credible  Carlow, Wicklow, Nenagh, etc.
        answer to me.                                           I remember the argument over 12 years ago about the
           I am busy arguing in Europe that there is a question to  25 people in the midlands travelling to Dublin and Galway.
        be asked in certain countries about the patients’ choice of  Now Tullamore is the fourth largest HD centre in the
        treatment options, particulalry about transplantation, but  country with 113 patients. If you build  HD centres locally,
        also about PD.                                        the individuals and the GP’s will  consider HD as a
           Does my own backyard have a problem also?          treatment option without having to consider the long
           Certainly not in kidney transplantation. When compared  journey times in their decision-making process.
        with other European countries we stand up high in the fact  If dialysis transport costs were more visible to the HSE,
        that 2,379 of our patients with End Stage Kidney Disease  I think they would see the merits of this idea of smaller
        (ESKD) or 53.4% are transplanted.                     local HD satellite units. The 7-8 hour dialysis day for some
           In the last 2 years, commercial satellite units have grown  patients could be transformed to a 5 hour day.
        from 5 to 7. 405 patients to 524, a growth of almost 30%  Why not achieve this goal?
        and they stand now with a similar percentage of 29% of all

          5 YEAR COMPARISON ADULT HAEMODIALYSIS BY UNIT TYPE
                                                                       2016              2011           5 YEAR CHANGE            %
         HSE Hospital Renal Unit (11)              1121              1027                      +94                     +9%
         HSE Hospital Satellite Unit (3)             152                133                       +19                    +14%
         Commercial Satellite Unit (7)               524                290                      +134                   +34%
         Northern Ireland (2)                               6                    7                          -1                          –
         Home Haemodialysis                            57                  20                        +37                   +285%
         TOTAL                                                   1860              1579                     +283                   +18%

          NO. OF PATIENTS ON DIALYSIS DECEMBER 2006-2016


               2100

                                                                                                  2015     2075
               2000
            No. of Patients  1900                       1782    1795     1828    1831     1894





               1800


               1700
                                       1619    1679
               1600
                              1540
                      1500
               1500
                     2006     2007     2008    2009     2010    2011     2012    2013     2014    2015     2016

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