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Dialysis Services Market - Global Outlook & Forecast 2022-2027

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  • 288 Pages
  • December 2022
  • Region: Global
  • Arizton
  • ID: 5699654
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The dialysis services market is expected to grow at a CAGR of 2.64% during 2021-2027. The market growth is driven by various factors, varying from region to region. In developed countries, the high expenditure and a large number of dialysis patient population drive market growth. On another side, increasing government initiatives to improve kidney health in developing countries and a broad patient population with chronic and acute kidney failure drive high demand for dialysis.

Dialysis is one of the essential medical procedures that help to remove excess fluid and waste products from the blood by filtering the blood when a patient’s kidney stops working correctly or thoroughly. The increasing prevalence of diabetes, hypertension and infectious diseases highly impacts kidney function. Currently dialysis services market shows progressive growth. The leading market players are interested in inorganic growth factors. Also, the COVID-19 pandemic impacted the market and brought new dimensions to home care dialysis services.

Globally, North America dominates the global dialysis services market. Further, the increasing prevalence of CKD and ESKD conditions in the US has increased expenditure and driven market growth. The United State Renal Data System 2020 Annual Data revealed that Medicare expenditure for dialysis services had risen recently. The annual spending per person was more than double for patients ages 66 and older with CKD conditions compared with those without CKD. Along with hemodialysis, peritoneal dialysis services penetration is increasing consistently in the US.



Home dialysis service adoption has significantly increased due to several factors like the COVID-19 pandemic, the increasing patient population, and technological advancements. The dialysis-required population is growing highly in low-middle-income countries. It increased the demand for home dialysis services. Globally, a substantial number of patients/people lack access to kidney care, and millions die due to kidney failure every year. Home dialysis services came forward in recent years to fill the gap in dialysis care & services access.


The shift towards mobile and ambulatory care has increased significantly in the dialysis services market due to the increasing burden on healthcare services. Now, dialysis services are available right outside of their homes. Mobile dialysis providers are rapidly increasing in developed countries. Growing expenditure on dialysis services and the availability of mobile dialysis services show significant market growth opportunities.



The global dialysis services market by service is segmented into hemodialysis and peritoneal dialysis. In 2021, the hemodialysis (HD) segment accounted for 87.50% industry share in the global dialysis market. In hemodialysis, the dialysis machine removes blood from the human body, filters it through the dialyzer, also known as an artificial kidney, and returns the cleaned blood to the body. It is widely available at the patient home, and the COVID-19 pandemic significantly improved the demand for home hemodialysis.

Hemodialysis is one of the most common and widely performed dialysis procedure forms of kidney replacement therapy in the world, with accounted for around 70% of all KRT and 89% of all dialysis. Further, around 90% of all patients receive hemodialysis, even if hemodialysis has drawbacks. In the US, the cost of hemodialysis care in the Medicare system is an average of USD 90,000 per patient yearly, for a total of USD 28 billion.

Segmentation by Service

  • Hemodialysis
  • Peritoneal Dialysis


The global dialysis services market by disease is segmented into chronic and acute kidney failure. The increasing prevalence of chronic and acute kidney failure conditions is one of the major factors driving the adoption of dialysis services. The higher prevalence of CKD across the world accounted for more than 10% population, which contributed to the higher segmental industry growth.

In 2021, the chronic kidney failure segment accounted for a higher market share of around 78.56% and is likely to dominate the industry throughout the forecast period. It is one of the leading immense public health concerns. There is already an increasing burden of diseases, and the cost of receiving suitable care for chronic kidney failure is overwhelming in many countries.

Segmentation by Disease

  • Chronic Kidney Failure
  • Acute Kidney Failure


The global dialysis services market is segmented by age group into those above 60 and below 60. The higher dialysis patient population accounted for more than 60 years of age. Globally, the rising aging population drives the significant growth of dialysis services. The increasing elderly/geriatric population with various kidney disorders is one of the major factors driving the industry's growth. WHO stated that the 60 years & over, the population will reach nearly double from 12% to 22% from 2015 to 2050. In addition, the less than the 60-year population is also growing rapidly, contributing to 1/3 of the dialysis patient population. In 2021, above 60 age group segments accounted for around 77.50% market share 2021.

Segmentation by Age Group:

  • Above 60
  • Less Than 60


In-center dialysis is one of the leading end-user segments, with a higher dialysis services market share in 2021. Leading industry players such as DaVita Inc. and Fresenius Medical accounted for the higher revenue by in-center dialysis delivery. In 2021, around 80% of dialysis revenue and 76% of dialysis treatment of DaVita accounted by the in-center dialysis segment.

The home dialysis segment accounts for 21.87% market share in the global dialysis services market and is growing at a CAGR of 3.26% during the forecast period. Home-based dialysis services include home hemodialysis and peritoneal dialysis. Many of the key dialysis service providers offer certain support services for dialysis patients who prefer and can perform either home hemodialysis or peritoneal dialysis in their homes. Home-based hemodialysis support services include equipment and supplies, training, patient monitoring, on-call support services, and follow-up assistance.

Segmentation by End-User

  • In-Center Dialysis
  • Home Dialysis
  • Hospital Dialysis


North America accounts for 32.56% of the market share in the global dialysis services market. It is one of the leading regions for dialysis services due to the high chronic kidney disease prevalence and constantly increasing dialysis services rate. Also, the higher healthcare expenditure and healthcare services availability are factors driving high consumption in the region. The rising prevalence of chronic kidney diseases and other chronic disorders are primary factors driving the industry growth in the region. In 2019, around 40 million adult patients population estimated with chronic kidney disorders significantly demanded dialysis services.

Behind North America, Europe is one of the rapidly growing regions with a strong presence of dialysis services network, and its industry share is expected to cross USD 24.71 billion by 2027. The consistently increasing prevalence of ESKD and a growing number of renal replacement therapies drive the significant demand for dialysis services in the region. The UK is one of the rapidly growing countries in Europe. Further, Italy holds a vital growth opportunity in dialysis services due to the country's increasing number of dialysis patients.

The APAC region is expected to witness the highest growth of 4.29% in the dialysis services market. The increasing prevalence of various chronic conditions and the increase in the number of patient pollution will lead to the demand for dialysis services. China and India are two major countries with higher prevalences of diabetes, hypertension, and infectious diseases, leading to increasing CKD and AKI prevalence. In addition, the introduction of country-based plans for reimbursement and increasing access to services drive the industry in this region.

Segmentation by Geography

  • North America
  • US
  • Canada
  • Europe
  • Germany
  • France
  • Italy
  • Spain
  • UK
  • APAC
  • Japan
  • China
  • South Korea
  • India
  • Australia
  • Latin America
  • Brazil
  • Mexico
  • Argentina
  • Middle East & Africa
  • Turkey
  • Saudi Arabia
  • South Africa


Braun Melsungen, DaVita, Dialysis Clinic (DCI), Fresenius Medical Care, and Innovative Renal Care are leading players in the global dialysis services market. The dialysis market is highly competitive due to domestic, regional, and international players. Also, the geographical presence of key industry players and their broad distribution channels increases market competitiveness through their primary dialysis services delivery strategies. During the pandemic, some key players have increased their dialysis delivery network through in-center dialysis, home dialysis, and hospital dialysis network, which helped to develop a solid customer base for industry players, providing high revenue growth.

Merger & Acquisitions: In recent years, several mergers and acquisitions have happened in the dialysis services market. Most prominent industry players acquired several small and mid-sized dialysis service providers for business expansion. After the COVID-19 pandemic, significant changes happened in the industry through mergers and acquisitions. The industry has become increasingly concentrated through mergers and acquisitions. Currently, dialysis services are provided by multinational and well-established firms.
  • Fresenius Medical Care entered into a new agreement to develop an independent new company. This will unite Fresenius health partners, such as Fresenius Medical Care, with the US Cricket Health leading patient engagement data platform and InterWell Health. This merger will help bring together the company’s health partners with kidney care expertise.
  • On January 25, 2021, the American Renal Associates company completed the transaction with Innovative Renal care.
  • In 2019, the US Renal Care company agreed to be acquired by Bain Capital Private Equity, Summit Partners (Private Investor Group).
  • In 2018, in India, the NephroPlus acquired DaVita care India's business segment, which pioneered kidney care. Under the acquisition agreement, NephroPlus received around 22 centers of DaVita Care (India).

Key Vendors

  • B.Braun Melsungen AG
  • Baxter
  • DaVita
  • Dialysis Clinic
  • Fresenius Medical Care
  • Innovative Renal Care
  • NephroPlus

Other Prominent Vendors

  • ARC Dialysis
  • Apollo Dialysis
  • Allmed Medical Care
  • ADMS (Atlantic Dialysis Management Services)
  • Apex Kidney Care
  • Centers for Dialysis Care
  • Diaverum Deutschland
  • Dialife SA
  • KfH Kidney Centre
  • Northwest Kidney Centers
  • Rogosin Institutes
  • Satellite Healthcare
  • Sanderling Healthcare
  • Terumo
  • US Renal Care


1. How big is the dialysis services market?
2. What is the growth rate of the dialysis services market?
3. Which region will dominate the global dialysis services market?
4. How big is the dialysis market in the US?
5. Who are the key players in the global dialysis services market?
6. What are the factors driving the dialysis services market?

Table of Contents

1 Research Methodology2 Research Objectives3 Research Process
4 Scope & Coverage
4.1 Market Definition
4.1.1 Inclusions
4.1.2 Exclusions
4.1.3 Market Estimation Caveats
4.2 Base Year
4.3 Scope of the Study
4.3.1 Market by Service
4.3.2 Market by Disease
4.3.3 Market by Age Group
4.3.4 Market by End-User
4.3.5 Market Segmentation by Geography
5 Report Assumptions & Caveats
5.1 Key Caveats
5.2 Currency Conversion
5.3 Market Derivation
6 Market at a Glance
7 Introduction
7.1 Overview
8 Premium Insights
8.1 Overview
8.2 Dialysis Services: Market Segmentation
9 Market Opportunities & Trends
9.1 Increasing Preferences for Home Dialysis
9.2 Increasing Mobile Dialysis Service
9.3 Increasing Government Initiatives for Kidney Health
10 Market Growth Enablers
10.1 Increasing Prevalence of Ckd & Eskd
10.2 Increasing Kidney Care Initiatives
10.3 Increasing Mergers & Acquisitions in Dialysis Service Industry
11 Market Restraints
11.1 Complications in Dialysis Services
11.2 Higher Mortality Rate Amongst Dialysis Patients
11.3 High Cost of Dialysis Services
12 Market Landscape
12.1 Market Overview
12.1.1 Service Type Segmentation
12.1.2 Disease Type Segmentation
12.1.3 Age Group Segmentation
12.1.4 End-User Segmentation
12.1.5 Geography Segmentation
12.2 Market Size & Forecast
12.3 Five Forces Analysis
12.3.1 Threat of New Entrants
12.3.2 Bargaining Power of Suppliers
12.3.3 Bargaining Power of Buyers
12.3.4 Threat of Substitutes
12.3.5 Competitive Rivalry
13 Service
13.1 Market Snapshot & Growth Engine
13.2 Market Overview
13.3 Hemodialysis
13.3.1 Market Overview
13.3.2 Market Size & Forecast
13.3.3 Market by Geography
13.4 Peritoneal Dialysis
13.4.1 Market Overview
13.4.2 Market Size & Forecast
13.4.3 Market by Geography
14 Disease
14.1 Market Snapshot & Growth Engine
14.2 Market Overview
14.3 Chronic Kidney Failure
14.3.1 Market Overview
14.3.2 Market Size & Forecast
14.3.3 Market by Geography
14.4 Acute Kidney Failure
14.4.1 Market Overview
14.4.2 Market Size & Forecast
14.4.3 Market by Geography
15 Age-Group
15.1 Market Snapshot & Growth Engine
15.2 Market Overview
15.3 Above 60-Age Group
15.3.1 Market Overview
15.3.2 Market Size & Forecast
15.3.3 Market by Geography
15.4 Less Than 60
15.4.1 Market Overview
15.4.2 Market Size & Forecast
15.4.3 Market by Geography
16 End-User
16.1 Market Snapshot & Growth Engine
16.2 Market Overview
16.3 In-Center Dialysis
16.3.1 Market Overview
16.3.2 Market Size & Forecast
16.3.3 Market by Geography
16.4 Home Dialysis
16.4.1 Market Overview
16.4.2 Market Size & Forecast
16.4.3 Market by Geography
16.5 Hospital Dialysis
16.5.1 Market Overview
16.5.2 Market Size & Forecast
16.5.3 Market by Geography
17 Geography
17.1 Market Snapshot & Growth Engine
17.2 Market Overview
18 North America
18.1 Market Overview
18.2 Market Size & Forecast
18.2.1 Market by Service
18.2.2 Market by Disease
18.2.3 Market by Age Group
18.2.4 Market by End-User
18.3 Key Countries
18.3.1 Us: Market Size & Forecast
18.3.2 Canada: Market Size & Forecast
19 Europe
19.1 Market Overview
19.2 Market Size & Forecast
19.2.1 Market by Service
19.2.2 Market by Disease
19.2.3 Market by Age Group
19.2.4 Market by End-User
19.3 Key Countries
19.3.1 Germany: Market Size & Forecast
19.3.2 France: Market Size & Forecast
19.3.3 Uk: Market Size & Forecast
19.3.4 Italy: Market Size & Forecast
19.3.5 Spain: Market Size & Forecast
20 Apac
20.1 Market Overview
20.2 Market Size & Forecast
20.2.1 Market by Service
20.2.2 Market by Disease
20.2.3 Market by Age Group
20.2.4 Market by End-User
20.3 Key Countries
20.3.1 China: Market Size & Forecast
20.3.2 Japan: Market Size & Forecast
20.3.3 India: Market Size & Forecast
20.3.4 South Korea: Market Size & Forecast
20.3.5 Australia: Market Size & Forecast
21 Latin America
21.1 Market Overview
21.2 Market Size & Forecast
21.2.1 Market by Service
21.2.2 Market by Disease
21.2.3 Market by Age Group
21.2.4 Market by End-User
21.3 Key Countries
21.3.1 Brazil: Market Size & Forecast
21.3.2 Mexico: Market Size & Forecast
21.3.3 Argentina: Market Size & Forecast
22 Middle East & Africa
22.1 Market Overview
22.2 Market Size & Forecast
22.2.1 Market by Service
22.2.2 Market by Disease
22.2.3 Market by Age Group
22.2.4 Market by End-User
22.3 Key Countries
22.3.1 Turkey: Market Size & Forecast
22.3.2 Saudi Arabia: Market Size & Forecast
22.3.3 South Africa: Market Size & Forecast
23 Competitive Landscape
23.1 Competition Overview
23.2 Market Share Analysis
23.2.1 B. Braun Melsungen AG
23.2.2 Baxter
23.2.3 Davita
23.2.4 Dialysis Clinic (Dci)
23.2.5 Fresenius Medical Care
23.2.6 Innovative Renal Care
23.2.7 Nephroplus
24 Key Company Profiles
24.1 B. Braun Melsungen AG
24.1.1 Business Overview
24.1.2 Service Offerings
24.1.3 Key Strategies
24.1.4 Key Strengths
24.1.5 Key Opportunities
24.2 Baxter
24.2.1 Business Overview
24.2.2 Service Offerings
24.2.3 Key Strategies
24.2.4 Key Strengths
24.2.5 Key Opportunities
24.3 Davita
24.3.1 Business Overview
24.3.2 Service Offerings
24.3.3 Key Strategies
24.3.4 Key Strengths
24.3.5 Key Opportunities
24.4 Dialysis Clinic Inc
24.4.1 Business Overview
24.4.2 Service Offerings
24.4.3 Key Strategies
24.4.4 Key Strengths
24.4.5 Key Opportunities
24.5 Fresenius Medical Care
24.5.1 Business Overview
24.5.2 Service Offerings
24.5.3 Key Strategies
24.5.4 Key Strengths
24.5.5 Key Opportunities
24.6 Innovative Renal Care
24.6.1 Business Overview
24.6.2 Service Offerings
24.6.3 Key Strategies
24.6.4 Key Strengths
24.6.5 Key Opportunities
24.7 Nephroplus
24.7.1 Business Overview
24.7.2 Service Offerings
24.7.3 Key Strategies
24.7.4 Key Strengths
24.7.5 Key Opportunities
25 Other Prominent Vendors
25.1 Arc Dialysis
25.1.1 Business Overview
25.1.2 Service Offerings
25.2 Apollo Dialysis
25.2.1 Business Overview
25.2.2 Service Offerings
25.3 Allmed Medical Care
25.3.1 Business Overview
25.3.2 Service Offerings
25.4 Adms
25.4.1 Business Overview
25.4.2 Service Offerings
25.5 Apex Kidney Care
25.5.1 Business Overview
25.5.2 Service Offerings
25.6 Centers for Dialysis Care
25.6.1 Business Overview
25.6.2 Service Offerings
25.7 Diaverum Deutschland
25.7.1 Business Overview
25.7.2 Service Offerings
25.8 Dialife Sa
25.8.1 Business Overview
25.8.2 Service Offerings
25.9 Kfh Kidney Centre
25.9.1 Business Overview
25.9.2 Service Offerings
25.10 Northwest Kidney Centers
25.10.1 Business Overview
25.10.2 Service Offerings
25.11 Rogosin Institutes
25.11.1 Business Overview
25.11.2 Service Offerings
25.12 Premier Dialysis
25.12.1 Business Overview
25.12.2 Service Offerings
25.13 Satellite Healthcare
25.13.1 Business Overview
25.13.2 Service Offerings
25.14 Sanderling Healthcare
25.14.1 Business Overview
25.14.2 Service Offerings
25.15 Terumo
25.15.1 Business Overview
25.15.2 Service Offerings
25.16 Us Renal Care
25.16.1 Business Overview
25.16.2 Service Offerings
26 Report Summary
26.1 Key Takeaways
26.2 Strategic Recommendations
27 Quantitative Summary
27.1 Market by Geography
27.2 Market by Service
27.3 Market by Disease
27.4 Market by Age Group
27.5 Market by End-User
27.6 Market by Service
27.6.1 Hemodialysis: Geography Insights
27.6.2 Peritoneal Dialysis: Geography Insights
27.7 Market by Disease
27.7.1 Chronic Kidney Failure: Geography Insights
27.7.2 Acute Kidney Failure: Geography Insights
27.8 Market by Age Group
27.8.1 Above 60: Geography Insights
27.8.2 Less Than 60:
Geography Insights
27.9 Market by End-User
27.9.1 In-Center Dialysis: Geography Insights
27.9.2 Home Dialysis: Geography Insights
27.9.3 Hospital Dialysis: Geography Insights
28 Appendix
28.1 Abbreviations

Companies Mentioned

  • B.Braun Melsungen AG
  • Baxter
  • DaVita
  • Dialysis Clinic
  • Fresenius Medical Care
  • Innovative Renal Care
  • NephroPlus
  • ARC Dialysis
  • Apollo Dialysis
  • Allmed Medical Care
  • ADMS (Atlantic Dialysis Management Services)
  • Apex Kidney Care
  • Centers for Dialysis Care
  • Diaverum Deutschland
  • Dialife SA
  • KfH Kidney Centre
  • Northwest Kidney Centers
  • Rogosin Institutes
  • Satellite Healthcare
  • Sanderling Healthcare
  • Terumo
  • US Renal Care


Our research comprises a mix of primary and secondary research. The secondary research sources that are typically referred to include, but are not limited to, company websites, annual reports, financial reports, company pipeline charts, broker reports, investor presentations and SEC filings, journals and conferences, internal proprietary databases, news articles, press releases, and webcasts specific to the companies operating in any given market.

Primary research involves email interactions with the industry participants across major geographies. The participants who typically take part in such a process include, but are not limited to, CEOs, VPs, business development managers, market intelligence managers, and national sales managers. We primarily rely on internal research work and internal databases that we have populated over the years. We cross-verify our secondary research findings with the primary respondents participating in the study.



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