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Annual Report 2016 Hemodialysis in the Kingdom of Saudi Arabia

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Page 1: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Annual Report 2016

Hemodialysis in the Kingdom of Saudi Arabia

Page 2: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Introduction

In 2016, a total of 243 hospitals and dialysis centers were

recorded by SCOT in the Kingdom of Saudi Arabia. They were

classified into 5 sectors namely, the Ministry of health

(MOH), Gov’t Non-MOH, Private and Charitable Hospitals,

King Abdullah Hemodialysis Projects and Outsourcing

Dialysis Program (Davita and Diaverum). These centers were

facilitated by 250 Consultant nephrologists, 379

nephrologist specialist, 456 GP’s and 4506 Nurses are

distributed in these hospitals and dialysis centers

throughout the Kingdom, equipped with a total of 7,235

hemodialysis machines and 5,858 outlet connections.

By the end of the year, a total of 16,315 patients were

recorded on hemodialysis therapy, of these 4,150 were new

patients. Blood groups among dialysis patients were also

noted with blood type O averaging 50% and AB being the

least averaging less than 10%. Age Distribution of patients

reveals that most were in the productive age group of 26-65

years (69 %). Sex was also recorded showing that male

patients composed 56% of patients and female (44%). Saudis

represents 85% of HD patients on Dialysis compared to Non-

Saudi with 15%. Vascular access among dialysis patients

showed that AVF or arteriovenous fistulas was the most

preferred site with 61% of the patients having them.

Hepatitis B and C infection has been a continuous challenge

for health care providers and a lot of efforts to control them

were undertaken amongst patients undergoing

Hemodialysis. Hepatitis B infections were in good control

with 4% of patients infected this year; it is worth mentioning

that the number of patients with Hepatitis C has been

continuously declining for the past five years with the

current average of 12% this year. Primary cause of ESRD was

hypertension (38%) and Diabetes Mellitus 40% is the leading

cause of ESRD.

The proportion of hemodialysis patients treated with

Erythropoietin ranges between zero and 100% with average

of 83%. Oral Vitamin D was given to 53% of patients, while

13% of them receive it via injectable. Other medications such

as insulin and oral hypoglycemic were also utilized with 24%

of patients are receiving insulin, 10% are on oral

hypoglycemic and 11% were put on diet control.

Active HD patient’s blood levels such as Hematocrit, albumin

and calcium were also monitored. In which, 19% of HD

patients have Hct level of < 30%, 12% have albumin of <30

g/dl, 26% have phosphorous levels greater than 1.9 µmol/L

and 24% have calcium levels of less than 2.1 µmol/L.

Of the 16,315 patients on HD, 2,708 (17%) are in the active

waiting list or those patients evaluated and are ready for

renal transplantation. While the mortality rate among HD

patients by the end of 2016 is10%.

The number of Dialysis patients is increasing continuously

over the last years; it is expected to exceed the 20,000

patients by the end of 2020.

Page 3: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.1. Hemodialysis Centers in Saudi Arabia – MOH Sector Riyadh Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow up

Tx. Pts 2016

King Salman Center for Kidney Disease Riyadh 5 8 19 88 78 123 305 0

King Saud Medical City, Riyadh 6 10 14 172 57 102 233 270

King Khalid Hospital, Al Kharj 0 3 9 27 27 63 110 7

Wadi Dawasir General Hospital 0 0 2 10 20 35 85 0

Al Aflaj General Hospital 0 1 1 9 20 33 52 2

King Salman Hospital Riyadh 1 2 4 21 14 28 52 0

King Khalid Hospital, Majma'ah 0 1 1 12 10 22 40 0

Al Qawaeyah General Hospital 0 1 2 8 17 21 38 0

Shagra General Hospital 0 1 1 8 15 19 36 0

Afif General Hospital 0 0 1 7 15 36 35 0

Al Zulfi General Hospital 0 0 2 7 18 25 32 0

Hotat Bani Tamim General Hospital 0 0 2 7 12 10 32 0

Dawadmi General Hospital 0 1 1 12 20 40 27 0

Prince Salman Bn Mohd Hospital, Delim 0 0 2 9 12 12 22 0

Al Iman General Hospital 0 0 1 8 5 14 21 0

King Saud Medical City, Riyadh (Pediatric) 4 4 0 15 9 13 19 0

Al Sulayel General Hospital 0 0 2 4 14 16 17 0

Huraimala General Hospital 0 1 1 4 6 12 17 0

Hotat Sudair General Hospital 0 0 1 5 9 18 15 0

Artawiya General Hospital 0 0 2 5 9 16 15 0

Sajir General Hospital 0 0 2 2 10 10 15 2

Ruwaidah Hospital 0 0 1 3 8 9 14 2

Al Muzahimiya General Hospital 0 0 1 3 6 12 12 0

Rumah General Hospital 0 0 1 3 5 6 8 0

Al Ghat General Hosptal (PNSSH) 0 0 1 4 16 16 7 0

Nafee General Hospital 0 0 1 3 14 10 6 0

Thadiq General Hospital 0 0 2 3 12 23 5 0

Tumair General Hospital 0 0 2 2 8 7 5 0

King Fahad Medical City, Riyadh 5 3 0 48 14 14 2 86

Total: 29 21 36 79 509 480 765 1277 369

Page 4: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.1. Hemodialysis Patients in Saudi Arabia – MOH Sector Riyadh Region

Hospital Name Non-

Saudi Pts

New Pts.

in 2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

King Salman Center for Kidney Disease Riyadh 0 17 41 22 0 0 25 18 98 117 20

King Saud Medical City, Riyadh 14 23 66 8 1 0 4 81 105 47 38

King Khalid Hospital, Al Kharj 21 20 35 3 0 0 6 6 0 45 24

Wadi Dawasir General Hospital 4 9 1 1 0 0 9 0 21 45 16

Al Aflaj General Hospital 1 12 10 1 0 0 8 0 29 23 7

King Salman Hospital Riyadh 2 11 13 1 0 0 2 4 45 3 9

King Khalid Hospital, Majma'ah 0 15 8 0 0 0 1 1 20 13 3

Al Qawaeyah General Hospital 0 14 2 1 0 0 0 3 8 17 2

Shagra General Hospital 1 6 2 0 0 1 3 2 16 9 5

Afif General Hospital 1 6 6 2 0 0 6 14 15 2 0

Al Zulfi General Hospital 2 8 5 0 0 0 2 0 15 10 3

Hotat Bani Tamim General Hospital 0 5 3 1 0 0 2 8 9 5 1

Dawadmi General Hospital 2 11 2 2 0 0 5 0 0 0 5

Prince Salman Bn Mohd Hospital, Delim 3 10 4 0 0 0 0 4 6 12 2

Al Iman General Hospital 2 3 4 1 0 0 1 0 10 11 1

King Saud Medical City, Riyadh (Pediatric) 7 10 0 0 0 18 0 0 32 0 0

Al Sulayel General Hospital 0 2 1 1 0 0 2 0 3 14 0

Huraimala General Hospital 1 2 2 0 0 0 4 0 7 9 0

Hotat Sudair General Hospital 1 7 2 0 0 0 1 0 4 9 0

Artawiya General Hospital 0 15 2 0 0 0 2 0 8 7 0

Sajir General Hospital 3 4 2 1 0 0 3 7 7 1 0

Ruwaidah Hospital 0 3 2 0 0 0 2 1 1 6 2

Al Muzahimiya General Hospital 0 1 1 0 0 0 3 0 2 6 0

Rumah General Hospital 0 1 1 0 0 0 2 0 6 2 3

Al Ghat General Hosptal (PNSSH) 2 0 0 0 0 0 0 0 1 3 1

Nafee General Hospital 0 0 0 1 0 0 1 0 3 3 3

Thadiq General Hospital 0 1 0 0 0 0 0 0 2 3 0

Tumair General Hospital 0 0 0 0 0 0 0 0 2 3 0

King Fahad Medical City, Riyadh 0 0 0 0 0 0 2 0 0 2 0

Total: 29 67 216 215 46 1 19 96 149 475 427 145

Page 5: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.2. Hemodialysis Centers in Saudi Arabia – MOH Sector Makkah / Jeddah /Taif Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Al Noor Specialist Hospital 2 11 6 104 76 103 542 12

King Abdul Aziz Hospital, Makkah 0 4 5 61 31 52 122 2

Al Qunfudah General Hospital 1 3 4 20 32 52 96 0

King Faisal Hospital Makkah 1 5 5 29 28 39 59 0

Al Khurma Hospital 0 0 1 3 18 18 35 0

Al Laith General Hospital 0 0 1 7 16 21 34 0

Rabiq General Hospital 0 0 6 7 11 16 29 0

Turabah General Hospital 0 0 2 9 18 25 27 0

Raniah General Hospital 0 0 1 5 13 15 26 0

Adhum General Hospital 0 0 1 4 11 9 9 0

Messan General Hospital 0 0 1 4 6 11 5 0

King Fahad Hospital, Jeddah 4 8 12 101 0 0 0 0

Total: 12 8 31 45 354 260 361 984 14

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Al Noor Specialist Hospital 15 40 291 251 0 0 5 100 150 250 28

King Abdul Aziz Hospital, Makkah 5 28 19 5 0 0 2 75 27 20 10

Al Qunfudah General Hospital 9 43 17 3 0 0 6 25 30 20 14

King Faisal Hospital Makkah 0 9 13 2 0 0 0 17 18 24 5

Al Khurma Hospital 1 7 3 1 0 0 3 13 9 13 7

Al Laith General Hospital 0 15 6 2 0 0 2 0 16 7 2

Rabiq General Hospital 2 14 1 0 0 0 2 0 15 5 10

Turabah General Hospital 1 7 3 2 0 0 5 1 10 14 7

Raniah General Hospital 0 9 4 2 0 1 0 12 8 6 5

Adhum General Hospital 0 0 0 0 0 0 0 0 6 3 3

Messan General Hospital 1 0 1 0 0 0 0 0 2 1 0

King Fahad Hospital, Jeddah 0 0 0 0 0 0 0 0 0 0 0

Total: 12 34 172 358 268 0 1 25 243 291 363 91

Page 6: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.3. Hemodialysis Centers in Saudi Arabia – MOH Sector Madina Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow up

Tx. Pts 2016

King Fahad Hospital, Madinah 5 4 8 75 99 152 301 310

Yanbu General Hospital 0 1 3 21 26 33 57 0

Prince Abdul Mohsin Hospital. A1 Ulla 1 0 1 8 31 31 40 0

Badr General Hospital 0 1 1 6 20 21 37 0

Al Hanakiya General Hospital 0 1 1 8 30 30 30 0

Khaiber General Hospital 0 1 0 8 30 30 28 0

Al Mhad General Hospital 0 2 0 6 20 19 26 0

Al Eass General Hospital 0 0 1 3 9 13 18 0

Maternity and Children Hospital, Madina/ PD ONLY 3 1 0 0 0 0 0 0

Total: 9 9 11 15 135 265 329 537 310

Hospital Name

Non-

Saudi

Pts

New Pts.

in 2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts <

15 Yrs

Pts >

75 yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

King Fahad Hospital, Madinah 40 130 16 25 1 6 13 104 80 60 88

Yanbu General Hospital 6 8 0 0 0 3 10 0 13 12 4

Prince Abdul Mohsin Hospital. A1 Ulla 2 13 4 1 0 0 2 0 26 14 0

Badr General Hospital 0 6 2 1 0 1 1 2 16 8 4

Al Hanakiya General Hospital 1 6 1 2 0 0 0 0 11 19 5

Khaiber General Hospital 0 4 0 1 0 0 2 3 1 24 4

Al Mhad General Hospital 0 3 3 1 0 0 6 3 6 9 8

Al Eass General Hospital 0 6 0 0 0 0 5 0 10 4 3

Maternity and Children Hospital, Madina/ PD ONLY 0 0 0 0 0 0 0 0 0 0 0

Total: 9 49 176 26 31 1 10 39 112 163 150 116

Page 7: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.4. Hemodialysis Centers in Saudi Arabia – MOH Sector Tabuk Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx. Pts

2016

King Khalid Hospital, Tabuk 1 1 9 29 22 48 140 100

Al Hawraa Hospital Amloj 0 1 0 6 13 13 37 0

Tayma General Hospital 0 0 1 10 28 36 32 0

Dhuba General Hospital 0 0 2 11 30 30 30 0

Haql General Hospital 0 1 2 8 16 16 18 0

Al Bada General Hospital 0 0 1 8 12 8 15 0

Al Wajeh General Hospital 0 0 2 9 16 18 12 4

Total: 7 1 3 17 81 137 169 284 104

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

King Khalid Hospital, Tabuk 20 20 22 5 1 7 5 20 75 45 32

Al Hawraa Hospital Amloj 1 5 2 0 0 1 7 3 16 5 1

Tayma General Hospital 0 4 1 0 0 0 6 10 7 10 2

Dhuba General Hospital 2 5 3 1 0 0 0 0 18 10 4

Haql General Hospital 0 7 1 0 0 0 0 0 5 5 0

Al Bada General Hospital 0 4 3 0 0 0 0 0 12 3 0

Al Wajeh General Hospital 1 5 0 1 0 0 0 1 1 10 1

Total: 7 24 50 32 7 1 8 18 34 134 88 40

Page 8: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.5. Hemodialysis Centers in Saudi Arabia – MOH Sector Eastern / Al Hasa / Hafar Al Batin Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow up

Tx. Pts 2016

King Fahad Hospital, Hofuf 1 3 9 98 78 93 255 172

Dammam Medical Complex 5 7 10 188 72 105 218 64

King Khalid General Hospital, Hafar al Baten 1 2 6 30 42 56 118 25

King Fahad Specialist Hospital, Dammam 1 2 2 24 15 28 51 762

Al Jubail General Hospital 2 1 4 21 36 23 38 13

Al Nairiyiah General Hospital 0 1 2 8 16 13 37 0

Al Khafji General Hospital 0 1 1 10 19 14 24 0

Abgaig General Hospital 0 1 2 9 10 12 20 0

Rastanoura General Hospital 0 1 0 10 10 10 16 0

Al Rafiyah General Hospital 0 0 1 5 5 5 10 0

Al Gaissoma General Hospital 0 1 0 7 6 12 7 0

Qariya Oliya General Hospital 0 0 1 5 10 6 6 0

Prince Sultan bin Abdulaziz Hospital Urairah 0 0 1 4 5 5 5 0

Total: 13 10 20 39 419 324 382 805 1036

Hospital Name Non-

Saudi Pts

New Pts.

in 2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

King Fahad Hospital, Hofuf 8 138 21 3 1 0 14 43 83 123 49

Dammam Medical Complex 71 53 33 4 2 0 9 16 67 67 36

King Khalid General Hospital, Hafar al Baten 7 31 12 5 0 1 7 40 36 40 12

King Fahad Specialist Hospital, Dammam 2 11 4 1 0 8 3 11 10 30 2

Al Jubail General Hospital 9 6 1 3 0 0 5 2 18 12 5

Al Nairiyiah General Hospital 5 8 3 0 0 0 5 4 8 21 3

Al Khafji General Hospital 2 2 1 0 0 0 0 2 2 15 2

Abgaig General Hospital 5 2 3 1 0 0 0 5 6 6 2

Rastanoura General Hospital 0 6 3 1 0 0 2 1 1 14 0

Al Rafiyah General Hospital 1 2 1 0 0 0 3 1 1 6 0

Al Gaissoma General Hospital 0 5 0 0 0 0 0 2 2 3 2

Qariya Oliya General Hospital 0 2 1 0 0 0 1 0 2 3 0

Prince Sultan bin Abdulaziz Hospital Urairah 1 4 5 0 0 0 2 0 1 4 2

Total: 13 111 270 88 18 3 9 51 127 237 344 115

Page 9: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.7. Hemodialysis Centers in Saudi Arabia – MOH Sector Qassim Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Al Rass General Hospital 1 2 1 12 15 20 68 0

King Fahd Specialist Hospital, Buraida 5 5 4 38 32 48 49 0

Al Bukariya General Hospital 0 1 2 9 15 23 38 0

Al Midnab General Hospital 0 0 3 9 12 20 30 0

Al Badaya General Hospital 0 0 2 8 9 18 30 0

Riyadh Al Khabra General Hospital 0 0 1 6 10 25 27 0

Ayun Al Juwah General Hospital 0 0 1 8 5 11 25 0

Al Asyah General Hospital 0 0 1 7 10 14 19 0

Dhariyah General Hospital 0 1 0 4 7 11 16 4

Oklat Al-Sugour General Hospital 0 0 1 3 10 10 12 0

Qiba General Hospital 0 0 1 4 10 12 10 0

Buraida Central Hospital, Qassim 1 2 1 10 8 23 0 0

Total: 12 7 11 18 118 143 235 324 4

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Al Rass General Hospital 0 7 7 3 0 1 11 17 19 21 0

King Fahd Specialist Hospital, Buraida 5 5 6 0 0 1 3 8 20 14 6

Al Bukariya General Hospital 0 6 4 3 0 0 4 0 9 17 3

Al Midnab General Hospital 2 5 5 3 0 0 0 0 10 13 7

Al Badaya General Hospital 4 3 3 2 0 0 5 0 14 14 6

Riyadh Al Khabra General Hospital 0 10 0 0 0 0 3 3 10 14 2

Ayun Al Juwah General Hospital 3 2 3 0 0 0 2 0 12 13 3

Al Asyah General Hospital 7 1 3 0 0 0 0 0 12 7 3

Dhariyah General Hospital 0 1 2 0 0 1 5 0 11 5 2

Oklat Al-Sugour General Hospital 0 2 1 0 0 0 1 1 4 5 0

Qiba General Hospital 0 1 2 0 0 0 2 0 4 6 2

Buraida Central Hospital, Qassim 0 0 0 0 0 0 0 0 0 0 0

Total: 12 21 43 36 11 0 3 36 29 125 129 34

Page 10: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.7. Hemodialysis Centers in Saudi Arabia – MOH Sector Al-Baha Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts

2016

King Fahad Hospital, Al Baha 1 2 0 19 18 41 64 0

Prince Mishary Bin Saud Hospital (Beljurasy General Hospital) 1 0 3 16 18 45 62 0

Al Mikhwah General Hospital 0 1 1 12 14 22 59 0

Al Qaraah Hospital, Al Baha 1 1 1 5 10 10 34 0

Gilwah General Hospital 0 1 1 7 22 10 23 0

Al Mandag General Hospital 0 0 1 6 22 17 14 0

Aqiq General Hospital 0 1 1 4 10 11 13 0

Total: 7 3 6 8 69 114 156 269 0

Hospital Name Non-

Saudi Pts

New Pts. in

2016 HCV+ve pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts <

15

Yrs

Pts >

75 yrs

Diabetic

Pts

Hypertensive

Pts Both

HD

Pts.

Died

2016

King Fahad Hospital, Al Baha 0 7 18 1 0 0 2 15 10 10 4

Prince Mishary Bin Saud Hospital (Beljurasy General Hospital) 3 18 4 2 0 0 3 28 12 22 10

Al Mikhwah General Hospital 0 7 9 4 0 1 4 9 16 2 6

Al Qaraah Hospital, Al Baha 0 4 4 0 0 0 4 1 4 16 3

Gilwah General Hospital 1 4 4 0 0 1 2 1 11 8 6

Al Mandag General Hospital 1 7 2 0 0 0 0 5 3 3 1

Aqiq General Hospital 2 5 1 0 0 0 3 3 2 8 0

Total: 7 7 52 42 7 0 2 18 62 58 69 30

Page 11: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.8. Hemodialysis Centers in Saudi Arabia – MOH Sector Al-Jouf Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Prince Mutaeb Bin Abdulaziz, Skaka 0 3 4 32 34 61 130 9

Domat Al Jundal General Hospital 0 1 3 10 22 21 42 4

Tabarjal General Hospital 1 0 1 12 16 21 40 5

Total: 3 1 4 8 54 72 103 212 18

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Prince Mutaeb Bin Abdulaziz- Skaka 17 34 9 1 0 0 16 8 42 66 26

Domat Al Jundal General Hospital 2 8 3 1 0 1 5 15 11 12 6

Tabarjal General Hospital 1 11 5 0 0 2 4 5 4 13 6

Total: 3 20 53 17 2 0 3 25 28 57 91 38

Page 12: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.9. Hemodialysis Centers in Saudi Arabia – MOH Sector Northern Borders / Qurrayat Region

Hospital Name Consultant Nephrologists Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of

HD Machines

Total HD

Pts. 2016

No. of

Follow

up Tx.

Pts

2016

Ar-ar Central Hospital 0 2 3 30 48 52 84 2

Al Qurrayat General Hospital 0 2 4 19 32 42 66 0

Rafah General Hospital 0 1 2 10 36 35 50 0

Turaif General Hospital 1 0 3 15 18 24 34 2

Al Owaigila General Hospital 0 0 2 4 10 10 5 0

Shobat Nissab General Hospital 0 0 1 3 5 5 5 0

Total: 6 1 5 15 81 149 168 244 4

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Ar-ar Central Hospital 5 22 3 3 0 2 17 22 16 30 15

Al Qurrayat General Hospital 7 18 32 1 1 1 6 9 28 23 4

Rafah General Hospital 1 0 0 1 0 0 3 13 15 22 6

Turaif General Hospital 0 4 4 2 0 0 0 2 8 18 3

Al Owaigila General Hospital 0 1 0 0 0 0 0 0 3 2 1

Shobat Nissab General Hospital 0 0 0 0 0 0 0 1 3 1 2

Total: 6 13 45 39 7 1 3 26 47 73 96 31

Page 13: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.10. Hemodialysis Centers in Saudi Arabia – MOH Sector Hail Region

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

King Khalid Hospital, Hail 1 2 8 45 54 72 223 12

Baqaa General Hospital 0 0 2 6 16 27 25 4

Samira General Hospital 0 0 1 4 9 12 17 0

Mawqaq General Hospital 0 0 1 5 13 15 12 0

Al Shammali General Hospital 0 0 1 5 12 13 11 0

Al Sulaymi General Hospital 0 0 2 2 10 12 10 0

Shenan General Hospital 0 0 2 3 6 6 7 0

Ghazallah General Hospital 0 0 1 1 5 3 5 0

Total: 8 1 2 18 71 125 160 310 16

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

King Khalid Hospital, Hail 26 41 26 7 0 0 36 29 56 71 33

Baqaa General Hospital 1 3 5 1 0 0 2 0 8 16 3

Samira General Hospital 0 2 2 0 0 0 4 0 7 10 2

Mawqaq General Hospital 0 1 2 0 0 0 6 0 2 10 0

Al Shammali General Hospital 0 1 0 1 0 0 2 0 8 3 2

Al Sulaymi General Hospital 1 2 0 0 0 0 3 0 6 3 3

Shenan General Hospital 0 0 0 0 0 0 2 0 1 5 1

Ghazallah General Hospital 0 1 1 0 0 0 1 1 3 1 0

Total: 8 28 51 36 9 0 0 56 30 91 119 44

Page 14: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.11. Hemodialysis Centers in Saudi Arabia – MOH Sector Gizan Region

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

King Fahad Central Hospital, Gizan 49 51 45 20 0 10 4 23 77 15 36

Sabia General Hospital 37 20 20 11 0 0 3 43 63 14 9

Samtha General Hospital 45 29 45 11 0 0 12 22 76 20 26

Gizan General Hospital 16 10 0 0 0 0 5 0 0 0 0

Faifa General hospital, Gizan 2 9 0 0 0 0 0 5 21 14 4

Aldarb General Hospital, Gizan 1 4 0 0 0 0 5 1 20 5 2

Fursan General Hospital 1 3 0 1 0 0 1 0 1 4 2

Al Arda General, Najran 0 0 0 0 0 0 0 0 0 0 0

Total: 8 151 126 110 43 0 10 30 94 258 72 79

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

King Fahad Central Hospital, Gizan 1 3 5 66 74 94 300 85

Sabia General Hospital 1 3 1 35 26 63 154 0

Samtha General Hospital 1 1 3 19 25 36 130 0

Gizan General Hospital 0 1 2 19 16 18 51 0

Faifa General hospital, Gizan 0 1 0 12 10 13 40 0

Aldarb General Hospital, Gizan 0 0 3 8 9 17 29 0

Fursan General Hospital 0 1 0 3 3 7 8 1

Al Arda General, Najran 0 0 0 0 0 0 0 0

Total: 8 3 10 14 162 163 248 712 86

Page 15: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.12. Hemodialysis Centers in Saudi Arabia – MOH Sector Najran Region

Hospital Name Consultant Nephrologists Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of

HD Machines

Total HD

Pts.

2016

No. of

Follow up

Tx. Pts

2016

King Khalid Hospital, Najran 1 2 2 30 40 74 103 8

Sharurah General Hospital 0 1 2 10 26 30 47 0

Yadama Hospital, Najran 0 0 1 3 6 10 18 0

Habona General Hospital 0 0 1 3 14 14 11 1

Thar Hospital, Najran 0 0 1 2 5 6 6 0

Bader Al Janob General Hospital 0 0 1 2 11 8 5 0

Total: 6 1 3 8 50 102 142 190 9

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts < 15

Yrs

Pts > 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

King Khalid Hospital, Najran 44 9 10 4 0 0 11 1 43 49 7

Sharurah General Hospital 6 2 4 3 1 0 0 11 20 5 6

Yadama Hospital, Najran 1 5 2 0 0 0 3 0 5 9 0

Habona General Hospital 0 2 0 0 0 0 1 0 1 7 0

Thar Hospital, Najran 0 5 0 0 0 0 0 1 2 3 1

Bader Al Janob General Hospital 0 1 0 0 0 0 1 0 1 3 0

Total: 6 51 24 16 7 1 0 16 13 72 76 14

Page 16: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.1.13. Hemodialysis Centers in Saudi Arabia – MOH Sector Assir / Bisha Region

Hospital Name Consultant

Nephrologists Nephrology Specialists

GP's Nurses No. of Outlet Connections

Total No. of HD Machines

Total HD Pts. 2016

No. of Follow up Tx. Pts 2016

Assir Central Hospital 0 2 2 32 38 42 150 2

Mohayel General Hospital 0 0 1 22 36 55 138 0

King Abdullah Hospital, Besha 0 1 2 23 54 64 95 0

Sabt Al Alayah General Hospital 0 0 2 6 13 16 50 0

Al Nammas General Hospital 0 1 0 5 14 14 36 0

Dharan Al Janoub Hospital 1 1 1 6 17 17 33 0

Sarat Obaidah General Hospital 0 1 0 4 18 23 27 0

Tathleeth General Hospital 0 1 0 4 16 19 21 4

Ahad Rufaidah General Hospital 0 1 0 5 12 14 19 0

Rijal Almaa General Hospital 0 0 1 5 13 16 18 0

Al Ghamah General Hospital 0 0 1 2 7 6 10 0

Balasmar General Hospital 0 0 1 1 9 17 9 0

Albirk General Hospital 0 0 1 3 5 4 6 0

Tabalah Hospital 0 0 1 5 10 10 5 0

Total: 14 1 8 13 123 262 317 617 6

Hospital Name Non-Saudi

Pts New Pts. in

2016 HCV+ve

pts. HBsAg+ve

Pts HIV+ve

Pts. Pts < 15

Yrs Pts > 75

yrs Diabetic

Pts Hypertensive

Pts Both

HD Pts. Died 2016

Assir Central Hospital 13 21 18 0 0 0 17 29 41 33 7

Mohayel General Hospital 3 20 0 0 0 0 10 5 98 32 7

King Abdullah Hospital, Besha 39 0 0 0 0 0 16 6 25 53 12

Sabt Al Alayah General Hospital 1 10 3 2 0 0 16 0 14 31 11

Al Nammas General Hospital 0 8 1 1 0 0 9 3 15 17 7

Dharan Al Janoub Hospital 3 3 3 1 0 0 10 0 13 18 3

Sarat Obaidah General Hospital 0 3 2 0 0 0 1 3 11 11 6

Tathleeth General Hospital 1 8 5 0 0 0 4 1 5 14 4

Ahad Rufaidah General Hospital 1 2 8 1 0 0 0 1 15 1 1

Rijal Almaa General Hospital 0 2 2 5 0 0 1 1 10 6 3

Al Ghamah General Hospital 0 3 0 1 0 0 1 0 6 3 0

Balasmar General Hospital 0 4 0 0 0 0 1 1 5 2 0

Albirk General Hospital 0 1 0 0 0 0 3 0 1 3 0

Tabalah Hospital 0 0 0 0 0 0 1 0 2 2 0

Total: 14 61 85 42 11 0 0 90 50 261 226 61

Page 17: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.2. Hemodialysis Centers in Saudi Arabia GOVT. NON-MOH Hospitals

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of

HD Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts

2016

Prince Sultan Military Medical City, Riyadh 2 2 5 134 68 112 351 1277

KFMH, Khamis Mushayt 9 10 7 84 87 97 300 2210

King Abdulaziz Medical City & National Guard Hospital, Riyadh 10 5 2 131 44 75 247 72

King Salman Military Hospital Tabuk 4 6 0 80 56 58 239 29

Al Hada Armed Forces Hospital, Taif 1 2 0 41 40 50 181 45

King Fahad Armed Forces Hospital, Jeddah 4 10 0 64 33 50 156 164

King Faisal Specialist Hospital and Research Center, Riyadh 6 5 0 48 88 102 108 1584

King Abdulaziz Medical City, Jeddah 5 3 0 30 18 32 96 128

King Fahad University Hospital, Dammam 5 5 2 34 33 32 93 0

King Abdul Aziz Medical City, Ahsa (NG) 2 4 0 22 13 29 89 36

King Fahad Military Medical Complex, Dhahran 2 5 0 30 25 40 82 0

Royal Commission Medical Center, Yanbu 2 2 0 19 24 26 79 5

King Saud University Medical City, Riyadh 10 8 0 42 30 30 70 2

Royal Commission Hospital- Jubail 2 1 1 16 18 27 61 35

King Abdul Aziz University Hospital, Jeddah 6 2 0 10 18 20 60 8

King Faisal Specialist Hospital, Jeddah 1 1 1 40 20 38 51 0

Al Kharj Military Industrial Corp. Hospital, Riyadh 0 0 1 8 5 14 21 0

Johns Hopkins Health Center (ARAMCO), Dahran 3 0 0 15 11 20 21 21

Prince Sultan Armed Forces Hospital, Madina 1 0 3 8 6 10 16 0

Al Khafji Joint Operation Hospital 1 0 0 7 9 7 15 3

Nothern Area Armed Forces Hospital, Hafar Al Batin 1 0 0 7 7 8 13 0

King Abdullah Specialized Children Hospital National Guard, Riyadh 4 2 4 20 6 13 7 0

Total: 22 81 73 26 890 659 890 2356 5619

Page 18: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.2. Hemodialysis Patients in Saudi Arabia GOVT. NON-MOH Hospitals

Hospital Name

Non-

Saudi

Pts

New

Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts

<15

Yrs

Pts

>75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died

2016

Prince Sultan Military Medical City, Riyadh 7 55 18 14 0 0 68 2 126 207 42

KFMH, Khamis Mushayt 1 85 13 8 0 5 55 65 70 142 45

King Abdulaziz Medical City & National Guard Hospital, Riyadh 0 51 28 9 0 12 61 50 70 121 41

King Salman Military Hospital Tabuk 0 95 17 5 0 15 18 0 27 183 49

Al Hada Armed Forces Hospital, Taif 2 35 9 8 0 5 27 58 59 64 33

King Fahad Armed Forces Hospital, Jeddah 0 15 24 8 1 6 19 62 31 23 23

King Faisal Specialist Hospital and Research Center, Riyadh 0 21 13 4 0 0 13 4 33 27 9

King Abdulaziz Medical City, Jeddah 0 22 12 4 0 1 10 25 32 38 10

King Fahad University Hospital, Dammam 11 20 11 0 0 0 12 6 24 41 33

King Abdul Aziz Medical City, Ahsa (NG) 1 29 8 2 0 0 8 0 25 60 11

King Fahad Military Medical Complex, Dhahran 0 10 6 4 0 0 3 22 22 23 9

Royal Commission Medical Center, Yanbu 2 7 7 3 0 0 12 0 46 30 1

King Saud University Medical City, Riyadh 6 22 5 1 0 0 7 1 16 23 8

Royal Commission Hospital- Jubail 7 17 8 1 0 0 5 0 12 43 5

King Abdul Aziz University Hospital, Jeddah 34 10 1 0 0 8 3 12 7 36 1

King Faisal Specialist Hospital, Jeddah 0 18 14 4 0 4 0 13 16 22 7

Al Kharj Military Industrial Corp. Hospital, Riyadh 2 3 4 1 0 0 1 0 10 11 1

Johns Hopkins Health Center (ARAMCO), Dahran 2 6 0 0 0 1 4 0 2 8 0

Prince Sultan Armed Forces Hospital, Madina 0 0 0 0 0 0 4 1 0 15 2

Al Khafji Joint Operation Hospital 2 3 0 1 0 0 3 1 3 11 2

Nothern Area Armed Forces Hospital, Hafar Al Batin 0 2 0 0 0 1 0 0 10 3 0

King Abdullah Specialized Children Hospital National Guard, Riyadh 0 1 0 0 0 7 0 0 6 0 1

Total: 22 77 527 198 77 1 65 333 322 647 1131 333

Page 19: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.3. Hemodialysis Centers in Saudi Arabia Private & Charitable Hospitals

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts 2016

Hisham Attar Dialysis Center 1 1 4 24 47 56 173 13

Dr. Suleiman Al Fakeeh Hospital, Jeddah 1 3 0 28 44 55 140 26

Dr. Bassam Al Hemsi Medical Center 1 2 1 18 39 30 139 2

International Renal Care Center, Jeddah 1 3 0 20 31 30 137 4

Arab Medical Dar Dialysis Center, Riyadh 1 1 2 18 29 33 123 0

Al Salam Dialysis Center 1 0 3 15 25 27 117 4

Al Mansour Medical Center, Jeddah 1 1 0 12 27 30 110 0

Charity Community Dialysis Center, Makkah 0 1 2 14 26 32 110 0

Taibah Dialysis Center, Madinah 1 1 0 8 30 34 105 0

Dr. Erfan and Bagedo, Jeddah 4 4 0 22 23 28 100 20

Al Takaful Al- Khairy K.D.C, Makkah 0 2 0 10 25 25 98 0

Al Mana Hospital, Dammam 2 2 5 33 38 64 91 27

Al Faisal Polyclinic, Jeddah 1 1 2 10 15 15 81 0

Al Moosa General Hospital, Ahsa 2 2 0 26 18 44 72 0

Dr. Abdulhadi Taher Charity Foundation 1 0 2 9 25 22 70 3

Abdulakarim Bakr Medical Center, Jeddah 1 2 0 13 21 23 66 0

Al Mouwasat Hospital, Dammam 3 2 0 12 20 28 64 0

Al Khawalid kidney & dialysis Center, Riyadh 0 1 1 8 14 18 57 0

Al Mouwasat Hospital, Qateef 1 1 0 11 21 26 55 0

Asia Dialysis Center, Makkah 1 2 0 9 25 20 55 0

Dr. Lehibi Medical Center (Security Forces Hospital patients) 1 1 2 13 27 40 52 0

Al Shomoly Medical Polyclinic 1 1 0 10 14 20 50 0

Dr. Abdurahman Baksh Hospital, Jeddah 1 1 0 14 16 18 50 1

Page 20: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.3. Hemodialysis Centers in Saudi Arabia Private & Charitable Hospitals (Continuation)

Hospital Name Consultant

Nephrologists

Nephrology

Specialists

GP

's

Nurse

s

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Demas Dialysis Center 1 1 1 10 18 25 45 5

Saad Specialist Hospital, Al Khobar 2 1 0 14 20 27 42 11

Al Ahsa Hospital 1 0 1 12 14 20 41 0

Saudi German Hospital, Riyadh 1 2 0 10 7 9 41 3

New Jeddah Clinic Hospital 1 1 0 5 10 13 40 5

International Medical Center 2 2 0 13 10 12 40 0

Saudi German Hospital, Jeddah 3 3 4 15 11 15 39 10

Al Mana General Hospital, Al Hassa 1 0 2 16 17 28 39 10

Dr. Ali Lehbi Dialysis Center,Takhasusi

Branch, Riyadh 1 1 1 5 13 21 38 0

Sanad Hospital Ali Lehbi Dialysis Center,

Riyadh 1 1 1 6 15 25 35 0

Al Mustagbal Hospital, Jeddah 0 2 0 3 5 5 35 5

Dr. Suleiman Al Habeeb Medical Center

Rayan, Riyadh 2 2 0 13 11 12 33 0

Al Hammadi Hospital, Riyadh 1 1 0 6 10 7 22 8

Saudi German Hospital, Madina 1 1 1 4 5 2 22 0

Care National Hospital 1 1 1 9 13 10 20 0

Basharahil Hospital, Makkah 1 1 0 3 5 5 17 0

New Al Jedani Hospital 1 1 0 3 5 5 13 0

Dr. A. Al Mishari Hospital, Riyadh 1 2 0 5 8 9 13 14

Madina National Hospital 0 1 0 3 7 7 13 0

Saudi German Hospital, Abha 1 0 1 2 5 7 12 6

Riyadh Care Hospital 1 1 3 18 14 32 9 0

Dr. Suleiman Al Habeeb Medical Center,

Qassim 1 1 0 8 8 7 8 0

Abha Private Hospital 0 2 0 3 6 7 7 0

Kingdom Hospital, Riyadh 0 1 0 5 2 3 7 3

Bugshan General Hospital, Jeddah 0 0 2 2 6 6 6 2

Ghodran Hospital, Beljurashi 0 1 0 3 8 4 6 4

Hussein Al Ahli General Hospital, Al Hassa 0 0 0 0 0 0 0 0

Total: 50 52 65 42 553 853 1041 2758 186

Page 21: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.3. Hemodialysis Patients in Saudi Arabia Private & Charitable Hospitals

Hospital Name

Non-

Saudi

Pts

New

Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts.

<15

Yrs

Pts>75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died

2016

Hisham Attar Dialysis Center 173 28 38 12 0 0 5 25 73 55 6

Dr. Suleiman Al Fakeeh Hospital, Jeddah 43 15 12 12 0 0 7 60 10 13 6

Dr. Bassam Al Hemsi Medical Center 137 40 9 0 0 0 8 55 41 43 13

International Renal Care Center, Jeddah 9 45 13 4 0 0 16 5 48 71 11

Arab Medical Dar Dialysis Center, Riyadh 3 23 30 0 0 1 3 8 72 29 19

Al Salam Dialysis Center 0 115 0 0 0 0 0 30 49 30 4

Al Mansour Medical Center, Jeddah 110 1 23 0 0 0 1 27 43 10 6

Charity Community Dialysis Center, Makkah 110 18 19 4 0 1 2 47 32 20 4

Taibah Dialysis Center, Madinah 95 25 20 4 0 2 0 2 43 30 11

Dr. Erfan and Bagedo, Jeddah 45 25 9 0 0 1 19 0 38 53 5

Al Takaful Al- Khairy K.D.C, Makkah 97 15 24 6 0 1 0 29 29 40 14

Al Mana Hospital, Dammam 13 29 10 5 0 1 23 24 26 41 5

Al Faisal Polyclinic, Jeddah 79 17 12 0 0 0 0 5 36 31 6

Al Moosa General Hospital, Ahsa 3 32 4 2 0 0 0 0 13 59 9

Dr. Abdulhadi Taher Charity Foundation 70 70 0 0 0 0 0 25 20 25 5

Abdulakarim Bakr Medical Center, Jeddah 62 11 59 0 7 0 0 5 38 13 10

Al Mouwasat Hospital, Dammam 4 30 3 0 0 0 5 30 20 14 15

Al Khawalid kidney & dialysis Center, Riyadh 56 5 20 6 0 0 2 3 32 14 9

Al Mouwasat Hospital, Qateef 0 16 10 0 0 0 25 10 15 30 15

Asia Dialysis Center, Makkah 55 5 20 3 0 1 0 20 53 10 5

Dr. Lehibi Medical Center (Security Forces Hospital patients) 0 18 2 1 0 0 3 28 13 8 8

Al Shomoly Medical Polyclinic 45 3 7 0 0 0 1 3 31 10 5

Dr. Abdurahman Baksh Hospital, Jeddah 10 3 3 0 0 3 3 11 8 11 3

Page 22: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.3. Hemodialysis Patients in Saudi Arabia Private & Charitable Hospitals (Continuation)

Hospital Name

Non-

Saudi

Pts

New Pts.

in 2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts.

Pts.

<15

Yrs

Pts>75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

Demas Dialysis Center 40 12 11 3 0 0 0 5 4 36 2

Saad Specialist Hospital, Al Khobar 6 9 0 0 0 0 6 4 8 30 0

Al Ahsa Hospital 0 21 1 0 0 0 7 0 5 36 12

Saudi German Hospital, Riyadh 39 9 1 0 0 0 1 15 16 10 8

New Jeddah Clinic Hospital 38 5 4 0 0 0 0 0 25 0 2

International Medical Center 11 2 3 0 0 0 6 5 16 19 0

Saudi German Hospital, Jeddah 30 11 2 0 0 0 0 9 10 30 0

Al Mana General Hospital, Al Hassa 0 6 0 0 0 0 6 0 9 30 6

Dr. Ali Lehbi Dialysis Center,Takhasusi Branch, Riyadh 10 10 0 0 0 0 0 5 4 13 4

Sanad Hospital Ali Lehbi Dialysis Center, Riyadh 6 8 2 1 0 0 4 3 9 14 2

Al Mustagbal Hospital, Jeddah 34 4 5 3 0 0 2 0 19 15 6

Dr. Suleiman Al Habeeb Medical Center Rayan, Riyadh 13 2 4 2 0 0 2 0 8 25 2

Al Hammadi Hospital, Riyadh 16 6 0 0 0 0 0 0 12 8 1

Saudi German Hospital, Madina 15 8 2 0 0 0 0 1 8 13 4

Care National Hospital 19 2 3 0 0 0 0 5 14 1 0

Basharahil Hospital, Makkah 15 3 3 0 0 0 0 2 8 4 1

New Al Jedani Hospital 12 8 0 0 0 0 0 0 3 1 1

Dr. A. Al Mishari Hospital, Riyadh 7 3 0 0 0 0 1 0 9 3 3

Madina National Hospital 1 2 1 0 0 0 1 10 1 2 0

Saudi German Hospital, Abha 9 3 1 0 0 0 2 2 6 1 1

Riyadh Care Hospital 7 3 3 4 0 0 0 0 2 3 5

Dr. Suleiman Al Habeeb Medical Center, Qassim 1 5 0 0 0 0 0 2 2 4 0

Abha Private Hospital 2 4 0 0 0 0 1 1 4 2 1

Kingdom Hospital, Riyadh 6 3 0 0 0 0 0 0 3 3 2

Bugshan General Hospital, Jeddah 6 6 0 0 0 0 0 1 2 3 0

Ghodran Hospital, Beljurashi 2 1 6 0 0 0 1 1 1 3 0

Hussein Al Ahli General Hospital, Al Hassa 0 0 0 0 0 0 0 0 0 0 0

TOTAL: 50 1564 745 399 72 7 11 163 523 991 969 257

Page 23: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.4. Hemodialysis Centers in Saudi Arabia King Abdullah Project Hospitals

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts 2016

King Abdullah Hemodialysis Project, Riyadh South Center 2 3 6 65 97 112 352 0

King Abdullah Hemodialysis Project, Jeddah 3 1 8 78 204 204 276 0

King Abdullah Hemodialysis Project, Riyadh North Center 2 6 0 50 101 105 258 0

King Abdullah Foundation Hemodialysis, Al Madinah 1 0 3 20 48 51 100 0

King Abdullah Dialysis Project, Makkah 1 5 0 23 50 50 87 0

King Abdullah Hemodialysis Project, Hail 1 2 0 13 38 40 45 0

Total: 6 10 17 17 249 538 562 1118 0

Hospital Name

Non-

Saudi

Pts

New

Pts. in

2016

HCV+ve

pts.

HBsAg+

vePts

HIV+ve

Pts

Pts<

15 Yrs

Pts>

75 yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died

2016

King Abdullah Hemodialysis Project, Riyadh South Center 0 61 20 6 0 1 22 17 197 134 11

King Abdullah Hemodialysis Project, Jeddah 77 107 15 6 0 0 22 6 22 99 10

King Abdullah Hemodialysis Project, Riyadh North Center 10 247 20 5 1 0 31 21 71 123 2

King Abdullah Foundation Hemodialysis, Al Madinah 18 60 2 0 0 1 9 22 28 45 6

King Abdullah Dialysis Project, Makkah 3 42 6 2 0 0 8 0 10 76 4

King Abdullah Hemodialysis Project, Hail 0 4 6 0 0 1 3 2 10 13 2

Total: 6 108 521 69 19 1 3 95 68 338 490 35

Page 24: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.5. Hemodialysis Centers in Saudi Arabia Davita Outsourcing Dialysis Program

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts. 2016

King Abdul Aziz Specialist Hospital, Taif 2 5 4 4 72 55 207 0

Davita East, Jeddah 1 3 2 39 58 58 204 0

Davita I, Buraida 1 3 4 34 48 53 187 0

King Abdul Aziz Hospital, Jeddah 1 4 1 27 52 48 148 0

Abha Maternity and Pediatric Hospital 1 3 2 21 37 37 120 0

King Faisal Hospital, Al Ahsa 1 1 4 20 30 35 112 0

Davita West, Madina 1 3 2 18 32 37 100 0

Qateef Central Hospital 1 2 3 19 33 33 89 0

Al Majardah General Hospital 1 1 2 13 19 21 72 6

Davita Sabia Clinic 1 0 0 13 32 35 67 0

Imam Abdulrahman Al Faisal, Riyadh 1 0 2 10 13 14 48 0

Davita Health Care, Riyadh 1 2 2 19 34 34 47 0

Davita, Jizan 1 1 1 8 30 33 15 0

Total: 13 14 28 29 245 490 493 1416 6

Hospital Name Non-Saudi

Pts.

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+Ve

Pts

Pts< 15

Yrs.

Pts> 75

Yrs.

Diabetic

Pts.

Hypertensive

Pts. Both

HD Pts. Died

2016

King Abdul Aziz Specialist Hospital, Taif 0 24 13 9 0 1 14 16 133 48 6

Davita East, Jeddah 0 66 23 12 0 1 5 0 0 60 0

Davita I, Buraida 0 77 25 0 0 0 17 16 79 76 23

King Abdul Aziz Hospital, Jeddah 0 49 15 3 0 1 5 36 52 46 16

Abha Maternity and Pediatric Hospital 0 20 25 1 1 0 10 8 38 47 9

King Faisal Hospital, Al Ahsa 0 30 2 0 0 0 10 1 18 75 3

Davita West, Madina 0 10 6 3 0 0 9 35 35 30 0

Qateef Central Hospital 0 89 13 4 0 0 13 1 13 45 0

Al Majardah General Hospital 0 22 2 8 0 0 5 3 37 17 9

Davita Sabia Clinic 0 63 2 2 0 1 5 7 23 17 0

Imam Abdulrahman Al Faisal, Riyadh 0 5 7 0 0 0 0 6 21 15 1

Davita Health Care, Riyadh 0 4 0 0 0 0 3 2 12 30 0

Davita, Jizan 0 15 1 0 0 1 1 1 7 7 15

Total: 13 0 474 134 42 1 5 97 132 468 513 82

Page 25: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.6. Hemodialysis Centers in Saudi Arabia Diaverum Outsourcing Dialysis Program

Hospital Name Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts 2016

Prince Abdul Majid Dialysis Center 9004, Jeddah 4 5 6 43 79 88 276 28

Security Forces Hospital 9002, Riyadh 2 3 4 54 65 65 244 688

Prince Mohammad Bin Abdulaziz Hospital Hospital 9003, Riyadh 3 3 4 25 49 55 178 9

King Faisal Medical City 9007, Taif 1 4 3 27 66 66 164 15

Khamis Mushayt General Hospital, 9017 2 3 5 24 42 42 106 8

Diaverum AB 9010, Madinah 1 3 3 19 30 30 106 0

King Saud Hospital 9009, Unaiza 1 2 1 18 41 32 100 0

Diaverum North Jeddah 9102 1 2 2 18 30 33 99 0

Diavarum AB 9014, Dammam 1 2 2 16 30 33 87 0

Diaverum Kidney Center 9028, Buraidah 1 2 2 14 30 30 87 0

South Qunfudah General Hospital 9006 1 4 2 12 30 33 81 0

Diaverum 9023, Madina 1 2 2 13 30 30 72 0

Baish General Hospital 9021 1 2 2 17 30 35 70 0

Hafar Al baten Central Hospital 9033 1 2 2 10 45 32 60 0

Diaverum 9011, Makkah 1 2 2 9 30 30 57 0

New Najran General Hospital 9013 1 2 1 10 45 22 48 0

Diaverum Clinic 9001, Al Khobar 2 1 1 7 20 25 34 0

Diaverum Renal Center Awali 9026, Makkah 1 2 1 7 30 33 33 3

Total: 18 26 46 45 343 722 714 1902 751

Page 26: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.1.6. Hemodialysis Patients in Saudi Arabia Diaverum Outsourcing Dialysis Program

Hospital Name

Non-

Saudi

Pts

New

Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+Ve

Pts

Pts<

15

Yrs

Pts>

75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died

2016

Prince Abdul Majid Dialysis Center 9004, Jeddah 0 106 33 10 6 0 26 90 95 60 22

Security Forces Hospital 9002, Riyadh 2 77 14 13 0 1 46 98 81 15 8

Prince Mohammad Bin Abdulaziz Hospital Hospital 9003, Riyadh 0 32 11 3 0 1 6 1 73 56 17

King Faisal Medical City 9007, Taif 0 19 21 0 0 2 8 56 40 6 13

Khamis Mushayt General Hospital, 9017 0 70 13 2 0 1 8 0 0 0 8

Diaverum AB 9010, Madinah 0 4 22 0 0 1 8 7 36 40 7

King Saud Hospital 9009, Unaiza 0 15 4 4 0 0 8 1 48 46 0

Diaverum North Jeddah 9102 0 10 17 2 0 0 5 25 15 10 3

Diavarum AB 9014, Dammam 0 0 9 6 0 0 4 25 20 41 5

Diaverum Kidney Center 9028, Buraidah 0 60 4 1 0 0 5 24 27 38

South Qunfudah General Hospital 9006 0 15 10 4 0 0 6 21 40 17 5

Diaverum 9023, Madina 0 7 0 0 0 0 1 22 32 18 2

Baish General Hospital 9021 0 26 4 10 0 0 10 0 37 28 10

Hafar Al baten Central Hospital 9033 0 19 1 0 0 0 3 1 22 29 0

Diaverum 9011, Makkah 0 2 3 0 0 0 0 0 0 0 0

New Najran General Hospital 9013 0 37 2 2 0 0 9 0 17 26 8

Diaverum Clinic 9001, Al Khobar 20 1 2 0 0 0 1 12 6 8 5

Diaverum Renal Center Awali 9026, Makkah 0 20 2 0 0 1 1 0 14 13 0

Total: 18 22 520 172 57 6 7 155 383 603 451 30

Page 27: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.1. Total No. of Hemodialysis Centers in MOH Hospitals According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Riyadh 29 21 36 79 509 480 765 1277 369

Makkah/ Jeddah/ Taif 12 8 31 45 354 260 361 984 14

Madina 9 9 11 15 135 265 329 537 310

Tabuk 7 1 3 17 81 137 169 284 104

Eastern 13 10 20 39 419 324 382 805 1036

Qassim 12 7 11 18 118 143 235 324 4

Al Baha 7 3 6 8 69 114 156 269 0

Al Jouf 3 1 4 8 54 72 103 212 18

Northern Borders 6 1 5 15 81 149 168 244 4

Hail 8 1 2 18 71 125 160 310 16

Jizan 8 3 10 14 162 163 248 712 86

Najran 6 1 3 8 50 102 142 190 9

Assir 14 1 8 13 123 262 317 617 6

Total 134 67 150 297 2226 2596 3535 6765 1976

Page 28: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.1. Total No. of Hemodialysis Patients in MOH Hospitals According to Region

Region Non-

Saudi Pts

New Pts. in

2016 HCV+ve pts. HBsAg+ve Pts

HIV+Ve

Pts Pts< 15 Yrs Pts> 75 yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

Riyadh 67 216 215 46 1 19 96 149 475 427 145

Makkah/Jeddah/Taif 34 172 358 268 0 1 25 243 291 363 91

Madina 49 176 26 31 1 10 39 112 163 150 116

Tabuk 24 50 32 7 1 8 18 34 134 88 40

Eastern 111 270 88 18 3 9 51 127 237 344 115

Qassim 21 43 36 11 0 3 36 29 125 129 34

Al Baha 7 52 42 7 0 2 18 62 58 69 30

Al Jouf 20 53 17 2 0 3 25 28 57 91 38

Northern Borders 13 45 39 7 1 3 26 47 73 96 31

Hail 28 51 36 9 0 0 56 30 91 119 44

Jizan 151 126 110 43 0 10 30 94 258 72 79

Najran 51 24 16 7 1 0 16 13 72 76 14

Assir 61 85 42 11 0 0 90 50 261 226 61

Total 637 1363 1057 467 8 68 526 1018 2295 2250 838

Page 29: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.2. Total of Hemodialysis Centers in GOVT. NON-MOH Hospitals According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Riyadh 6 32 22 12 383 241 346 804 2935

Makkah/Jeddah/Taif 5 17 18 1 185 129 190 544 345

Madina 2 3 2 3 27 30 36 95 5

Tabuk 1 4 6 0 80 56 58 239 29

Eastern 7 16 15 3 131 116 163 374 95

Assir 1 9 10 7 84 87 97 300 2210

Total 22 81 73 26 890 659 890 2356 5619

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts HIV+ve Pts Pts< 15 Yrs Pts> 75 yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts.

Died 2016

Riyadh 15 153 68 29 0 19 150 57 261 389 102

Makkah/Jeddah/Taif 36 100 60 24 1 24 59 170 145 183 74

Madina 2 7 7 3 0 0 16 1 46 45 3

Tabuk 0 95 17 5 0 15 18 0 27 183 49

Eastern 23 87 33 8 0 2 35 29 98 189 60

Assir 1 85 13 8 0 5 55 65 70 142 45

Total 77 527 198 77 1 65 333 322 647 1131 333

Page 30: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.3. Total of Hemodialysis Centers in Private & Charitable Sector According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Makkah/Jeddah/Taif 21 23 32 19 252 432 476 1602 93

Riyadh 15 14 19 13 154 234 294 684 35

Eastern 8 12 8 8 124 148 237 404 48

Madina 2 1 2 1 7 12 9 35 0

Assir 2 1 2 1 5 11 14 19 6

Qassim 1 1 1 0 8 8 7 8 0

Al Baha 1 0 1 0 3 8 4 6 4

Total 50 52 65 42 553 853 1041 2758 186

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Makkah/Jeddah/Taif 1104 432 269 48 7 9 61 308 603 484 106

Riyadh 404 147 92 17 0 1 25 130 270 220 83

Eastern 26 143 28 7 0 1 72 68 96 240 62

Madina 16 10 3 0 0 0 1 11 9 15 4

Assir 11 7 1 0 0 0 3 3 10 3 2

Qassim 1 5 0 0 0 0 0 2 2 4 0

Al Baha 2 1 6 0 0 0 1 1 1 3 0

Total 1564 745 399 72 7 11 163 523 991 969 257

Page 31: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.5. Total of Hemodialysis Centers King Abdullah Project Hospitals According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Riyadh 2 4 9 6 115 198 217 610 0

Makkah/Jeddah/Taif 2 4 6 8 101 254 254 363 0

Madina 1 1 0 3 20 48 51 100 0

Hail 1 1 2 0 13 38 40 45 0

Total 6 10 17 17 249 538 562 1118 0

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Riyadh 10 308 40 11 1 1 53 38 268 257 13

Makkah/Jeddah/Taif 80 149 21 8 0 0 30 6 32 175 14

Madina 18 60 2 0 0 1 9 22 28 45 6

Hail 0 4 6 0 0 1 3 2 10 13 2

Total 108 521 69 19 1 3 95 68 338 490 35

Page 32: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.2.6. Total No. of Hemodialysis Centers of DAVITA Outsourcing Dialysis Program According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Makkah/Jeddah/Taif 3 4 12 7 70 182 161 559 0

Eastern 2 2 3 7 39 63 68 201 0

Assir 2 2 4 4 34 56 58 192 6

Qassim 1 1 3 4 34 48 53 187 0

Madinah 1 1 3 2 18 32 37 100 0

Riyadh 2 2 2 4 29 47 48 95 0

Gizan 2 2 1 1 21 62 68 82 0

Total 13 14 28 29 245 490 493 1416 6

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+Ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Makkah/Jeddah/Taif 0 139 51 24 0 3 24 52 185 154 22

Eastern 0 119 15 4 0 0 23 2 31 120 3

Assir 0 42 27 9 1 0 15 11 75 64 18

Qassim 0 77 25 0 0 0 17 16 79 76 23

Madinah 0 10 6 3 0 0 9 35 35 30 0

Riyadh 0 9 7 0 0 0 3 8 33 45 1

Gizan 0 78 3 2 0 2 6 8 30 24 15

Total 0 474 134 42 1 5 97 132 468 513 82

Page 33: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.3. Total of Hemodialysis Centers in All Sectors According to Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Riyadh 56 78 94 122 1269 1314 1790 3892 4036

Makkah/Jeddah/Taif 49 65 118 96 1078 1522 1725 4762 498

Madina 17 17 23 29 239 447 522 1045 315

Tabuk 8 5 9 17 161 193 227 523 133

Eastern 33 44 51 62 746 746 940 1965 1179

Qassim 16 11 19 25 192 270 357 706 4

Al Baha 8 3 7 8 72 122 160 275 4

Al Jouf 3 1 4 8 54 72 103 212 18

Northern Borders 6 1 5 15 81 149 168 244 4

Hail 9 2 4 18 84 163 200 355 16

Jizan 11 6 13 17 200 255 351 864 86

Najran 7 2 5 9 60 147 164 238 9

Assir 20 15 27 30 270 458 528 1234 2236

Total 243 250 379 456 4506 5858 7235 16315 8538

Page 34: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.3. Total Data on Hemodialysis Patients in All Sectors According to Region

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Riyadh 498 1363 1057 467 8 68 526 1018 2295 2250 838

Makkah/Jeddah/Taif 1254 1164 845 388 14 40 245 971 1460 1465 350

Madina 85 274 66 37 1 12 83 210 349 343 138

Tabuk 24 145 49 12 1 23 36 34 161 271 89

Eastern 180 639 176 43 3 12 189 264 510 971 250

Qassim 22 200 69 16 0 3 66 72 281 293 57

Al Baha 9 53 48 7 0 2 19 63 59 72 30

Al Jouf 20 53 17 2 0 3 25 28 57 91 38

Northern Borders 13 45 39 7 1 3 26 47 73 96 31

Hail 28 55 42 9 0 1 59 32 101 132 46

Jizan 151 230 117 55 0 12 46 102 325 124 104

Najran 51 61 18 9 1 0 25 13 89 102 22

Assir 73 289 96 30 1 6 171 129 416 435 134

Total 2408 4150 2029 734 24 159 1369 2446 5342 5804 1658

Page 35: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.4. Total of Hemodialysis Centers in All Sectors According to Global Region

Region No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD Pts.

2016

No. of Follow up Tx.

Pts 2016

Central 72 89 113 147 1461 1584 2147 4598 4040

Western 66 82 141 125 1317 1969 2247 5807 813

Eastern 33 44 51 62 746 746 940 1965 1179

Northern 26 9 22 58 380 577 698 1334 171

Southern 46 26 52 64 602 982 1203 2611 2335

Total 243 250 379 456 4506 5858 7235 16315 8538

Region Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Central 520 1142 516 135 2 45 445 553 1742 1702 426

Western 1339 1438 911 425 15 52 328 1181 1809 1808 488

Eastern 180 639 176 43 3 12 189 264 510 971 250

Northern 85 298 147 30 2 30 146 141 392 590 204

Southern 284 633 279 101 2 20 261 307 889 733 290

Total 2408 4150 2029 734 24 159 1369 2446 5342 5804 1658

Page 36: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 4.5. Total of Hemodialysis Centers in Saudi Arabia According to Sector

Hospital Sector No. of

Hospitals

Consultant

Nephrologists

Nephrology

Specialists GP's Nurses

No. of Outlet

Connections

Total No. of HD

Machines

Total HD

Pts. 2016

No. of Follow

up Tx. Pts 2016

Ministry of Health Hospitals 134 67 150 297 2226 2596 3535 6765 1976

GOVT. Non-MOH Hospitals 22 81 73 26 890 659 890 2356 5619

Private & Charitable Sector Hospitals 50 52 65 42 553 853 1041 2758 186

King Abdullah Project Hospitals 6 10 17 17 249 538 562 1118 0

DAVITA Outsourcing Dialysis Program 13 14 28 29 245 490 493 1416 6

DIAVERUM Outsourcing Dialysis Program 18 26 46 45 343 722 714 1902 751

Total 243 250 379 456 4506 5858 7235 16315 8538

Hospital Name Non-Saudi

Pts

New Pts. in

2016

HCV+ve

pts.

HBsAg+ve

Pts

HIV+Ve

Pts

Pts< 15

Yrs

Pts> 75

yrs

Diabetic

Pts

Hypertensive

Pts Both

HD Pts. Died

2016

Ministry of Health Hospitals 637 1363 1057 467 8 68 526 1018 2295 2250 838

GOVT. Non-MOH Hospitals 77 527 198 77 1 65 333 322 647 1131 333

Private & Charitable Sector Hospitals 1564 745 399 72 7 11 163 523 991 969 257

King Abdullah Project Hospitals 108 521 69 19 1 3 95 68 338 490 35

DAVITA Outsourcing Dialysis Program 0 474 134 42 1 5 97 132 468 513 82

DIAVERUM Outsourcing Dialysis Program 22 520 172 57 6 7 155 383 603 451 113

Total 2408 4150 2029 734 24 159 1369 2446 5342 5804 1658

Page 37: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Dialysis Centers in the Kingdom of Saudi Arabia

In 2016, there were a total of 243 dialysis centers registered in the Saudi Center for Organ Transplantation (SCOT). A 4.7% increase in new

hemodialysis patients were recorded this year. The Dialysis Population Net Annual Increase of 4.6% has also been recorded in 2016.

Figure 4.1.1. Dialysis centers in Saudi Arabia 1971-2016

Figure 4.1.2. New hemodialysis patients in Saudi Arabia 1999-2016

Figure 4.1.3. Dialysis population net annual increase 1993-2016

1 2 6

22 3

7 51 6

3 76 9

1 94 97 10

3

10

3

10

6

11

0 12

4

12

4

13

0

13

6

14

4

14

7

14

9

16

0

17

1

17

3

17

5

17

6

17

7

18

2

18

2

18

4

18

7 21

3 24

3

0

50

100

150

200

250

300

19

71

19

74

19

76

19

84

19

86

19

88

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20841733 1918 2042

17181958 2080

23892847 2944

2643 28463089 3187 3281

36874108 4150

0

1000

2000

3000

4000

5000

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16

No. of Pts. 3357 3666 3737 4189 4665 5010 5706 6694 7004 7391 7020 7214 7837 8761 9419 10203 10928 11437 12116 12844 13160 14366 15590 16315

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

average annual net increase 6.2%

Page 38: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Hemodialysis centers and affiliation

A total of 243 dialysis centers were recorded and their affiliations

were categorized into five(5) sectors composing of (134) HD Units

from the Ministry of health (MOH), (22), Gov’t Non-MOH, (50),

Private sectors & Private Charitable Hospitals, (6), King Abdullah

Hemodialysis Projects and (31), Outsourcing Dialysis Program

(Davita 13 &Diaverum 18)(see figure 4.2.1.).

Figure 4.2.1. Hemodialysis Centers Affiliation 2016

Hemodialysis machines, patient nationality and sex

distribution

A total number of 7,235 hemodialysis machines were recorded in

the Kingdom of which, MOH hospitals has 3535(49%) hemodialysis

machines, government Non-MOH hospitals with 890 (12%), private

Hospital & charitable hospitals 1041 (14%), King Abdullah

Hemodialysis Project 562(8%) and outsourcing dialysis program

(Davita, 493 and Diaverum, 714)with a total of 1207 machines or

(17%) (See figure 4.3.1.).

Figure 4.3.1. Hemodialysis machines 2016

Figure 4.3.3. Trend of HD machines among sectors

By patient nationality, a total of 13,702 were Saudis while 2,408

were non-Saudi corresponding to 16,315 of patients on

hemodialysis (see figure 4.3.3.). Comparing to the previous year, a

1% increased among Saudi patients are shown while non-Saudi

patients has increased by 4% this year.

Figure 4.3.3. Hemodialysis patient’s nationality 2016

Figure 4.3.4. Trend of nationality among HD patients

Sex distribution among hemodialysis patients had shown that male

patients 9082 (56%) had increased by 1% compared to last year and

females consisted 7233 or (44%). Though comparing from previous

year’s data female patient had increased by 3.7% this year (See

figure 4.3.5. & 4.3.6.).

MOH134 (55%)

Gov't. Non-MOH

22 (9%)

Private & Charitable hospitals50 (21%)

King Abdullah Hemodialysis

Projects 6 (2%)

Outsourcing Dialysis

Program 31 (13%)

Total: 243

MOH3535 (49%)

Gov't. Non-MOH

890 (12%)

Private & Charitable Hospitals

1041 (14%)

King Abdullah Hemodialysis

Project562 (8%)

Outsourcing Dialysis

Program1207 (17%)

Total:7,235

31413289

3488 3560

3789

34243535

709 737 759 791

1194

864 890

631729 745 735 749 780

1041

0

500

1000

1500

2000

2500

3000

3500

4000

2010 2011 2012 2013 2014 2015 2016

MOH

G. Non-MOH

Private & Charitablehospitals

king Abdullah Project

Outsourcing DialysisProgram

Saudi 13907 (85%)

Non-Saudi2408 (15%)

Total: 16,315

9592 1001910621 10870

12100

1341813907

1845 2097 2223 2290 2266 2172 2408

0

2000

4000

6000

8000

10000

12000

14000

16000

201

0

201

1

201

2

201

3

201

4

201

5

201

6

Saudi

Non-Saudi

Page 39: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Figure 4.3.5. Sex distribution among HD patients 2016

Figure 4.3.6. Trend of Sex distribution among HD patients

Hemodialysis patients age distribution

Age group distribution among hemodialysis patients has shown

that majority of the numbers of patients were in the age groups

between 26to 65, composing of 75% of the total HD patient

population. While the trend of age distribution among HD patients

are increasing on ages between 26 to 75 years old, There is a slightly

increased in number seen on ages between less than 10 to 25 years

old comparing to last year (see figures 4.4.1., 4.4.2. and 4.4.3.).

Figure 4.4.1. Hemodialysis Patients Age Distribution 2016

Figure 4.4.2. Trend of HD patient’s age distribution

Figure 4.4.3. HD patients; Age above 75 & below 15 yrs.2016

Blood group, types of vascular access and erythropoietin

treatment

Blood group among HD shows no significant changes for the past

years wherein, blood type O (50%) consistently dominates in

numbers among blood groups, followed by type A at (26%), type B

at (19%) and type AB at (5%)(See figure 4.5.1.).

Figure 4.5.1. Blood group among HD patients 2016

Male9082 (56%)

Female 7233 (44%)

Total: 16,315

63086809 7105 7269

81988617

9082

5129 53075739 5891 6168

6973 7233

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

2010 2011 2012 2013 2014 2015 2016

Male

Female

54 105

1018

3800 3722 3760

2487

1369

0

500

1000

1500

2000

2500

3000

3500

4000

< 10 10 - 15 16-25 26-45 46-55 56-65 66-75 >75

Total: 16,315

0

500

1000

1500

2000

2500

3000

3500

4000

2010 2011 2012 2013 2014 2015 2016

<10

15-10

16-25

26-45

46-55

56-65

66-75

>75

15-75 years14787 (91%)

Above 75 years

1369 (8%)

Below 15 years159 (1%)

Total: 16,315

A4334 (26%)

B3059 (19%)

AB790 (5%)

O8132 (50%)

Total: 16,315

Page 40: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Figure 4.5.2. Trend of blood group among HD patients

The types of vascular access for HD patients has shown that AVF

(arteriovenousfistula) has been a consistent choice of vascular

access among dialyzing patients with (61%) of total HD population,

followed by Jugular cath. at (26%) which has shown an increasing

trend for the past 5 years, followed by other vascular access at (8%)

and vascular graft at (5%) wherein no significant increase has been

shown (see figure 4.5.3. & 4.5.4. for trends of vascular access).

Figure 4.5.3. Types of vascular access of HD patients in 2016

Figure 4.5.4. Trend of vascular access among HD patients

Erythropoietin treatment among HD patients had a total of 13,014

which is 80% of the entire HD population, in comparison to the

previous year, there was a2%decreaseon the number treated with

EPO-r. There was a constant increase with the use of EPO-r over the

past 5 years (See figures 4.5.5. and 4.5.6.).

Figure 4.5.5. HD patients treated with erythropoietin by health sector

2016

Figure 4.5.6. Trend of erythropoietin treatment among HD patients

HBsAg, HCV and HIV status among HD patients

This year, 734 HD patients were positive for HBsAg which is 4% of

the total HD population in addition to 2,029 (12%) patients positive

for HCV. There was a 1% increase in the total positive HBsAg

infection. On the other hand; there was a decreasing numbers of

HCV infection from the last 5 years, this year a least 1% decrease

was noted compared to the previous year (see figures 4.6.1.

&4.6.2.). Following the trend of HBsAg and HCV infection, there was

a constant decrease in the number of patients infected with HCV

while HBsAg positive patients have a flactuating trend of the

numbers of patients being infected. In addition, SCOT has added

the number of HIV infected patients. (See figure 4.6.3.).

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

2010 2011 2012 2013 2014 2015 2016

O

A

B

AB

AVF10010 (61%)

Jugular Cath4285 (26%)

Others1227 (8%)

Vascular Graft

793 (5%)

Total: 16,315

0

2000

4000

6000

8000

10000

12000

2010 2011 2012 2013 2014 2015 2016

AVF

Jugular Cath

Others

Vascular Graft

MOHGovt. Non-

MOHOther

Sectors

Total HD Pt.: 16,315 6765 2356 7194

Treated by EPO-r: 13014 5537 1742 5735

Percentage: 78% 82% 74% 78%

0

1000

2000

3000

4000

5000

6000

7000

8000

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2010 2011 2012 2013 2014 2015 2016

HD Patients

Treated by EPO-r

Page 41: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Figure 4.6.1. HD patients; HBsAg+ve Antibody Patients 2016

Figure 4.6.2. HD patients; HCV+ve antibody patients 2016

Figure 4.6.3. Trend of HBsAg and HCV positive HD patients 2016

Region wise, HD patients in western region had the highest

percentage of HCV infection composing of 45% of the total number

of HCV+ve patients, followed by central region with 25%, southern

14%, Eastern 9% and Northern 7% (see figure 4.6.4).

Figure 4.6.4. HCV positive amongst HD patients region wise 2016

Causes of end-stage renal disease

For the past 5 years, the 2 major causes of end-stage renal disease

among HD patients had been due to diabetic nephropathy and

Hypertensive Nephropathy with the latter being the consistent

cause of ESRD (see figure 4.7.1) It is worth mentioning that in the

previous year Hypertensive Nephropathy had been noted as the

leading cause of ESRD. Though this year with (40%) of ESRD

patients, Diabetic Nephropathy has now been again the leading

cause of renal failure followed by Hypertensive Nephropathy with

(38%) and Unknown Etiology (7%). (See table 4.8.).

Cause of Renal Failure N %

Diabetic Nephropathy 6535 40%

Hypertensive Nephropathy 6211 38%

Unknown Etiology 1100 7%

Primary Tubulo Instertitial Disease 491 3%

Obstructive Uropathy 339 2%

Hereditary Renal Disease 279 2%

Congenital Malformation 271 1.6%

Vasculitis 215 1%

Primary Glumerular Disease 128 1%

Pregnancy Related 73 0.4%

Others 673 4%

Total 16,315 100% Table 4.8. Causes of end-stage renal disease in HD patients 2016

Figure 4.7.1. Trend of the major causes of ESRD 2016

Positive734 (4%)

Negative15581 (96%)

Total: 16,315

Positive2029 (12%)

Negative14286 (88%)

Total: 16,315

470 463 494 478 493 522734

28062600

2402 23782220

1977 2029

14 13 7 12 19 7 24

0

500

1000

1500

2000

2500

3000

2010 2011 2012 2013 2014 2015 2016

HBsAg+ve

HCV+ve

HIV+ve

Central Western Eastern Southern Northern

HCV+ve 516 911 176 279 147

HD Patients 4598 5807 1965 2611 1334

0

1000

2000

3000

4000

5000

6000

7000

0

1000

2000

3000

4000

5000

6000

7000

2010 2011 2012 2013 2014 2015 2016

diabeticnephropaty

hypertensivenephropaty

unknow etiology

Page 42: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Prevalence of diabetes mellitus and hypertension in

dialysis patients

In 2016, the prevalence rate of patients with Diabetes Mellitus

(DM)Hypertension (HTN)and patient with both (DM & HTN) are

gradually increasing through the years(see figure 4.8.2.). Patients

with both (DM & HTN) still has the highest prevalence rate of 35%,

followed by HTN only with 33% which has increased by 1%

compared to previous year and the DM only with 17% of the total

number of patients, while patients with Non-DM & HTN 17% has

decreased by 1% compared to previous year (See figure 4.8.1.)

Figure 4.8.1. Prevalence of DM and HTN in HD patients 2016

Figure 4.8.2. Trend on prevalence of DM and HTN in HD patients

Waiting list for renal transplantation

Status of patients for work-up and on active waiting list were also

monitored for HD patients and by the end of this year, a total of

2,708 patients (17%) were in the active list and ready for renal

transplantation with another 20% (3,263) on the waiting list for

work-up. Comparing with the previous year numbers, the

percentage of patients who on the list for work-up remain the same

at (20%) while the percentage on active waiting list was slightly

declined(See figure 4.9.1. and 4.9.2).

Figure 4.9.1. Waiting list for renal transplantation among dialysis

patients 2016

Figure 4.9.2. Trend of HD patients on active waiting list and waiting list

for work-up 2016

DM & HTN5804 (35%)

HTN only5342 (33%)

DM only2446 (15%)

Non-DM & HTN

2723 (17%)

0

1000

2000

3000

4000

5000

6000

7000

2010 2011 2012 2013 2014 2015 2016

DM & HTN

DM only

HTN only

Non Dm/HTN

on waiting list for work-up3263 (20%)

on active waiting list2708 (17%)

on HD patients10344 (63%)

0

2000

4000

6000

8000

10000

12000

2010 2011 2012 2013 2014 2015 2016

on waiting listfor work-up

on active waitinglist

on HD

Page 43: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

HD patients, machines sector, and region wise

In 2016, majority of HD units were from MOH with 134 (55%) hospitals around the kingdom, catering to the largest numbers of ESRD patients

with a total number of 6,765 (41%), followed by Private and Charitable hospital with 50 (21%) hospitals, the outsourcing hemodialysis Diaverum

& Davita with a combined 21 HD units or (14%) which has increase by 3% since the Gov’t is shifting their patients to these facilities, Military with

9 hospitals, King Abdullah Project 6 hospital, other hospitals 4, National Guard 4 hospitals and University hospital with 3 hospitals. The ratio

between patient and dialysis outlets are 2.7 pt. /outlet. (See table 4.9.).Regional distribution of MOH hospital has shown that southern region

has the most patient with 1,788 patients, followed by central region with 1,601, western 1,521, Northern 1050 and Eastern with 805. With the

Non-MOH hospitals, the outsourcing hemodialysis (Davita & Diaverum) has the most patients with 3,318 HD patients, followed private and

charitable hospitals institutions with 2,758 patients, Military hospital 1359, King Abdullah Project 1118, National guard 439, university hospitals

223, specialist hospitals 159 and others with176. The ratio between patients/outlets in both MOH and Non-MOH hospitals are 2.7 and 2.4%

respectively (See fig. 4.10. and 4.11.).

MOH Hospitals

Military Hospitals

National Guard

Outsourcing HD Project (Davita &

Diaverum)

University Hospitals

King Faisal Specialist Hospitals

Private& Charitable Hospital

King Abdullah Project

Other Hospitals

HD Centers: 213

134 9 4 31 3 2 50 6 4

HD Patients: 16,315

6765 1359 439 3318 223 159 2758 1118 176

Machines: 7,235

3535 439 149 1207 82 140 1041 562 80

Outlets: 5,858 2596 327 81 1212 81 108 853 538 62

Pts./Outlets: 2.7

2.6 4 5.4 2.7 2.7 1.5 3.2 2 2.8

Table 4.9. Number of HD Pts., Centers & Machines in MOH & Non-MOH Hospitals 2016

Figure 4.10. HD Pts. & Machines in MOH Hospitals according to Region 2016

Figure 4.11. HD Pts. & Machines in Non- MOH Hospital according to Sector 2016

Western Central Southern Eastern Northern

Patients: 6,765 1521 1601 1788 805 1050

Outlets: 2,596 525 623 641 324 483

Machines: 3,535 690 1000 863 382 600

Pts./Outlets: 2 2.2 1.6 2 2.1 1.8

0200400600800

100012001400160018002000

Military Hospitals National GuardOutsourcing HDProject (Davita &

Diaverum)

UniversityHospitals

King FaisalSpecialist Hospitals

Private &CharitableHospital

King AbdullahProject

Other Hospitals

Patients: 9550 1359 439 3318 223 159 2758 1118 176

Outlets: 3262 327 81 1212 81 108 853 538 62

Machines: 3700 439 149 1207 82 140 1041 562 80

Pts./Outlets: 2.4 3 2.9 2.7 2.7 1.1 2.6 2 2.2

0

500

1000

1500

2000

2500

3000

3500

Page 44: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Annual Report 2016

Peritoneal Dialysis in the Kingdom of Saudi Arabia

Page 45: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Peritoneal dialysis

In 2016, a total of 35 active peritoneal dialysis centers were recorded from MOH, Gov’t. Non-MOH, Private outsourcing dialysis

project (Diaverum). Among these PD centers, 18 centers were from MOH, 15 from Gov’t Non-MOH, 1 from Private and 1 from

Diaverum. Types of PD modalities per patients were Automated/Continuous Cyclic Peritoneal Dialysis or (CCPD/APD) machines

with 73% of patients, 21% were on Continuous Ambulating Peritoneal Dialysis (CAPD) and 6% were on Intermittent Peritoneal

Dialysis (IPD).

By the end of 2016, a total of 1,372 patients on peritoneal dialysis were recorded by SCOT, of these 461 were new patients. Age

Distribution of patients with ESRD has shown that 86% were adults and 14% were children.

Hepatitis B and C infection has shown that 1% of the ESRD patients are found to be HBsAg positive and 2% were HCV antibody

positive a 1% decreased from each compared to previous year.

Page 46: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 5.1. Peritoneal Dialysis in the Kingdom of Saudi Arabia

Hospital Name Total No. of

Pts

New Pts

2016

Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve

No. of Non-

Saudi Pts

No. of Deaths

2016 CAPD IPD CCPD/APD

King Fahad University Hospital, Dammam 173 67 3 0 170 0 173 1 4 8 8

King Saud Medical City, Riyadh 111 25 44 0 67 0 111 3 5 5 9

KFMH, Khamis Mushayt 84 12 73 0 11 7 77 1 6 0 7

King Fahd Specialist Hospital, Buraida 80 19 12 47 21 3 77 0 2 2 7

King Faisal Specialist Hospital and Research

Center, Riyadh 77 34 17 0 60 32 45 1 3 3 0

King Abdulaziz Medical City & National Guard

Hospital, Riyadh 71 32 16 0 55 19 52 1 4 7 2

King Saud University Medical City, Riyadh 68 24 19 1 48 0 68 1 1 6 5

Al Hada Armed Forces Hospital, Taif 65 21 5 5 55 8 57 1 1 0 7

Security Forces Hospital 9002, Riyadh 64 20 18 0 46 1 63 1 0 0 5

King Faisal Specialist Hospital, Jeddah 52 6 14 0 38 6 46 1 0 0 3

Prince Sultan Military Medical City, Riyadh 48 19 12 0 36 0 48 0 2 2 3

Assir Central Hospital 40 20 13 0 27 6 34 3 2 3 6

King Fahad Hospital, Madinah 40 14 1 15 24 2 38 2 1 8 2

King Fahad Hospital, Hofuf 35 20 0 0 35 1 34 0 2 2 6

King Abdul Aziz University Hospital, Jeddah 35 12 4 0 31 20 15 0 0 0 8

Al Noor Specialist Hospital 31 9 2 0 29 0 31 0 1 2 1

King Fahad Armed Forces Hospital, Jeddah 30 13 21 0 9 0 30 1 0 0 7

Page 47: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 5.1. Peritoneal Dialysis in the Kingdom of Saudi Arabia (Continuation)

Hospital Name Total No. of

Pts

New Pts

2016

Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve

No. of Non-

Saudi Pts

No. of Deaths

2016 CAPD IPD CCPD/APD

King Fahad Medical City, Riyadh 30 11 1 0 29 0 30 2 2 0 3

Dammam Medical Complex 28 15 0 0 28 0 28 0 0 1 3

King Fahad Specialist Hospital, Dammam 27 5 0 0 27 13 14 0 3 16 1

King Salman Military Hospital Tabuk 22 7 2 0 20 6 16 0 1 0 2

King Abdullah Specialized Children Hospital

National Guard, Riyadh 21 4 0 0 21 21 0 21 21 0 0

King Fahad Central Hospital, Gizan 19 8 1 0 18 7 12 0 0 1 2

Maternity and Children Hospital, Madina/

PD ONLY 16 4 1 0 15 16 0 0 0 0 2

King Abdullah Hospital, Besha 15 4 0 0 15 0 15 0 2 0 0

King Saud Medical City, Riyadh (Pediatric) 14 7 0 0 14 13 1 0 0 3 0

Johns Hopkins Health Center (ARAMCO),

Dahran 14 5 1 0 13 2 12 0 0 0 3

King Abdulaziz Medical City, Jeddah 14 4 3 0 11 3 11 0 0 0 3

King Fahad Hospital, Al Baha 9 3 1 6 2 0 9 0 0 0 1

King Salman for Kidney Disease Riyadh 9 4 2 0 7 0 9 1 0 0 2

Al Jubail General Hospital 8 3 0 0 8 0 8 0 1 5 2

King Khalid Hospital, Hail 8 2 0 8 0 0 8 2 0 0 1

King Abdul Aziz Medical City, Ahsa (NG) 7 5 2 0 5 2 5 0 0 0 0

King Khalid Hospital, Najran 4 0 2 0 2 0 4 1 0 0 0

Saudi German Hospital, Riyadh 3 3 1 0 2 0 3 1 0 3 0

Total: 35 1,372 461 291 82 999 188 1184 45 64 77 111

Page 48: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Table 5.2. Total Peritoneal dialysis in All Sector According to Global Region 2016

Region No. of Hospitals Total No. of Pts New Pts 2016

Type of Peritoneal Dialysis

Pediatrics Adults HBsAg+ve HCV+ve No. of Non-Saudi Pts No. of Deaths 2016

CAPD IPD CCPD/APD

Central 12 596 202 142 48 406 89 507 32 40 31 36

Western 8 283 83 51 20 212 55 228 5 3 10 33

Eastern 7 292 120 6 0 286 18 274 1 10 32 23

Northern 2 30 9 2 8 20 6 24 2 1 0 3

Southern 6 171 47 90 6 75 20 151 5 10 4 16

Total 35 1,372 461 291 82 999 188 1184 45 64 77 111

Hospital Name No. of

Hospitals

Total No.

of Pts

New Pts

2016

Type of Peritoneal Dialysis Pediatrics Adults HBsAg+ve HCV+ve

No. of Non-

Saudi Pts

No. of

Deaths 2016 CAPD IPD CCPD/APD

MOH Hospitals 18 524 173 80 76 368 61 463 14 21 48 48

GOVT. NON-MOH Hospitals 15 781 265 192 6 583 126 655 29 43 26 58

DIAVERUM Outsourcing Dialysis Program 1 64 20 18 0 46 1 63 1 0 0 5

Private Hospital 1 3 3 1 0 2 0 3 1 0 3 0

Total : 32 35 1,372 461 291 82 999 188 1184 45 64 77 111

Page 49: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Active PD centers and treatment modality

In 2016, a total of 1,372 active PD patients in the kingdom had been

recorded. A 5% increase from the previous year (see figure 5.1.1.).

The modality of treatment had shown that CCPD/APD are still the

most chosen PD modality among the patients with 999 (73%)

followed by CAPD with 291 (21%) and IPD with 82 (6 %) (See figures

5.1.2. and 5.1.3.).

Figure 5.1.1. Total active PD in KSA 1995-2016

Figure 5.2.1. PD patient; treatment modality 2016

Figure 5.1.3. Trend of the modality of treatment among PD patients

Adult and pediatric PD patients

Among the 1,372 PD patients, 1184 (86%) were composed of adult

patients and the remaining 188 (14%) were pediatric (see figure

5.2.1.). Comparing to last year’s data the number of PD patients had

slightly increased by 5% in 2016 but still lower than the past 5 years.

(See figures 5.2.2.).

Figure 5.2.1. PD patients; adult and pediatric 2016

Figure 5.2.2. Trend of adult and pediatric PD patients

Serology status of HBsAg and HCV among PDpatients

In 2016, HBsAg+veand HCV+vestatus among PD patients were

reported in SCOT which shows HBsAg+ve infected patients 45,

remains at (3%) (See figures 5.3.1.)Though, results have only shown

varying changes in the past few years (See figure 5.3.2.). While,

HCV+ve patients with 64 patients has increased in percentage to

(5%) from last year’s 3% infected patients.(See figures 5.3.3. &

5.3.4.).

132

13

3 19

6

19

6 30

2

33

5

37

9 44

2 50

6 59

5

64

5 77

2 86

1 96

5 11

12

1196

12

40

13

27

14

02

14

16

13

07

13

72

0

200

400

600

800

1000

1200

1400

1600

199

5

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

201

0

20

11

20

12

20

13

20

14

20

15

20

16

IPD82 (6%)

CAPD291 (21%)

APD/CCPD999 (73%)

0

200

400

600

800

1000

1200

2010 2011 2012 2013 2014 2015 2016

APD/CCPD

CAPD

IPD

adult1184 (86%)

pediatric188 (14%)

0

200

400

600

800

1000

1200

1400

2010 2011 2012 2013 2014 2015 2016

Adult

Pediatric

Page 50: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Figure 5.3.1. PD patients; HBsAg status 2016

Figure 5.3.2. Trend of HBsAg status on PD patients

Figure 5.3.3. PD patients; HCV antibody status 2016

Figure 5.3.4. Trend of HCV status on PD patients 2016

PD distribution region wise

PD patients distribution in the region of the kingdom were highest

in central region with a total of 596 or (44%), followed by Eastern

region with 292 (21.3%), western 283 (20.7%), southern 166 (12%)

and northern region with 30 (2%).

Figure 5.4. PD distribution region wise 2016

Renal Replacement Therapy

In 2016, Patients on renal replacement therapy were composed of

HD patients with 16,315 (66%), then patients who had kidney

transplants with 7,015 (28%) and patients on PD with 1,372 (6%) of

the total population (see figure 6.1.). The current and projected

dialysis population had an average of 658patients per year which is

having a net annual increase of 7.7% annually.

Figure 6.1. Renal replacement therapy 2016

Positive45 (3%)

Negative1327 (97%)

0

200

400

600

800

1000

1200

1400

1600

2010 2011 2012 2013 2014 2015 2016

HBsAg Positive

HBsAg Negative

Positive64 (5%)

Negative1308 (95%)

56 53 56 57 49 43 64

0

200

400

600

800

1000

1200

1400

1600

201

0

201

1

201

2

201

3

201

4

201

5

201

6

HCV Positive

HCV Negative

Central:596

Western:283

Eastern:292

Southern:171

Northern:30

MOH: 18 244 87 98 87 8

Govt. Non-MOH: 13 285 196 194 84 22

Outsourcing Diaverum:1 64 0 0 0 0

Private: 1 3 0 0 0 0

0

50

100

150

200

250

300

HD16315 (62%)

Renal Tx. Followed Up8538 (33%)

PD1372 (5%)

Page 51: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Figure 6.2. Dialysis population: current and projected: 1995-2020

Average annual net increase: 658 patients

Average percentage of annual increase: 6.2%

Figure 6.3. Dialysis Centers in KSA 2016; @Dialysis Centers; #More than one (1) Dialysis Center

Figure 6.4. Renal Replacement Therapy in KSA 1995-2016

3,8

69

4,3

22

4,8

61

5,2

06

6,0

08

7,0

29

7,3

83

7,8

33

7,5

26

7,8

09

8,4

92

9,5

33

10

,28

0

11

,16

8

12

,04

0

12

,63

3

13

,35

6

14

,17

1

14

,56

2

14

,79

0

15

,99

0

17

,68

7

18

,55

3

19

,43

0

20

,40

3

21

,32

7

0

5000

10000

15000

20000

25000

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

20

19

20

20

33

60

37

13

40

46

43

96

43

82

40

43

48

65

56

56

63

78

69

02

81

82

90

02

96

00

10

01

0

80

73

80

98

74

08

71

50

72

69

79

46

67

85

85

38

37

37

41

89

46

65

50

10

57

06

66

94

70

04

73

91

70

20

72

14

78

37

85

00

94

50

10

50

0

10

92

8

11

43

7

12

11

6

12

84

4

13

16

0

14

36

6

15

59

0

16

31

5

132 133 196 196 302 335379

442 506 595645

780861

10101112 1196 1240 1327 1402

1416 13071372

0

5000

10000

15000

20000

25000

30000

1995 199619971998 1999 20002001 2002 2003 20042005 2006 2007 20082009 2010 201120122013 2014 20152016

Post Renal Tx. HD PD

Page 52: Annual Report 2016 Hemodialysis in the Kingdom of Saudi …scot.gov.sa/images/Annual Report Dialysis Chapter 2016.pdfIntroduction In 2016, a total of 243 hospitals and dialysis centers

Region Population

2016 Dialysis Pts.

2016 Prevalence

(pmp)

Northern 2,432,285 1,364 561

Southern 4,733,568 2,782 588

Western 10,405,740 6,090 585

Central 9,390,096 5,194 553

Eastern 4,780,619 2,257 472

Total 31,742,308 17,687 557

Table 6.1. Prevalence of dialysis pts. (HD and PD) According to region 2016

Region Population

2016 New Dialysis Pts. 2016

Incidence (pmp)

Northern 2,432,285 307 126

Western 10,405,740 1,521 146

Southern 4,733,568 680 144

Eastern 4,780,619 759 159

Central 9,390,096 1,344 143

Total 31,742,308 4,611 145

Table 6.2. Incidence of dialysis pts.(HD and PD) According to region 2016