Chronic kidney disease is becoming one of Malaysia’s most pressing public health challenges, yet it often develops quietly and goes unnoticed until it reaches an advanced stage.
Dr Dzul says some nephrologists are still reluctant to shift kidney failure patients from haemodialysis to home-based peritoneal dialysis, despite the PD First Policy from 2020. PD adoption is currently 42% in MOH facilities, but 20% across public/private.
Maaedicare Charitable Foundation is tackling the kidney failure crisis by subsidising dialysis treatment for 100 new, low-income Malaysian patients from B40 households.
Experts warn of the increasing risk of cardiorenal metabolic (CRM) syndrome in Malaysia, a constellation of heart/kidney/metabolic conditions that has a compounded effect on patients. Malaysians face a "perfect storm" of genetic, lifestyle, dietary risks.
Patients say peritoneal dialysis is more flexible than haemodialysis, but more financial and caregiver support is needed. “Socso covers my machine and solutions, but everything else is on me,” says a PD patient who pays up to RM250 monthly out of pocket.
A Hospital Picaso urologist says robotic surgery, which costs extra RM15,000, can avoid loss of a kidney or uterus from non-assisted surgery for cancer patients. "Insurance companies don't have the last call; it's medical evidence that has the last call."
AstraZeneca, together with health care industry leaders, have launched an app for primary care physicians for chronic kidney disease management, plus a Kidney Failure Risk Equation that can be integrated into lab reports to predict kidney failure risk.
AstraZeneca, together with health care industry leaders, have entered a strategic partnership to advance early actions in chronic kidney disease management through use of digital solutions such as the MyCKD CPG app and the Kidney Failure Risk Equation.
HKL nephrologist Dr Mohamad Zaimi Abdul Wahab suggests kidney failure patients can do away with dialysis if organs were readily available. “It will not provide what an actual kidney can for your body, as simple as that". Malaysia has under 300 nephrologists across public/ private sectors.