Increasing the use of biocompatible, glucose-free peritoneal dialysis solutions

Table 1 Catalog prices of different peritoneal solutions

	United Kingdom (£)		Singapore ($)		Pakistan (Rs)
CAPD fluid
Conventional CAPD 2 litre bag
Dianeal (1.5%)	3.87		10.66		774
Staysafe (1.5%)	4.24		10.98		812
Biocompatible CAPD 2 litre bag	£	Increment (%)	Sing $	Increment (%)	Rs	Increment (%)
Physioneal	7.32	89	12.5	17	1464	89
Nutrineal	8.5	120	14	31	1785	131
Extraneal	6.6	70	12.3	16	1200	55
Balance	4.63	9	12.1	10	1020	26
Automated PD Fluid
Conventional APD 5 litre bag
Dianeal (1.5%)	8.6		28		1400
Sleepsafe (1.5%)	7.8		28		1450
Biocompatible APD 5 litre bag		Increment (%)		Increment (%)		Increment (%)
Physioneal	12.2	42	39	39	2200	57
Sleep balance	12.5	60	40.5	45	2350	62

Source: Fresenius Dialysis Product Catalogue 2013 revised (United Kingdom, Singapore and South Asia); Baxter PD Product List 2014 (United Kingdom, Singapore and Pakistan). CAPD: Continuous ambulatory peritoneal dialysis; APD: Automated peritoneal dialysis; PD: Peritoneal dialysis.

Table 2 Estimated annual cost of peritoneal dialysis fluids based on United Kingdom catalog prices

	United Kingdom (£)	Increment (%)
CAPD
Dianeal (1.5%) × 4	5650	-
2 × Dianeal, Nutrineal, Extraneal	8340	48
2 × Physioneal, Extraneal, Nutrineal	10860	92
APD
Dianeal: 1.5% (× 4 cycles) with last fill of 2.5%	9420	-
Dianeal, Nutrineal, Extraneal: (× 3 cycles 1.5%, 1 cycle Nutrineal) with last fill Extraneal	11790	25
Physioneal, Nutrineal, Extraneal(× 3 cycles 1.5%, 1 cycle Nutrineal) with last fill Extraneal	14420	53

CAPD: Continuous ambulatory peritoneal dialysis; APD: Automated peritoneal dialysis.