Eastern Europe Peritoneal Dialysis Equipment Market Outlook (2021-2031)

The Eastern Europe peritoneal dialysis equipment market is projected to grow significantly, reaching an estimated US$ 297.5 million by 2031, up from US$ 191.8 million in 2024. This growth represents a compound annual growth rate (CAGR) of 6.5% from 2025 to 2031.

Executive Summary and Market Analysis

The peritoneal dialysis (PD) equipment market in Eastern Europe is on an upward trajectory, primarily driven by the increasing demand for home-based dialysis solutions, which are generally more cost-effective than in-center hemodialysis (HD). Additionally, government support in developing regions is facilitating this growth. Despite the expansion of the PD equipment market, it faces challenges stemming from historical and current economic conditions. In many Eastern European countries, healthcare systems are predominantly government-run and have traditionally relied on hemodialysis centers, reflecting long-standing care delivery patterns.

As the prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) rises due to lifestyle changes and an aging population, these healthcare systems are becoming increasingly strained. Consequently, peritoneal dialysis is emerging as a viable option for managing these conditions. Continuous ambulatory peritoneal dialysis (CAPD) is particularly favored due to its simplicity and lower costs. Both public and private sectors are making substantial investments in this market. However, the growth of the PD market is hindered by a shortage of trained healthcare professionals capable of providing home-based care.

Market Segmentation Analysis

The Eastern Europe peritoneal dialysis equipment market can be segmented by product, application, and end user.

1. By Product: The market is divided into automated peritoneal dialysis machines, continuous ambulatory peritoneal dialysis systems, and PD consumables/accessories. In 2024, the PD consumables/accessories segment dominated the market, driven by the ongoing need for single-use dialysate solutions and other essential accessories that are required for each treatment, leading to consistent high-volume demand.
2. By Application: The market is categorized into continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. The continuous ambulatory peritoneal dialysis segment held a larger market share in 2024, attributed to its straightforward nature, lower initial equipment costs, and independence from machinery, making it a practical choice in regions with limited healthcare budgets and varying infrastructure.
3. By End User: The market is segmented into in-center dialysis and home care settings. The home care settings segment accounted for a larger share in 2024, as governments increasingly recognize home-based care as a sustainable and cost-effective solution for managing the growing burden of ESRD, thereby alleviating pressure on overburdened hospital resources.

Market Outlook

The Eastern Europe peritoneal dialysis equipment market encompasses countries such as Russia, Poland, Ukraine, Romania, Czech Republic, Slovakia, Bulgaria, and Greece. The outlook for this market indicates slow but steady growth, with considerable untapped potential. Future demand will be influenced by ongoing health reforms and a shift towards more durable, patient-centered care models. The adoption of PD-first policies is anticipated to be a significant catalyst, as it will help alleviate the burden on hospital-based HD units and enhance access to renal care for a broader patient population.

Moreover, the market stands to benefit from increased investments in digital health technologies, including telemedicine and remote monitoring, which are crucial for overcoming geographical barriers that often limit access to care in the region. As international medical equipment companies expand their presence and collaborate with local healthcare providers, they will raise awareness and provide necessary training to support PD programs. However, a major challenge remains in ensuring consistent and comprehensive reimbursement policies across various countries to make PD financially viable for both patients and healthcare providers.

Country Insights

The Eastern Europe peritoneal dialysis equipment market is further segmented by country, with Russia holding the largest market share in 2024. The PD landscape in Eastern Europe is characterized by contradictions in adoption rates and market maturity. Russia is a significant player in the dialysis sector, with a large patient population and recent strategic initiatives aimed at increasing the number of patients receiving PD. The Russian government is focusing on domestic production of PD solutions and equipment to reduce reliance on foreign suppliers and ensure stable patient care.

In contrast, Poland has a substantial dialysis patient population but exhibits low PD utilization due to a strong preference for HD and a lack of awareness or training regarding PD among healthcare professionals. Romania, however, has emerged as a success story in PD development, showcasing a rapid adoption rate over recent decades. These disparities illustrate that the growth of PD is not solely dependent on economic factors but is also influenced by the availability of national health service policies, physician education, and public funding.

Company Profiles

Key players in the Eastern Europe peritoneal dialysis equipment market include Fresenius Medical Care AG & Co KGaA, Baxter International Inc., B. Braun SE, Nipro Corp, Medtronic Plc, Nikkiso Co Ltd, Teleflex Inc, Asahi Kasei Medical Co., Ltd., Terumo Corp, and DaVita Inc. These companies employ strategies such as expansion, product innovation, and mergers and acquisitions to maintain competitiveness and offer innovative products to consumers. Show more