Global & Spain Dialysis Equipment Market to 2031

The dialysis equipment market in Spain is shaped by the healthcare system's efforts to meet the needs of a population increasingly affected by age-related chronic conditions. As of January 1, 2023, over 9.5 million people in Spain were aged 65 and older, making up more than 20% of the total population—an all-time high according to data from the National Institute of Statistics (INE). This aging demographic is expected to continue growing, contributing significantly to the rising prevalence of chronic kidney disease (CKD), which is estimated to affect between 10% and 15% of the Spanish population, although a significant portion remains undiagnosed. A study projecting the burden of CKD in Spain from 2022 to 2027, published in November 2024, underscores this challenge.

The main drivers of CKD requiring renal replacement therapy (RRT) in Spain are Type 2 diabetes (DM2) and hypertension, both of which account for a large percentage of cases initiating RRT, in line with global trends. Recent data from the Spanish Dialysis and Transplant Registry (REDYT), highlighted in a March 2025 report, shows that the incidence of RRT in Spain has been rising, reaching 152.2 cases per million population in 2022, though the rate stabilized after a period of growth between 2013 and 2019, according to the 2022 REDYT analysis published in April 2025.

By April 2025, Spain had an estimated 27,281 prevalent dialysis patients, the majority of whom were receiving hemodialysis/hemodiafiltration (HD/HDF), while a smaller percentage were on peritoneal dialysis (PD). Hemodialysis remains the predominant initial treatment modality, with 78.7% of patients starting with HD/HDF, while 16.8% of incident patients opt for PD. This indicates an ongoing demand for equipment and consumables for both treatment modalities.

According to data from the ERA Registry published in March 2025, home dialysis has a prevalence of 13.7% in Spain, signaling a steady but slower adoption of home-based treatments compared to some Nordic countries. The increasing clinical and economic burden of CKD and RRT is a major focus for the Spanish healthcare system, driving initiatives like CARABELA-CKD, which aims to improve CKD management and patient outcomes.

These demographic trends and the rising prevalence of chronic diseases highlight the growing demand for dialysis equipment in Spain, ensuring its continued importance in the country’s healthcare landscape. Show more