North America Peritoneal Dialysis Equipment Market Outlook (2021-2031)

The North American peritoneal dialysis equipment market is projected to grow significantly, reaching an estimated US$ 1,469.8 million by 2031, up from US$ 972.3 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 equipment market in North America is witnessing robust growth, primarily fueled by the increasing demand for home-based dialysis solutions, which are generally more cost-effective than in-center hemodialysis (HD). Additionally, government support in various regions is enhancing the accessibility of these treatments. Patients are increasingly favoring continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) systems, as these options provide a more flexible and quality-of-life-oriented approach to treatment, allowing patients to manage their care in the comfort of their homes.

A significant driver of this market trend is the continuous innovation in peritoneal dialysis systems. Manufacturers are focusing on enhancing automated PD cyclers, improving user interfaces, and integrating remote patient monitoring technologies. These advancements aim to boost treatment efficacy and safety, empowering patients to take control of their treatment regimens at home. Furthermore, a favorable policy environment, along with public and private reimbursement schemes that recognize home dialysis therapies as patient-centric and cost-effective, is expected to support the market's growth trajectory.

However, the consumables segment, particularly dialysis solutions, faces challenges in innovation, especially in developing more biocompatible formulations that enhance patient outcomes and reduce the risk of peritonitis.

Market Segmentation Analysis

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

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 due to the high and recurring demand for essential supplies such as dialysate solutions, catheters, and tubing sets, which are necessary for each treatment session.
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 cost-effectiveness, ease of use, and independence from machinery, making it a widely adopted treatment option.
By End User: The market is segmented into in-center dialysis settings and home care settings. The home care settings segment accounted for a larger share in 2024, driven by a growing patient preference for the convenience, flexibility, and improved quality of life associated with at-home treatment, supported by technological advancements and favorable reimbursement policies.

Market Outlook

The outlook for the North American peritoneal dialysis equipment market is highly optimistic, with a clear trend towards increased adoption and innovation. The shift towards value-based healthcare models, where providers are compensated based on patient outcomes rather than service volume, positions peritoneal dialysis favorably as a strategic cost-effective solution. Government programs and reimbursement policies in the United States actively support home dialysis therapies, which is likely to drive market growth as technology continues to evolve. Innovations such as portable and user-friendly devices, next-generation cyclers with AI-enabled compliance, and personalized treatment options are expected to enhance patient independence and mobility.

As healthcare systems grapple with the rising prevalence of chronic kidney disease, the demand for cost-effective and operationally efficient solutions will persist. Additionally, training programs for patient and caregiver safety will remain essential to ensure effective home-based peritoneal dialysis settings.

Country Insights

The North American peritoneal dialysis equipment market is segmented into the United States, Canada, and Mexico, with the United States holding the largest market share in 2024. The U.S. leads the region in terms of the peritoneal dialysis patient population and the adoption of advanced technologies. Effective reimbursement policies, particularly from the Centers for Medicare & Medicaid Services (CMS), have made home dialysis more accessible, contributing to an increase in incident PD patients.

Canada boasts a strong end-stage kidney disease (ESKD) care system that emphasizes chronic disease management, aligning well with its universal healthcare framework. Peritoneal dialysis is valued for its ability to reduce hospital visits and enhance quality of life, which is a critical focus of Canadian health policy.

In Mexico, recent investments from both public and private sectors are aimed at improving renal care and addressing the burden of chronic kidney disease. While challenges remain in healthcare infrastructure and public awareness of peritoneal dialysis, opportunities for growth are expanding as healthcare policies evolve to enhance patient outcomes and service delivery.

Company Profiles

Key players in the North American 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 are employing strategies such as expansion, product innovation, and mergers and acquisitions to maintain competitiveness and deliver innovative products to consumers. Show more