Hemodialysis or Transplantation?

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Abstract
With the implementation of new health legislation to cover a significant proportion of the costs of chronic intermittent hemodialysis and renal transplantation, the nephrologist is feeling the pressures of ‘cost effectiveness’ in planning a course of treatment for his patients. However, the methods of treatment which are advocated as being most economical (transplantation and home hemodialysis as opposed to center hemodialysis) are, under certain circumstances, less effective in terms of patient survival. Factors the physician should consider in planning a treatment program for his patients are presented and technological developments which have contributed to the success of hemodialysis are reviewed.

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