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Outcome of Treatment for End-Stage Renal Disease

Robert A. Gutman, MD; Roscoe R. Robinson, MD
Arch Intern Med. 1978;138(10):1469-1470. doi:10.1001/archinte.1978.03630350007003.
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There have been too few attempts to assess the degree of rehabilitation after renal transplantation or the initiation of long-term maintenance dialysis. This has been particularly true since the large-scale growth of the chronic uremia program with the advent of federal funding in 1973. Those studies that have been published have often tried to compare the clinical outcome of one form of treatment with another, ie, transplantation vs long-term maintenance dialysis.1,2 For those interested in such comparisons, the report published in this issue by Bonney et al (p 1510) may appear to provide further evidence that transplantation is a better form of therapy than dialysis. This may well be the case (it seems unlikely to us that the reverse is true), but it must be emphasized strongly that this point has not been established by their observations. Indeed, as emphasized by the authors themselves, their results cannot be used


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