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May 26, 2004

Differences Between Patients Receiving Peritoneal Dialysis vs Hemodialysis

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(20):2429. doi:10.1001/jama.291.20.2429-a

To the Editor: Dr Rubin and colleagues1 reported that patients receiving peritoneal dialysis rated their care higher than did patients receiving hemodialysis. We are concerned that the authors did not account for several factors related to the choice of peritoneal dialysis vs hemodialysis.

First, patients receiving peritoneal dialysis in this study were more likely to be white and to have graduated from high school; thus, they were also more likely to be employed and to have health insurance. This is important because white patients were more likely to rate their care better, as were patients with fewer comorbidities.

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