Chronic diseases have lots of negative impacts on people’s quality of life. These diseases not only cause a lot of physical and mental problems for patients , but also costs on patient’s family So their impacts will be shown in both patient and society . The treatment of kidney patients as chronic disease is one of the most important issues for world’s health because this disease has high rates of prevalence and incidence and its treatment is associated with high cost and low recovery. The National Kidney Foundation in United States has defined chronic kidney disease as kidney failure or Glomerular filtration less than 60 ml at 1/73 square meter of body surface area for three months or later . In the recent years the number of kidney patients are increasing too. For example corresponds in United States show that this figure reached from 58220 patients in 1980 to 514642 ones in 2007.such increases could be seen in Iran too, so that the number of patients in this country in 1992 was 3670 ones. It increased to 8500 patients in 2002 and 32000 ones in 2011.
Hemodialysis (blood dialysis) is the most general method for treating end stage kidney failures. Hemodialysis removes waste products, toxins and excess of fluid from the blood and has roles like kidney roles in body.  The numbers of people who receive Hemodialysis treatment are increasing yearly about 15% in Iran.  The quality of life for people who received Hemodialysis is lower than others. These patients generally must be treated 3 times a week and it makes a lot of limitations for them. Most of kidney patients can be treated successfully with both methods of Hemodialysis and transplantation. Kidney transplantation is a c...
24. Edward F. Vonesh , M., John, Mortality in End-Stage Renal Disease: A Reassessment of Differences between Patients Treated with Hemodialysis and Peritoneal Dialysis. Journal of the American Society of Nephrology, 1999. 10: p. 12.
25. ghayas habach, B., Wendy E,Mauger, Elizabeth A.,Wolfe,Robert A.,Portı,Friednich K., Hospitalization Among United States Dialysis Patients:Hemodialysis Versus Peritoneal. Journal of the American Society of Nephrology, 1995. 5(11): p. 9.
26. Al, M.J., T. Feenstra, and W.B.F. Brouwer, Decision makers’ views on health care objectives and budget constraints: results from a pilot study. Health Policy, 2004. 70(1): p. 33-48.
27. Jonas Schreyo¨gg, S., Tom The Trade-Off between Costs and Outcomes: The Case of AcutebMyocardial Infarction. Health Research and Educational Trust, 2010. 45(6): p. 17.