(This commentary was not written by CRD, but by the authors of the DH Register.)
1) An arbitrary addition to life-expectancy is made to reflect QoL gains. 2) Survival is extrapolated from observational data of six years duration. 3) The quality of the survival data is uncertain. 4) Costs of complications of dialysis have not been addressed. 5) Ludbrook (1981) comments that survival rates for transplantation are over estimated. 6) There were no health omissions.