IntroductionChronic diseases have many negative impacts on people's quality of life.[1] These diseases not only cause many physical and mental problems to patients [2], but also cause costs to the patient's family. Their impacts will therefore be visible both on the patient and on society [3]. The treatment of kidney patients as a chronic disease is one of the most important problems for global health[4] because this disease has high prevalence and incidence rates[5] and its treatment is associated with cost high and low recovery.[6] The National Kidney Foundation in the United States has defined chronic kidney disease as renal failure or glomerular filtration rate less than 60 ml per 1/73 square meter of body surface area for three months or more [7]. In recent years, the number of patients with kidney diseases has also increased[8]. For example, correspondence in the United States shows that this figure increased from 58,220 patients in 1980 to 514,642 in 2007[9]. Such increases could also be observed in Iran, so that the number of patients in that country in 1992 was 3,670. This number increased to 8,500 patients in 2002 and to 32,000 in 2011.[10] Hemodialysis (blood dialysis) is the most general method for treating end-stage renal disease. Hemodialysis removes waste, toxins and excess fluid from the blood and plays a role similar to the kidneys in the body. [11] The number of people receiving hemodialysis treatment increases each year by approximately 15% in Iran. [12] The quality of life of people on hemodialysis is lower than that of others. These patients generally need to be treated 3 times per week, which imposes many limitations.[13] Most kidney patients can be successfully treated by both methods of hemodialysis and transplantation. Kidney transplantation is a...... middle of article ......n Society of Nephrology, 1995. 6: p. 7.24. Edward F. Vonesh, M., John, Mortality in end-stage renal disease: a reassessment of the differences between patients treated with hemodialysis and peritoneal dialysis. Journal of the American Society of Nephrology, 1999. 10: p. 12:25 p.m. ghayas habach, B., Wendy E, Mauger, Elizabeth A., Wolfe, Robert A., Portı, Friednich K., Hospitalization among dialysis patients in the United States: hemodialysis versus peritoneal. Journal of the American Society of Nephrology, 1995. 5(11): p. 9.26. Al, MJ, T. Feenstra, and WBF Brouwer, Policymakers' Perspectives on Health Care Goals and Budget Constraints: Results of 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 acute myocardial infarction. Health Research and Education Fund, 2010. 45(6): p.. 17.