Health-related quality of life (HRQOL) is a critical issue in the trea
tment of endstage renal disease (ESRD) patients. The variety of sympto
ms, comorbidities, and treatments of ESRD over the course of its chron
ic disease trajectory necessitate comprehensive assessment of the impa
ct of interventions on HRQOL. A literature review of ESRD HRQOL studie
s was performed to provide an overview of the instruments used and to
provide recommendations for HRQOL assessment in future studies. Instru
ments were classified based on the health domains they assess and whet
her they are generic or disease targeted. The instruments were judged
in terms of their comprehensiveness, reliability, and validity.