Acknowledgment: This research was supported by Grant No. DK42949 to Dr. Kutner from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health. We are very grateful for assistance with study design, data collection, and preliminary data analyses supplied by Tess Bowles, MEd; Donna Brogan, PhD; Carol Coogler, ScD, PT; Danni Daniels, MS; and Patricia Ward, MPH, RD; chart review to ascertain comorbid conditions by Xavier Aviles, MD; and participation in the study by patients, staff, and medical directors of Georgia dialysis facilities.