It has been demonstrated that the changes of albumin level in the fixed postdialysis period were associated with the survival of patients receiving PD.14 After the inflection point of peak albumin and with ongoing dialysis, the albumin level will decline progressively because of various reasons, for example, worsening renal reserve and decreasing dialysis adequacy and increasing uremia and dialysis complications including infectious and cardiovascular diseases.15 The gene discussed is ALB; the disease is cardiovascular disorder.