We thank Dr. Palamuthusingam for the valuable comments and appreciate the opportunity to clarify.1 Our study2 aimed to develop and validate an algorithm to broadly identify patients with end-stage kidney disease (ESKD) in electronic health record data, including those receiving any dialysis modality (hemodialysis or peritoneal dialysis) as well as kidney transplant. In our paper, “maintenance dialysis” was defined using diagnosis and procedure codes that encompassed both hemodialysis and peritoneal dialysis, as detailed in Table 1.