Results: A total of 112 haemodialysis patients were included.The majority were male (67%) with a mean age of 47 years.Most were married (82%) and underwent dialysis twice weekly (75%) with an average duration of three years.Regarding costs, 87% received full financial support for dialysis.A family history of kidney disease was reported by 30% of participants.Physician recommendation for transplantation was reported by 82% of patients; however, only 8% were registered with a transplant centre.Awareness regarding kidney transplantation was generally high-81% knew it could be performed from a living donor, 77% understood that donors can live normally post-donation, and 95% recognized the need for lifelong medication.Yet misconceptions persisted, with 72% believing only very close relatives could donate and 88% assuming a perfect and full blood-type match was required.Although 85% believed religious leaders support organ donation, only 19.5% agreed that religion supports helping others through donation, while 77% remained neutral.Community support for living donation was reported by 69% of respondents.The principal barriers identified were financial constraints (52%), lack of available donors (43%), fear of surgery (26%), fear of graft rejection (56%), along with family opposition and guilt toward potential donors (57%).Despite these challenges, overall attitudes toward transplantation were positive: 94.7% regarded it as an effective treatment, 88.5% believed it improves quality of life, and 82% would prefer transplantation if cost were not a limitation.Trust in physicians (97%) and confidence in fair treatment within the transplant process (89%) were also high. Conclusion:These findings indicate a clear gap between knowledge, attitude and practice at a centre where transplantation is not currently performed, and they underscore the need for multifaceted interventions.Routine transplant counselling by dialysis staff, and structured exposure of patients and families to active transplant units to translate willingness into action.Comparative evaluation with transplant-active canters is warranted to identify facilitators and refine policies that promote equitable, access to renal transplantation in Pakistan.Long term goal of deceased donor program with government patronage would help address multiple issues as well.I have no potential conflict of interest to disclose.I used generative AI and AI-assisted technologies in the writing process.During the preparation of this work the authors used chatGPT in order to improve readability and language.
Miyabe et al. (Wed,) studied this question.