Publication Name	World Journal of Transplantation
Manuscript ID	117585
Country	Brunei Darussalam

Category	Transplantation
Manuscript Type	Observational Study
Article Title	Informing national policy: Healthcare workers’ readiness for a deceased donor kidney transplant program in Brunei Darussalam
Manuscript Source	Invited Manuscript
All Author List	Nor Islya Emma Othman, Chiao Yuen Lim, Lubna Razak, Musuruani Yusof, Dalinatul Ahmed, Fazean Idris, Nayan Joshi, Muhammad Abdul Mabood Khalil, Minh Cuong Duong and Jackson Tan
Funding Agency and Grant Number
Corresponding Author	Jackson Tan, Department of Renal Services, Raja Isteri Pengiran Anak Saleha Hospital, Jalan Putera Al-Muhtadee Billah, Bander Seri Begawan BA1712, Brunei Darussalam. drjacksontan74@gmail.com
Key Words	Deceased donor kidney transplantation; Commercialized transplantation; Transplant tourism; Organ trafficking; Opt-in policy; Organ donation; Chronic kidney disease; Transplant
Core Tip	This study explored the views of 370 healthcare workers in Brunei Darussalam on establishing a deceased donor kidney transplant (DDKT) program. Most were female (76%) and included doctors, nurses and allied health staff. Overall, 61% showed high knowledge. Support for DDKT (44%) exceeded opposition (12%), though 45% were undecided. An opt-in donor card system was favored by 54%, while attitudes toward transplant commercialization were mixed, with 21% accepting it. Disapproval of DDKT and donor cards was associated with Islamic religion, Malay ethnicity, nursing profession, lower knowledge, female sex, and unawareness of fatwa. Multivariable analysis confirmed profession, religion, education and knowledge as independent predictors of disapproval.
Citation	Othman NIE, Lim CY, Razak L, Yusof M, Ahmed D, Idris F, Joshi N, Khalil MAM, Duong MC, Tan J. Informing national policy: Healthcare workers’ readiness for a deceased donor kidney transplant program in Brunei Darussalam. World J Transplant 2026; In press

Received	2025-12-11 01:00
Peer-Review Started	2025-12-11 01:00
First Decision by Editorial Office Director	2026-02-06 10:27
Return for Revision	2026-02-06 10:27
Revised	2026-02-10 02:57
Publication Fee Transferred
Second Decision by Editor	2026-03-13 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-13 06:23
Articles in Press	2026-03-13 06:23
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3230 (online)
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