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CONTEXT Previous studies from the US and Canada report deficiencies in informed decision-making and a need to improve end-of-life (EoL) care in dialysis patients. However, there is a paucity of literature on these issues in Pakistani dialysis patients, who differ from Western patients in culture, religion, and available healthcare services. METHODS We used convenience sampling to collect 522 surveys (90% response rate) from patients in 7 different dialysis units in Pakistan. We used an existing dialysis survey tool, translated into Urd