Table 5.
Analysis of the decision-making criteria cited by the 31 doctors interviewed
| Subsequent quality of life (n=22) | Defined by long-term living conditions, as predicted by the doctor (n=9), by the relationship between the child’s prognosis and the burden of the treatment (n=8), by the possibility of autonomy from the parents and of social insertion (n=4), by the possibility of a normal life without handicap (n=1) |
| Severe neurological handicap (n=21) | If it was severe enough to compromise the relationships the patient could establish (n=19), but not a valid reason for non-treatment if the child was well integrated into his family or social circle (n=2) |
| Consequences for the family (n=21) | Due to the intrusive nature of treatment (n=18), due the disease disrupting the affective links between the child and the family (n=3) |
| Severe extrarenal disease (n=17) | Such as cancers and incurable diseases (n=9) or severe handicaps or malformations (n=8) |
| Opinion of the family (n=15) | Only of value if the family was completely informed of all the medical findings concerning the child. |
| Renal insufficiency from birth (n=10) | Because this element affects the difficulty experienced when trying to manage intrusive treatments. |
| Social context (n=7) | Due to familial problems or a poor social and cultural level |
| Suffering of the child (n=7) | If it was resistant to major analgesic treatments |
| Survival unlikely (n=6) | |
| Treatment failure (n=3) | With the most up to date scientific knowledge (n=2) |
| Financial cost (n=0) |