TABLE 5.

Contextual issues

Contextual Issue	n	%*
Communication Conflict	14	40
Staff-Family	7	20
Intra-Family	5	14
Intra-Staff	2	6
Physician attitude toward treatment	8	23
Cultural/Ethnic/Religious	6	17
Perception of patient or family in denial	3	9
Quality of life	1	3
Other	9	26
Long-term follow-up during potentially toxic treatment	4	11
High risk procedure	2	6
Language/communication barrier	1	3
Non-paternity	1	3
Parent with impaired cognition	1	3

^*Total exceeds 100% because most cases had > 1 contextual issue