• F Hénon, J Le Nobin, A Ouzzane, A Villers, G Strecker, and S Bouyé.
• Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France. Electronic address: henonfrancois@yahoo.fr.
• Prog Urol. 2016 Sep 1; 26 (11-12): 656-661.

ObjectivesReport the reasons that lead families to refuse organ donation during their close solicitation by hospital coordination.Material And MethodsA retrospective study was conducted between 2012 and 2015, including 148 (34%) refusal of organ donation among 426 patients identified in a state of brain death. A questionnaire of the family was completed for each interview. Collected data concerned patient characteristics, cause of death, description of the interview and reasons for refusal. A descriptive statistical analysis was performed.ResultsThe median age of patients was 50 years with a sex ratio of 1.4 men to 1 woman. The most common reason for non-donor family was the desire to maintain the integrity of the body of the patient (28%) followed by a religious order pattern (11%), brutality and suddenness of death (9%), the denial of death (6%) and early age of the donor (5%). In 39% of cases, the family said that the donor had expressed a written or oral refusal in his lifetime.ConclusionA better understanding of the reasons leading to the refusal of non-donor family could provide assistance to the medical team on actions to general public with the aim to reduce the refusal rate.Level Of Evidence4.Copyright © 2016 Elsevier Masson SAS. All rights reserved.

27 keywords...

hide…