title: [Factors influencing the choice of nondonor families in a French organ-harvesting center].
abstract: OBJECTIVE
  Report the reasons that lead families to refuse organ donation during their close solicitation by hospital coordination.
  
  
  METHODS
  A 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.
  
  
  RESULTS
  The 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.
  
  
  CONCLUSIONS
  A 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.
  
  
  METHODS
  4.
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France. Electronic address: henonfrancois@yahoo.fr.
authors.forename: F
authors.initials: F
authors.lastname: Hénon
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Le Nobin
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Ouzzane
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Villers
authors.affiliation: Service d'anesthésie-réanimation, hôpital Salengro, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Strecker
authors.affiliation: Service d'urologie, hôpital Claude-Huriez, CHRU de Lille, 1, place de Verdun, 59037 Lille cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Bouyé
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001926:Brain Death; D002648:Child; D002675:Child, Preschool; D002755:Choice Behavior; D005190:Family / Q000523:psychology*; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014019:Tissue Donors / Q000523:psychology*; D009927:Tissue and Organ Procurement; D055815:Young Adult
keywords: Attitude face à la mort; Attitude to death; Brain death; Don d’organe; Mort cérébrale; Organ donation; Organ harvesting; Prélèvement d’organe; Refus de participer; Refusal to participate; Religion