title: [Views of the Spanish Paediatric Association Bioethics Committee on the refusal of essential and non-essential treatment in minors].
abstract: The conflicts that arise when minors or their legal representatives refuse to receive medical treatment considered necessary by the paediatrician pose a serious ethical dilemma and also have a considerable emotional impact. In order to adequately tackle this rejection of medical treatment, there is to identify and attempt to understand the arguments of the people involved, to consider the context in each individual case and be conversant with the procedure to follow in life-threatening scenarios, taking into account bioethical considerations and the legal framework.
authors.affiliation: Centro de Salud La Victoria, Valladolid, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Sánchez Jacob
authors.affiliation: Servicio de Oncología Pediátrica, Hospital General Universitario de Alicante, Alicante, España.
authors.forename: María
authors.initials: M
authors.lastname: Tasso Cereceda
authors.affiliation: Centro de Salud Villablanca, Madrid, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Martínez González
authors.affiliation: Comité de Bioética de España, IBC (UNESCO), Madrid, España.
authors.forename: Federico
authors.initials: F
authors.lastname: de Montalvo Jááskeläinem
authors.affiliation: AGC Pediatría, Endocrinología Pediátrica, Hospital Universitario Central de Asturias, Oviedo, Asturias, España; CIBER en Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, España. Electronic address: isogalan@yahoo.es.
authors.forename: Isolina
authors.initials: I
authors.lastname: Riaño Galán
mesh_terms: D026688:Bioethical Issues / Q000331:legislation & jurisprudence; D002648:Child; D028741:Ethics Committees, Clinical; D006801:Humans; D010372:Pediatrics; D012955:Societies, Medical; D013030:Spain; D016312:Treatment Refusal / Q000941:ethics* / Q000331:legislation & jurisprudence
keywords: Autonomy; Autonomía; Best interest; Capacidad; Capacity; Competence; Competencia; Consent; Consentimiento; Decisión por representación; Ethics; Mejor interés; Menor; Minor; Paediatrics; Pediatría; Rechazo de tratamiento; Surrogacy decision-making; Treatment refusal; Ética