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Table 6 Statistical correlations between physicians’ attitudes under request and physician-related factors, case-related factors and parents-related factorsa

From: Physicians’ attitudes and experiences about withholding/withdrawing life-sustaining treatments in pediatrics: a systematic review of quantitative evidence

 

Physician-Related Factors

Case-Related Factors

Parent-Related Factors

Publication

Choice for their own child

Gender

Religious beliefs

Professional specialty

Work experience

Country’s economic statusb

Country/Region

Diagnosis, medical condition and prognosis

Parent–child agreement

Hoehn et al. (2009) [45]

Respect and recommend DNAR: p < 0.001; Respect or recommend DNAR to a family: p < 0.001; Respect DNAR for own child: OR = 0.3, 95% CI 0.1–0.9; Recommend DNAR for own child: OR = 0.2, 95% CI 0.1–0.6;

Receive DNAR for own child: p < 0.001, OR = 0.4, 95% CI 0.2–0.9

—

Not respect DNAR: p < 0.01; Not recommend DNAR for own child

p < 0.05

Respect or recommend DNAR for own child: p < 0.05; Respect, recommend, or request DNAR:

P < 0.001

—

—

—

—

—

Talati et al. (2010) [46]

—

—

—

Respect treatment refusals: p < 0.001

—

—

—

Respect treatment refusal of the 16-year-patient: p < 0.001; Respect treatment refusal of the 11-year-old patient: p < 0.001

Respect parent-16-year-old-dyad refused treatment: p < 0.001; Respect parent-11-year-old-dyad refused treatment: p < 0.001

Bahus & Føerde (2011) [47]

—

Provide active treatments: p = 0.028

—

Parents have rights to require LST: p = .013;

Experience of providing active treatment: p < 0.001, p = 0.033

—

—

—

—

—

Morparia et al. (2012) [48]

—

Continue LST: NS

Continue ventilation: p < 0.05;

NS in other cases

—

Continue LST: p = 0.04;

NS in other cases

—

Continue ventilation:

p < 0.001;

NS in other cases

—

—

Sanchez Varela et al. (2015) [51]

—

—

—

—

—

Continue ventilation or dialysis support: p = 0.0006

—

—

—

  1. NS No statistical correlation found; —, not tested
  2. aStatistical correlations between specialty and attitudes have been tested and reported
  3. bLow-, middle-, or high-income countries. See Sanchez Varela et al. [51]