Predictors of delay to cystoscopy and adequacy of investigations in patients with haematuria

摘要: Objective To identify factors that impact on the timeliness and adequacy of haematuria evaluation. Patients Methods We undertook a retrospective cohort study identifying patients who underwent cystoscopy for investigation at our institution between 1 January 2015 31 December 2015. Data patient demographics, smoking status, anticoagulation, type referring clinician were collected. Exclusion criteria included age <18 years, known history bladder/urinary tract/renal cancer, indications other than unknown date urology consultation. Primary outcome measures were: i) time from general practitioner (GP) referral to consultation, ii) consultation cystoscopy, iii) receipt investigations in 180 days prior cystoscopy. Comparisons risk carried out using negative binomial regression count outcomes chi-square test categorical outcomes. Results Over period, 305 eligible cases (225 men, 80 women) identified, which 196 (64%) referred by GP. Patients waited median 38 days GP 28 days The was 65 days women 33.5 days men (P = 0.020). However, observed difference no longer statistically significant multivariable regression, with only independent predictors shorter interval being visible imaging suspicious cancer. Anticoagulated more likely have studies, particular renal tract ultrasonography 0.006), while 61% received imaging. No differences recent genders observed. Conclusions Gender is not predictor delayed assessment or investigations. are receive without anticoagulation adequately imaged. Improved public education required ensure all evaluated appropriately.