作者: J. D Kelly , D. P Fawcett , L. C Goldberg
DOI: 10.1136/BMJ.A3021
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摘要: #### Summary points Many clinicians are not sure what constitutes clinically relevant haematuria; they also unsure about when patients with haematuria should be referred for specialist assessment and whether to a urologist, nephrologist, or both. In 2006 the National Institute Health Research, Technology Assessment (NIHR HTA) commissioned systematic review of evidence investigation microscopic haematuria, view developing an algorithm assessing in primary care.1 They concluded that, “Given paucity . it is possible derive diagnostic pathway that would solely supported by existing evidence.” None less, important because serious underlying conditions present proportion patients. #### Sources selection criteria We drew on published reviews Clinical Excellence, (microscopic haematuria),1 guidelines early diagnosis management chronic kidney disease.1 2 We searched electronic databases, including Medline Cochrane database, identify recent publications studies were deemed but outside inclusion criteria review. included presented …