Assessment and management of non-visible haematuria in primary care

作者: J. D Kelly , D. P Fawcett , L. C Goldberg

DOI: 10.1136/BMJ.A3021

关键词:

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 …

参考文章(34)
Mette Hurlen, Lars Eikvar, Ingebjørg Seljeflot, Harald Arnesen, Occult bleeding in three different antithrombotic regimes after myocardial infarction. A WARIS-II subgroup analysis. Thrombosis Research. ,vol. 118, pp. 433- 438 ,(2006) , 10.1016/J.THROMRES.2005.07.023
Peter McIntyre, Ruth Jepson, Stephen Leeder, Les Irwig, The outcome of childhood Haemophilus influenzae meningitis. A population based study. The Medical Journal of Australia. ,vol. 159, pp. 766- 772 ,(1993) , 10.5694/J.1326-5377.1993.TB141344.X
Robert A. Cohen, Robert S. Brown, Microscopic Hematuria New England Journal of Medicine. ,vol. 348, pp. 2330- 2338 ,(2003) , 10.1056/NEJMCP012694
Anton T.M.G. Tiebosch, Johannes Wolters, Peter F.M. Frederik, Theo W.M. van der Wiel, Ewald Zeppenfeldt, Peter J.C. van Breda Vriesman, Henk van Rie, Epidemiology of idiopathic glomerular disease: a prospective study. Kidney International. ,vol. 32, pp. 112- 116 ,(1987) , 10.1038/KI.1987.179
Hans Köhler, Eveline Wandel, Bernd Brunck, Acanthocyturia—A characteristic marker for glomerular bleeding Kidney International. ,vol. 40, pp. 115- 120 ,(1991) , 10.1038/KI.1991.188
TOM J. EDWARDS, ANDREW J. DICKINSON, SALVATORE NATALE, JANE GOSLING, JOHN S. MCGRATH, A prospective analysis of the diagnostic yield resulting from the attendance of 4020 patients at a protocol-driven haematuria clinic. BJUI. ,vol. 97, pp. 301- 305 ,(2006) , 10.1111/J.1464-410X.2006.05976.X
Guido Bellinghieri, Vincenzo Savica, Domenico Santoro, Renal Alterations During Exercise Journal of Renal Nutrition. ,vol. 18, pp. 158- 164 ,(2008) , 10.1053/J.JRN.2007.10.031
Jason J. Tsai, Jane Y. Yeun, Victoria A. Kumar, Burl R. Don, Comparison and Interpretation of Urinalysis Performed by a Nephrologist Versus a Hospital-Based Clinical Laboratory American Journal of Kidney Diseases. ,vol. 46, pp. 820- 829 ,(2005) , 10.1053/J.AJKD.2005.07.039
Raymond Vanholder, Chronic kidney disease in adults—UK guidelines for identification, management and referral Nephrology Dialysis Transplantation. ,vol. 21, pp. 1776- 1777 ,(2006) , 10.1093/NDT/GFL351