Does non-visible haematuria require urgent assessment? A retrospective cohort study from a university teaching hospital - Takeaways - MDSpire

Does non-visible haematuria require urgent assessment? A retrospective cohort study from a university teaching hospital

  • By

  • James Lucocq

  • Adnan Ali

  • William Harrison

  • Tarek Khalil

  • Gursunil Powar

  • Kamran Raza

  • Ghulam Nandwani

  • March 24, 2021

  • 0 min

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  • 1

    Non-visible haematuria (NVH) prevalence is approximately 2.5%, varying by gender and age, with urine dipstick testing being a cost-effective detection method.

  • 2

    Urgent referrals for NVH are recommended for patients aged ≥ 60 with dysuria or elevated white cell counts, while non-urgent referrals apply for unexplained cases.

  • 3

    The study analyzed 525 patients referred for NVH, revealing a urological cancer diagnosis rate of 4.8%, primarily bladder cancer at 3.8%.

  • 4

    Median age of patients with urological cancer was 77 years, significantly higher than the 65 years median for those with benign pathology.

  • 5

    The study highlights the need for clearer guidelines on which NVH patients require urgent assessment to optimize resource use in urology services.

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