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  1. Asymptomatic microscopic hematuria : Is investigation necessary ?

    Article - En anglais

    Microscopic hematuria is common in asymptomatic adults, but the benefit of screening the general population for blood in the urine has not been established.

    On the other hand, most studies of referred patients with putatively asymptomatic microscopic hematuria have reported a 2-11% prevalence of urothelial malignancies, leading to the recommendation that all patients with microscopic hematuria be thoroughly investigated.

    Urinalysis is inexpensive and highly acceptable to the general population, but is neither a sensitive, nor specific test, and has poor predictive value for urothelial malignancies, and nephrological diseases.

    Furthermore the benefits of early detection of such diseases has not been established.

    We conclude that screening urinalysis cannot be recommended.

    Studies are needed to determine which constellation of findings primary physicians use to select patients for referral to centers with urological and nephrological expertise.

    Mots-clés Pascal : Hématurie, Asymptomatique, Dépistage, Homme, Urine, Technique, Recommandation, Tumeur maligne, Hémorragie, Appareil urinaire pathologie

    Mots-clés Pascal anglais : Hematuria, Asymptomatic, Medical screening, Human, Urine, Technique, Recommendation, Malignant tumor, Hemorrhage, Urinary system disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0044460

    Code Inist : 002B14D01. Création : 14/05/1998.