[Time to stop testing adults for microhematuria].
This study compares recently published reports with earlier literature on asymptomatic microhematuria in order to determine which conditions we wish to diagnose using a dipstick, how effective the test is in a high risk population, which clinical significance a positive test result has as compared to a negative result, and which diagnostic value the test has in the workup of patients with urinary tract symptoms. The conclusion is that testing for microhematuria does not meet the requirements of a modern screening and diagnostic test. Better alternatives are presently available, and in the near future we will likely see urine tests for specific clinical conditions.
Malmström
Per-Uno
PU
Urologkliniken, Akademiska sjukhuset, Uppsala. per-uno.malmstrom@kirurgi.uu.se
D000328:Adult; D006417:Hematuria / Q000175:diagnosis*; D006801:Humans; D011237:Predictive Value of Tests; D011934:Reagent Strips; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014570:Urologic Diseases / Q000175:diagnosis / Q000652:urine
D011934:Reagent Strips