Abstract
940 URINE CYTOLOGY IS OF NO ADDED VALUE IN THE PRIMARY EVALUATION OF PATIENTS WITH HEMATURIA Marina C Hovius*, Lara C Schreuders, Roos W Wieringa, Guido M Kamphuis, Eddi A Heldeweg, George van Andel. Amsterdam, The Netherlands. INTRODUCTION AND OBJECTIVE: In our clinics patients presenting with hematuria are evaluated according to a guideline which was developed by the Dutch Urological Association (DUA) in 1998. All patients of 40 years and older, should be evaluated using the following tests: urine sample analysis and cytology, blood haemoglobin and creatinine, ultrasonography of the kidneys, intravenous urography, and cystoscopy. In an earlier stage we investigated the outcome of such analysis in a retrospective study. Moreover we checked the proper use of the guideline. The guideline was completely followed in only 34% of patients. It turned out that in most cases urine cytology was not executed. After policy-adjustments the guideline, in a prospective study, was completely followed in over 90% of patients. It was remarkable that
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