Abstract:
BACKGROUND:Urgent assessment of haematuria is critical to exclude malignancy. The objective of this study is to report the outcomes of the first 3 years of a dedicated haematuria clinic at the Royal Melbourne Hospital, a Victorian tertiary hospital. METHODS:All patients assessed in the haematuria clinic from April 2010 to April 2013 were included in the analysis. Outcomes were recorded prospectively and analysed retrospectively. RESULTS:A total of 643 patients were seen in the haematuria clinic with non-visible (170, 26%) and visible haematuria (463, 72%) during this time period, all within 28 days of referral being triaged. Sixty-five (10%) patients were diagnosed with urothelial carcinoma, 63 with lower tract disease and two with upper tract urothelial carcinoma and another five (1%) patients with other tumours. Thirty out of 63 (48%) of the bladder urothelial carcinomas were invasive or high-grade. Two hundred and sixty-seven (42%) patients were discharged from the clinic after a single point of contact. One hundred and fifty-three (24%) patients were referred for further definitive management of suspected pathology. Two hundred and twenty-three (34%) patients were referred to outpatients clinic for further investigations. Urothelial carcinoma was diagnosed more often in males, older patients and patients with visible haematuria. CONCLUSION:The Royal Melbourne Hospital haematuria clinic has served as an effective tool for rapid, streamlined assessment of patients presenting with haematuria. Follow-up of investigations by nurses and moving towards a 'one-stop' approach are helping to further decrease the number of patients requiring a second clinic visit.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Sapre N,Hayes E,Bugeja P,Corcoran NM,Costello AJ,Anderson PDdoi
10.1111/ans.12742subject
Has Abstractpub_date
2015-05-01 00:00:00pages
334-8issue
5eissn
1445-1433issn
1445-2197journal_volume
85pub_type
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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更新日期:2020-04-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
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更新日期:2019-12-01 00:00:00