Assessment of Hematuria

Which of the following best describes your medical background?

Family Medicine

Internal Medicine

Obstetrics and Gynecology

Other

If a patient has gross hematuria, what is your approach? Please select all that apply.

If microscopic hematuria is found on UA, what is your approach? Please select all that apply.

The AUA guidelines define microscopic hematuria as >3 RBCs/HPF in 2 of 3 urinalyses and recommend full urologic evaluation to include cytology, upper tract imaging, and cystoscopy for all patients over 40 years of age and those under 40 years of age with significant risk factors. Do you agree with these guidelines?

Yes

f you answered 'No' to the previous question, what is the reason? Please select all that apply.

Low incidence of bladder cancer

A patient under the age of 40 is at low risk for bladder cancer

Feel that microscopic hematuria is more likely to be caused by a benign etiology

Low diagnostic yield of full urologic evaluation

Cost of full urologic evaluation

Other

The AUA guidelines suggest that a patient at high-risk for bladder cancer (e.g. smoker, environmental exposures) should be considered for full urologic evaluation after only one episode of microscopic hematuria. Do you agree?

Yes

f you answered 'No' to the previous question, what is the reason? Please select all that apply.

Low incidence of bladder cancer

Feel that one episode of microscopic hematuria is better explained by a benign etiology

Low diagnostic yield of full urologic evaluation

Cost of full urologic evaluation

Other

It has been shown that 25% of patients with bladder cancer are diagnosed at an advanced stage. Which of the following do you feel would be beneficial in decreasing the number of late diagnoses?

Urine-based marker to identify patients at high-risk for bladder cancer

Prediction tool incorporating clinical risk factors as well as urine-based markers for risk stratification

Increased patient compliance concerning recommendation for urologic evaluation

Expedited urologic evaluation once consultation and/or referral is completed

Other