1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1093/labmed/lmv031" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/labmed/lmv031</a>
Pages
e18–20
Issue
2
Volume
47
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Sole Dependence on Urine Testing Strips and the Ability to Identify Clinically Significant Disease: Challenging the Current Paradigm for Heme Detection in General Clinical Situations.
Publisher
An entity responsible for making the resource available
Laboratory medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-05
Subject
The topic of the resource
*Microscopy/methods; Chi Square Test; False Negative Results; Female; hematuria; Hematuria – Diagnosis; Hematuria – Etiology; Hematuria/*diagnosis; Heme/*urine; Human; Humans; Indiana; laboratory testing; Male; Microscopy; Middle Age; Middle Aged; Outpatients; P-Value; Prospective Studies; Reagent Strips; Reagent Strips – Utilization; Record Review; Retrospective Design; Retrospective Studies; safety monitoring; T-Tests; urinalysis; Urinalysis
Creator
An entity primarily responsible for making the resource
Rothschild Bruce
Description
An account of the resource
BACKGROUND: The ability of health care professionals to provide patient care is potentially compromised when predicated on untested, although longstanding, perspectives. One such example is urinalysis testing, which has been currently simplified to use only urine testing strips for detection of microscopic hematuria. OBJECTIVE: To determine whether urine testing strips are sufficient for identification of clinically significant findings in urinalysis. METHODS: To determine the presence of microscopic hematuria, I examined a collection of urine specimens that had tested heme negative during the 3-month study period. RESULTS: Of the 342 patients from whom urine specimens were examined during this interval, 50 had microscopic hematuria, despite having tested negative for heme via urine testing strip. Also, 30% were not receiving any medication known to produce microscopic hematuria, and 18% had clinically significant pathology. CONCLUSIONS: Diagnosis of significant clinical pathologic manifestations would have been compromised had microscopic examination not been performed on the urine specimens from the cohort individuals. Examination of the novel approach of including microscopic examination of specimens in a specific clinical situation challenges the dominant paradigm of reliance on assaying using urine testing strips only, revealing that the current method is not only unreliable for determining microscopic hematuria but also is less than optimal in general clinical practice. The findings of this study provide evidence of the importance of microscopic evaluation as a routine component of urinalysis.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/labmed/lmv031" target="_blank" rel="noreferrer noopener">10.1093/labmed/lmv031</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Microscopy/methods
2016
Chi Square Test
False Negative Results
Female
hematuria
Hematuria – Diagnosis
Hematuria – Etiology
Hematuria/*diagnosis
Heme/*urine
Human
Humans
Indiana
Laboratory medicine
laboratory testing
Male
Microscopy
Middle Age
Middle Aged
Outpatients
P-Value
Prospective Studies
Reagent Strips
Reagent Strips – Utilization
Record Review
Retrospective Design
Retrospective Studies
Rothschild Bruce
safety monitoring
T-Tests
Urinalysis