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Clinical Chemistry, Vol 23, 2216-2218, Copyright © 1977 by American Association for Clinical Chemistry
CG Fraser, BC Smith and MJ Peake
We evaluated the effectiveness of a routine outpatient urinalysis screening program on a sample population of 2600 patients. The 189 abnormal urine results found in 182 patients were followed up by study of any new clinical and laboratory investigations or therapeutic modifications initiated on the basis of any abnormal test result. The urinalysis screening program appeared to have significant bearing on diagnosis or treatment in only 13 patients. Abnormalities found in 150 of the 182 patients were either not noted or no further positive action was taken. Thus we concluded that under the conditions of this study the urine screening program added to hospital costs without significant benefit to the patient.
The following articles in journals at HighWire Press have cited this article:
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J. M. Sutton Evaluation of Hematuria in Adults JAMA, May 9, 1990; 263(18): 2475 - 2480. [Abstract] [PDF] |
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J. S. Spiegel, M. F. Shapiro, B. Berman, and S. Greenfield Changing Physician Test Ordering in a University Hospital: An Intervention of Physician Participation, Explicit Criteria, and Feedback Arch Intern Med, March 1, 1989; 149(3): 549 - 553. [Abstract] [PDF] |
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V. A. Lawrence and K. Kroenke The Unproven Utility of Preoperative Urinalysis: Clinical Use Arch Intern Med, June 1, 1988; 148(6): 1370 - 1373. [Abstract] [PDF] |
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S. T. Shaw Jr, S. Y. Poon, and E. T. Wong 'Routine Urinalysis' Is the Dipstick Enough? JAMA, March 15, 1985; 253(11): 1596 - 1600. [Abstract] [PDF] |
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