0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Screening for Hematuria

Geoffrey Modest, MD
JAMA. 1990;263(13):1763-1764. doi:10.1001/jama.1990.03440130043012.
Text Size: A A A
Published online

To the Editor.—  The recent article by Woolhandler et al1 argues against routine urinalysis screening. However, it may be dangerous to draw conclusions and make recommendations with insufficient data.Woolhandler et al admit that there are "neither randomized, controlled trials nor case-control studies of [the significance of] hematuria or proteinuria in healthy, asymptomatic populations." In fact, only two "population-based studies"1 of adults older than 35 years in the literature were mentioned, one of Swedish men aged 21 to 69 years (without any workup done to determine the cause of the hematuria)2 and the other a retrospective chart review, not even a true population-based study, of Minnesota residents (without any standardized workup done for hematuria).3 Can we generalize these sparse data from the specific populations of Sweden and Minnesota to minorities in, for example, inner-city Boston, Mass?Bladder cancer is one of the principal potentially treatable findings

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();