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Diagnostic value of...
Diagnostic value of repeated comprehensive investigation with CT urography and cystoscopy for recurrent macroscopic haematuria
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- Abuhasanein, Suleiman (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology
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- Chaves, Vanessa (author)
- Department of Surgery, Urology Section, NU Hospital Group, Uddevalla, Sweden,NU Hosp Grp, Sweden
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- Mohsen, Ali Moustafa (author)
- Department of Surgery, Urology Section, NU Hospital Group, Uddevalla, Sweden,NU Hosp Grp, Sweden
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- Al-Haddad, Jasmine (author)
- Department of Surgery, Urology Section, NU Hospital Group, Uddevalla, Sweden,NU Hosp Grp, Sweden
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- Sunila, Merete (author)
- Department of Surgery, Urology Section, NU Hospital Group, Uddevalla, Sweden,NU Hosp Grp, Sweden
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- Ströck, Viveka (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology
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- Jerlström, Tomas, 1969- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology,Orebro Univ, Sweden
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- Liedberg, Fredrik (author)
- Department of Urology, Skåne University Hospital, Malmö, Sweden; Institution of Translational Medicine, Lund University, Malmö, Sweden,Skane Univ Hosp, Sweden; Lund Univ, Sweden
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- Swärd, Jesper (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology
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- Gårdmark, Truls (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Jahnson, Staffan (author)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Urologiska kliniken i Östergötland
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- Kjölhede, Henrik, 1981 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology
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(creator_code:org_t)
- John Wiley & Sons, 2024
- 2024
- English.
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In: BJUI Compass. - : John Wiley & Sons. - 2688-4526. ; 5:2, s. 253-260
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- Objectives: To perform a descriptive analysis of a series of patients with recurrent macroscopic haematuria after a primary standard evaluation including computed tomography urography (CTU) and cystoscopy negative for urinary bladder cancer (UBC) and upper tract urothelial cancer (UTUC) and to identify potential factors associated with occurrence of recurrent macroscopic haematuria.Methods: All patients older than 50 years who underwent urological investigation for macroscopic haematuria with both cystoscopy and CTU 2015-2017 were retrospectively reviewed. A descriptive analysis of the primary and later investigations for recurrent macroscopic haematuria was performed. To investigate the association between explanatory variables and the occurrence of recurrent macroscopic haematuria, a Poisson regression analysis was performed.Results: A total of 1395 eligible individuals with primary standard investigation negative for UBC and UTUC were included. During a median follow-up of 6.2 (IQR 5.3-7) years, 248 (18%) patients had recurrent macroscopic haematuria, of whom six patients were diagnosed with UBC, two with prostate cancer, one with renal cell carcinoma and one had a suspected UTUC at the repeated investigation. Within 3 years, 148 patients (11%) experienced recurrent macroscopic haematuria, of whom two patients were diagnosed with low-grade UBC (TaG1-2), one with T2G3 UBC and one with low-risk prostate cancer. The presence of an indwelling catheter, use of antithrombotic medication, pathological findings at CTU or cystoscopy or history of pelvic radiotherapy were all statistically significant independent predictors for increased risk for recurrent macroscopic haematuria.Conclusion: In the case of recurrent macroscopic haematuria within 3 years of primary standard evaluation for urinary tract cancer, there was a low risk of later urological malignancies in patients initially negative for UBC and UTUC. Therefore, waiting 3 years before conducting another complete investigation in cases of recurrent macroscopic haematuria might be appropriate.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)
Keyword
- bladder cancer
- computed tomography
- cystoscopy
- haematuria
- recurrent
- urography
- urological neoplasm
- bladder cancer
- computed tomography
- cystoscopy
- haematuria
- recurrent
- urography
- urological neoplasm
Publication and Content Type
- ref (subject category)
- art (subject category)
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Abuhasanein, Sul ...
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Chaves, Vanessa
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Mohsen, Ali Mous ...
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Al-Haddad, Jasmi ...
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Sunila, Merete
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Ströck, Viveka
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Jerlström, Tomas ...
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Liedberg, Fredri ...
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Swärd, Jesper
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Gårdmark, Truls
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Jahnson, Staffan
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Kjölhede, Henrik ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Radiology Nuclea ...
- Articles in the publication
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BJUI Compass
- By the university
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Örebro University
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Karolinska Institutet
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Linköping University
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University of Gothenburg