Prevalence of Urologic Disease Among Patients Investigated for Hematuria With CT Urography
| العنوان: | Prevalence of Urologic Disease Among Patients Investigated for Hematuria With CT Urography |
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| المؤلفون: | Andrew K. C. Fenwick, Donaldo D. Canales, Eric Sala |
| المصدر: | Canadian Association of Radiologists Journal. 72:228-233 |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Urologic Diseases, medicine.medical_specialty, 030232 urology & nephrology, Comorbidity, Ct urography, urologic and male genital diseases, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Prevalence, medicine, Humans, Radiology, Nuclear Medicine and imaging, Urinary Tract, Aged, Hematuria, Retrospective Studies, Upper urinary tract, business.industry, Urography, General Medicine, Middle Aged, medicine.disease, Female, Urologic disease, Radiology, Tomography, X-Ray Computed, business, Pyelogram |
| الوصف: | Purpose: The current study evaluated the prevalence of urologic disease among patients with hematuria referred for computerized tomography (CT) urography to determine which patients require investigation with CT urography. Methods: We retrospectively reviewed radiology reports of 1046 CT urograms performed for the indication of microscopic (43.7%) or gross hematuria (56.3%). Urological findings were categorized as negative, benign, or suspicious (pathologically confirmed) for malignancy. Results: Of 1046 CT urograms performed, 53.5% were negative, 36.4% were benign, and 10% were suspicious for malignancy. The most common benign finding was urolithiasis (22.3%). Overall, urinary tract malignancies were present in 3.6% of patients, and the rate was significantly higher ( P < .001) for gross (5.8%) than microscopic hematuria (0.9%). CT urography identified 0.6% patients with upper urinary tract malignancies; the malignancy rate was significantly higher ( P = .038) for gross (1%) than microscopic hematuria (0%), and no significant sex ( P = 1.00; male = 0.6%, female = 0.6%) or age ( P = .600; < 50 years = 0%, ≥ 50 years = 0.7%) differences were observed. Logistic regression revealed that being male was associated with gross hematuria (odds ratio [OR] = 2.92), and that both age and gross hematuria (ORs = 1.06 and 5.13, respectively) were associated with malignancy. Conclusions: CT urography found no upper urinary tract malignancies in 99.4% of patients presenting with hematuria, including all patients with microscopic hematuria and those with gross hematuria |
| تدمد: | 1488-2361 0846-5371 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0624ef85986b746229060be4164877aa https://doi.org/10.1177/0846537120902134 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....0624ef85986b746229060be4164877aa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14882361 08465371 |
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