CLINICAL GUIDELINES: Clearing murky water — a guideline-based approach to haematuria

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The various clinical guidelines on the workup and initial management of a patient presenting with haematuria are based on limited scientific evidence. Survey data suggest that these guidelines are inconsistently applied, perhaps owing to variations between guidelines and the lack of higher level evidence. Nonetheless, based on existing evidence and appropriate risk stratification, Nielsen and Qaseem describe a haematuria workup that is safe, appropriately aggressive, and cost-effective.

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