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Jerome P. Kassirer, MD

JAMA. 1986;256(2):256-257.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Interpretation and incorporation of new information into our clinical practices is a critical task, particularly as the torrent of published data accelerates. In this issue of THE JOURNAL, a new population-based study discloses that the frequency of serious outcomes in patients with asymptomatic microscopic hematuria is small and that it increases modestly with age.¹ Based on these data, Mohr et al conclude that complete urologic investigation of all patients with asymptomatic hematuria is not warranted, and they propose that the prevalence of serious disease, as signaled by the patient's age and the persistence of hematuria, might be a useful guide in choosing whether to test further.

For more than 25 years, I have assiduously studied patients with microscopic hematuria as defined in this study. I search several urine sediments diligently for red blood cell casts and, not finding them, proceed to carry out an intravenous urogram. I ask the . . . [Full Text PDF of this Article]

Author Affiliations
New England Medical Center and Tufts University School of Medicine Boston

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