Hematuria
Conditions
Brief summary
The research team will evaluate the effectiveness of an InBasket Results message that prompts providers to place appropriate follow up orders.
Detailed description
The research team will evaluate the effectiveness of an InBasket Results message that prompts providers to place appropriate follow up orders. The message will notify users that a patient has clinically significant microscopic hematuria and is at high risk for underlying malignancy and will include the official recommendations (imaging with a CT urogram, urology evaluation with cystoscopy).
Interventions
OTHERElectronic Trigger Microhematuria Alert
To evaluate the effectiveness of an InBasket Results message in prompting providers to place appropriate follow up orders. The message will notify users that a patient has clinically significant microscopic hematuria and is at high risk for underlying malignancy and will include the official recommendations (imaging with a CT urogram, urology evaluation with cystoscopy).
Sponsors
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
35 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 35 years of age or older * 3+ RBC on Urinalysis * Urinalysis sent during an outpatient encounter * any of the following: 60 years of age or older; RBC \> 25; current or prior tobacco use; Gross Hematuria
Exclusion criteria
* Under 35 years of age * Cystoscopy within 1 year prior to Urinalysis * Nitrite positive AND Leukocyte Esterase positive * Nitrite positive AND \>100 WBC * Leukocyte Esterase positive AND \>100 WBC * Know GU cancer diagnosis * Urinalysis ordered by urology provider
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation rate | 180 days of alert | Urology evaluation with cystoscopy and appropriate imaging |
Countries
United States
Outcome results
None listed