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pubmed-article:8347436pubmed:abstractTextThe prognosis of bladder cancer is worsened by delay in its management. To reduce such delay we have organised a clinic where intravenous urography and cystoscopy, using a flexible cystoscope, are carried out at the patient's first visit. In a two-year period 321 patients attended this clinic. The results of investigation in 305 patients are reported. A total of 6% of patients with microscopic haematuria (n = 52) and 15% of patients with macroscopic haematuria (n = 253) had transitional cell carcinomata. This difference was not significant (P = 0.08, chi-squared). The delay between referral and trans-urethral resection of tumour for patients with bladder tumours was reduced from a mean of 60 days to a mean of 33 days by the institution of the clinic (P < 0.01, Mann-Whitney). We recommend that all patients referred to a urological service with haematuria, whether macroscopic or microscopic, should be investigated. The integration of that investigation in a single day decreases delays in diagnosis and management.lld:pubmed
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pubmed-article:8347436pubmed:authorpubmed-author:ChisholmG DGDlld:pubmed
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pubmed-article:8347436pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:8347436pubmed:articleTitleAn integrated haematuria clinic.lld:pubmed
pubmed-article:8347436pubmed:affiliationUniversity Department of Surgery/Urology, Western General Hospital, Edinburgh.lld:pubmed
pubmed-article:8347436pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:8347436pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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