There are insufficient data currently available to derive an evidence-based algorithm of the diagnostic pathway for haematuria. A hypothetical algorithm based on the opinion and practice of clinical experts in the review team, other published algorithms and the results of economic modelling is presented in this report. This algorithm is presented, for comparative purposes, alongside current US and UK guidelines. The ideas contained in these algorithms and the specific questions outlined should form the basis of future research. Quality assessment of the diagnostic accuracy studies included in this review highlighted several areas of deficiency.

From the very beginnings of the trade union movement, labor organizations have wrestled with the problem of how to secure access to quality health care for their members and for working people generally. After successive failures by Congress to enact a comprehensive national health care program, labor unions won the right to collectively bargain over health care benefits. The system of employer-provided health insurance that developed is now in crisis as costs race out of control and employers reduce the scope of coverage, leaving millions of Americans without health insurance. As the Clinton administration moves forward with its promise to overhaul the nation's health care system, the labor movement is working to ensure that the administration's proposal guarantees access to all Americans, keeps cost under control, and includes a progressive financing mechanism that does not place an undue burden on working families.