ACR Appropriateness Criteria ® Hematuria-Child

Dillman, Jonathan R.; Rigsby, Cynthia K.; Iyer, Ramesh S.; Alazraki, Adina; Anupindi, Sudha A.; Brown, Brandon P.; Chan, Sherwin S; Dorfman, Scott R.; Falcone, Richard A.; Garber, Matthew; Nguyen, Jie C.; Peters, Craig A.; Safdar, Nabile M.; Trout, Andrew T.; Karmazyn, Boaz

doi:10.1016/j.jacr.2018.03.022

Cited by 10 publications

(3 citation statements)

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“…The 2018 American College of Radiology (ACR) guidelines recommended that children with gross hematuria be evaluated with ultrasound first and that ultrasound may also be considered if microscopic hematuria without proteinuria persists without an identified cause [14]. Ultrasound can be performed in pediatric patients with hematuria when the above conditions are suspected; however, owing to the low likelihood of disease detection, ultrasound is not recommended in all cases of asymptomatic microscopic hematuria.…”

Section: Summary Of Evidencementioning

confidence: 99%

“…Ultrasonography is preferred over CT in pediatric patients with hematuria because of the risk of radiation exposure associated with CT. The ACR estimates that the effective dose of radiation with CT is 3 to 10 mSv, which is in the fourth of five of relative radiation level (annual dose limit of 1 mSv for the general population; the dose of 0.1-0.3 mSv per chest radiography) [6,11,14,15].…”

Section: Summary Of Evidencementioning

confidence: 99%

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Asymptomatic hematuria in children: Korean Society of Pediatric Nephrology recommendations for diagnosis and management

Park,

Kim,

Kim

et al. 2024

Kidney Res Clin Pract

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Hematuria is a relatively common condition among school-aged children. Because international guidelines for asymptomatic hematuria in children are unavailable, developing practical guidelines for the diagnosis and management of asymptomatic hematuria based on scientific evidence while considering real-world practice settings, values, and patient and physician preferences is essential. The Korean Society of Pediatric Nephrology developed clinical guidelines to address key questions regarding the diagnosis and management of asymptomatic hematuria in children.

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Section: Summary Of Evidencementioning

confidence: 99%

Section: Summary Of Evidencementioning

confidence: 99%

Asymptomatic hematuria in children: Korean Society of Pediatric Nephrology recommendations for diagnosis and management

Park,

Kim,

Kim

et al. 2024

Kidney Res Clin Pract

View full text Add to dashboard Cite

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“…Hematuria can also be associated with proteinuria. According to the origin of erythrocytes in urine, hematuria is divided into glomerular and non-glomerular hematuria [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Clinical and Biological Aspects of Hematuria in Children

Emini

Tasić

Hasani

2022

JMS

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Introduction: Hematuria is very common in childhood but if it persists in multiple urine examinations it deserves further detailed evaluation. Hematuria is the increased excretion of erythrocytes in the urine. It can be macroscopic or microscopic. It is a finding of more than 5 erythrocytes/hpf in the urine sediment.This study aims to analyze demographic and etiological characteristics of hematuria in children, to determine the diagnostic value of urine calcium, proteinuria, and ultrasound findings in both forms of hematuria, microscopic and macroscopic.Material and methods: The study includes 150 children aged 1-16 years, with confirmed hematuria in the January 2020 -February 2022 period at the University Children's Hospital -Skopje. Patients are divided into two groups: the group with macroscopic and the group with microscopic hematuria. The two groups are compared in terms of ultrasound findings, urine calcium, and proteinuria. Familial urinary screening for hematuria was also performed.Results: Of 150 children, 59.33% had microscopic and 40.67% macroscopic hematuria.The most common proven etiology in microscopic hematuria is familial hematuria (34.83%), while in macroscopic hematuria the most common cause is glomerulonephritis (39.34%). Hypercalciuria was found in 5 (6%) of the examined children. Proteinuria is significantly higher in the gross hematuria group. Of the 80 screened families, 35 were found to have a familial form of hematuria.Conclusion: This study indicates the frequency of familial hematuria and the importance of familial screening. The values of urine calcium and ultrasound finding do not have a statistically significant difference between the two groups, while proteinuria is higher in macroscopic hematuria (p <0.05).

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