Electronic Triggers: Microhematuria Trigger

NYU Langone Health2,000 enrolled

Overview

The research team will evaluate the effectiveness of an InBasket Results message that prompts providers to place appropriate follow up orders.

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).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

DOUBLE

Enrollment

2,000

Conditions

Hematuria

Interventions

Electronic Trigger Microhematuria AlertOTHER

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).

Eligibility

Sex: ALLMin age: 35 Years

Medical Language ↔ Plain English

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

Locations (1)

NYU Langone

New York, New York, United States

Outcomes

Primary Outcomes

Evaluation rate

Urology evaluation with cystoscopy and appropriate imaging

Time frame: 180 days of alert

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.