Electronic Triggers: Microhematuria Trigger

NYU Langone Health

Status: Completed

Conditions: Hematuria

Treatments: Other: Electronic Trigger Microhematuria Alert

Study type: Interventional

Funder types: Other

Identifiers

NCT05011253

QI-MH

Details and patient eligibility

About

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

Full 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).

Enrollment: 2,000 patients

Sex: All

Ages: 35+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

2,000 participants in 2 patient groups

Intervention

Experimental group

Description:

The group which will receive the InBasket message to notify users that a patient has clinically significant microscopic hematuria and makes recommendations for follow-up.

Treatment:

Other: Electronic Trigger Microhematuria Alert

Control

No Intervention group

Description:

The group which will not receive the InBasket message to notify users that a patient has clinically significant microscopic hematuria. (Standard practice)