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August 17, 2011

Has the Time Come to Include Urine Dipstick Testing in Screening Asymptomatic Young Adults?

Author Affiliations

Author Affiliation: Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.

JAMA. 2011;306(7):764-765. doi:10.1001/jama.2011.1193

Urinalysis was once a standard screening test in routine health evaluation but more recently has not been advised for healthy individuals or unless patients are 60 years or older or at high risk for kidney or cardiovascular disease.1,2 Although blood tests have replaced urine tests for detecting diabetes, the urine dipstick test remains a simple means of detecting unsuspected hematuria, proteinuria, or both. Are those findings common enough, and more importantly, serious enough to warrant recommending urine dipstick testing as a simple, low-cost screening tool for asymptomatic adolescents and all adults?

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