{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T05:51:39Z","timestamp":1774677099446,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T00:00:00Z","timestamp":1579478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the predictive values of haematuria and hydronephrosis in suspected renal colic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We undertook a retrospective audit of adult patients who received a computed tomography (CT) of the kidneys, ureter and bladder (CTKUB) for suspected renal colic, presenting to Eastern Health Emergency Departments in Melbourne, Australia, between 1 January 2016 and 30 June 2016. CT hydronephrosis was used as a substitute for ultrasound hydronephrosis. We looked at the association of haematuria and CT proven hydronephrosis with CT proven ureteric and obstructing pelvic calculi.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 769 adult cases who received a CTKUB for suspected renal colic, 384 were positive (49.9%) and 385 were negative (50.1%). For haematuria and renal colic, sensitivity was 87.3% (83.3\u201390.7), specificity 33.8% (28.9\u201339.0), positive predictive value (PPV) 55.7% (53.7\u201357.8), negative predictive value (NPV) 73.6% (67.1\u201379.3). For CT hydronephrosis and renal colic, sensitivity was 88.0% (84.2\u201391.1), specificity 85.0% (80.9\u201388.5), PPV 85.7% (82.4\u201388.5), NPV 87.4% (84.0\u201390.2). Of 110 cases with both negative CT hydronephrosis and negative haematuria, four had ureteric calculi, NPV 96.4% (90.8\u201398.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This audit suggests that a diagnostic strategy relying on the absence of haematuria or hydronephrosis, or both, to rule out ureteric calculi may result in a small number of stones being missed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13462","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T01:05:32Z","timestamp":1579568732000},"page":"573-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Predictive values of haematuria and hydronephrosis in suspected renal colic: An emergency department retrospective audit"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3880-0612","authenticated-orcid":false,"given":"Jarel TS","family":"Saw","sequence":"first","affiliation":[{"name":"Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nerissa Nexhmije","family":"Imeri","sequence":"additional","affiliation":[{"name":"Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emogene S","family":"Aldridge","sequence":"additional","affiliation":[{"name":"Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4329-3117","authenticated-orcid":false,"given":"Paul G","family":"Buntine","sequence":"additional","affiliation":[{"name":"Eastern Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,20]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Institute of Health and Welfare.Emergency Department Care 2017\u201018: Australian Hospital Statistics. Health Services Series No. 89. Cat. No. HSE 216. Canberra: AIHW 2018."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1404446"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"e0169160","DOI":"10.1371\/journal.pone.0169160","article-title":"The diagnosis and management of patients with renal colic across a sample of US hospitals: high CT utilization despite low rates of admission and impatient urologic intervention","volume":"12","author":"Schoenfield EM","year":"2017","journal-title":"PLoS One"},{"key":"e_1_2_8_5_1","unstructured":"Emergency Care Institute.Agency for Clinical Innovation. Renal Colic in the ED\u2010Diagnosis. New South Wales: Emergency Care Institute;2017. 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