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Diagnosis
Review: point of care dipstick urinalysis has low accuracy for detecting proteinuria in pregnancy

https://doi.org/10.1136/ebm.10.1.25

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    Waugh JJ, Clark TJ, Divakaran TG, et al. Accuracy of urinalysis dipstick techniques in predicting significant proteinuria in pregnancy. Obstet Gynecol 2004;103:769–77.
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 Q In pregnant women, is urinalysis at the point of care accurate for detecting proteinuria?

    Clinical impact ratings FP/GP/Obstetrics ★★★★★★☆ Obstetrics ★★★★★☆☆

    METHODS

    Embedded ImageData sources:

    Medline and EMBASE/Excerpta Medica (1970 to Feb 2002); Cochrane Library; hand searches of British Journal of Obstetrics and Gynaecology, American Journal of Obstetrics and Gynecology, and Obstetrics and Gynecology; reference lists; and contact with experts and manufacturers of urinalysis equipment.

    Embedded ImageStudy selection and assessment:

    cross-sectional studies that compared a point of care test with a laboratory assay for urine protein in pregnant women. Studies were rated for quality by using a published hierarchy of evidence (level 1  =  highest quality).

    Embedded ImageOutcomes:

    diagnostic accuracy (summary likelihood ratios).

    MAIN RESULTS

    7 studies (1841 pregnant women) met the …

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    Footnotes

    • For correspondence: Dr M Kilby, Birmingham Women’s Hospital, Edgbaston, UK. m.d.kilby{at}bham.ac.uk

    • Source of funding: not stated