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

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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 ★★★★★☆☆


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).


7 studies (1841 pregnant women) met the …

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

  • Source of funding: not stated