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Haematuria / Glomerular Disease


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Newly diagnosed Glomerular Disease where patient is stable but not able to be managed in primary care or general paediatrics
    • Persistent microscopic haematuria with coexisting significant proteinuria
  • Category 2
    (appointment within 90 calendar days)
    • Previously diagnosed chronic Glomerular Disease who require ongoing specialist follow up
    • Asymptomatic persistent microscopic haematuria without proteinuria, where a urological cause is considered unlikely
  • Category 3
    (appointment within 365 calendar days)
    • No Category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention not otherwise accessible to the patient
  • For advice regarding management
  • To engage in an ongoing shared care approach between primary and secondary care
  • Reassurance for GP/second opinion
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)

2. Essential referral information Referral will be returned without this

  • Presence of comorbid conditions such as hypertension
  • List of medications
  • BP records (if available)
  • Serial ELFTs including urea and creatinine results
  • FBC
  • Urine albumin creatinine ratio (ACR) or protein creatinine ratio (PCR) (ideally early morning sample)
  • Urine midstream M/C/S (testing for red cell morphology and casts preferable)
  • Ultrasound (kidney, ureters & bladder) and any other available renal imaging results

3. Additional referral information Useful for processing the referral

  • Timeline of symptoms
  • Presence or absence of oedema
  • If significant proteinuria present, include ANCA, anti-DNA Abs and C3/C4

4. Request

Last updated: 13 June 2023