{
  "abstract": "Introduction Haematuria contributes significantly to emergency urology admissions with over 4 per 1000 annual UK emergency admissions and 10% readmitted within 30 days. However, there is limited focus on optimising inpatient pathways internationally. Existing studies highlight a substantial underlying malignancy rate (32%) in patients presenting with visible haematuria, yet many receive inconsistent care, leading to prolonged hospital stays and increased resource use. A systematic review performed by our research group found no large-scale prospective studies have been performed in this area, and little is known about current practice. This study aims to address these gaps by investigating current management practices and their impact on outcomes, with the goal of informing evidence-based guidelines and improving patient care.Methods and analysis The Ward AdmiSsion of Haematuria: an Observational mUlticentre sTudy is an international, multicentre prospective observational study designed to describe the management of patients with unplanned admission to hospital with haematuria under the care of the urology team. The study will use a collaborative methodology using the British Urology Researchers in Surgical Training model. This model delivers international multicentre studies by empowering trainees to lead all aspects of multi-centre clinical studies, building research skills cost-effectively while shaping the future urological consultant workforce. Data on demographics, comorbidities, management practices and outcomes will be collected using a standardised case report form and analysed using multilevel linear regression modelling. Primary outcomes include length of stay, while secondary outcomes cover hospitalisation free survival, mortality, readmission rates at 90 days and resource use. The study was launched in January 2024 and will continue follow-up data collection through December 2025. Patient and public involvement (PPI) has been integral to the study design, ensuring that outcomes reflect patient priorities and that the research addresses key areas of concern.Ethics and dissemination Ethical and regulatory approvals will be obtained as required in each participating region. In the UK, the study is classified as a service evaluation and does not require individual patient consent. Participating sites must obtain local audit department approval. Data will be collected and stored securely, ensuring patient confidentiality. Results will be disseminated through scientific conferences, peer-reviewed publications and patient advocacy groups.",
  "authors": [
    {
      "affiliations": [
        "Urology, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK",
        "British Urology Researchers in Surgical Training, London, UK"
      ],
      "name": "Nikita Bhatt"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Division of Surgery & Interventional Science, University College London, London, UK"
      ],
      "name": "Kevin Byrnes"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Hull University Teaching Hospitals NHS Trust, Hull, UK"
      ],
      "name": "Simona Ippoliti"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "West Midlands Deanery, Edgbaston, UK"
      ],
      "name": "Raghav Varma"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Barts and The London School of Medicine and Dentistry, London, UK"
      ],
      "name": "Bing Jie Chow"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Buckinghamshire Healthcare NHS Trust, Amersham, UK"
      ],
      "name": "Quentin Mak"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "King’s College London GKT School of Medical Education, London, UK"
      ],
      "name": "Nikki Kerdegari"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Centre for Urology Imaging, Prostate, AI and Surgical Studies (COMPASS) Research Group, Division of Surgery and Interventional Science, University College London, London, UK"
      ],
      "name": "Aqua Asif"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Division of Surgery & Interventional Science, University College London, London, UK"
      ],
      "name": "Arjun Nathan"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Centre for Urology Imaging, Prostate, AI and Surgical Studies (COMPASS) Research Group, Division of Surgery and Interventional Science, University College London, London, UK"
      ],
      "name": "Alexander Ng"
    },
    {
      "affiliations": [
        "Urology, NHS North Bristol NHS Trust, Bristol, UK",
        "Bristol Medical School, Bristol, UK"
      ],
      "name": "John McGrath"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust, London, UK",
        "London Hospitals NHS Foundation Trust, University College, London, UK",
        "Barts Cancer Institute, London, UK"
      ],
      "name": "Ben Lamb"
    },
    {
      "affiliations": [
        "Oncology and Metabolism, University of Sheffield Medical School, Sheffield, UK"
      ],
      "name": "James Catto"
    },
    {
      "affiliations": [
        "Urology, Guy's and St Thomas’ Hospitals NHS Trust, London, UK"
      ],
      "name": "Ben Challacombe"
    },
    {
      "affiliations": [
        "Hospital Clinic de Barcelona, Barcelona, Spain"
      ],
      "name": "Maria Ribal"
    },
    {
      "affiliations": [
        "Health Services Research Unit, University of Aberdeen, Aberdeen, UK"
      ],
      "name": "Graeme MacLennan"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "University College London, London, UK",
        "Western General Hospital, University of Edinburgh, Edinburgh, UK"
      ],
      "name": "Kevin Gallagher"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Fife Acute Hospitals Trust, Kirkcaldy, UK"
      ],
      "name": "Sinan Khadhouri"
    },
    {
      "affiliations": [
        "British Urology Researchers in Surgical Training, London, UK",
        "Centre for Urology Imaging, Prostate, AI and Surgical Studies (COMPASS) Research Group, Division of Surgery and Interventional Science, University College London, London, UK"
      ],
      "name": "Veeru Kasivisvanathan"
    }
  ],
  "title": "Ward AdmiSsion of Haematuria: an Observational mUlticentre sTudy (WASHOUT) – study protocol",
  "uid": "0a0d24ab-9661-5904-9ff7-eb82da85e1aa"
}