{
  "abstract": "Background: Bladder cancer is responsible for considerable morbidity and mortality. Patients commonly present with haematuria to primary care for assessment. In Canterbury, New Zealand, the first‐line investigations available to primary care were changed in 2018, from urine cytology to CxBladder Triage (CxBT) and upper urinary tract imaging. This retrospective study was performed to evaluate the impact of this change in diagnostics.\n\nMethods: A retrospective audit of routinely collected electronic data from March 2013 to December 2021 from Christchurch Hospital, New Zealand, compared the traditional primary care haematuria pathway with the CxBT haematuria pathway. The primary outcome was waiting time from primary care referral to urological specialist appointment and waiting time to first operative treatment for bladder cancer. Waiting time was further analysed for ethnicity. The secondary outcome was monthly haematuria referrals for urological specialist appointment.\n\nResults: There were 4512 haematuria referrals during the study period. Following the introduction of CxBT to the primary care haematuria pathway, waiting time from primary care referral to urological specialist review reduced by 14.8 days and time to surgery by 15.0 days. There was a greater reduction for Māori compared with that of non‐Māori patients. The monthly haematuria referrals for urological specialist appointment reduced on average by 6.9 referrals per month.\n\nConclusion: CxBT in primary care haematuria pathway reduces waiting time from primary care referral to urological specialist appointment and to first operative treatment for bladder cancer, whilst also reducing monthly referrals for urological specialist appointments and improving equity for Māori.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Urology Health NZ Waitaha Canterbury Christchurch New Zealand",
    "Population Health, Planning, Funding & Outcomes Health NZ Waitaha Canterbury Christchurch New Zealand",
    "Department of Surgery University of Otago Christchurch Christchurch New Zealand",
    "Maori Indiginous Health Innovation University of Otago Christchurch Christchurch New Zealand",
    "Department of Radiology Health NZ Waitaha Canterbury Christchurch New Zealand",
    "Department of Medicine University of Otago Christchurch Christchurch New Zealand"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Daniel Eaton",
      "orcid": "0000-0002-2825-3769"
    },
    {
      "affs": [
        1
      ],
      "name": "Melissa Kerdemelidis"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Giovanni Losco",
      "orcid": "0000-0003-2939-1650"
    },
    {
      "affs": [
        0
      ],
      "name": "Stephen Mark"
    },
    {
      "affs": [
        3
      ],
      "name": "Maira Patu"
    },
    {
      "affs": [
        4
      ],
      "name": "Nikki Elliot"
    },
    {
      "affs": [
        5
      ],
      "name": "Chris Frampton"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a8a8cxak4ywz9.bib",
  "cited_by": 0,
  "doi": "10.1111/ans.70960",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13724757/",
  "id": "a8a8cxak4ywz9",
  "issns": [
    "1445-1433",
    "1445-2197"
  ],
  "landing_url": "https://doi.org/10.1111/ans.70960",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Urology"
    ],
    [
      "openalex",
      "2746|Bladder and Urothelial Cancer Treatments"
    ]
  ],
  "openalex": "W7211919728",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.70960",
  "pmcid": "PMC13724757",
  "pmid": "42705907",
  "published": "2026-09-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/a8a8cxak4ywz9.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T12:23:16Z",
      "native_id": "PMC13724757",
      "source": "pmc",
      "url": "https://doi.org/10.1111/ans.70960"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Bladder and Urothelial Cancer Treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Cxbladder Triage in Haematuria Assessment Reduces Time From Referral to Specialist Assessment and Bladder Cancer Treatment and Improves Equity for Māori",
  "title_text": "Cxbladder Triage in Haematuria Assessment Reduces Time From Referral to Specialist Assessment and Bladder Cancer Treatment and Improves Equity for Māori",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:21:09Z",
  "url": "https://research.draconitic.com/paper/a8a8cxak4ywz9",
  "venue": "Anz Journal of Surgery",
  "versions": []
}