Bladder cancer is found primarily in men, smokers, and the elderly.

Hematuria is the presenting symptom in ∼80% of bladder cancers although most hematuria is benign.

New guidelines recommend evaluation for a single unexplained finding of hematuria.

The study population was slower than expected in the identification and management of bladder cancer.

Providers should critically evaluate urinalyses among those at risk and refer hematuria expediently.