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‘Blood in pee’ campaign: Increased demand on secondary care with no change in cancers diagnosed

Patel, Kunjan; Hall, Susan Jane; Shraddha, Kamath; Stanford, Richard; Williams, Simon; Lund, Jon


Kunjan Patel

Susan Jane Hall

Kamath Shraddha

Richard Stanford

Simon Williams

Clinical Associate Professor


As part of the national Be Clear on Cancer campaign, the ‘blood in pee’ campaign was launched in 2013. We aimed to evaluate the impact of the campaign on 2-week wait (2WW) referrals and the resulting diagnoses of malignancy at a single trust, and secondly, to evaluate the socio-economic background of patients referred.

Patients and methods:
Suspected cancer 2WW patients in the 3 months pre- and post-campaign were included. Demographics, investigations and diagnoses were recorded. A Kolmogorov–Smirnov test demonstrated a normal distribution. The data were treated as parametric and analysed with the unpaired Student’s t-test.

Referrals for visible haematuria significantly increased by 52% from 135 pre-campaign to 205 post-campaign (p = 0.03). There was a fall in the proportion of patients diagnosed with malignancy from 20.27% pre-campaign to 15.36% post-campaign. The mean index of multiple deprivation score of referrals did not change: p = 0.43.

This campaign has increased referrals without increasing the proportion of malignancies diagnosed, placing large demand on services without benefit or extra funding. Nor has the campaign effectively reached deprived socio-economic groups. There is little evidence as to the efficacy of untargeted cancer awareness campaigns and further work is needed to improve their pick-up of malignancies.


Patel, K., Hall, S. J., Shraddha, K., Stanford, R., Williams, S., & Lund, J. (2019). ‘Blood in pee’ campaign: Increased demand on secondary care with no change in cancers diagnosed. Journal of Clinical Urology, 12(1), 15-19.

Journal Article Type Article
Acceptance Date Aug 22, 2018
Online Publication Date Oct 8, 2018
Publication Date 2019-01
Deposit Date Dec 6, 2018
Publicly Available Date Jul 11, 2019
Journal Journal of Clinical Urology
Print ISSN 2051-4158
Electronic ISSN 2051-4166
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 12
Issue 1
Pages 15-19
Keywords Urology; Surgery
Public URL
Publisher URL


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