Be Clear on Cancer - Kidney & Bladder Cancer Symptom Awareness Campaign

Wednesday 2 October 2013

Over the last couple of years the LMC has been working closely with the local Cancer Network and held a couple of very successful conferences to help to raise the awareness and understanding about early detection and treatment of common cancers seen by GPs.  One of the topics covered was renal and bladder cancers.

GPs will be aware of previous national campaigns such as the ones that have raised the awareness of bowel and lung cancer.

The Autumn 2013 'Blood in Pee' national campaign will run from 15th October to 20th November and will include TV, press, radio and out of home advertising, such as posters and pharmacy bags.

In addition, the campaign will include national, regional and local PR, and some face-to-face events held in public areas such as shopping centers.

The campaign will be targeted at both men and women aged over 50, the age group most likely to get cancer.

The key message is: "if you notice blood in your pee, even if it's 'just the once', tell your doctor".

This is the latest event in the "Be Clear on Cancer" series, which in turn is part of the strategy to improve cancer outcomes to match the best in Europe - which if achieved will save up to 10,000 UK cancer deaths each and every year.

This campaign will have an impact on general practice. 

It is worth just reminding ourselves of the latest guidance:

·            NICE Guidance for the management of haematuria:

o             Refer urgently patients:

  •  of any age with painless macroscopic haematuria
  •  aged 40 years and older who present with recurrent or persistent urinary tract infection associated with haematuria
  • aged 50 years and older who are found to have unexplained microscopic haematuria

 The differential diagnosis of red or dark urine:

o   Haemoglobinuria: dipstick-positive but no red cells on microscopy.

o   Myoglobinuria.

o   Food, eg beetroot.

o   Drugs, eg rifampicin, nitrofurantoin, senna.

o   Porphyria: urine darkens on standing.

o   Bilirubinuria: obstructive biliary disease.