Colorectal cancer and rectal bleeding in primary care: Urban or rural myth?

doi:10.1136/bmj.333.7560.201-c

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Sanjay Purkayastha, clinical research fellow (s.purkayastha@imperial.ac.uk),
Ara Darzi, professor

Department of Biosurgery and Surgical Technology, Imperial College, London W2 1NY
Department of Biosurgery and Surgical Technology, Imperial College, London W2 1NY

EDITOR—Du Toit et al's finding of a one in 10 chance of patients over age 45 presenting with rectal bleeding and subsequently being diagnosed with colorectal cancer is comparable to other recent studies,¹² but their data were collected from a single rural practice in the United Kingdom, including less than 300 patients. A recent population based, case-control study consisting of over …