Minerva

Minerva

BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a1583 (Published 09 September 2008) Cite this as: BMJ 2008;337:a1583

The “two week wait” rule is meant to ensure that all NHS patients with suspected cancers are seen within two weeks of referral. A review of 170 urological, two week wait referrals to one centre suggests that the referral criteria could be tightened. Of the 43 cases referred with frank haematuria, 30% turned out to have bladder cancer. Of the 13 with microscopic haematuria and the 35 referred with suspected testicular cancer, none had cancer. No malignancies were diagnosed in anyone under the age of 50 (Annals of the Royal College of Surgeons of England 2008;90:517-22, doi:10.1308/003588408X301082).

If you leave hospital after a cardiac arrest without sustaining serious neurological disabilities, chances are you can expect as good a quality of life as age and sex matched controls. The quality adjusted costs for such a group of patients also compare well with other groups of patients. In a German study 31% were alive five years after discharge, with the women reporting a better health related quality of life than …

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