Letters Referrals to secondary care

Referral rates for postmenopausal bleeding are not respectable

BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c7407 (Published 30 December 2010) Cite this as: BMJ 2010;341:c7407
  1. John Butler, specialist registrar1,
  2. Sean Kehoe, consultant gynaecological oncologist2,
  3. John Shepherd, professor of gynaecological oncology1,
  4. Desmond Barton, consultant gynaecological oncologist1,
  5. Jane Bridges, consultant gynaecological oncologist1,
  6. Thomas Ind, consultant gynaecological oncologist1,
  7. Marielle Nobbenhuis, consultant gynaecological oncologist1,
  8. Sadaf Ghaem-Maghami, senior lecturer3,
  9. Tania Adib, consultant gynaecological oncologist4,
  10. Karina Reynolds, consultant gynaecological oncologist4
  1. 1Royal Marsden Hospital, London, UK
  2. 2Oxford Radcliffe Hospitals, Oxford, UK
  3. 3Imperial College, London, UK
  4. 4Barts and the London and Queen’s Hospital, London, UK
  1. john.butler{at}cancer.org.uk

McBride and colleagues report that referral rates for patients with postmenopausal bleeding ranged from 66.4% in 55-64 year old patients to 40.1% in those over 85.1 We agree with Jiwa’s assertion that this overall referral rate …

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