Appendix 1.

Symptoms and abnormal test results

Cases, n n = 3994Cases, %Controls, n
n = 16 873
Controls, %Exclusion reason
Symptoms
  Fatigue (1st occurrence)1503.86053.6UV failure
  Fatigue (2nd occurrence)130.3750.4<1% frequency
  Chest pain (1st occurrence)1734.36854.1UV failure
  Chest pain (2nd occurrence)431.11460.9UV failure
  Cough (1st occurrence)3969.9173310.3UV failure
  Cough (2nd occurrence)1132.84692.8UV failure
  Cough (3rd occurrence)360.91741.0UV failure
  Loss of appetite (1st occurrence)90.2360.2<1% frequency
  Weight loss (1st occurrence)330.81010.6<1% frequency
  Breast lump (1st occurrence)176244.11320.8
  Breast lump (2nd occurrence)3228.1360.2
  Breast lump (3rd occurrence)471.220.0
  Breast fibroadenoma50.140.0<1% frequency
  Breast pain (1st occurrence)952.41270.8
  Breast pain (2nd occurrence)130.3140.1<1% frequency
  Breast nodularity80.220.0<1% frequency
  Nipple bleed00.000.0<1% frequency
  Nipple retraction370.980.0
  Nipple discharge370.9140.1
  Paget’s nipple/eczema50.140.0<1% frequency
  Nipple pain160.430.0<1% frequency
  Breast skin changes30.100.0< 1% frequency
  Breast cyst90.2230.1< 1% frequency
  Breast infection70.240.0< 1% frequency
  Breast (other)30.100.0< 1% frequency
  Axillary lymphadenopathy30.100.0< 1% frequency
  Cervical lymphadenopathy00.0110.1< 1% frequency
  Fever/sweating120.3630.4< 1% frequency
  Hair loss80.2290.2< 1% frequency
Tests
  Low calcium330.8890.5< 1% frequency
  High calcium240.6730.4< 1% frequency
  High cholesterol65016.3269916.0UV failure
  High creatinine1724.36854.1UV failure
  Low gamma30.1290.2< 1% frequency
  High gamma481.21600.9UV failure
  Low glucose80.2330.2< 1% frequency
  High glucose2576.410226.1UV failure
  Low haemoglobin1674.26714.0UV failure
  High haemoglobin260.7850.5<1% frequency
  High inflammatory markers (IM)1684.26393.8UV failure
  High liver function tests (LFT)3117.812237.2UV failure
  Low mean corpuscular volume (MCV)561.42181.3UV failure
  High MCV671.72971.8UV failure
  Low platelets330.81230.7<1% frequency
  High platelets912.33692.2UV failure
  Low sodium1213.04352.6UV failure
  High sodium240.61160.7<1% frequency
  High thyroid-stimulating hormone (TSH)1032.64132.4UV failure
  High urate70.2230.1<1% frequency
  Low white cell count (WCC)340.91951.2UV failure
  High WCC982.53712.2UV failure
  • Notes: 1) Frequency failures — frequency <1% in each of cases and controls. Nipple retraction and nipple discharge were just below 1% in univariate models but included in the multivariate model. 2) UV failure — P >0.1 in the univariable model.