Table 2. Multivariable analysis of the features of specific TYA cancers: (A) leukaemia, (B) lymphoma, (C) CNS tumours and (D) bone tumour/soft tissue sarcoma.
(A) Leukaemia | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases(N=143) | Control(N=1799) | ||||||||||
Symptoma | Freq. | % | Freq. | % | OR | 95% Confidence interval | P-value | LR | 95% Confidence interval | PPV (per 10 000) | 95% Confidence interval |
Lymphadenopathyb |
7 |
4.90 |
3 |
0.17 |
7.65 |
1.55–37.72 |
0.0124 |
29.35 |
7.67–112.30 |
1.51 |
0.40–5.78 |
Fatigue |
15 |
10.49 |
8 |
0.44 |
12.69 |
4.48–35.96 |
<0.0001 |
23.59 |
10.17–54.69 |
1.21 |
0.52–2.82 |
Bruising |
9 |
6.29 |
5 |
0.28 |
24.72 |
4.71–129.78 |
<0.0002 |
22.64 |
7.69–66.67 |
1.17 |
0.40–3.43 |
Three or more consultations | 74 | 51.75 | 125 | 6.95 | 5.92 | 3.71–9.44 | <0.0001 | 7.45 | 5.91–9.39 | 0.38 | 0.30–0.48 |
(B) Lymphoma | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases(N=270) | Control(N=3350) | ||||||||||
Symptoma | Freq. | % | Freq. | % | OR | 95% Confidence interval | P-value | LR | 95% Confidence interval | PPV (per 10 000) | 95% Confidence interval |
Lump mass swelling head and neck |
35 |
12.96 |
1 |
0.03 |
71.85 |
8.98–575.07 |
0.0001 |
434.26 |
59.72–3157.62 |
50.34 |
6.96–367.86 |
Lymphadenopathy |
77 |
28.52 |
4 |
0.12 |
184.46 |
40.65–837.06 |
<0.0001 |
238.84 |
88.09–647.59 |
27.75 |
10.26–75.44 |
Lump mass swellingc |
29 |
10.74 |
15 |
0.45 |
14.08 |
5.33–37.19 |
<0.0001 |
23.99 |
13.02–44.19 |
2.79 |
1.52–5.15 |
Three or more consultations | 175 | 64.81 | 294 | 8.78 | 7.67 | 4.92–11.95 | <0.0001 | 7.39 | 6.42–8.50 | 0.86 | 0.75–0.99 |
(C) CNS tumours | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases(N=154) | Control(N=1906) | ||||||||||
Symptoma | Freq. | % | Freq. | % | OR | 95% Confidence interval | P-value | LR | 95% Confidence interval | PPV (per 10 000) | 95% Confidence interval |
Seizure |
18 |
11.69 |
4 |
0.21 |
17.5 |
5.12–59.83 |
<0.0001 |
55.69 |
19.09–162.52 |
2.38 |
0.82–6.95 |
Headache |
33 |
21.43 |
12 |
0.63 |
18.91 |
7.11–50.25 |
<0.0001 |
34.04 |
17.95–64.55 |
1.45 |
0.77–2.76 |
Vomiting |
11 |
7.14 |
5 |
0.26 |
7.31 |
1.65–32.47 |
0.0089 |
27.23 |
9.58–77.37 |
1.16 |
0.41–3.31 |
Pain |
11 |
7.14 |
20 |
1.05 |
6.11 |
2.25–16.57 |
0.0004 |
6.81 |
3.32–13.95 |
0.29 |
0.14–0.6 |
Three or more consultations | 73 | 47.4 | 165 | 8.66 | 3.04 | 1.82–5.09 | <0.0001 | 5.48 | 4.39–6.83 | 0.23 | 0.19–0.29 |
(D) Bone tumours/soft tissue sarcoma | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cases(N=196) | Control(N=2438) | ||||||||||
Symptoma | Freq. | % | Freq. | % | OR | 95% Confidence interval | P-value | LR | 95% Confidence interval | PPV (per 10 000) | 95% Confidence interval |
Lump mass swelling |
19 |
9.69 |
3 |
0.12 |
39.62 |
8.17–192.1 |
<0.0001 |
78.78 |
23.52–263.91 |
4.15 |
1.24–13.92 |
Musculoskeletal symptoms |
37 |
18.88 |
26 |
1.07 |
8.37 |
4.18–16.76 |
<0.0002 |
17.7 |
10.95–28.61 |
0.93 |
0.58–1.51 |
Three or more consultations |
86 |
43.88 |
189 |
7.75 |
3.88 |
2.48–6.06 |
<0.0003 |
5.66 |
4.59–6.98 |
0.3 |
0.24–0.37 |
Chest painb | 5 | 2.55 | 12 | 0.49 | 5.15 | 1.47–17.99 | 0.0103 | 5.18 | 1.84–14.56 | 0.27 | 0.1–0.77 |
Abbreviations: CNS=central nervous system; Freq.=frequency; LR=likelihood ratio; OR=odds ratio; PPV=positive predictive value; TYA= teenagers and young adults.
Symptoms are ordered by PPV.
Has a P-value below the threshold, but is needed in the model based on the LR test.
Lump mass swelling below neck not including abdomen.