Data supplement. Table SI Code lists used to identify study variables
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1 Data supplement Table SI Code lists used to identify study variables medcode description Codes for polycystic ovary syndrome C Stein - Leventhal syndrome C Polycystic ovarian syndrome 7E25300 Endoscopic drilling of ovary K Oligomenorrhoea K Primary oligomenorrhoea K Secondary oligomenorrhoea K Irregular menstrual cycle K594z00 Irregular menstrual cycle NOS C Hypersecretion of ovarian androgen M Alopecia M Alopecia unspecified M Male pattern alopecia M Frontal alopecia of women M Premature alopecia M240z00 Alopecia NOS M Hirsutism - hypertrichosis M Acne varioliformis M Acne frontalis M260z00 Acne varioliformis NOS M Other acne M Acne vulgaris M Acne conglobata M Cystic acne M261A00 Pustular acne M261E00 Acne excoriee des jeunes filles M261F00 Acne fulminans M261G00 Acne agminata M261J00 Acne necrotica M261K00 Acne keloidalis M261X00 Acne, unspecified M261z00 Other acne NOS Myu6300 [X]Other androgenic alopecia Myu6800 [X]Other acne Myu6F00 [X]Acne, unspecified 4473 Serum testosterone Serum testosterone level abnormal 4474 Free androgen index Free androgenic index abnormal 447G.00 Plasma testosterone level 447H.00 Androgen level 4Q26.00 Dihydrotestosterone level
2 4Q2E.00 Free testosterone level 4Q2F.00 Calculated free testosterone ZRBs.00 Ferriman and Galwey score K Ovarian cysts K Other ovarian cysts K532z00 Ovarian cyst NOS Kyu9500 [X]Other and unspecified ovarian cysts Codes for diseases for exclusion B Malignant neoplasm of adrenal gland B Malignant neoplasm of adrenal cortex B Malignant neoplasm of adrenal medulla B540z00 Malignant neoplasm of adrenal gland NOS B Secondary malignant neoplasm of adrenal gland B7H0.00 Benign neoplasm of adrenal gland B8yy100 Carcinoma in situ of adrenal gland B Neoplasm of uncertain behaviour of adrenal gland BB5h.00 [M]Adrenal cortical tumours BB5h000 [M]Adrenal cortical adenoma NOS BB5h100 [M]Adrenal cortical carcinoma BB5h300 [M]Adrenal cortical adenoma, heavily pigmented variant BB5h400 [M]Adrenal cortical adenoma, clear cell type BB5h500 [M]Adrenal cortical adenoma, glomerulosa cell type BB5h600 [M]Adrenal cortical adenoma, mixed cell type BB5hz00 [M]Adrenal cortical tumours NOS BBCF.00 [M]Adrenal rest tumour BBD7.00 [M]Extra-adrenal paraganglioma, NOS C Disorders of adrenal glands C Other corticoadrenal overactivity C Adrenal medullary insufficiency C15y.00 Other specified adrenal disorders C15yz00 Other specified adrenal disorder NOS C15z.00 Adrenal gland disorder NOS Cyu4A00 [X]Other specified disorders of adrenal gland PK1..00 Anomalies of adrenal gland PK10.00 Aberrant adrenal gland PK12.00 Accessory adrenal gland PK13.00 Hypoplasia of adrenal gland PK14.00 Ectopic adrenal gland PK1y.00 Other specified anomalies of adrenal gland PK1y000 Congenital cyst of adrenal gland PK1yz00 Other congenital anomaly of adrenal gland NOS PK1z.00 Anomalies of adrenal gland NOS O/E - cushingoid facies C Cushing's syndrome C Idiopathic Cushing's syndrome C Iatrogenic Cushing's syndrome C Drug-induced Cushings syndrome
3 C Pituitary dependent Cushing's syndrome C Ectopic ACTH secretion causing Cushing's syndrome C Alcohol-induced pseudo-cushing's syndrome C150z00 Cushing's syndrome NOS Cyu4500 [X]Other Cushing's syndrome F Myopathy due to Cushing's syndrome C Nelson's syndrome BB5y400 [M]Prolactinoma B Malignant neoplasm pituitary gland and craniopharyngeal duct B Malignant neoplasm of pituitary gland B542z00 Malig neop pituitary gland or craniopharyngeal duct NOS B7H2.00 Benign neoplasm of pituitary gland and craniopharyngeal duct B7H2.11 Pituitary adenoma B7H2000 Benign neoplasm of pituitary gland B7H2z00 Benign neoplasm of pituitary and craniopharyngeal duct NOS B8yy300 Carcinoma in situ of pituitary gland B Neop uncertain behaviour pituitary and craniopharyngeal duct B Neoplasm of uncertain behaviour of pituitary gland B920z00 Neop uncertain behaviour pituitary and craniopharyngeal NOS BB5V.00 [M]Pituitary adenomas and carcinomas BB5Vz00 [M]Pituitary adenoma or carcinoma NOS C Disorders of pituitary gland and its hypothalamic control C Other anterior pituitary hyperfunction C Other anterior pituitary disorder C134z00 Other anterior pituitary disorder NOS C134z11 Anterior pituitary hormone deficiency NEC C Iatrogenic pituitary disorders C137z00 Iatrogenic pituitary disorder NOS C13z.00 Pituitary disorders NOS Cyu4400 [X]Other disorders of pituitary gland Cyu4M00 [X]Hyperfunction of pituitary gland, unspecified K5B1.00 Female infertility of pituitary - hypothalamic origin K5B1000 Primary pituitary - hypothalamic infertility K5B1z00 Female infertility of pituitary - hypothalamic cause NOS PK24.00 Anomalies of pituitary gland PK24000 Aberrant pituitary gland PK24z00 Anomaly of pituitary gland NOS
4 Table SII Number and percentage of PCOS women prescribed relevant drugs for PCOS both prior to and following the diagnosis of PCOS stratified by case definition Types of drugs No. (%) Before After Diagnosed Probable Diagnosed Probable Diagnosed Probable Diagnosed Probable Combined oral contraceptives (COC) Progestin oral contraceptives (POC) Intrauterine devices (IUDs) 5136 (31.35) 7213 (50.37) 601 (16.68) 291 (17.19) 611 (20.57) 311 (16.51) 290 (20.52) 179 (14.90) 2067 (12.62) 3739 (26.11) 260 (5.48) 212 (8.11) 377 (9.18) 312 (11.58) 163 (8.29) 115 (7.24) 191 (1.17) 537 (3.75) 21 (0.40) 23 (0.69) 31 (0.64) 33 (0.88) 13 (0.51) 13 (0.54) Clomiphene 332 (2.03) 186 (1.30) 164 (3.18) 45 (1.34) 129 (2.69) 38 (0.98) 61 (2.41) 10 (0.41) Metformin 1084 (6.62) 194 (1.35) 1125 (23.27) 88 (2.62) 991 (21.87) 112 (2.92) 459 (19.44) 51 (2.11) Gonadotrophins 126 (0.77) 309 (2.16) 17 (0.32) 12 (0.36) 7 (0.14) 6 (0.16) 5 (0.20) 8 (0.33) Spironolactone 174 (1.06) 61 (0.43) 101 (1.94) 9 (0.26) 101 (2.08) 10 (0.26) 37 (1.45) 7 (0.28) Cyproterone 72 (0.44) 19 (0.13) 27 (0.51) 4 (0.12) 17 (0.35) 2 (0.05) 2 (0.08) 1 (0.04) Flutamide 6 (0.04) 0 4 (0.08) (0.03) 0 0 Eflornithine 415 (2.53) 135 (0.94) 279 (5.33) 73 (2.14) 292 (6.22) 112 (2.93) 129 (5.27) 47 (1.94) Weight 849 (5.18) 481 (3.36) 320 (6.39) 84 (2.53) 284 (6.22) 82 (2.21) 72 (3.02) 23 (0.98) control/loss drugs Lipid regulators 93 (0.57) 101 (0.71) 48 (0.91) 22 (0.65) 25 (0.52) 21 (0.55) 5 (0.20) 3 (0.12) Acne-related drugs 3547 (21.64) 5453 (38.08) 600 (14.99) 585 (28.63) 583 (15.95) 664 (28.53) 226 (12.67) 373 (25.92)
5 Figure SI. Plots describing the cumulative incidence of women with a prescription for each drug type over the 730 days following their index date. Results shown for the eight most commonly prescribed drugs.
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