Metadata

Name Hyperplasia of prostate (BPH)
Category Genitourinary
Sex
Adult Yes
UUID 9a8d5653-c944-46c8-af1f-1fcc4c260b29
Definition A disease caused by hyperplastic process of non-transformed prostatic cells.

Ontologies

Disease Ontology (DOID) DOID_11132
GWAS Catalogue EFO_0000284
MeSH D011470
SNOMED-CT 266569009
FinnGen N14_PROSTHYPERPLA

Key Summary Statistics

Cases from any source

Total 30410
Female (%) 0 (0%)
Male (%) 30410 (100%)

Year first recorded

BPH year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced BPH cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of BPH

Baseline prevalence stratified by sex

Female 0.0 (0.0,0.0)
Male 603.09 (585.63,620.55)

Incidence stratified by sex

Female 0.0 (0.0,0.0)
Male 90.31 (87.48,93.14)

Incidence stratified by age

Ages 40-44 5.34 (3.9,6.78)
Ages 45-49 12.31 (10.43,14.19)
Ages 50-54 21.54 (19.23,23.84)
Ages 55-59 37.6 (34.82,40.39)
Ages 60-64 53.81 (50.91,56.71)
Ages 65-69 73.49 (69.54,77.43)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB BPH prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 79 (70,89) 316 (301,330) 851 (831,871)
CALIBER 112 (108,116) 546 (537,556) 1636 (1618,

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 78(58,103) 330(297,365) 834(793,877)
Low 65(47,88) 311(279,345) 885(842,929)
Medium 78(59,102) 315(283,350) 865(821,910)
High 91(71,114) 310(279,344) 834(789,881)
Most deprived 80(64,100) 313(282,346) 832(786,880)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 77(67,87) 305(290,322) 833(811,855)
Scotland 71(48,101) 315(277,357) 862(804,922)
Wales 115(78,163) 417(360,480) 1025(949,1106)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153508, Events=407

Factor Level Hazard Ratio P value
BMI overweight 0.96 (0.75, 1.22) 0.716
BMI obese 1.36 (1.06, 1.76) 0.0167
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.37 (1.1, 1.7) 0.00438
smoking current 2.14 (1.6, 2.85) 2.26e-07
hypertension yes 1.88 (1.53, 2.31) 1.47e-09

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1516 bph / benign prostatic hypertrophy
41202 Diagnoses - main ICD10 N40 Hyperplasia of prostate
41204 Diagnoses - secondary ICD10 N40 Hyperplasia of prostate
40001 Underlying (primary) cause of death: ICD10 N40 Hyperplasia of prostate
40002 Contributory (secondary) causes of death: ICD10 N40 Hyperplasia of prostate
42040 GP clinical event records 14E1.00 H/O: prostatism
42040 GP clinical event records 1AA..00 Prostatism
42040 GP clinical event records K200.00 Prostatic hyperplasia unspecified
42040 GP clinical event records K201.00 Prostatic hyperplasia of the lateral lobe
42040 GP clinical event records K202.00 Prostatic hyperplasia of the medial lobe
42040 GP clinical event records K20..00 Benign prostatic hypertrophy
42040 GP clinical event records K20..14 Enlarged prostate - benign
42040 GP clinical event records K20..15 BPH - benign prostatic hypertrophy
42040 GP clinical event records K20..16 Prostatism
42040 GP clinical event records K20z.00 Prostatic hyperplasia NOS