Metadata

Name Cholangitis (cholangitis)
Category Digestive
Sex
Adult Yes
UUID 5209adeb-a352-4fdb-aca6-3a7541a8cb95
Definition Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.

Ontologies

Disease Ontology (DOID) DOID_9446
GWAS Catalogue EFO_0004268
MeSH D002761
SNOMED-CT 82403002
FinnGen K11_CHOLANGI

Key Summary Statistics

Cases from any source

Total 2155
Female (%) 949 (44%)
Male (%) 1206 (56%)

Year first recorded

cholangitis 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 cholangitis cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of cholangitis

Baseline prevalence stratified by sex

Female 7.31 (5.49,9.13)
Male 8.4 (6.28,10.52)

Incidence stratified by sex

Female 1.79 (1.45,2.14)
Male 2.55 (2.09,3.0)

Incidence stratified by age

Ages 40-44 0.6 (0.12,1.09)
Ages 45-49 0.82 (0.33,1.3)
Ages 50-54 1.52 (0.91,2.13)
Ages 55-59 1.87 (1.26,2.48)
Ages 60-64 2.69 (2.06,3.32)
Ages 65-69 3.82 (2.96,4.68)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB cholangitis prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 6 (4,9) 16 (13,20) 27 (23,30)
CALIBER 8 (7,9) 15 (14,17) 31 (29,33)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 5(1,14) 4(1,10) 23(17,31)
Low 6(2,16) 13(7,21) 22(16,29)
Medium 4(1,12) 17(10,25) 27(20,36)
High 6(2,14) 27(18,37) 29(22,39)
Most deprived 8(3,16) 21(14,30) 34(25,44)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 6(4,10) 16(13,20) 27(23,31)
Scotland 6(1,19) 17(10,28) 23(15,34)
Wales 4(0,21) 19(9,34) 31(19,48)

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=154022, Events=131

Factor Level Hazard Ratio P value
BMI overweight 1.27 (0.78, 2.07) 0.333
BMI obese 2.62 (1.63, 4.22) 6.84e-05
BMI underweight 0 (0, Inf) 0.992
smoking previous 1.3 (0.9, 1.9) 0.166
smoking current 1.71 (0.99, 2.95) 0.0544
hypertension yes 1.97 (1.38, 2.82) 0.000171

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1475 sclerosing cholangitis
41202 Diagnoses - main ICD10 K80.3 Calculus of bile duct with cholangitis
41202 Diagnoses - main ICD10 K83.0 Cholangitis
41204 Diagnoses - secondary ICD10 K80.3 Calculus of bile duct with cholangitis
41204 Diagnoses - secondary ICD10 K83.0 Cholangitis
40001 Underlying (primary) cause of death: ICD10 K80.3 Calculus of bile duct with cholangitis
40001 Underlying (primary) cause of death: ICD10 K83.0 Cholangitis
40002 Contributory (secondary) causes of death: ICD10 K80.3 Calculus of bile duct with cholangitis
40002 Contributory (secondary) causes of death: ICD10 K83.0 Cholangitis
42040 GP clinical event records J620100 Liver abscess due to cholangitis
42040 GP clinical event records J646.00 Calculus of bile duct with cholangitis
42040 GP clinical event records J661000 Acute cholangitis
42040 GP clinical event records J661100 Chronic cholangitis
42040 GP clinical event records J661200 Recurrent cholangitis
42040 GP clinical event records J661300 Suppurative cholangitis
42040 GP clinical event records J661400 Ascending cholangitis
42040 GP clinical event records J661500 Cholangitis lenta
42040 GP clinical event records J661600 Obliterative cholangitis
42040 GP clinical event records J661700 Primary sclerosing cholangitis
42040 GP clinical event records J661800 Secondary sclerosing cholangitis
42040 GP clinical event records J661900 Sclerosing cholangitis unspecified
42040 GP clinical event records J661.00 Cholangitis
42040 GP clinical event records J661y00 Other cholangitis
42040 GP clinical event records J661z00 Cholangitis NOS