Metadata

Name Endometrial hyperplasia and hypertrophy (endometrial_hyper)
Category Genitourinary
Sex
Adult Yes
UUID 8ab543f3-c282-4222-9e57-0304530e4721
Definition Endometrial hyperplasia is a condition of the female reproductive system. The lining of the uterus (endometrium) becomes unusually thick because of having too many cells (hyperplasia).

Ontologies

Disease Ontology (DOID) DOID_80365
GWAS Catalogue MONDO_0041161
MeSH D004714
SNOMED-CT 237072009
FinnGen N14_OTHNONINFUTER

Key Summary Statistics

Cases from any source

Total 3576
Female (%) 3576 (100%)
Male (%) 0 (0%)

Year first recorded

endometrial_hyper 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 endometrial_hyper cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of endometrial_hyper

Baseline prevalence stratified by sex

Female 90.06 (83.7,96.42)
Male 0.0 (0.0,0.0)

Incidence stratified by sex

Female 4.6 (4.04,5.16)
Male 0.0 (0.0,0.0)

Incidence stratified by age

Ages 40-44 3.94 (2.7,5.17)
Ages 45-49 4.55 (3.41,5.69)
Ages 50-54 2.93 (2.08,3.78)
Ages 55-59 2.2 (1.53,2.86)
Ages 60-64 1.43 (0.97,1.89)
Ages 65-69 1.71 (1.14,2.29)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB endometrial_hyper prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 57 (51,65) 66 (61,73) 55 (50,60)
CALIBER 124 (120,128) 162 (157,168) 131 (125,136)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 54(39,73) 66(53,80) 54(44,65)
Low 55(40,74) 70(57,85) 56(47,67)
Medium 47(33,63) 67(55,81) 55(45,66)
High 54(41,71) 67(54,81) 52(42,63)
Most deprived 73(58,91) 63(51,78) 58(47,70)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 59(51,67) 72(65,79) 58(53,64)
Scotland 21(11,36) 26(17,38) 32(23,44)
Wales 103(71,144) 82(60,108) 53(38,73)

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=153321, Events=259

Factor Level Hazard Ratio P value
BMI overweight 1.47 (1.07, 2.01) 0.0165
BMI obese 2.46 (1.81, 3.35) 1.19e-08
BMI underweight 0 (0, Inf) 0.998
smoking previous 1.06 (0.81, 1.39) 0.676
smoking current 0.75 (0.46, 1.22) 0.25
hypertension yes 0.83 (0.58, 1.19) 0.31

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 N85.0 Endometrial glandular hyperplasia
41202 Diagnoses - main ICD10 N85.1 Endometrial adenomatous hyperplasia
41202 Diagnoses - main ICD10 N85.2 Hypertrophy of uterus
41204 Diagnoses - secondary ICD10 N85.0 Endometrial glandular hyperplasia
41204 Diagnoses - secondary ICD10 N85.1 Endometrial adenomatous hyperplasia
41204 Diagnoses - secondary ICD10 N85.2 Hypertrophy of uterus
40001 Underlying (primary) cause of death: ICD10 N85.0 Endometrial glandular hyperplasia
40001 Underlying (primary) cause of death: ICD10 N85.1 Endometrial adenomatous hyperplasia
40001 Underlying (primary) cause of death: ICD10 N85.2 Hypertrophy of uterus
40002 Contributory (secondary) causes of death: ICD10 N85.0 Endometrial glandular hyperplasia
40002 Contributory (secondary) causes of death: ICD10 N85.1 Endometrial adenomatous hyperplasia
40002 Contributory (secondary) causes of death: ICD10 N85.2 Hypertrophy of uterus
42040 GP clinical event records K542000 Hypertrophy of uterus unspecified
42040 GP clinical event records K542100 Bulky uterus
42040 GP clinical event records K542200 Enlarged uterus
42040 GP clinical event records K542.00 Hypertrophy of the uterus
42040 GP clinical event records K542z00 Hypertrophy of the uterus NOS
42040 GP clinical event records K543000 Adenomatous endometrial hyperplasia
42040 GP clinical event records K543100 Cystic endometrial hyperplasia
42040 GP clinical event records K543200 Glandular endometrial hyperplasia
42040 GP clinical event records K543.00 Endometrial cystic hyperplasia
42040 GP clinical event records K543z00 Endometrial cystic hyperplasia NOS
42040 GP clinical event records XaQbW Adenomatous endometrial hyperplasia