Metadata

Name Leiomyoma of uterus (leiomyoma)
Category Benign neoplasm or Carcinoma in situ
Sex
Adult Yes
UUID 5f67efaf-9c9f-482d-945c-800b547eaea6
Definition A benign smooth muscle neoplasm arising from the body of the uterus.

Ontologies

Disease Ontology (DOID) DOID_13223
GWAS Catalogue EFO_0000731
MeSH D007889
SNOMED-CT 95315005
FinnGen CD2_BENIGN_LEIOMYOMA_UTERI

Key Summary Statistics

Cases from any source

Total 26629
Female (%) 26629 (100%)
Male (%) 0 (0%)

Year first recorded

leiomyoma 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 leiomyoma cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of leiomyoma

Baseline prevalence stratified by sex

Female 876.18 (857.16,895.21)
Male 0.0 (0.0,0.0)

Incidence stratified by sex

Female 30.32 (28.81,31.82)
Male 0.0 (0.0,0.0)

Incidence stratified by age

Ages 40-44 37.87 (33.97,41.76)
Ages 45-49 36.09 (32.8,39.39)
Ages 50-54 18.49 (16.3,20.68)
Ages 55-59 9.82 (8.38,11.26)
Ages 60-64 7.16 (6.1,8.21)
Ages 65-69 5.57 (4.51,6.63)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB leiomyoma prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 493 (473,514) 510 (494,527) 386 (374,398)
CALIBER 770 (760,781) 953 (940,966) 699 (687,711)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 443(398,492) 503(468,541) 400(373,428)
Low 463(417,513) 479(444,515) 384(358,412)
Medium 456(412,504) 503(468,540) 394(367,422)
High 502(459,547) 555(518,593) 388(361,417)
Most deprived 574(529,620) 509(474,547) 358(330,387)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 518(495,542) 524(506,543) 389(375,403)
Scotland 337(292,388) 447(406,490) 386(352,423)
Wales 486(414,568) 485(431,544) 352(310,397)

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=153561, Events=310

Factor Level Hazard Ratio P value
BMI overweight 0.89 (0.68, 1.17) 0.406
BMI obese 1.13 (0.84, 1.51) 0.416
BMI underweight 0 (0, Inf) 0.987
smoking previous 0.95 (0.75, 1.22) 0.699
smoking current 1.05 (0.72, 1.55) 0.789
hypertension yes 1.12 (0.87, 1.45) 0.386

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1351 uterine fibroids
41202 Diagnoses - main ICD10 D25 Leiomyoma of uterus
41204 Diagnoses - secondary ICD10 D25 Leiomyoma of uterus
40001 Underlying (primary) cause of death: ICD10 D25 Leiomyoma of uterus
40002 Contributory (secondary) causes of death: ICD10 D25 Leiomyoma of uterus
42040 GP clinical event records 7A54A00 Perc embolisation of uterine fibroid using fluoroscopic guid
42040 GP clinical event records 7E06111 Excision fibroid
42040 GP clinical event records 7E0DC00 Transcervical resection of fibroid
42040 GP clinical event records B780.00 Submucous uterine leiomyoma
42040 GP clinical event records B781.00 Intramural uterine leiomyoma
42040 GP clinical event records B781.11 Mural fibroids
42040 GP clinical event records B782.00 Subserous uterine leiomyoma
42040 GP clinical event records B78..00 Uterine leiomyoma - fibroids
42040 GP clinical event records B78..11 Fibroids
42040 GP clinical event records B78z.00 Uterine leiomyoma NOS
42040 GP clinical event records BBK0000 [M]Leiomyoma NOS
42040 GP clinical event records BBK0011 [M]Fibroid uterus
42040 GP clinical event records BBK0300 [M]Epithelioid leiomyoma
42040 GP clinical event records BBK0500 [M]Cellular leiomyoma
42040 GP clinical event records BBK0600 [M]Bizarre leiomyoma
42040 GP clinical event records BBK0.00 [M]Leiomyomatous neoplasms
42040 GP clinical event records BBK0z00 [M]Leiomyomatous neoplasm NOS
42040 GP clinical event records XaQYZ Percutaneous embolisation of uterine fibroid using fluoroscopic guidance
40006 Type of cancer: ICD10 D25 Leiomyoma of uterus