Metadata

Name Alcoholic liver disease (liver_alc)
Category Digestive
Sex
Adult Yes
UUID e7b00392-7c19-4193-87d5-1bb6f53d4068
Definition Liver diseases associated with ALCOHOLISM. It usually refers to the coexistence of two or more subentities, i.e., ALCOHOLIC FATTY LIVER; ALCOHOLIC HEPATITIS; and ALCOHOLIC CIRRHOSIS.

Ontologies

Disease Ontology (DOID) DOID_12351
GWAS Catalogue EFO_1001345
MeSH D008108
SNOMED-CT 41309000
FinnGen ALCOLIVER

Key Summary Statistics

Cases from any source

Total 2141
Female (%) 466 (22%)
Male (%) 1675 (78%)

Year first recorded

liver_alc 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 liver_alc cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of liver_alc

Baseline prevalence stratified by sex

Female 7.19 (5.39,8.99)
Male 32.62 (28.44,36.8)

Incidence stratified by sex

Female 0.7 (0.49,0.92)
Male 4.37 (3.78,4.97)

Incidence stratified by age

Ages 40-44 1.91 (1.05,2.77)
Ages 45-49 1.86 (1.13,2.58)
Ages 50-54 2.41 (1.64,3.18)
Ages 55-59 2.81 (2.06,3.56)
Ages 60-64 2.46 (1.86,3.07)
Ages 65-69 2.36 (1.69,3.04)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB liver_alc prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 21 (17,26) 40 (35,45) 36 (32,40)
CALIBER 47 (46,49) 74 (72,77) 72 (69,75)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 14(6,26) 13(7,21) 25(18,33)
Low 5(1,14) 20(13,30) 20(14,28)
Medium 18(10,31) 23(15,33) 33(25,43)
High 16(9,28) 47(36,61) 39(30,50)
Most deprived 43(32,58) 92(76,110) 70(57,85)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 21(17,27) 41(35,47) 35(30,39)
Scotland 24(12,42) 40(27,56) 48(35,64)
Wales 14(4,36) 28(15,47) 33(21,50)

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=153646, Events=402

Factor Level Hazard Ratio P value
BMI overweight 1.07 (0.82, 1.39) 0.637
BMI obese 2.13 (1.65, 2.77) 1.06e-08
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.48 (1.19, 1.85) 0.000498
smoking current 2.47 (1.87, 3.26) 1.43e-10
hypertension yes 2.21 (1.8, 2.72) 5.76e-14

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1604 alcoholic liver disease / alcoholic cirrhosis
41202 Diagnoses - main ICD10 K70 Alcoholic liver disease
41204 Diagnoses - secondary ICD10 K70 Alcoholic liver disease
40001 Underlying (primary) cause of death: ICD10 K70 Alcoholic liver disease
40002 Contributory (secondary) causes of death: ICD10 K70 Alcoholic liver disease
42040 GP clinical event records G852300 Oesophageal varices in alcoholic cirrhosis of the liver
42040 GP clinical event records J610.00 Alcoholic fatty liver
42040 GP clinical event records J611.00 Acute alcoholic hepatitis
42040 GP clinical event records J612000 Alcoholic fibrosis and sclerosis of liver
42040 GP clinical event records J612.00 Alcoholic cirrhosis of liver
42040 GP clinical event records J612.12 Laennec’s cirrhosis
42040 GP clinical event records J613000 Alcoholic hepatic failure
42040 GP clinical event records J613.00 Alcoholic liver damage unspecified
42040 GP clinical event records J617000 Chronic alcoholic hepatitis
42040 GP clinical event records J617.00 Alcoholic hepatitis
42040 GP clinical event records XaBE3 Chronic alcoholic hepatitis
42040 GP clinical event records XE0b4 Alcoholic cirrhosis of liver
42040 GP clinical event records X3072 Alcoholic fibrosis and sclerosis of liver
42040 GP clinical event records X306r Alcoholic hepatitis
42040 GP clinical event records X3073 Alcoholic hepatic failure
42040 GP clinical event records XaC1d Oesophageal varices in alcoholic cirrhosis of the liver