Metadata

Name Meniere disease (meniere)
Category Ear
Sex
Adult Yes
UUID 67dc1fe3-3091-4215-ac9b-9a04f080f5ab
Definition A disease of the inner ear (LABYRINTH) that is characterized by fluctuating SENSORINEURAL HEARING LOSS; TINNITUS; episodic VERTIGO; and aural fullness.

Ontologies

Disease Ontology (DOID) DOID_9849
GWAS Catalogue EFO_0006862
MeSH D008575
SNOMED-CT 13445001
FinnGen H8_MENIERE

Key Summary Statistics

Cases from any source

Total 3166
Female (%) 2021 (64%)
Male (%) 1145 (36%)

Year first recorded

meniere 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 meniere cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of meniere

Baseline prevalence stratified by sex

Female 72.61 (66.9,78.33)
Male 47.46 (42.42,52.5)

Incidence stratified by sex

Female 2.28 (1.89,2.68)
Male 1.44 (1.1,1.78)

Incidence stratified by age

Ages 40-44 1.21 (0.52,1.89)
Ages 45-49 1.79 (1.07,2.5)
Ages 50-54 2.1 (1.38,2.82)
Ages 55-59 2.04 (1.4,2.68)
Ages 60-64 2.05 (1.5,2.6)
Ages 65-69 1.82 (1.23,2.42)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB meniere prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 28 (24,34) 54 (49,60) 82 (77,89)
CALIBER 22 (21,23) 45 (43,47) 76 (73,78)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 28(17,43) 52(41,65) 77(65,90)
Low 30(19,45) 57(45,71) 80(68,94)
Medium 26(16,40) 56(45,70) 88(75,102)
High 26(17,39) 49(38,62) 83(70,97)
Most deprived 31(22,44) 56(44,70) 85(71,100)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 23(19,29) 50(44,56) 72(66,78)
Scotland 42(26,64) 40(28,55) 83(66,102)
Wales 62(38,97) 121(94,154) 193(161,228)

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 1421 meniere’s disease
41202 Diagnoses - main ICD10 H81.0 Meniere’s disease
41204 Diagnoses - secondary ICD10 H81.0 Meniere’s disease
40001 Underlying (primary) cause of death: ICD10 H81.0 Meniere’s disease
40002 Contributory (secondary) causes of death: ICD10 H81.0 Meniere’s disease
42040 GP clinical event records 1491.11 H/O: Meniere’s disease
42040 GP clinical event records F560000 Unspecified Meniere’s disease
42040 GP clinical event records F560100 Active cochleovestibular Meniere’s disease
42040 GP clinical event records F560200 Active cochlear Meniere’s disease
42040 GP clinical event records F560300 Active vestibular Meniere’s disease
42040 GP clinical event records F560400 Inactive Meniere’s disease
42040 GP clinical event records F560.00 Meniere’s disease
42040 GP clinical event records F560.11 Endolymphatic hydrops
42040 GP clinical event records F560.12 Lermoyez’s syndrome
42040 GP clinical event records F560z00 Meniere’s disease NOS