Metadata

Name Oesophagitis and oesophageal ulcer (oesoph_ulc)
Category Digestive
Sex
Adult Yes
UUID 515f0924-1cc7-4fe9-b389-6970a2dddfbd
Definition Inflammation, acute or chronic, of the esophagus caused by bacteria, chemicals, or trauma.

Ontologies

Disease Ontology (DOID) DOID_11963
GWAS Catalogue HP_0100633
MeSH D004941
SNOMED-CT 16761005
FinnGen K11_OESITIS

Key Summary Statistics

Cases from any source

Total 41498
Female (%) 20433 (49%)
Male (%) 21065 (51%)

Year first recorded

oesoph_ulc 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 oesoph_ulc cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of oesoph_ulc

Baseline prevalence stratified by sex

Female 430.84 (417.18,444.51)
Male 554.09 (537.32,570.87)

Incidence stratified by sex

Female 41.29 (39.57,43.01)
Male 50.0 (47.92,52.09)

Incidence stratified by age

Ages 40-44 22.77 (19.76,25.78)
Ages 45-49 30.89 (27.86,33.92)
Ages 50-54 37.55 (34.45,40.65)
Ages 55-59 45.93 (42.8,49.05)
Ages 60-64 54.73 (51.78,57.68)
Ages 65-69 60.41 (56.84,63.99)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB oesoph_ulc prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 452 (431,473) 708 (687,729) 971 (951,991)
CALIBER 536 (530,542) 810 (802,819) 1115 (1104,

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 396(351,445) 617(575,662) 883(841,926)
Low 378(333,426) 658(614,704) 909(867,953)
Medium 439(393,490) 697(651,744) 968(924,1014)
High 447(403,493) 702(657,749) 1009(961,1058)
Most deprived 549(505,597) 859(810,910) 1120(1069,1174)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 443(420,466) 716(693,739) 975(952,998)
Scotland 370(317,428) 595(544,649) 831(776,888)
Wales 690(599,791) 819(743,900) 1157(1078,1240)

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
41202 Diagnoses - main ICD10 K20 Oesophagitis
41202 Diagnoses - main ICD10 K21.0 Gastro-oesophageal reflux disease with oesophagitis
41202 Diagnoses - main ICD10 K22.1 Ulcer of oesophagus
41204 Diagnoses - secondary ICD10 K20 Oesophagitis
41204 Diagnoses - secondary ICD10 K21.0 Gastro-oesophageal reflux disease with oesophagitis
41204 Diagnoses - secondary ICD10 K22.1 Ulcer of oesophagus
40001 Underlying (primary) cause of death: ICD10 K20 Oesophagitis
40001 Underlying (primary) cause of death: ICD10 K21.0 Gastro-oesophageal reflux disease with oesophagitis
40001 Underlying (primary) cause of death: ICD10 K22.1 Ulcer of oesophagus
40002 Contributory (secondary) causes of death: ICD10 K20 Oesophagitis
40002 Contributory (secondary) causes of death: ICD10 K21.0 Gastro-oesophageal reflux disease with oesophagitis
40002 Contributory (secondary) causes of death: ICD10 K22.1 Ulcer of oesophagus
42040 GP clinical event records J101000 Abscess of oesophagus
42040 GP clinical event records J101.00 Oesophagitis
42040 GP clinical event records J101100 Reflux oesophagitis
42040 GP clinical event records J101112 Gastro-oesophageal reflux with oesophagitis
42040 GP clinical event records J101113 Oesophageal reflux with oesophagitis
42040 GP clinical event records J101114 Peptic oesophagitis
42040 GP clinical event records J101115 Regurgitant oesophagitis
42040 GP clinical event records J101200 Chemical oesophagitis
42040 GP clinical event records J101300 Postoperative oesophagitis
42040 GP clinical event records J101400 Gangrenous oesophagitis
42040 GP clinical event records J101500 Phlegmonous oesophagitis
42040 GP clinical event records J101600 Ulcerative oesophagitis
42040 GP clinical event records J101y00 Other specified oesophagitis
42040 GP clinical event records J101z00 Oesophagitis NOS
42040 GP clinical event records J102000 Peptic ulcer of oesophagus
42040 GP clinical event records J102.00 Ulcer of oesophagus
42040 GP clinical event records J102100 Fungal ulcer of oesophagus
42040 GP clinical event records J102200 Oesophageal ulcer due to aspirin
42040 GP clinical event records J102300 Oesophageal ulcer due to chemicals
42040 GP clinical event records J102400 Oesophageal ulcer due to medicines
42040 GP clinical event records J102z00 Ulcer of oesophagus NOS
42040 GP clinical event records J10y300 Oesophageal erosions