Metadata

Name Pneumothorax (pneumothorax)
Category Respiratory
Sex
Adult Yes
UUID ad9e379a-e065-45ea-829b-6c4dfa042626
Definition A pleural disease that is characterized as an abnormal collection of air in the pleural space between the lung and the chest wall.

Ontologies

Disease Ontology (DOID) DOID_1673
GWAS Catalogue HP_0002108
MeSH D011030
SNOMED-CT 36118008
FinnGen J10_PNEUMOTHORAX

Key Summary Statistics

Cases from any source

Total 3708
Female (%) 1276 (34%)
Male (%) 2432 (66%)

Year first recorded

pneumothorax 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 pneumothorax cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of pneumothorax

Baseline prevalence stratified by sex

Female 26.88 (23.39,30.36)
Male 78.68 (72.2,85.16)

Incidence stratified by sex

Female 1.39 (1.08,1.7)
Male 3.2 (2.69,3.71)

Incidence stratified by age

Ages 40-44 0.81 (0.25,1.37)
Ages 45-49 1.42 (0.78,2.05)
Ages 50-54 1.46 (0.86,2.06)
Ages 55-59 2.04 (1.4,2.68)
Ages 60-64 2.16 (1.59,2.73)
Ages 65-69 4.29 (3.38,5.2)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB pneumothorax prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 44 (38,51) 47 (42,53) 56 (51,61)
CALIBER 49 (47,51) 59 (56,61) 75 (72,78)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 45(31,64) 44(33,57) 61(50,73)
Low 37(24,55) 38(28,51) 49(39,60)
Medium 34(22,51) 48(36,62) 48(39,60)
High 48(35,65) 44(33,57) 59(48,72)
Most deprived 53(40,70) 62(49,77) 63(51,77)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 45(38,53) 47(41,53) 54(49,60)
Scotland 52(34,78) 63(47,83) 81(65,101)
Wales 29(13,56) 23(12,41) 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=153513, Events=116

Factor Level Hazard Ratio P value
BMI overweight 1.85 (1.14, 2.99) 0.0128
BMI obese 1.9 (1.12, 3.22) 0.0174
BMI underweight 0 (0, Inf) 0.993
smoking previous 0.82 (0.53, 1.27) 0.367
smoking current 1.79 (1.09, 2.95) 0.0215
hypertension yes 1.55 (1.01, 2.37) 0.0432

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1126 spontaneous pneumothorax/recurrent pneumothorax
20002 Non-cancer illness code, self-reported 1497 pneumothorax
41202 Diagnoses - main ICD10 J93 Pneumothorax
41204 Diagnoses - secondary ICD10 J93 Pneumothorax
40001 Underlying (primary) cause of death: ICD10 J93 Pneumothorax
40002 Contributory (secondary) causes of death: ICD10 J93 Pneumothorax
42040 GP clinical event records 14B5.00 H/O: pneumothorax
42040 GP clinical event records H520.00 Spontaneous tension pneumothorax
42040 GP clinical event records H52..00 Pneumothorax
42040 GP clinical event records H52y000 Acute pneumothorax NOS
42040 GP clinical event records H52y100 Chronic pneumothorax
42040 GP clinical event records H52y.00 Other spontaneous pneumothorax
42040 GP clinical event records H52yz00 Other spontaneous pneumothorax NOS
42040 GP clinical event records H52yz11 Spontaneous pneumothorax NOS
42040 GP clinical event records H52z.00 Pneumothorax NOS
42040 GP clinical event records Hyu7100 [X]Other spontaneous pneumothorax
42040 GP clinical event records Hyu7200 [X]Other pneumothorax
42040 GP clinical event records XE0YZ Other spontaneous pneumothorax NOS