Metadata

Name Primary Malignancy of Pancreatic (pri_pancr)
Category Cancers
Sex
Adult Yes
UUID d90aca1e-72e8-4f3f-9969-637373cecabd
Definition A primary or metastatic malignant tumor involving the pancreas.

Ontologies

Disease Ontology (DOID) DOID_1793
GWAS Catalogue EFO_0002618
MeSH D010190
SNOMED-CT 235890007
FinnGen C3_PANCREAS

Key Summary Statistics

Cases from any source

Total 1898
Female (%) 873 (46%)
Male (%) 1025 (54%)

Year first recorded

pri_pancr 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 pri_pancr cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of pri_pancr

Baseline prevalence stratified by sex

Female 1.77 (0.87,2.66)
Male 3.36 (2.02,4.7)

Incidence stratified by sex

Female 1.76 (1.41,2.1)
Male 2.46 (2.02,2.91)

Incidence stratified by age

Ages 40-44 0.2 (-0.08,0.48)
Ages 45-49 0.37 (0.05,0.7)
Ages 50-54 1.39 (0.81,1.97)
Ages 55-59 1.3 (0.79,1.81)
Ages 60-64 3.07 (2.4,3.74)
Ages 65-69 4.17 (3.27,5.06)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB pri_pancr prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 3 (1,5) 8 (6,10) 20 (17,23)
CALIBER 3 (2,3) 9 (8,10) 22 (20,23)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 3(0,9) 4(2,10) 20(14,27)
Low 0(NaN,NaN) 4(1,8) 18(13,25)
Medium 1(0,8) 11(6,19) 14(9,21)
High 6(2,14) 9(4,16) 20(14,28)
Most deprived 4(1,10) 10(5,17) 28(20,37)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 3(1,5) 8(6,11) 19(16,23)
Scotland 5(1,15) 6(2,15) 18(10,28)
Wales 0(NaN,NaN) 4(0,14) 29(18,45)

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=153944, Events=165

Factor Level Hazard Ratio P value
BMI overweight 0.93 (0.64, 1.33) 0.683
BMI obese 0.99 (0.66, 1.49) 0.954
BMI underweight 0 (0, Inf) 0.994
smoking previous 1.57 (1.13, 2.18) 0.00649
smoking current 1.16 (0.66, 2.02) 0.611
hypertension yes 0.69 (0.47, 1.01) 0.0533

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20001 Cancer code, self-reported 1026 pancreas cancer
41202 Diagnoses - main ICD10 C25 Malignant neoplasm of pancreas
41204 Diagnoses - secondary ICD10 C25 Malignant neoplasm of pancreas
40001 Underlying (primary) cause of death: ICD10 C25 Malignant neoplasm of pancreas
40002 Contributory (secondary) causes of death: ICD10 C25 Malignant neoplasm of pancreas
42040 GP clinical event records B170.00 Malignant neoplasm of head of pancreas
42040 GP clinical event records B171.00 Malignant neoplasm of body of pancreas
42040 GP clinical event records B172.00 Malignant neoplasm of tail of pancreas
42040 GP clinical event records B173.00 Malignant neoplasm of pancreatic duct
42040 GP clinical event records B174.00 Malignant neoplasm of Islets of Langerhans
42040 GP clinical event records B175.00 Malignant neoplasm, overlapping lesion of pancreas
42040 GP clinical event records B17..00 Malignant neoplasm of pancreas
42040 GP clinical event records B17y000 Malignant neoplasm of ectopic pancreatic tissue
42040 GP clinical event records B17y.00 Malignant neoplasm of other specified sites of pancreas
42040 GP clinical event records B17yz00 Malignant neoplasm of specified site of pancreas NOS
42040 GP clinical event records B17z.00 Malignant neoplasm of pancreas NOS
42040 GP clinical event records BB5B100 [M]Islet cell carcinoma
42040 GP clinical event records BB5B300 [M]Insulinoma, malignant
42040 GP clinical event records BB5B500 [M]Glucagonoma, malignant
42040 GP clinical event records BB5B600 [M]Mixed islet cell and exocrine adenocarcinoma
42040 GP clinical event records BB5C100 [M]Gastrinoma, malignant
40006 Type of cancer: ICD10 C25 Malignant neoplasm of pancreas