Metadata

Name Secondary Malignancy of Adrenal gland (sec_adrenal)
Category Cancers
Sex
Adult Yes
UUID 966597e2-cf8e-429e-aea1-e156f489d05e
Definition Cancer which has spread from a primary site of origin to the adrenal gland.

Ontologies

SNOMED-CT 94161006

Key Summary Statistics

Cases from any source

Total 923
Female (%) 410 (44%)
Male (%) 513 (56%)

Year first recorded

sec_adrenal 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 sec_adrenal cases

Incidence & prevalence

Baseline prevalence stratified by sex

Female 0.12 (-0.11,0.35)
Male 0.0 (0.0,0.0)

Incidence stratified by sex

Female 0.67 (0.46,0.88)
Male 1.45 (1.11,1.79)

Incidence stratified by age

Ages 40-44 0.2 (-0.08,0.48)
Ages 45-49 0.22 (-0.03,0.47)
Ages 50-54 0.57 (0.2,0.94)
Ages 55-59 1.04 (0.58,1.49)
Ages 60-64 1.46 (0.99,1.92)
Ages 65-69 1.76 (1.17,2.34)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB sec_adrenal prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 1 (0,2) 4 (2,6) 8 (7,11)
CALIBER 6 (5,7) 13 (12,14)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 0(NaN,NaN) 7(3,13) 6(3,11)
Low 2(0,9) 4(1,10) 7(4,12)
Medium 0(NaN,NaN) 2(0,6) 7(4,12)
High 1(0,6) 2(0,5) 10(6,16)
Most deprived 1(0,6) 6(2,11) 12(7,19)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 1(0,3) 5(3,7) 9(7,11)
Scotland 0(NaN,NaN) 0(NaN,NaN) 7(3,15)
Wales 0(NaN,NaN) 4(0,14) 7(2,17)

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=154071, Events=107

Factor Level Hazard Ratio P value
BMI overweight 0.86 (0.53, 1.38) 0.527
BMI obese 1.3 (0.79, 2.12) 0.302
BMI underweight 0 (0, Inf) 0.993
smoking previous 1.71 (1.07, 2.71) 0.0234
smoking current 5.39 (3.29, 8.84) 2.31e-11
hypertension yes 1.43 (0.96, 2.14) 0.0801

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 C79.7 Secondary malignant neoplasm of adrenal gland
41204 Diagnoses - secondary ICD10 C79.7 Secondary malignant neoplasm of adrenal gland
40001 Underlying (primary) cause of death: ICD10 C79.7 Secondary malignant neoplasm of adrenal gland
40002 Contributory (secondary) causes of death: ICD10 C79.7 Secondary malignant neoplasm of adrenal gland
42040 GP clinical event records B587.00 Secondary malignant neoplasm of adrenal gland
40006 Type of cancer: ICD10 C79.7 Secondary malignant neoplasm of adrenal gland