Metadata

Name Secondary malignancy of Liver and intrahepatic bile duct (sec_liver)
Category Cancers
Sex
Adult Yes
UUID c0116605-9063-4526-8a35-e1027171a2b1

Ontologies

SNOMED-CT 94381002
FinnGen C3_SECONDARY_RESPIRATORY_DIGESTIVE

Key Summary Statistics

Cases from any source

Total 7124
Female (%) 3653 (51%)
Male (%) 3471 (49%)

Year first recorded

sec_liver 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_liver cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of sec_liver

Baseline prevalence stratified by sex

Female 5.89 (4.26,7.53)
Male 6.58 (4.7,8.46)

Incidence stratified by sex

Female 7.47 (6.76,8.18)
Male 9.27 (8.4,10.13)

Incidence stratified by age

Ages 40-44 2.01 (1.13,2.89)
Ages 45-49 3.63 (2.62,4.65)
Ages 50-54 5.57 (4.41,6.74)
Ages 55-59 7.43 (6.22,8.65)
Ages 60-64 11.18 (9.9,12.47)
Ages 65-69 13.77 (12.14,15.4)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB sec_liver prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 17 (13,21) 39 (35,44) 71 (66,77)
CALIBER 16 (15,17) 42 (41,44) 92 (88,95)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 12(6,24) 38(28,51) 74(62,87)
Low 16(8,29) 34(25,46) 56(46,67)
Medium 11(5,22) 42(32,55) 65(54,77)
High 25(16,37) 32(23,44) 78(65,92)
Most deprived 16(9,26) 49(38,62) 88(74,103)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 17(13,22) 39(34,45) 72(66,79)
Scotland 10(3,23) 34(23,48) 58(45,75)
Wales 21(8,45) 48(31,71) 78(58,101)

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=154057, Events=319

Factor Level Hazard Ratio P value
BMI overweight 0.95 (0.73, 1.23) 0.691
BMI obese 1.11 (0.83, 1.49) 0.465
BMI underweight 0 (0, Inf) 0.992
smoking previous 1.56 (1.21, 2) 0.00057
smoking current 3.52 (2.62, 4.73) 7.31e-17
hypertension yes 1.28 (1, 1.63) 0.0477

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct
41204 Diagnoses - secondary ICD10 C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct
40001 Underlying (primary) cause of death: ICD10 C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct
40002 Contributory (secondary) causes of death: ICD10 C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct
42040 GP clinical event records B153.00 Secondary malignant neoplasm of liver
42040 GP clinical event records B577.00 Secondary malignant neoplasm of liver
42040 GP clinical event records B577.11 Liver metastases
40006 Type of cancer: ICD10 C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct