Metadata

Name Secondary Malignancy of Lung (sec_lung)
Category Cancers
Sex
Adult Yes
UUID c842a748-9343-4181-a724-09237ef551a9
Definition Secondary Malignancy_Lung

Ontologies

SNOMED-CT 94391008

Key Summary Statistics

Cases from any source

Total 5175
Female (%) 2601 (50%)
Male (%) 2574 (50%)

Year first recorded

sec_lung 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_lung cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of sec_lung

Baseline prevalence stratified by sex

Female 3.54 (2.27,4.8)
Male 5.6 (3.86,7.33)

Incidence stratified by sex

Female 5.8 (5.17,6.43)
Male 7.43 (6.66,8.21)

Incidence stratified by age

Ages 40-44 1.31 (0.6,2.02)
Ages 45-49 3.26 (2.3,4.23)
Ages 50-54 4.62 (3.56,5.68)
Ages 55-59 5.61 (4.56,6.67)
Ages 60-64 9.34 (8.16,10.51)
Ages 65-69 10.15 (8.75,11.55)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB sec_lung prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 12 (9,16) 29 (25,33) 57 (52,62)
CALIBER 12 (11,13) 29 (27,30) 62 (60,65)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 8(3,18) 28(19,38) 56(46,68)
Low 20(11,34) 29(20,40) 55(45,67)
Medium 11(5,21) 26(18,36) 55(45,67)
High 14(8,24) 27(19,37) 55(45,68)
Most deprived 9(5,17) 34(25,46) 63(51,76)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 12(8,16) 28(24,33) 58(53,64)
Scotland 8(2,21) 30(20,44) 55(42,71)
Wales 26(11,50) 32(18,51) 46(32,65)

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 C78.0 Secondary malignant neoplasm of lung
41204 Diagnoses - secondary ICD10 C78.0 Secondary malignant neoplasm of lung
40001 Underlying (primary) cause of death: ICD10 C78.0 Secondary malignant neoplasm of lung
40002 Contributory (secondary) causes of death: ICD10 C78.0 Secondary malignant neoplasm of lung
42040 GP clinical event records B570.00 Secondary malignant neoplasm of lung
40006 Type of cancer: ICD10 C78.0 Secondary malignant neoplasm of lung