Metadata

Name Splenomegaly (splenomegaly)
Category Haematological or immunological
Sex
Adult Yes
UUID d9a08ab1-bc4c-4dc1-96ac-9d22212c1d42
Definition Enlargement of the spleen.

Ontologies

Disease Ontology (DOID) DOID_6376
GWAS Catalogue HP_0001744
MeSH D013163
SNOMED-CT 16294009
FinnGen D3_HYPERSPLENISM

Key Summary Statistics

Cases from any source

Total 1232
Female (%) 411 (33%)
Male (%) 821 (67%)

Year first recorded

splenomegaly 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 splenomegaly cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of splenomegaly

Baseline prevalence stratified by sex

Female 3.65 (2.37,4.94)
Male 10.08 (7.75,12.41)

Incidence stratified by sex

Female 0.69 (0.47,0.9)
Male 1.9 (1.5,2.29)

Incidence stratified by age

Ages 40-44 0.9 (0.31,1.5)
Ages 45-49 0.44 (0.09,0.8)
Ages 50-54 0.82 (0.38,1.27)
Ages 55-59 1.04 (0.58,1.5)
Ages 60-64 1.73 (1.22,2.23)
Ages 65-69 1.81 (1.22,2.4)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB splenomegaly prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 8 (5,11) 15 (12,19) 16 (13,19)
CALIBER 13 (12,14) 17 (16,19) 23 (22,25)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 7(2,17) 9(4,16) 10(6,16)
Low 9(3,19) 7(3,14) 15(10,21)
Medium 4(1,12) 15(9,23) 18(12,26)
High 11(5,21) 18(11,27) 20(14,28)
Most deprived 7(3,14) 26(18,37) 18(12,26)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 8(6,12) 15(12,19) 15(13,19)
Scotland 5(1,17) 18(10,30) 15(8,25)
Wales 4(0,21) 16(7,31) 24(13,38)

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=153969, Events=129

Factor Level Hazard Ratio P value
BMI overweight 1.18 (0.74, 1.86) 0.489
BMI obese 1.91 (1.2, 3.06) 0.00685
BMI underweight 0 (0, Inf) 0.995
smoking previous 1.29 (0.88, 1.87) 0.189
smoking current 1.41 (0.81, 2.45) 0.23
hypertension yes 1.93 (1.34, 2.77) 0.000403

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 D73.1 Hypersplenism
41202 Diagnoses - main ICD10 D73.2 Chronic congestive splenomegaly
41202 Diagnoses - main ICD10 R16.1 Splenomegaly, not elsewhere classified
41202 Diagnoses - main ICD10 R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
41204 Diagnoses - secondary ICD10 D73.1 Hypersplenism
41204 Diagnoses - secondary ICD10 D73.2 Chronic congestive splenomegaly
41204 Diagnoses - secondary ICD10 R16.1 Splenomegaly, not elsewhere classified
41204 Diagnoses - secondary ICD10 R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
40001 Underlying (primary) cause of death: ICD10 D73.1 Hypersplenism
40001 Underlying (primary) cause of death: ICD10 D73.2 Chronic congestive splenomegaly
40001 Underlying (primary) cause of death: ICD10 R16.1 Splenomegaly, not elsewhere classified
40001 Underlying (primary) cause of death: ICD10 R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
40002 Contributory (secondary) causes of death: ICD10 D73.1 Hypersplenism
40002 Contributory (secondary) causes of death: ICD10 D73.2 Chronic congestive splenomegaly
40002 Contributory (secondary) causes of death: ICD10 R16.1 Splenomegaly, not elsewhere classified
40002 Contributory (secondary) causes of death: ICD10 R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
42040 GP clinical event records D414.00 Hypersplenism
42040 GP clinical event records D415100 Chronic congestive splenamegaly
42040 GP clinical event records J61y200 Hepatosplenomegaly
42040 GP clinical event records PK03.00 Congenital splenomegaly
42040 GP clinical event records PK03.11 Hyperplasia of spleen
42040 GP clinical event records R092000 [D]Spleen enlargement
42040 GP clinical event records R092.00 [D]Splenomegaly
42040 GP clinical event records R092z00 [D]Splenomegaly NOS
42040 GP clinical event records XE2R3 Congenital splenomegaly