Metadata

Name Systemic sclerosis (sys_sclerosis)
Category Musculoskeletal
Sex
Adult Yes
UUID 25564610-ad77-440c-a8f1-f2d1e9b19d6a
Definition A chronic disorder, possibly autoimmune, marked by excessive production of collagen which results in hardening and thickening of body tissues. The two types of systemic scleroderma, limited cutaneous and diffuse cutaneous are classified with focus on the extent of affected skin. A relationship exists between the extent of skin area affected and degree of internal organ/system involvement. Systemic scleroderma can manifest itself in pulmonary fibrosis, Raynaud’s syndrome, digestive system telangiectasias, renal hypertension and/or pulmonary hypertension.

Ontologies

Disease Ontology (DOID) DOID_0111258
GWAS Catalogue EFO_0000717
MeSH D012595
SNOMED-CT 89155008
FinnGen M13_SYSTSLCE

Key Summary Statistics

Cases from any source

Total 486
Female (%) 404 (83%)
Male (%) 82 (17%)

Year first recorded

sys_sclerosis 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 sys_sclerosis cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of sys_sclerosis

Baseline prevalence stratified by sex

Female 7.66 (5.8,9.52)
Male 2.24 (1.14,3.34)

Incidence stratified by sex

Female 0.86 (0.62,1.1)
Male 0.21 (0.08,0.34)

Incidence stratified by age

Ages 40-44 0.3 (-0.04,0.64)
Ages 45-49 0.59 (0.18,1.0)
Ages 50-54 0.25 (0.01,0.5)
Ages 55-59 0.52 (0.2,0.84)
Ages 60-64 0.92 (0.55,1.29)
Ages 65-69 0.5 (0.19,0.81)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB sys_sclerosis prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 5 (3,7) 7 (5,9) 9 (7,11)
CALIBER 4 (3,4) 7 (6,8) 10 (9,11)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 3(0,10) 4(1,8) 11(7,17)
Low 5(1,14) 9(5,16) 7(4,12)
Medium 4(1,11) 6(3,12) 6(3,10)
High 5(2,12) 8(4,14) 13(9,20)
Most deprived 6(2,12) 6(2,11) 9(5,15)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 5(3,7) 7(5,9) 9(7,12)
Scotland 3(0,12) 5(2,12) 10(5,18)
Wales 6(1,22) 9(3,22) 10(4,20)

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1384 scleroderma/systemic sclerosis
41202 Diagnoses - main ICD10 M34 Systemic sclerosis
41204 Diagnoses - secondary ICD10 M34 Systemic sclerosis
40001 Underlying (primary) cause of death: ICD10 M34 Systemic sclerosis
40002 Contributory (secondary) causes of death: ICD10 M34 Systemic sclerosis
42040 GP clinical event records F396600 Myopathy due to scleroderma
42040 GP clinical event records H572.00 Lung disease with systemic sclerosis
42040 GP clinical event records K0H..00 Acute scleroderma renal crisis
42040 GP clinical event records K0J0.00 Renal involvement in scleroderma
42040 GP clinical event records N001000 Progressive systemic sclerosis
42040 GP clinical event records N001100 CREST syndrome
42040 GP clinical event records N001200 Systemic sclerosis induced by drugs and chemicals
42040 GP clinical event records N001.00 Scleroderma
42040 GP clinical event records N001.11 Acrosclerosis
42040 GP clinical event records N001.12 Systemic sclerosis
42040 GP clinical event records Nyu4500 [X]Other forms of systemic sclerosis
42040 GP clinical event records X30Ku Acute scleroderma renal crisis
42040 GP clinical event records XE1DF Scleroderma
42040 GP clinical event records X30Kt Renal involvement in scleroderma
42040 GP clinical event records XaQbV Progressive systemic sclerosis