Metadata

Name Trigeminal neuralgia (trigem_neur)
Category Neurological
Sex
Adult Yes
UUID df68df61-c02f-4a74-93bf-e4f6f28938b3
Definition A nerve disorder that causes a stabbing or electric-shock-like pain in parts of the face, which may result from a blood vessel pressing against the trigeminal nerve (the nerve that carries pain, feeling, and other sensations from the brain to the skin of theface), as a complication of multiple sclerosis, or due to compression of the nerve by a tumor or cyst.

Ontologies

Disease Ontology (DOID) DOID_12098
GWAS Catalogue EFO_1001219
MeSH D014277
SNOMED-CT 31681005
FinnGen G6_TRINEU

Key Summary Statistics

Cases from any source

Total 2655
Female (%) 1873 (71%)
Male (%) 782 (29%)

Year first recorded

trigem_neur 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 trigem_neur cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of trigem_neur

Baseline prevalence stratified by sex

Female 61.18 (55.93,66.43)
Male 31.08 (27.0,35.16)

Incidence stratified by sex

Female 5.81 (5.18,6.44)
Male 3.08 (2.58,3.58)

Incidence stratified by age

Ages 40-44 2.92 (1.86,3.99)
Ages 45-49 2.9 (1.99,3.81)
Ages 50-54 3.63 (2.69,4.57)
Ages 55-59 5.28 (4.25,6.31)
Ages 60-64 5.14 (4.27,6.01)
Ages 65-69 5.82 (4.76,6.88)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB trigem_neur prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 43 (37,50) 69 (63,76) 89 (83,95)
CALIBER 51 (49,53) 80 (78,83) 108 (104,111)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 29(18,44) 67(54,83) 89(76,103)
Low 48(34,67) 67(54,82) 89(77,103)
Medium 40(27,56) 68(54,83) 92(79,106)
High 49(36,65) 68(55,83) 81(69,96)
Most deprived 47(35,62) 76(62,92) 92(78,108)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 46(39,53) 70(63,77) 90(84,97)
Scotland 29(16,47) 55(41,73) 54(41,69)
Wales 38(19,66) 86(64,115) 126(101,155)

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=153420, Events=132

Factor Level Hazard Ratio P value
BMI overweight 0.98 (0.66, 1.47) 0.928
BMI obese 1.08 (0.69, 1.7) 0.735
BMI underweight 0 (0, Inf) 0.992
smoking previous 1.16 (0.78, 1.73) 0.462
smoking current 2.27 (1.45, 3.57) 0.000355
hypertension yes 1.19 (0.76, 1.85) 0.449

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1523 trigemminal neuralgia
41202 Diagnoses - main ICD10 G50.0 Trigeminal neuralgia
41204 Diagnoses - secondary ICD10 G50.0 Trigeminal neuralgia
40001 Underlying (primary) cause of death: ICD10 G50.0 Trigeminal neuralgia
40002 Contributory (secondary) causes of death: ICD10 G50.0 Trigeminal neuralgia
42040 GP clinical event records 1475.00 H/O: trigeminal neuralgia
42040 GP clinical event records A531200 Postherpetic trigeminal neuralgia
42040 GP clinical event records F300.00 Post-herpetic trigeminal neuralgia
42040 GP clinical event records F301000 Tic douloureux
42040 GP clinical event records F301.00 Other specified trigeminal neuralgia
42040 GP clinical event records F301z00 Trigeminal neuralgia NOS