Metadata

Name Ulcerative colitis (ulc_colitis)
Category Digestive
Sex
Adult Yes
UUID 6be5667e-81e9-44ea-bd6c-1054fcbeb2af
Definition An inflammatory bowel disease involving the mucosal surface of the large intestine and rectum. It may present with an acute or slow onset and follows an intermittent or continuous course. Signs and symptoms include abdominal pain, diarrhea, fever, weight loss, and intestinal hemorrhage.

Ontologies

Disease Ontology (DOID) DOID_8577
GWAS Catalogue EFO_0000729
MeSH D003093
SNOMED-CT 64766004
FinnGen K11_ULCER

Key Summary Statistics

Cases from any source

Total 6523
Female (%) 3276 (50%)
Male (%) 3247 (50%)

Year first recorded

ulc_colitis 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 ulc_colitis cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of ulc_colitis

Baseline prevalence stratified by sex

Female 99.96 (93.27,106.65)
Male 111.71 (104.01,119.42)

Incidence stratified by sex

Female 2.81 (2.37,3.24)
Male 3.81 (3.25,4.37)

Incidence stratified by age

Ages 40-44 2.43 (1.46,3.4)
Ages 45-49 3.0 (2.07,3.92)
Ages 50-54 3.14 (2.26,4.01)
Ages 55-59 3.2 (2.4,4.0)
Ages 60-64 3.81 (3.06,4.57)
Ages 65-69 3.31 (2.5,4.11)

Period prevalence

Methods

Comparison with general population

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

CALIBER and UKB ulc_colitis prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 98 (89,108) 115 (107,124) 132 (125,140)
CALIBER 70 (68,73) 89 (86,92) 115 (112,118)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 102(80,128) 115(97,135) 125(110,142)
Low 90(70,116) 118(99,138) 119(104,135)
Medium 94(74,119) 115(97,136) 123(107,140)
High 96(76,118) 120(102,140) 157(139,177)
Most deprived 108(89,130) 109(92,128) 141(123,161)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 95(85,106) 113(104,123) 130(122,138)
Scotland 115(87,149) 120(98,145) 148(126,173)
Wales 107(73,152) 126(97,160) 133(107,163)

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=153646, Events=402

Factor Level Hazard Ratio P value
BMI overweight 1.07 (0.82, 1.39) 0.637
BMI obese 2.13 (1.65, 2.77) 1.06e-08
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.48 (1.19, 1.85) 0.000498
smoking current 2.47 (1.87, 3.26) 1.43e-10
hypertension yes 2.21 (1.8, 2.72) 5.76e-14

Risk factors analysis forest plot

Genetic correlation

Genetic correlation (rg) P value
0.94 2.04e-40

Published study: de Lange (2017)

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1463 ulcerative colitis
41202 Diagnoses - main ICD10 K51 Ulcerative colitis
41204 Diagnoses - secondary ICD10 K51 Ulcerative colitis
40001 Underlying (primary) cause of death: ICD10 K51 Ulcerative colitis
40002 Contributory (secondary) causes of death: ICD10 K51 Ulcerative colitis
42040 GP clinical event records 14C4.11 H/O: ulcerative colitis
42040 GP clinical event records J410000 Ulcerative ileocolitis
42040 GP clinical event records J410100 Ulcerative colitis
42040 GP clinical event records J410200 Ulcerative rectosigmoiditis
42040 GP clinical event records J410300 Ulcerative proctitis
42040 GP clinical event records J410400 Exacerbation of ulcerative colitis
42040 GP clinical event records J410.00 Ulcerative proctocolitis
42040 GP clinical event records J410z00 Ulcerative proctocolitis NOS
42040 GP clinical event records J411.00 Ulcerative (chronic) enterocolitis
42040 GP clinical event records J412.00 Ulcerative (chronic) ileocolitis
42040 GP clinical event records J413.00 Ulcerative pancolitis
42040 GP clinical event records J41..00 Idiopathic proctocolitis
42040 GP clinical event records J41..11 Mucous colitis and/or proctitis
42040 GP clinical event records J41..12 Ulcerative colitis and/or proctitis
42040 GP clinical event records J41y.00 Other idiopathic proctocolitis
42040 GP clinical event records J41yz00 Other idiopathic proctocolitis NOS
42040 GP clinical event records J41z.00 Idiopathic proctocolitis NOS
42040 GP clinical event records Jyu4100 [X]Other ulcerative colitis
42040 GP clinical event records N031000 Arthropathy in ulcerative colitis
42040 GP clinical event records N045400 Juvenile arthritis in ulcerative colitis
42040 GP clinical event records XaYzX Ulcerative pancolitis
42040 GP clinical event records XE0ag Ulcerative colitis
42040 GP clinical event records XaK6E Exacerbation of ulcerative colitis
42040 GP clinical event records XE0qC H/O: colitis