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. 2021 Nov 26;126(5):804–814. doi: 10.1038/s41416-021-01509-4

Table 2.

Proportion with each primary liver disease by Cancer Alliance.

ALD Viral hepatitis NAFLD AIH and PBC Other
Percent 95% CI p Percent 95% CI p Percent 95% CI p Percent 95% CI p Percent 95% CI p
England Overall 21.0% 17.2% 16.1% 3.1% 42.7%
By Cancer Alliance, unadjusted
West Yorkshire 21.9% (19.2–24.8%) 15.9% (13.6–18.5%) 15.2% (12.9–17.7%) 2.6% (1.7–3.9%) 44.5% (41.2–47.9%)
Humber, Coast & Vale 19.4% (15.8–23.7%) 7.3% (5.1–10.4%) 17.3% (13.8–21.5%) 2.1% (1.1–4.1%) 53.8% (48.8–58.8%)
Cheshire and Merseyside 27.2% (24.5–30.1%) 15.1% (13.0–17.5%) 14.8% (12.7–17.1%) 4.3% (3.2–5.8%) 38.6% (35.6–41.7%)
South Yorkshire, Bassetlaw, North Derbyshire & Hardwick 17.1% (14.4–20.1%) 11.8% (9.6–14.4%) 15.7% (13.2–18.7%) 3.5% (2.4–5.2%) 51.9% (48.2–55.6%)
West Midlands 20.3% (18.4–22.3%) 14.0% (12.4–15.8%) 16.2% (14.5–18.0%) 3.2% (2.5–4.2%) 46.3% (43.9–48.8%)
East Midlands 18.0% (15.7–20.6%) 14.2% (12.1–16.5%) 17.0% (14.8–19.5%) 4.9% (3.7–6.4%) 45.9% (42.8–49.1%)
East of England 18.4% (16.6–20.4%) 17.1% (15.4–19.1%) 17.8% (16.0–19.7%) 3.6% (2.8–4.6%) 43.1% (40.7–45.5%)
South East London 16.4% (13.2–20.2%) 34.0% (29.7–38.6%) 11.6% (8.9–14.9%) 2.5% (1.4–4.5%) 35.4% (31.0–40.0%)
Kent & Medway 25.1% (21.1–29.6%) 13.7% (10.7–17.4%) 16.7% (13.3–20.6%) 4.2% (2.6–6.7%) 40.3% (35.6–45.2%)
Surrey & Sussex 21.5% (18.7–24.6%) 15.7% (13.3–18.5%) 16.0% (13.6–18.8%) 2.1% (1.3–3.4%) 44.7% (41.2–48.2%)
Thames Valley 22.7% (19.3–26.6%) 18.6% (15.4–22.2%) 13.8% (11.1–17.1%) 1.6% (0.8–3.1%) 43.3% (39.0–47.6%)
Peninsula 23.4% (19.9–27.2%) 14.1% (11.4–17.4%) 19.5% (16.3–23.1%) 3.1% (1.9–5.0%) 40.0% (35.8–44.2%)
Somerset, Wiltshire, Avon & Gloucestershire 20.5% (17.7–23.5%) 13.5% (11.2–16.1%) 18.3% (15.7–21.2%) 2.7% (1.7–4.1%) 45.1% (41.5–48.7%)
Wessex 23.0% (20.1–26.1%) 11.9% (9.8–14.4%) 19.8% (17.1–22.8%) 2.9% (1.9–4.4%) 42.4% (38.9–46.0%)
North East & Cumbria 26.5% (24.0–29.1%) 6.9% (5.5–8.5%) 20.7% (18.4–23.1%) 3.9% (2.9–5.2%) 42.1% (39.2–45.0%)
Lancashire & South Cumbria 22.7% (19.5–26.3%) 14.3% (11.7–17.5%) 14.0% (11.4–17.1%) 2.6% (1.6–4.3%) 46.3% (42.3–50.4%)
Greater Manchester 21.8% (19.4–24.4%) 18.4% (16.2–20.9%) 13.4% (11.5–15.6%) 2.3% (1.6–3.4%) 44.0% (41.0–47.1%)
North Central & North East London 15.2% (13.0–17.8%) 41.6% (38.3–44.9%) 12.6% (10.6–15.0%) 2.4% (1.5–3.6%) 28.2% (25.3–31.3%)
North West & South West London 18.6% (16.1–21.3%) <0.001 32.6% (29.6–35.8%) <0.001 11.6% (9.6–13.9%) <0.001 2.4% (1.5–3.6%) 0.008 34.9% (31.8–38.1%) <0.001
By Cancer Alliance, adjusted for age, sex, deprivation and ethnicity
West Yorkshire 20.4% (17.8–23.3%) 10.3% (8.5–12.5%) 14.2% (12.1–16.7%) 1.4% (0.9–2.2%) 43.7% (40.2–47.3%)
Humber, Coast & Vale 17.1% (13.7–21.1%) 6.4% (4.3–9.3%) 15.9% (12.7–19.8%) 1.0% (0.5–2.1%) 51.0% (45.7–56.2%)
Cheshire & Merseyside 23.6% (21.1–26.4%) 10.6% (8.8–12.6%) 14.1% (12.1–16.4%) 2.2% (1.6–3.1%) 38.5% (35.3–41.8%)
South Yorkshire, Bassetlaw, North Derbyshire & Hardwick 14.8% (12.4–17.6%) 9.1% (7.2–11.4%) 14.5% (12.1–17.3%) 1.8% (1.2–2.7%) 50.7% (46.7–54.7%)
West Midlands 19.3% (17.4–21.3%) 8.7% (7.5–10.1%) 15.5% (13.8–17.3%) 1.8% (1.3–2.4%) 45.1% (42.6–47.7%)
East Midlands 15.8% (13.7–18.1%) 9.9% (8.2–11.8%) 16.4% (14.2–18.8%) 2.7% (2.0–3.7%) 45.2% (42.0–48.6%)
East of England 16.0% (14.3–17.8%) 13.6% (12.0–15.5%) 16.8% (15.1–18.7%) 1.8% (1.3–2.4%) 41.8% (39.2–44.3%)
South East London 16.6% (13.2–20.6%) 18.4% (15.0–22.4%) 13.1% (10.0–16.9%) 1.7% (0.9–3.1%) 37.7% (32.8–42.8%)
Kent & Medway 22.3% (18.6–26.6%) 11.7% (8.9–15.3%) 15.5% (12.4–19.3%) 2.1% (1.2–3.4%) 38.0% (33.3–43.1%)
Surrey & Sussex 19.8% (17.1–22.8%) 15.4% (12.7–18.4%) 14.7% (12.4–17.4%) 1.1% (0.6–1.8%) 39.7% (36.1–43.4%)
Thames Valley 20.2% (17.0–24.0%) 14.4% (11.5–17.9%) 13.2% (10.5–16.4%) 0.8% (0.4–1.6%) 42.3% (37.8–46.9%)
Peninsula 20.0% (16.9–23.6%) 12.4% (9.7–15.6%) 18.1% (15.1–21.6%) 1.6% (1.0–2.7%) 37.1% (32.8–41.5%)
Somerset, Wiltshire, Avon & Gloucestershire 18.0% (15.4–20.8%) 12.8% (10.4–15.5%) 17.1% (14.5–19.9%) 1.2% (0.8–2.0%) 41.7% (38.0–45.4%)
Wessex 20.0% (17.3–22.9%) 11.1% (8.9–13.6%) 18.2% (15.7–21.1%) 1.5% (0.9–2.3%) 39.0% (35.4–42.6%)
North East & Cumbria 23.7% (21.3–26.3%) 5.8% (4.6–7.3%) 19.1% (16.9–21.4%) 2.1% (1.5–2.9%) 38.3% (35.4–41.4%)
Lancashire & South Cumbria 19.6% (16.6–23.0%) 9.6% (7.6–12.2%) 13.2% (10.7–16.2%) 1.4% (0.8–2.4%) 45.9% (41.6–50.3%)
Greater Manchester 19.3% (17.1–21.8%) 11.5% (9.8–13.5%) 13.0% (11.1–15.2%) 1.3% (0.9–2.0%) 44.8% (41.6–48.1%)
North Central & North East London 15.5% (13.1–18.2%) 22.0% (19.2–25.0%) 14.3% (11.9–17.0%) 1.9% (1.2–3.0%) 31.9% (28.5–35.5%)
North West & South West London 19.6% (17.0–22.6%) <0.001 19.4% (16.9–22.1%) <0.001 12.4% (10.3–14.8%) 0.001 1.5% (1.0–2.4%) 0.023 36.4% (33.0–39.9%) <0.001
Covariate odds ratios (95%CI)
Per year increase in age 0.97 (0.96–0.97) <0.001 0.92 (0.91–0.92) <0.001 1.02 (1.02–1.03) <0.001 1.01 (1.00–1.02) 0.005 1.06 (1.06–1.06) <0.001
Female 0.43 (0.38–0.48) <0.001 0.77 (0.68–0.87) <0.001 1.11 (1.01–1.23) 0.039 9.73 (7.95–11.92) <0.001 1.11 (1.02–1.20) 0.013
Per quintile increase in deprivation 1.00 (0.97–1.03) 0.829 1.20 (1.15–1.24) <0.001 0.97 (0.94–1.00) 0.091 0.88 (0.83–0.95) <0.001 0.95 (0.93–0.98) <0.001
Ethnicity
White ref ref ref ref ref
Black 0.14 (0.09–0.21) <0.001 3.69 (2.87–4.74) <0.001 0.28 (0.17–0.47) <0.001 0.08 (0.01–0.57) 0.012 1.17 (0.92–1.49) 0.213
South Asian 0.28 (0.21–0.37) <0.001 3.76 (3.12–4.52) <0.001 1.11 (0.90–1.38) 0.338 0.43 (0.22–0.82) 0.011 0.75 (0.63–0.90) 0.002
Other Asian 0.19 (0.12–0.29) <0.001 3.75 (2.92–4.81) <0.001 0.85 (0.61–1.18) 0.324 0.64 (0.29–1.39) 0.257 0.85 (0.66–1.09) 0.193
Other Ethnicity 0.40 (0.28–0.57) <0.001 3.53 (2.69–4.62) <0.001 0.77 (0.53–1.12) 0.179 0.53 (0.21–1.31) 0.169 0.68 (0.51–0.90) 0.007
Not Known 0.63 (0.51–0.77) <0.001 0.85 (0.67–1.09) 0.196 0.47 (0.36–0.61) <0.001 0.40 (0.22–0.73) 0.003 2.23 (1.89–2.62) <0.001