Sickle-cell disorders

D3_SICKLECELLDIS

obsolete_sickle cell disease: ['A blood disorder characterized by the appearance of sickle-shaped red blood cells and anemia.']

Suggest a new description

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 D57
  • Hospital discharge: ICD-9 282[5-6]
  • Cause of death: ICD-10 D57
  • Cause of death: ICD-9 282[5-6]

2 out of 7 registries used, show all original rules.

91

4. Check minimum number of events

None

91

5. Include endpoints

None

91

6. Filter based on genotype QC (FinnGen only)

91

Control definitions (FinnGen only)

Control exclude
D3_HAEMOLYTICANAEMIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
D55-D59
Name in latin
Morbi meniscocytici

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 754 385 332
Only index persons 575 317 258
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.01
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 52.37 54.03 52.53
Only index persons 56.62 57.36 55.71

-FinnGen-

Key figures

All Female Male
Number of individuals 91 49 42
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 55.80 55.00 56.73

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
77
Matched controls
770
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D57.3
ICD-10 Finland
Sickle-cell trait
+∞
31.4
28
*
N08.2*D57.8
ICD-10 Finland
Glomerular disorders in sickle-cell disorders
+∞
31.4
28
*
N08.2*D89.80
ICD-10 Finland
Immunoglobulin A (IgA) nephropathy
227.9
30.0
29
*
D89.80
ICD-10 Finland
Immunoglobulin A (IgA) deposits in organisms
302.5
22.9
22
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
45.8
19.3
23
7
A11CC03
ATC
alfacalcidol; systemic
47.1
17.8
21
6
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
53.0
17.3
20
5
L04AA06
ATC
mycophenolic acid; systemic
107.6
16.3
17
*
A12AA04
ATC
calcium carbonate; oral
49.5
16.3
19
5
Z94.0
ICD-10 Finland
Kidney transplant status
71.5
15.5
17
*
N08.2
ICD-10 Finland
Glomerular disorders in blood diseases and disorders involving the immune mechanism
183.4
15.0
15
*
KAS10
NOMESCO Finland
Allogenic transplantation of kidney from cadaver donor
183.4
15.0
15
*
Z49.1
ICD-10 Finland
Extracorporeal dialysis
66.2
14.4
16
*
KA2AE
NOMESCO Finland
Ultrasound examination transplanted kidney
168.5
13.9
14
*
TK800
NOMESCO Finland
Hemodialysis
49.6
13.8
16
*
127
Kela drug reimbursment
Transplant complication
49.6
13.8
16
*
PBL10
NOMESCO Finland
Construction of arteriovenous fistula from radial artery
61.1
13.4
15
*
190
Kela drug reimbursment
Lanthanum carbonate, sevelamer and sucroferric oxyhydroxide
84.2
13.1
14
*
V03AE01
ATC
polystyrene sulfonate; oral
84.2
13.1
14
*
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
17.5
12.8
20
15
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
14.6
11.9
20
18
KA2AT
NOMESCO Finland
Biopsy of transplanted kidney with ultrasound guidance
140.1
11.8
12
*
D57.1
ICD-10 Finland
Sickle-cell anaemia without crisis
+∞
11.8
11
*
N18.0
ICD-10 Finland
End-stage renal disease
42.1
11.7
14
*
B03XA01
ATC
erythropoietin; parenteral
38.5
10.7
13
*
KA1AE
NOMESCO Finland
Kidney ultrasound examination
38.5
10.7
13
*
V03AE02
ATC
sevelamer; oral
126.5
10.7
11
*
L04AD02
ATC
tacrolimus; systemic (calcineurin inhibitors)
46.6
10.3
12
*
KA3AT
NOMESCO Finland
Biopsy of kidney with ultrasound guidance
113.4
9.6
10
*
V03AE03
ATC
lanthanum carbonate; oral
113.4
9.6
10
*
PG1DE
NOMESCO Finland
Other extensive ultrasound examination of artery
15.2
9.3
15
12
137
Kela drug reimbursment
Uraemia requiring dialysis
56.7
8.9
10
*
B03XA02
ATC
darbepoetin alfa; parenteral
31.6
8.7
11
*
H02AB04
ATC
methylprednisolone; systemic
5.7
8.7
27
66
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
5.9
8.7
26
61
C08CA01
ATC
amlodipine; oral
4.4
8.6
41
157
196
Kela drug reimbursment
Paricalcitol and cinacalcet
100.6
8.6
9
*
D57.0
ICD-10 Finland
Sickle-cell anaemia with crisis
+∞
8.5
8
*
ZXD30
NOMESCO Finland
Difficulties in perfomrming procedure
13.9
8.5
14
12
C03CA01
ATC
furosemide; systemic
4.4
8.5
43
172
C09AA02
ATC
enalapril; systemic
4.6
8.0
32
102
M04AA01
ATC
allopurinol; systemic
5.5
7.9
25
62
C02CA01
ATC
prazosin; oral
21.0
7.9
11
6
L04AX01
ATC
azathioprine; systemic
12.7
7.6
13
12
ZXE20
NOMESCO Finland
More than three and less than five hours
5.9
7.6
22
49
I15.1
ICD-10 Finland
Hypertension secondary to other renal disorders
88.2
7.6
8
*
L01XX05
ATC
hydroxycarbamide; oral
88.2
7.6
8
*
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
7.2
7.5
18
31
321
Kela drug reimbursment
Paricalcitol and cinacalcet
+∞
7.4
7
*
L04AD01
ATC
ciclosporin; systemic
+∞
7.4
7
*
H05BX01
ATC
cinacalcet; oral
+∞
7.4
7
*
Z49.2
ICD-10 Finland
Other dialysis
+∞
7.4
7
*
TPH90
NOMESCO Finland
Removal of fixed intravenous catheter
22.6
7.3
10
5
N08.39*E11.2
ICD-10 Finland
Non-insulin-dependent diabetes mellitus - Diabetic nephropathy
33.5
7.3
9
*
J01EE01
ATC
sulfamethoxazole and trimethoprim; systemic
8.2
6.9
15
22
L04AA01
ATC
[U] ciclosporin; systemic
44.1
6.9
8
*
B05DA
ATC
Isotonic solutions
44.1
6.9
8
*
B05DB
ATC
Hypertonic solutions
44.1
6.9
8
*
TPH04
NOMESCO Finland
Cathetrisation of vein
4.2
6.7
28
92
N17.9
ICD-10 Finland
Acute renal failure, unspecified
12.6
6.5
11
10
Z49.0
ICD-10 Finland
Preparatory care for dialysis
75.9
6.5
7
*
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
4.6
6.4
23
65
C09CA01
ATC
losartan; oral
3.8
6.3
32
122
N08.2*D89.82
ICD-10 Finland
Nepropathy caused by deposition of the light chain of the immunoglobulins
+∞
6.3
6
*
PG5RT
NOMESCO Finland
PTA of arterio-venous shunt for dialysis
+∞
6.3
6
*
PG5DE
NOMESCO Finland
Ultrasound examination of injection gate to artery or vein with Doppler method
+∞
6.3
6
*
205
Kela drug reimbursment
Chronic hypertension
3.5
6.2
37
161
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
6.6
6.1
15
27

Mortality – FinRegistry

Association

Association between endpoint D3_SICKLECELLDIS and mortality.

Females

Parameter HR [95% CI] p-value
D3_SICKLECELLDIS 1.674 [1.26, 2.22] < 0.001
Birth year 0.99 [0.98, 1.0] 0.031

During the follow-up period (1.1.1998 — 31.12.2019), 91 out of 347 females with D3_SICKLECELLDIS died.

Males

Parameter HR [95% CI] p-value
D3_SICKLECELLDIS 2.204 [1.57, 3.09] < 0.001
Birth year 0.988 [0.98, 1.0] 0.011

During the follow-up period (1.1.1998 — 31.12.2019), 96 out of 302 males with D3_SICKLECELLDIS died.

Mortality risk

Mortality risk for people of age

years, who have D3_SICKLECELLDIS.

N-year risk Females Males
1 0.132% 0.379%
5 0.85% 2.853%
10 2.005% 6.648%
15 3.874% 12.489%
20 6.564% 20.377%

Relationships between endpoints

Index endpoint: D3_SICKLECELLDIS – Sickle-cell disorders

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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