Other primary thrombocytopenia

D3_OTHPRIMTHROMBOCYTOPENIA

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 D69.4
  • Hospital discharge: ICD-9 2873
  • Hospital discharge: excluded ICD-9 2873A
  • Cause of death: ICD-10 D69.4
  • Cause of death: ICD-9 2873
  • Cause of death: excluded ICD-9 2873A

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

138

4. Check minimum number of events

None

138

5. Include endpoints

None

138

6. Filter based on genotype QC (FinnGen only)

138

Control definitions (FinnGen only)

Control exclude
D3_COAGDEF_PURPUR_HAEMORRHAGIC

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
D69
Name in latin
Alia thrombocytopenia primaria

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 1180 637 530
Only index persons 901 512 389
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.01
Median age at first event (years)
Whole population 52.63 48.40 57.23
Only index persons 45.98 40.32 53.43

-FinnGen-

Key figures

All Female Male
Number of individuals 138 82 56
Unadjusted period prevalence (%) 0.03 0.03 0.02
Median age at first event (years) 49.90 39.64 64.92

-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
125
Matched controls
1249
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D69.4
ICD-10 Finland
Other primary thrombocytopenia
+∞
146.1
110
*
D69.6
ICD-10 Finland
Thrombocytopenia, unspecified
1309.6
74.2
65
*
D69.3
ICD-10 Finland
Idiopathic thrombocytopenic purpura
+∞
54.2
48
*
XW000
NOMESCO Finland
Bone marrow biopsy
19.2
20.3
31
21
129
Kela drug reimbursment
Idiopathic thrombocytopaenia or granulocytopenia
+∞
16.0
15
*
B02AA02
ATC
tranexamic acid; systemic
5.7
13.6
44
109
O99.1
ICD-10 Finland
Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
71.9
11.8
13
*
D69.9
ICD-10 Finland
Haemorrhagic condition, unspecified
+∞
11.6
11
*
2873X
ICD-9 Finland
Purpura and other haemorrhagic conditions, Primary thrombocytopenia[THROMBOCYTOPENIA PRIMARIA NUD]
+∞
11.6
11
*
D64.9
ICD-10 Finland
Anaemia, unspecified
6.9
11.3
29
52
2873A
ICD-9 Finland
Purpura and other haemorrhagic conditions, Primary thrombocytopenia[PURPURA THROMBOCYTOPENICA IDIOPATHICA (ITP)]
+∞
9.5
9
*
D69.1
ICD-10 Finland
Qualitative platelet defects
+∞
8.4
8
*
6753
FHL
Transabdominal splenectomy
+∞
8.4
8
*
WW500
NOMESCO Finland
Blood transfusion
8.2
8.3
18
25
D50.0
ICD-10 Finland
Iron deficiency anaemia secondary to blood loss (chronic)
11.2
8.3
15
15
D70.89
ICD-10 Finland
Neutropenic splenomegaly
23.9
8.2
11
5
B02BX05
ATC
eltrombopag; oral
+∞
7.4
7
*
JMA11
NOMESCO Finland
Laparoscopic total splenectomy
+∞
7.4
7
*
ZX120
NOMESCO Finland
Intravenous
4.6
7.0
24
61
Z31.5
ICD-10 Finland
Genetic counselling
7.2
6.9
16
25
A02BC01
ATC
omeprazole; systemic
3.0
6.5
44
193
D69.0
ICD-10 Finland
Allergic purpura
+∞
6.3
6
*
28719
ICD-8 Finland
Purpura and other haemorrhagic conditions, Thrombocytopenia NUD
+∞
6.3
6
*
2873C
ICD-9 Finland
Purpura and other haemorrhagic conditions, Primary thrombocytopenia[THROMBOCYTOPENIA PRIMARIA ALIA DEFINITA]
+∞
6.3
6
*
M04AA01
ATC
allopurinol; systemic
4.2
6.2
23
63
R04.0
ICD-10 Finland
Epistaxis
5.4
6.2
18
38

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
43
87
6.73
21.90
5.5
2.5
79.7
66.7
e9/l
1.03
29
67
54
159
4.94
17.77
3.3
2.1
2.5
2.5
g/l
0.02
54
138
85
365
4.46
16.80
12.9
5.8
—
—
—
0
0
17
16
11.98
15.85
1.8
1.9
—
—
—
0
0
35
79
5.60
15.53
5.5
2.3
10.1
10.1
g/l
0.04
35
69
45
134
4.50
14.26
5.5
6.3
1.1
1.1
mmol/l
0.19
45
122
104
559
4.49
14.14
14.4
6.0
0.6
0.6
e9/l
0.38
98
496
104
560
4.48
14.08
14.4
6.0
0.0
0.0
e9/l
1.69
98
501
103
576
4.11
12.61
14.5
6.0
2.1
2.0
e9/l
0.22
98
529
28
69
4.84
11.04
2.1
1.6
0.9
1.3
g/l
1.12
28
60
107
661
3.75
10.24
18.6
9.7
4.3
4.1
e9/l
0.24
102
588
37
130
3.52
8.93
1.3
1.5
—
—
—
0
0
20
44
5.15
8.92
2.1
2.1
1.2
1.4
g/l
0.28
15
37
13
8
17.76
8.74
1.3
1.0
—
—
—
0
0
59
280
2.93
8.53
3.9
3.1
342.9
4155.9
umol/l
1.05
53
236
13
9
15.77
8.39
1.7
1.0
—
—
—
0
0
12
7
18.59
8.23
1.6
1.0
—
—
—
0
0
12
17
7.64
8.13
1.0
1.1
—
—
—
0
0
21
54
4.41
7.76
2.7
2.9
—
—
—
0
0
11
15
7.88
7.67
1.0
1.3
—
—
—
0
0
55
266
2.78
7.51
3.3
1.8
3.2
3.0
mg/l
0.18
49
232
37
147
3.07
7.20
1.6
1.5
1113.3
725.4
titre
—
6
37
71
402
2.58
6.94
10.9
7.8
1.1
1.2
inr
0.78
20
138
24
75
3.66
6.80
1.1
1.4
—
—
—
0
0
89
568
2.60
6.66
10.6
6.0
14.2
12.6
umol/l
0.31
89
538
24
77
3.56
6.54
12.7
9.0
—
—
—
0
0
22
67
3.72
6.46
15.0
7.1
23.7
25.0
mmol/l
0.82
22
67
58
311
2.49
6.21
5.1
3.5
7.4
7.4
ph
—
10
62
41
188
2.68
6.04
1.5
1.6
—
—
—
0
0
57
307
2.46
6.01
12.5
5.8
—
—
—
0
0
71
424
2.39
5.92
8.3
4.8
35.1
36.0
g/l
0.68
66
400
68
403
2.36
5.72
2.7
1.9
96.5
96.0
pmol/l
0.03
41
203
59
329
2.39
5.70
4.5
2.2
—
—
—
0
0
80
516
2.31
5.43
24.6
9.7
0.0
0.0
e9/l
0.06
67
430
10
18
5.91
5.40
3.2
5.3
—
—
—
0
0
12
26
4.96
5.37
1.3
1.3
—
—
—
0
0
25
95
2.99
5.16
7.8
4.6
—
—
—
0
0
26
104
2.85
4.90
8.2
12.6
-0.5
2.1
mmol/l
1.27
18
82
47
252
2.31
4.84
2.1
2.1
1.4
1.0
mg/l
0.50
34
196
49
270
2.26
4.72
7.2
4.1
—
—
—
0
0
21
78
3.00
4.49
9.9
4.0
0.4
0.3
%
0.05
11
18
30
136
2.54
4.43
2.9
2.3
—
—
—
0
0
12
31
4.14
4.36
1.9
1.7
—
—
—
0
0
53
310
2.15
4.35
4.4
2.8
1.6
0.4
e6/l
0.61
41
227
44
239
2.23
4.34
2.1
1.5
2.0
2.7
g/l
1.04
34
132
102
768
2.26
4.28
6.5
4.3
—
—
—
0
0
63
396
2.09
4.27
5.6
3.4
109.6
52.7
e6/l
0.48
41
271
52
305
2.13
4.22
4.3
2.7
—
—
—
0
0
14
42
3.60
4.17
12.5
21.2
—
—
—
0
0
10
23
4.61
4.16
2.8
3.2
—
—
—
0
0
37
192
2.27
4.04
2.9
3.2
52.1
165.7
ng/l
1.02
32
138
13
38
3.67
4.01
2.1
2.0
0.2
0.2
g/l
0.13
13
38
8
11
7.64
3.91
2.5
1.6
32.0
31.6
pg
—
8
11
11
30
3.90
3.72
2.4
2.2
555.4
339.4
ug/l
0.23
11
30
19
75
2.78
3.64
3.5
4.1
144.2
68.1
ng/l
0.54
19
66
21
88
2.64
3.60
10.4
4.0
0.8
0.9
%
0.04
12
27
7
9
8.12
3.60
1.4
1.2
—
—
—
0
0
13
41
3.40
3.60
2.1
2.0
1.1
1.2
g/l
0.31
13
41
20
82
2.68
3.58
10.4
4.1
0.1
0.1
%
0.15
12
23
20
82
2.68
3.58
10.3
4.0
0.4
0.4
%
0.01
11
21
6
6
10.37
3.53
9.0
9.8
10.8
11.2
%
—
6
6
12
37
3.46
3.43
1.2
1.5
—
—
—
0
0
54
345
1.93
3.32
4.5
2.9
33.8
237.8
e6/l
0.53
40
256
9
19
4.99
3.30
1.0
1.1
—
—
—
0
0
9
19
4.99
3.30
1.3
1.4
—
—
—
0
0
43
259
1.96
3.12
10.5
5.0
—
—
—
0
0
10
29
3.64
3.11
2.5
2.6
22.4
23.9
mmol/l
—
10
23
15
58
2.78
2.99
1.5
1.2
—
—
—
0
0
8
17
4.92
2.96
1.5
1.8
12955.6
7764.7
e6/l
—
8
11
6
9
6.91
2.90
1.7
1.7
—
—
—
0
0
7
14
5.20
2.76
15.0
5.0
66.9
62.8
%
—
7
14
104
849
1.91
2.73
4.2
3.9
14.6
14.8
pmol/l
0.33
99
768
9
24
3.94
2.72
2.4
2.3
—
—
—
0
0
39
237
1.90
2.72
1.7
1.8
—
—
—
0
0
24
123
2.15
2.66
2.1
1.5
—
—
—
0
0
9
25
3.78
2.62
1.1
1.3
—
—
—
0
0
8
20
4.18
2.61
14.0
5.5
—
—
—
0
0
8
20
4.18
2.61
8.0
3.9
66.3
54.3
%
—
8
20
8
20
4.18
2.61
7.5
3.8
5.4
3.8
e9/l
—
8
20
6
11
5.64
2.57
1.7
1.5
—
—
—
0
0
13
55
2.51
2.19
8.8
4.0
118.1
130.2
g/l
1.40
13
55
128
1153
2.52
2.18
25.6
12.4
—
—
—
0
0
33
208
1.77
2.01
3.8
2.6
493.4
565.0
mosm/kgh2o
0.88
27
170
16
79
2.16
1.94
3.4
5.5
4.8
5.0
kpa
0.89
16
73
11
46
2.51
1.90
10.4
3.6
1.5
1.2
%
0.26
11
46
8
28
2.97
1.89
2.0
3.1
—
—
—
0
0
19
102
2.00
1.87
3.3
4.7
2.7
6.6
ug/l
0.96
13
78
45
316
1.63
1.84
4.1
2.8
—
—
—
0
0
115
1016
1.79
1.78
36.5
14.1
39.2
40.1
%
0.93
92
763
27
168
1.75
1.72
1.9
1.2
—
—
—
0
0
20
114
1.88
1.67
1.7
1.6
—
—
—
0
0
7
25
2.89
1.67
1.3
1.1
—
—
—
0
0
122
1103
1.91
1.66
30.1
13.3
21.5
21.7
mg/l
0.03
109
868
40
284
1.58
1.54
4.5
3.3
39.2
71.7
mg/l
0.84
31
181
17
95
1.90
1.51
1.4
1.5
—
—
—
0
0
58
450
1.50
1.49
2.2
2.0
—
—
—
0
0
19
112
1.81
1.44
1.6
1.9
—
—
—
0
0
6
23
2.68
1.38
1.0
1.3
—
—
—
0
0
6
23
2.68
1.38
1.0
1.3
—
—
—
0
0
9
42
2.22
1.36
2.9
2.2
—
—
—
0
0
5
18
2.84
1.29
2.6
2.1
—
—
—
0
0
41
304
1.50
1.29
5.2
4.1
5.5
9.8
mg/mmol
0.86
33
192
47
359
1.47
1.28
4.3
3.1
2.3
2.4
mmol/l
1.36
37
313
8
36
2.30
1.26
1.1
1.7
0.6
1.5
ug/l
—
8
31
42
315
1.48
1.24
3.5
2.0
1016.0
236.5
u/l
0.51
42
297
27
185
1.57
1.20
1.3
1.3
1.9
7.3
u/ml
—
10
71
19
121
1.66
1.13
27.3
23.2
—
1.3
—
0
18
16
97
1.73
1.12
1.3
1.2
—
—
—
0
0
65
538
1.39
1.11
5.0
3.7
0.0
0.0
estimate
0.00
14
113
111
1012
1.49
1.06
4.2
3.9
1.4
1.3
mmol/l
0.83
106
929
28
200
1.50
1.04
1.4
1.3
74.6
31.2
iu/ml
—
9
69
5
22
2.32
1.04
2.4
2.5
15.5
16.3
%
—
5
8
115
1058
1.52
1.03
4.4
4.3
4.4
4.6
mmol/l
1.45
109
980
50
401
1.39
1.01
4.7
3.6
58.8
35.9
ng/l
0.50
39
262
7
35
2.05
1.01
1.1
1.3
—
—
—
0
0
65
545
1.36
1.00
5.0
3.7
0.0
0.0
estimate
0.00
15
109
32
238
1.45
0.98
5.3
3.7
—
—
—
0
0
26
186
1.49
0.96
3.0
3.1
2.4
2.5
mmol/l
0.68
19
160
64
539
1.35
0.95
7.1
5.0
0.0
0.0
estimate
0.00
15
114
6
28
2.19
0.92
1.0
1.2
—
—
—
0
0
6
28
2.19
0.92
4.8
2.5
8.3
8.6
kpa
—
6
28
6
28
2.19
0.92
4.8
2.5
4.9
5.0
kpa
—
6
28
8
42
1.96
0.90
3.9
4.7
—
—
—
0
0
14
90
1.62
0.82
3.6
3.7
1.2
1.2
mmol/l
0.16
14
79
6
33
1.85
0.80
4.8
2.6
7.4
7.4
ph
—
6
28
11
67
1.70
0.77
3.9
10.9
—
—
—
0
0
113
1053
1.40
0.77
4.5
4.2
1.3
1.5
mmol/l
3.03
107
965
38
307
1.33
0.72
3.8
3.4
—
—
—
0
0
7
116
0.58
0.71
1.6
1.3
—
—
—
0
0
10
62
1.66
0.67
1.2
1.2
—
—
—
0
0
33
403
0.76
0.65
2.5
2.9
—
—
—
0
0
10
63
1.63
0.63
1.6
1.9
—
—
—
0
0
17
124
1.42
0.59
1.5
1.3
—
—
—
0
0
8
54
1.51
0.58
3.8
6.6
23.1
24.3
mmol/l
—
8
54
6
39
1.56
0.53
1.2
1.4
—
—
—
0
0
7
46
1.55
0.49
1.6
2.9
25.5
25.0
mmol/l
—
7
46
0
15
0.00
0.41
0.0
2.7
—
4.1
—
0
15
0
15
0.00
0.41
0.0
2.7
—
—
—
0
0
0
15
0.00
0.41
0.0
2.7
—
106.6
—
0
15
5
34
1.49
0.41
1.8
1.7
—
—
—
0
0
105
998
1.22
0.40
6.4
5.6
39.0
39.7
mmol/mol
0.33
100
939
0
18
0.00
0.40
0.0
1.7
—
—
—
0
0
78
723
1.18
0.40
4.1
3.6
—
—
—
0
0
5
35
1.44
0.39
1.6
1.2
12.6
10.1
u/l
—
5
27
12
90
1.37
0.37
6.0
4.4
—
—
—
0
0
20
163
1.27
0.36
3.0
3.0
0.7
0.7
ug/l
0.07
15
113
17
137
1.27
0.34
1.8
1.6
—
—
—
0
0
6
46
1.32
0.33
1.2
1.5
—
—
—
0
0
7
56
1.26
0.30
1.0
1.1
—
—
—
0
0
8
64
1.27
0.28
1.4
4.0
4.7
4.6
pmol/l
—
8
55
26
227
1.18
0.26
4.4
4.1
1.0
1.0
kg/l
—
6
25
9
73
1.25
0.26
1.2
1.3
—
—
—
0
0
0
11
0.00
0.21
0.0
1.1
—
3.8
—
0
5
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
12
0.00
0.21
0.0
11.7
—
1220.9
—
0
12
0
12
0.00
0.21
0.0
7.9
—
818.2
—
0
12
0
13
0.00
0.21
0.0
1.1
—
1.1
—
0
6
6
49
1.23
0.20
1.2
1.4
—
—
—
0
0
6
49
1.23
0.20
1.2
1.5
—
—
—
0
0
6
49
1.23
0.20
1.2
1.4
—
—
—
0
0
6
50
1.21
0.20
1.2
1.4
—
—
—
0
0
34
315
1.11
0.15
1.8
1.5
—
—
—
0
0
15
131
1.16
0.15
1.4
1.5
—
—
—
0
0
8
95
0.83
0.14
2.4
1.4
—
—
—
0
0
5
48
1.04
0.09
1.0
1.1
—
—
—
0
0
105
1032
1.07
0.09
5.0
4.4
5.8
5.9
mmol/l
0.50
95
941
14
127
1.11
0.08
1.1
1.2
—
—
—
0
0
12
109
1.11
0.06
6.8
3.5
—
—
—
0
0
29
286
1.02
0.00
4.6
4.1
—
—
—
0
0
30
299
1.00
0.00
6.2
3.9
0.0
0.0
estimate
0.00
14
109
5
54
0.92
0.00
1.4
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
178.0
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
2.0
—
—
—
0
0
7
76
0.92
0.00
2.7
2.4
—
—
—
0
0
0
9
0.00
0.00
0.0
7.7
—
0.6
—
0
9
6
63
0.95
0.00
4.5
5.7
—
—
—
0
0
0
7
0.00
0.00
0.0
1.6
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
2.4
—
1.2
—
0
5
8
79
1.01
0.00
4.8
3.6
—
—
—
0
0
0
9
0.00
0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint D3_OTHPRIMTHROMBOCYTOPENIA and mortality.

Females

Parameter HR [95% CI] p-value
D3_OTHPRIMTHROMBOCYTOPENIA 2.493 [1.72, 3.61] < 0.001
Birth year 0.994 [0.99, 1.0] 0.153

During the follow-up period (1.1.1998 — 31.12.2019), 105 out of 392 females with D3_OTHPRIMTHROMBOCYTOPENIA died.

Males

Parameter HR [95% CI] p-value
D3_OTHPRIMTHROMBOCYTOPENIA 2.598 [1.6, 4.21] < 0.001
Birth year 0.985 [0.98, 0.99] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 111 out of 333 males with D3_OTHPRIMTHROMBOCYTOPENIA died.

Mortality risk

Mortality risk for people of age

years, who have D3_OTHPRIMTHROMBOCYTOPENIA.

N-year risk Females Males
1 0.238% 0.479%
5 1.336% 2.855%
10 3.226% 6.937%
15 6.591% 13.331%
20 11.845% 21.59%

Relationships between endpoints

Index endpoint: D3_OTHPRIMTHROMBOCYTOPENIA – Other primary thrombocytopenia

GWS hits: 2

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