Secondary sideroblastic anaemia

D3_SIDEROANASCND

anemia (phenotype): ['A reduction in the number of circulating erythrocytes or in the quantity of hemoglobin.']

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

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

Registry filters:

  • Hospital discharge: ICD-10 D64.1, D64.2#
  • Hospital discharge: ICD-9 2850B
  • Cause of death: ICD-10 D64.1, D64.2#
  • Cause of death: ICD-9 2850B

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

109

4. Check minimum number of events

None

109

5. Include endpoints

None

109

6. Filter based on genotype QC (FinnGen only)

108

Control definitions (FinnGen only)

Control exclude
D3_APLASTICANDOTHANAEMIA

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2

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 1282 722 533
Only index persons 764 448 316
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.01 0.02 0.01
Median age at first event (years)
Whole population 73.93 74.43 73.16
Only index persons 71.08 70.32 72.17

-FinnGen-

Key figures

All Female Male
Number of individuals 108 58 50
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 68.81 65.01 73.22

-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

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
109
Matched controls
1090
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D64.9
ICD-10 Finland
Anaemia, unspecified
70.6
101.9
62
20
D64.1
ICD-10 Finland
Secondary sideroblastic anaemia due to disease
+∞
99.9
80
*
D64.2
ICD-10 Finland
Secondary sideroblastic anaemia due to drugs and toxins
+∞
30.7
28
*
B03XA02
ATC
darbepoetin alfa; parenteral
26.8
14.9
20
9
ZX120
NOMESCO Finland
Intravenous
6.1
14.3
30
64
A49.9
ICD-10 Finland
Bacterial infection, unspecified
5.8
13.9
31
70
A04AA01
ATC
ondansetron; systemic, rectal
6.8
13.8
25
46
WW500
NOMESCO Finland
Blood transfusion
13.3
11.6
20
18
128
Kela drug reimbursment
Cancers of female genital organs
28.6
11.5
15
6
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
6.1
10.3
20
39
L03AA02
ATC
filgrastim; parenteral
14.1
10.3
17
14
XW000
NOMESCO Finland
Bone marrow biopsy
15.4
10.0
16
12
D46.1
ICD-10 Finland
Refractory anaemia with ring sideroblasts
+∞
9.5
9
*
UJF32
NOMESCO Finland
Coloscopy
3.6
9.2
45
180
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.4
8.7
48
206
Z48.0
ICD-10 Finland
Attention to surgical dressings and sutures
16.6
7.9
12
8
D39.10
ICD-10 Finland
Tumor of uncertain or unknown nature in the ovary without histology
20.2
7.8
11
6
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
17.3
7.4
11
7
Z51.5
ICD-10 Finland
Palliative care
4.3
7.3
21
57
L03AA13
ATC
pegfilgrastim; parenteral
8.0
7.3
16
23
C56.71
ICD-10 Finland
Serous epithelial malignant tumor of the ovary
32.4
7.3
9
*
D50.0
ICD-10 Finland
Iron deficiency anaemia secondary to blood loss (chronic)
11.2
7.3
13
13
C03CA01
ATC
furosemide; systemic
2.9
7.1
58
305
A04AA55
ATC
palonosetron, combinations; systemic
8.7
6.9
14
18
D46.9
ICD-10 Finland
Myelodysplastic syndrome, unspecified
42.8
6.9
8
*
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
5.9
6.7
18
35
C56
ICD-10 Finland
Malignant neoplasm of ovary
74.0
6.5
7
*
SPAT1088
SPAT
Blood transfusion
74.0
6.5
7
*
R2120
NOMESCO Finland
Counselling and guidance concerning rehabilitation services and social security
+∞
6.3
6
*
117
Kela drug reimbursment
Leukaemia and other malignant diseases of the blood and bone marrow, and malignant diseases of the lymphatic tissue
7.5
6.3
14
21
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
3.8
6.1
21
65
R18
ICD-10 Finland
Ascites
16.2
6.0
9
6

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
11
7
17.27
7.40
1.5
1.0
—
—
—
0
0
21
63
3.89
6.38
6.0
5.2
1.70
0.90
%
—
10
29
19
54
4.05
6.21
5.6
5.6
0.50
0.00
%
—
8
20
19
58
3.76
5.61
5.9
5.5
0.13
0.17
%
—
8
24
29
118
2.99
5.45
3.3
2.9
0.83
0.82
mmol/l
0.19
29
108
38
185
2.62
5.06
2.6
1.7
3.24
2.94
mg/l
0.37
33
156
16
52
3.43
4.29
5.9
5.7
1.00
0.26
%
—
9
19
42
231
2.33
4.19
7.7
2.2
—
—
—
0
0
58
380
2.12
3.65
13.7
16.3
1.25
1.31
inr
0.24
18
109
18
70
2.88
3.60
1.9
1.3
—
—
—
0
0
31
165
2.23
3.24
1.6
1.4
—
—
—
0
0
40
237
2.09
3.19
8.5
3.6
—
—
—
0
0
6
8
7.85
3.09
1.3
1.1
70.28
12.64
u/l
—
6
8
6
8
7.85
3.09
3.3
2.0
—
—
—
0
0
12
37
3.51
3.05
5.2
6.0
24.95
24.68
mmol/l
0.10
12
37
5
5
10.39
3.01
1.2
1.4
—
—
—
0
0
14
53
2.88
2.92
9.9
8.2
—
—
—
0
0
16
66
2.67
2.86
4.6
3.7
—
—
—
0
0
45
293
1.91
2.68
6.6
3.6
22.90
54.79
e6/l
1.09
38
205
23
118
2.20
2.60
4.1
2.5
5.14
2.64
e6/l
0.59
18
68
30
175
1.99
2.43
4.3
4.8
1.01
1.01
kg/l
—
6
21
5
8
6.48
2.39
4.0
2.0
34.40
31.75
pg
—
5
8
17
80
2.33
2.33
1.6
1.5
—
—
—
0
0
7
18
4.08
2.29
1.3
1.9
—
—
—
0
0
19
95
2.21
2.27
2.6
1.6
—
—
—
0
0
18
88
2.25
2.27
8.3
6.9
1.73
1.41
mmol/l
0.07
13
66
46
315
1.80
2.26
2.5
1.9
96.33
98.41
pmol/l
0.08
28
159
37
243
1.79
2.06
4.5
4.3
—
—
—
0
0
6
16
3.90
1.96
1.3
1.7
4.70
5.02
kpa
—
6
16
6
16
3.90
1.96
1.3
1.7
9.05
8.53
kpa
—
6
16
37
253
1.70
1.76
4.2
3.1
—
—
—
0
0
29
185
1.77
1.75
19.2
6.6
—
—
—
0
0
7
157
0.41
1.73
4.4
2.9
2.45
2.46
mmol/l
—
7
137
5
14
3.69
1.63
3.0
7.6
—
—
—
0
0
32
215
1.69
1.61
3.6
3.8
—
—
—
0
0
10
44
2.40
1.60
5.0
3.0
112.20
126.27
g/l
—
10
44
44
322
1.61
1.59
4.9
4.0
61.52
30.28
ng/l
0.43
35
233
9
37
2.56
1.52
3.7
2.6
0.60
0.70
%
—
9
37
11
52
2.24
1.50
1.5
2.3
—
—
—
0
0
9
38
2.49
1.49
2.3
3.3
3.93
4.63
pmol/l
—
9
32
9
38
2.49
1.49
4.0
2.6
0.91
1.17
%
—
9
38
59
468
1.57
1.49
7.1
4.1
7.35
6.73
mmol/l
0.45
53
427
9
39
2.42
1.47
1.4
1.2
—
—
—
0
0
47
356
1.56
1.44
11.4
4.9
24.17
27.15
%
1.26
47
332
15
82
1.96
1.44
2.1
1.4
—
—
—
0
0
31
214
1.63
1.39
5.1
4.2
0.00
0.00
estimate
—
10
66
8
36
2.32
1.27
4.8
3.1
21.59
23.71
mmol/l
—
8
36
15
87
1.84
1.22
1.5
1.4
1154.29
695.65
titre
—
7
23
6
26
2.38
1.20
4.8
5.2
—
—
—
0
0
45
349
1.49
1.20
11.1
5.0
10.59
8.56
%
1.57
45
325
44
340
1.49
1.19
12.9
5.6
—
—
—
0
0
45
350
1.49
1.18
10.4
4.6
58.68
58.28
%
0.08
45
325
48
380
1.47
1.14
4.5
4.1
0.00
0.00
estimate
-0.00
12
75
48
380
1.47
1.14
5.7
5.7
0.00
0.00
estimate
—
8
68
48
382
1.46
1.11
4.6
4.2
0.00
0.00
estimate
—
10
65
62
519
1.45
1.09
8.2
4.8
—
3587.06
—
0
16
43
337
1.46
1.07
11.1
4.7
0.69
0.59
%
0.48
43
310
7
34
2.13
1.05
1.0
1.1
—
—
—
0
0
43
347
1.40
0.88
11.2
4.7
2.51
2.54
%
0.02
43
323
7
39
1.85
0.74
15.3
7.7
—
—
—
0
0
7
40
1.80
0.73
1.6
1.3
—
—
—
0
0
63
704
0.75
0.72
3.5
4.5
1.50
1.49
mmol/l
0.07
58
637
6
35
1.75
0.59
2.3
1.7
1.42
1.36
ug/l
—
6
30
6
36
1.70
0.58
2.7
4.7
—
—
—
0
0
18
234
0.72
0.56
2.8
3.1
—
—
—
0
0
26
208
1.33
0.55
4.3
2.7
—
—
—
0
0
67
729
0.79
0.52
4.1
5.1
2.52
2.66
mmol/l
0.64
61
656
66
719
0.79
0.52
4.2
4.8
6.04
5.97
mmol/l
0.14
59
647
29
240
1.28
0.48
10.5
3.6
7.42
7.39
ph
—
5
40
5
31
1.64
0.43
3.2
2.5
—
—
—
0
0
5
35
1.45
0.40
1.0
1.3
—
—
—
0
0
58
529
1.21
0.39
6.4
4.5
—
—
—
0
0
19
153
1.29
0.39
1.1
1.2
3.16
1.34
u/ml
—
8
32
6
43
1.42
0.35
3.5
4.0
—
7.42
—
0
7
7
55
1.29
0.30
1.4
3.6
—
—
—
0
0
78
816
0.84
0.28
53.7
21.3
34.30
39.61
%
6.72
73
759
12
95
1.30
0.27
1.7
1.3
—
—
—
0
0
75
781
0.87
0.22
44.2
17.4
94.20
79.36
umol/l
0.99
75
781
11
89
1.26
0.22
2.7
1.6
—
—
—
0
0
0
11
0.00
0.21
0.0
1.3
—
—
—
0
0
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
11
0.00
0.21
0.0
1.3
—
—
—
0
0
12
99
1.24
0.20
8.6
6.0
102.42
104.45
mmol/l
0.62
12
99
0
14
0.00
0.20
0.0
1.7
—
—
—
0
0
6
52
1.16
0.19
1.2
1.3
—
—
—
0
0
7
58
1.22
0.18
2.7
4.1
1.18
1.21
mmol/l
—
7
50
50
529
0.90
0.18
4.8
3.8
—
—
—
0
0
7
62
1.14
0.17
3.3
1.4
—
—
—
0
0
75
773
0.90
0.14
40.0
13.3
—
—
—
0
0
25
231
1.11
0.12
2.8
3.6
52.48
8.53
mg/mmol
0.55
19
143
77
750
1.09
0.11
35.8
14.9
24.62
23.54
mg/l
0.12
72
605
5
44
1.14
0.10
1.4
1.4
—
—
—
0
0
11
97
1.15
0.09
1.2
1.3
—
—
—
0
0
6
53
1.14
0.09
5.8
3.6
—
—
—
0
0
7
66
1.06
0.08
7.9
3.4
—
—
—
0
0
6
73
0.81
0.08
5.8
3.9
—
—
—
0
0
19
178
1.08
0.06
5.1
3.9
—
—
—
0
0
10
90
1.12
0.05
1.2
1.3
—
—
—
0
0
30
293
1.03
0.01
3.5
2.1
—
—
—
0
0
21
211
0.99
0.00
2.0
3.0
183.75
349.32
mg/l
0.22
15
136
5
54
0.92
0.00
12.0
3.9
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.1
—
—
—
0
0
5
57
0.87
-0.00
1.2
1.1
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.8
—
1.67
—
0
6
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
7
76
0.92
-0.00
3.0
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
31.80
—
0
5
0
7
0.00
-0.00
0.0
1.0
—
13.04
—
0
7
5
49
1.02
-0.00
1.2
1.5
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
3.6
—
8.80
—
0
5
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.6
—
2300.00
—
0
5
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
4.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
2.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.2
—
17.02
—
0
5
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint D3_SIDEROANASCND and mortality.

Females

Parameter HR [95% CI] p-value
D3_SIDEROANASCND 3.542 [2.71, 4.64] < 0.001
Birth year 0.994 [0.99, 1.0] 0.186

During the follow-up period (1.1.1998 — 31.12.2019), 412 out of 577 females with D3_SIDEROANASCND died.

Males

Parameter HR [95% CI] p-value
D3_SIDEROANASCND 3.319 [2.26, 4.86] < 0.001
Birth year 0.983 [0.97, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 305 out of 410 males with D3_SIDEROANASCND died.

Mortality risk

Mortality risk for people of age

years, who have D3_SIDEROANASCND.

N-year risk Females Males
1 0.2% 0.499%
5 2.037% 3.407%
10 5.222% 7.914%
15 9.388% 15.3%
20 16.198% 24.868%

Relationships between endpoints

Index endpoint: D3_SIDEROANASCND – Secondary sideroblastic anaemia

GWS hits: -

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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