Thalassaemia

D3_THALASSAEMIA

Thalassemia: An inherited blood disorder characterized by a decreased synthesis of one of the polypeptide chains that form hemoglobin. Anemia results from this abnormal hemoglobin formation.

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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 D56
  • Cause of death: ICD-10 D56

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

-

4. Check minimum number of events

None

-

5. Include endpoints

143

6. Filter based on genotype QC (FinnGen only)

53

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
Thalassaemia

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 2202 1071 915
Only index persons 1582 880 702
Unadjusted period prevalence (%)
Whole population 0.05 0.03 0.03
Only index persons 0.03 0.03 0.03
Median age at first event (years)
Whole population 22.71 25.67 17.00
Only index persons 28.37 29.61 26.82

-FinnGen-

Key figures

All Female Male
Number of individuals 53 27 26
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 51.80 52.29 51.29

-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
143
Matched controls
1430
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D56.0
ICD-10 Finland
Alpha thalassaemia
+∞
50.0
45
*
D56.3
ICD-10 Finland
Thalassaemia trait
+∞
40.6
37
*
D56.99
ICD-10 Finland
Thalassaemia, unspecified
+∞
36.0
33
*
D56.1
ICD-10 Finland
Beta thalassaemia
+∞
31.4
29
*
D56.91
ICD-10 Finland
Thalassemia minor
+∞
29.2
27
*
Z31.5
ICD-10 Finland
Genetic counselling
8.5
22.3
33
49
D64.9
ICD-10 Finland
Anaemia, unspecified
6.6
16.0
29
53
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
7.0
13.4
22
36
D56.2
ICD-10 Finland
Delta-beta thalassaemia
+∞
12.7
12
*
D56
ICD-10 Finland
Thalassaemia
+∞
11.6
11
*
O99.0
ICD-10 Finland
Anaemia complicating pregnancy, childbirth and the puerperium
22.3
11.4
16
8
R5430
NOMESCO Finland
Interpreter's services
59.1
9.8
11
*
D01
ICPC
Abdominal pain/cramps general
3.7
9.5
36
119
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
95.4
8.5
9
*
D50.8
ICD-10 Finland
Other iron deficiency anaemias
35.6
8.2
10
*
D56.8
ICD-10 Finland
Other thalassaemias
+∞
7.3
7
*
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
4.0
6.6
20
56
A02BD07
ATC
lansoprazole, amoxicillin and clarithromycin; systemic
6.8
6.4
15
24
Z04.8
ICD-10 Finland
Examination and observation for other specified reasons
3.4
6.2
25
85

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
57
104
8.45
33.05
11.0
3.6
1.69
1.68
%
0.03
50
94
59
160
5.58
21.85
2.5
2.2
15.19
14.45
umol/l
0.20
51
150
53
131
5.84
21.79
2.8
2.4
26.30
24.86
%
0.19
47
117
77
265
5.13
21.33
2.7
1.9
3.69
2.81
mg/l
2.06
64
225
55
144
5.58
21.12
2.6
2.3
2.35
2.43
g/l
0.38
49
132
35
77
5.69
15.96
10.9
3.2
86.02
71.46
e9/l
1.20
29
54
107
559
4.63
15.47
8.4
2.6
121.85
85.11
ug/l
1.52
101
519
77
357
3.51
12.44
1.9
1.8
99.97
95.59
pmol/l
0.37
44
186
20
43
5.24
9.14
1.9
1.7
—
—
—
0
0
15
12
13.80
9.10
1.6
1.3
—
—
—
0
0
41
156
3.28
8.67
1.9
1.6
1024.71
1163.39
nmol/l
0.36
28
121
89
533
2.77
8.00
14.3
7.1
0.59
0.62
%
0.16
84
504
91
554
2.77
7.88
13.5
7.4
—
—
—
0
0
22
60
4.15
7.52
2.1
1.2
—
—
—
0
0
89
554
2.61
7.08
14.4
6.9
2.09
2.73
%
2.90
84
526
86
530
2.56
6.94
11.5
6.7
14.68
12.21
umol/l
0.57
80
506
93
600
2.57
6.73
15.8
7.2
0.14
0.19
e9/l
2.28
83
534
91
582
2.55
6.69
14.2
6.8
30.03
29.93
%
0.03
86
558
91
588
2.51
6.46
14.3
6.6
0.04
0.04
e9/l
0.48
79
511
91
590
2.49
6.38
14.3
6.6
0.56
0.56
e9/l
0.08
79
512
99
676
2.51
6.06
17.8
9.4
4.13
4.16
e9/l
0.05
82
597
92
613
2.40
5.87
14.2
6.6
2.03
2.03
e9/l
0.00
83
548
55
294
2.41
5.81
4.1
3.3
0.38
0.41
e6/l
0.04
37
224
84
540
2.35
5.80
18.6
9.3
0.07
0.00
e9/l
0.53
69
431
71
426
2.32
5.75
11.3
8.4
1.21
1.22
mmol/l
0.29
66
398
14
24
6.34
5.69
1.1
1.0
—
—
—
0
0
56
305
2.37
5.65
17.4
6.6
—
—
—
0
0
55
298
2.37
5.61
4.1
3.3
—
—
—
0
0
75
466
2.28
5.53
12.2
8.4
1.22
1.22
mmol/l
0.02
64
398
43
213
2.46
5.31
2.0
1.5
—
—
—
0
0
108
807
2.38
4.81
11.2
7.1
86.71
79.84
u/l
0.57
102
757
13
27
5.19
4.63
1.2
1.0
—
—
—
0
0
58
350
2.11
4.35
7.4
2.3
—
—
—
0
0
34
166
2.38
4.26
3.7
3.3
1.71
3.00
e6/l
0.77
14
94
55
328
2.10
4.24
4.1
3.3
17.35
39.70
e6/l
0.69
37
257
48
278
2.09
3.95
5.5
3.7
7.43
7.41
ph
—
10
52
62
395
2.01
3.94
5.1
4.0
20.61
40.23
e6/l
0.73
40
269
20
78
2.82
3.92
20.6
11.5
25.63
25.00
mmol/l
0.30
20
78
10
19
5.57
3.90
1.2
1.2
—
—
—
0
0
62
396
2.00
3.90
9.5
6.0
35.90
36.23
g/l
0.14
55
378
39
210
2.18
3.86
1.3
1.5
20.29
20.87
nmol/l
0.08
33
176
43
242
2.11
3.80
6.3
4.6
—
—
—
0
0
9
16
5.92
3.72
5.4
8.4
—
—
—
0
0
42
236
2.10
3.72
5.5
2.4
1.17
1.17
mg/l
0.00
27
175
84
612
1.90
3.45
7.4
5.6
6.45
6.29
mmol/l
0.33
74
548
23
103
2.47
3.45
9.1
9.5
105.00
104.33
mmol/l
0.31
23
103
6
7
8.88
3.29
3.0
1.4
—
—
—
0
0
18
73
2.68
3.28
1.3
1.8
—
—
—
0
0
7
11
6.62
3.22
6.7
9.0
60.43
68.71
%
—
7
11
52
334
1.88
3.08
2.3
1.7
—
—
—
0
0
6
8
7.76
3.08
1.2
1.0
—
—
—
0
0
100
788
1.89
3.05
6.1
4.2
—
—
—
0
0
26
132
2.19
2.94
2.0
1.5
—
—
—
0
0
132
1159
2.81
2.91
21.2
12.3
19.79
21.61
mg/l
0.30
114
890
47
298
1.86
2.87
1.9
1.5
2.20
2.15
g/l
0.05
21
184
5
6
8.57
2.77
3.2
1.5
—
—
—
0
0
5
6
8.57
2.77
1.2
1.0
—
—
—
0
0
22
107
2.25
2.75
1.3
1.2
—
—
—
0
0
107
881
1.85
2.61
4.8
3.9
14.61
14.60
pmol/l
0.02
100
811
100
809
1.79
2.56
4.6
3.9
11.40
9.47
mm/h
0.77
93
747
36
217
1.88
2.55
4.0
3.2
274.36
127.87
mg/l
0.34
27
142
18
83
2.34
2.53
22.3
12.6
—
—
—
0
0
12
46
2.76
2.43
5.8
5.4
128.42
125.72
g/l
0.19
12
46
22
113
2.12
2.41
2.1
1.6
—
—
—
0
0
11
39
2.97
2.40
1.2
1.6
—
—
—
0
0
11
39
2.97
2.40
1.4
1.3
—
—
—
0
0
5
8
6.43
2.39
2.0
1.1
—
—
—
0
0
35
214
1.84
2.36
3.8
2.8
622.23
554.15
mosm/kgh2o
0.98
30
186
17
79
2.31
2.36
1.5
1.5
—
—
—
0
0
10
34
3.08
2.33
1.4
1.4
—
66.00
—
0
5
58
416
1.66
2.23
2.4
2.0
—
—
—
0
0
36
227
1.78
2.19
5.2
3.7
32.72
17.15
mg/mmol
0.33
26
150
10
36
2.91
2.18
6.3
5.4
0.58
0.68
%
—
10
36
16
76
2.24
2.12
1.4
1.4
—
—
—
0
0
16
76
2.24
2.12
1.4
1.4
—
—
—
0
0
10
37
2.83
2.11
6.3
5.3
1.27
1.56
%
—
10
37
57
417
1.61
1.98
1.9
1.6
—
—
—
0
0
5
11
4.67
1.95
11.8
3.8
27.30
35.99
%
—
5
11
12
52
2.43
1.93
3.7
14.4
—
—
—
0
0
19
102
1.99
1.87
2.4
1.4
—
—
—
0
0
119
1050
1.79
1.85
5.6
4.5
1.83
1.85
mu/l
0.08
112
979
24
141
1.84
1.82
1.9
2.2
—
—
—
0
0
8
29
2.86
1.82
2.5
1.9
—
—
—
0
0
25
152
1.78
1.71
4.0
2.8
2.46
2.44
mmol/l
0.18
20
131
5
14
3.66
1.63
1.2
1.2
—
—
—
0
0
53
402
1.51
1.51
21.7
9.9
1.25
1.20
inr
0.13
14
126
44
321
1.54
1.49
4.6
3.1
2.35
2.36
mmol/l
0.15
37
284
31
208
1.63
1.49
1.4
1.3
14.89
31.54
iu/ml
—
9
60
13
66
2.07
1.49
1.3
1.2
—
—
—
0
0
35
243
1.58
1.47
3.6
2.9
344.93
4841.15
umol/l
1.03
29
219
6
22
2.80
1.45
1.3
1.2
—
—
—
0
0
14
74
1.99
1.45
1.4
1.4
247.44
283.42
miu/ml
—
8
37
51
390
1.48
1.38
2.0
1.8
—
—
—
0
0
12
61
2.06
1.37
4.5
7.8
—
—
—
0
0
31
430
0.64
1.35
2.7
2.2
—
—
—
0
0
7
144
0.46
1.29
1.4
1.3
—
—
—
0
0
13
70
1.94
1.28
1.5
1.2
—
—
—
0
0
79
666
1.42
1.23
3.8
3.1
—
—
—
0
0
5
21
2.43
1.10
1.0
1.0
—
—
—
0
0
20
131
1.61
1.07
2.1
1.6
—
—
—
0
0
5
22
2.32
1.04
5.8
3.6
4.78
5.00
kpa
—
5
22
5
22
2.32
1.04
5.8
3.6
8.84
8.40
kpa
—
5
22
12
68
1.83
1.04
1.8
1.4
—
—
—
0
0
37
280
1.43
1.03
1.6
1.7
—
—
—
0
0
11
61
1.87
1.01
2.5
1.3
11.64
18.65
iu/l
0.42
11
53
41
318
1.41
1.00
3.3
2.7
—
—
—
0
0
7
37
1.94
0.95
1.9
2.4
—
—
—
0
0
16
102
1.64
0.95
1.1
1.3
—
—
—
0
0
13
78
1.73
0.95
4.5
7.1
—
7.43
—
0
7
6
27
2.27
0.94
1.0
1.2
—
—
—
0
0
41
322
1.38
0.93
4.4
3.5
42.02
37.87
ng/l
0.08
28
181
96
1049
0.74
0.87
3.9
3.5
1.36
1.44
mmol/l
1.00
88
978
6
31
1.98
0.85
1.3
1.4
—
—
—
0
0
130
1232
1.61
0.84
18.0
10.3
—
—
—
0
0
31
236
1.40
0.84
4.2
3.6
—
—
—
0
0
24
175
1.45
0.81
3.5
3.1
44.81
269.88
ng/l
1.08
15
112
138
1333
2.01
0.81
34.2
17.3
7.37
6.80
e9/l
2.08
132
1302
138
1332
2.03
0.81
34.2
17.3
5.04
4.56
e12/l
8.42
132
1304
138
1330
2.07
0.81
34.2
17.4
255.70
257.49
e9/l
0.10
132
1299
24
176
1.44
0.79
2.2
1.7
449.00
449.37
pmol/l
0.00
16
158
7
41
1.74
0.71
4.3
22.6
—
—
—
0
0
98
1055
0.77
0.68
3.9
3.5
4.45
4.62
mmol/l
1.00
90
986
7
43
1.66
0.68
1.3
1.3
—
—
—
0
0
16
221
0.69
0.67
1.4
1.6
—
—
—
0
0
92
997
0.78
0.66
3.6
3.3
1.26
1.25
mmol/l
0.05
84
925
99
1063
0.78
0.66
4.2
3.8
2.62
2.77
mmol/l
0.97
92
988
55
473
1.26
0.64
3.8
3.2
6.17
5.96
ph
—
6
36
12
80
1.55
0.62
6.1
4.1
—
—
—
0
0
10
65
1.58
0.57
5.0
3.0
—
—
—
0
0
112
1057
1.27
0.53
33.1
15.1
319.92
333.97
g/l
18.22
112
1048
65
580
1.22
0.53
6.0
5.0
0.00
0.00
estimate
-0.00
12
127
6
40
1.52
0.52
2.3
1.8
—
—
—
0
0
6
40
1.52
0.52
1.7
1.1
—
—
—
0
0
24
192
1.30
0.49
1.3
1.3
2.42
5.39
u/ml
—
9
77
32
267
1.26
0.48
4.2
3.4
—
—
—
0
0
8
55
1.48
0.44
2.9
1.3
4.59
7.36
u/l
—
8
46
65
589
1.19
0.43
4.0
3.6
0.00
0.00
estimate
—
10
121
16
123
1.34
0.42
1.3
1.2
—
—
—
0
0
0
16
0.00
0.41
0.0
1.2
—
—
—
0
0
0
17
0.00
0.41
0.0
1.2
—
—
—
0
0
106
1012
1.18
0.34
4.0
3.5
5.87
5.68
mmol/l
0.45
99
925
18
146
1.27
0.34
2.9
2.2
—
—
—
0
0
6
45
1.35
0.34
1.5
1.4
—
—
—
0
0
63
582
1.15
0.31
4.0
3.5
0.00
0.00
estimate
-0.00
12
129
11
85
1.32
0.29
3.6
1.3
142.55
420.76
u/ml
0.49
11
78
10
76
1.34
0.29
1.9
1.6
—
—
—
0
0
0
11
0.00
0.21
0.0
1.0
—
136.92
—
0
11
0
11
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
14.8
—
640.75
—
0
12
0
12
0.00
0.21
0.0
23.2
—
1186.33
—
0
12
0
12
0.00
0.21
0.0
1.2
—
294.58
—
0
12
0
12
0.00
0.21
0.0
1.0
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
14
0.00
0.20
0.0
2.0
—
2.27
—
0
14
0
14
0.00
0.20
0.0
1.2
—
—
—
0
0
89
921
0.91
0.17
5.9
4.4
38.49
38.03
mmol/mol
0.14
81
869
8
68
1.19
0.17
3.8
1.3
—
—
—
0
0
31
337
0.90
0.16
3.7
3.1
—
—
—
0
0
28
304
0.90
0.14
4.0
3.6
0.00
0.01
estimate
0.50
12
123
6
55
1.09
0.09
5.2
2.5
—
—
—
0
0
6
55
1.09
0.09
2.8
1.3
—
—
—
0
0
7
63
1.12
0.08
1.0
1.3
—
26.42
—
0
5
11
98
1.13
0.08
2.1
1.5
—
—
—
0
0
11
98
1.13
0.08
2.1
1.5
—
—
—
0
0
11
99
1.12
0.06
2.1
1.5
—
—
—
0
0
14
129
1.09
0.06
1.1
1.2
—
—
—
0
0
11
100
1.11
0.05
2.1
1.5
—
—
—
0
0
10
92
1.09
0.03
2.1
1.5
—
—
—
0
0
11
113
0.97
0.00
3.9
3.7
—
—
—
0
0
18
175
1.03
0.00
2.1
2.1
52.48
113.12
ug/g
1.23
13
133
6
64
0.93
-0.00
3.2
1.8
—
—
—
0
0
6
64
0.93
-0.00
1.5
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
3.4
—
20.50
—
0
5
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.0
—
31833.89
—
0
9
0
6
0.00
-0.00
0.0
5.8
—
44.33
—
0
6
0
6
0.00
-0.00
0.0
1.8
—
1924.17
—
0
6
0
6
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
8
0.00
-0.00
0.0
2.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.1
—
68.22
—
0
9
0
5
0.00
-0.00
0.0
1.2
—
156.60
—
0
5
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
0.75
—
0
5
6
68
0.88
-0.00
2.2
2.4
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint D3_THALASSAEMIA and mortality.

Females

Parameter HR [95% CI] p-value
D3_THALASSAEMIA 1.665 [1.07, 2.6] 0.025
Birth year 0.996 [0.99, 1.0] 0.362

During the follow-up period (1.1.1998 — 31.12.2019), 55 out of 893 females with D3_THALASSAEMIA died.

Males

Parameter HR [95% CI] p-value
D3_THALASSAEMIA 1.673 [1.12, 2.49] 0.011
Birth year 0.989 [0.98, 1.0] 0.034

During the follow-up period (1.1.1998 — 31.12.2019), 56 out of 775 males with D3_THALASSAEMIA died.

Mortality risk

Mortality risk for people of age

years, who have D3_THALASSAEMIA.

N-year risk Females Males
1 0.131% 0.315%
5 0.927% 2.064%
10 2.551% 5.115%
15 4.743% 9.437%
20 8.614% 16.314%

Relationships between endpoints

Index endpoint: D3_THALASSAEMIA – Thalassaemia

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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