Drug-induced aplastic anaemia

DRUGADVERS_APLAST_ANAEM

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 D61.1#

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

59

4. Check minimum number of events

None

59

5. Include endpoints

None

59

6. Filter based on genotype QC (FinnGen only)

54

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy
C
First used in FinnGen datafreeze
DF5

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 549 296 245
Only index persons 425 235 190
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 69.55 71.11 67.73
Only index persons 68.94 70.57 66.92

-FinnGen-

Key figures

All Female Male
Number of individuals 54 27 27
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 65.48 62.67 68.30

-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
59
Matched controls
590
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D61.1
ICD-10 Finland
Drug-induced aplastic anaemia
+∞
84.6
59
*
A04AA01
ATC
ondansetron; systemic, rectal
16.3
13.9
23
22
D70.82
ICD-10 Finland
Drug-induced neutropenia
59.9
12.5
14
*
D64.9
ICD-10 Finland
Anaemia, unspecified
7.8
11.9
21
39
A03FA01
ATC
metoclopramide; systemic, rectal
6.6
11.9
29
75
WW500
NOMESCO Finland
Blood transfusion
15.2
9.8
16
14
H02AB02
ATC
dexamethasone; systemic
6.2
9.2
20
45
N02AA05
ATC
oxycodone; systemic
5.4
8.9
25
71
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
5.9
8.1
18
41
L04AX01
ATC
azathioprine; systemic
22.0
7.9
11
6
Z51.5
ICD-10 Finland
Palliative care
8.4
6.9
15
23
WD125
NOMESCO Finland
Demanding cystostatic therapy of methastized malignancy
10.1
6.8
13
16
Z51.1
ICD-10 Finland
Chemotherapy session for neoplasm
77.9
6.6
7
*
D70.89
ICD-10 Finland
Neutropenic splenomegaly
30.3
6.4
8
*
L03AA02
ATC
filgrastim; parenteral
14.7
6.3
10
8
WD105
NOMESCO Finland
Cystostatic therapy of methastized malignancy
11.0
6.1
11
12
R50.9
ICD-10 Finland
Fever, unspecified
4.2
6.1
21
68
GD1AA
NOMESCO Finland
Thorax X-ray examination
3.9
6.1
37
178

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
34
139
4.41
7.39
8.0
5.0
7.40
7.41
ph
—
7
26
40
200
4.11
6.24
21.9
7.3
—
—
—
0
0
28
110
3.94
6.22
7.2
4.6
—
—
—
0
0
10
9
13.06
6.05
1.5
1.3
—
—
—
0
0
16
35
5.87
5.72
2.1
1.7
—
—
—
0
0
27
114
3.52
5.23
25.4
6.2
—
—
—
0
0
17
53
4.10
5.09
2.2
1.9
—
—
—
0
0
29
140
3.11
4.36
8.1
2.1
—
—
—
0
0
14
40
4.26
3.95
1.3
1.4
—
—
—
0
0
9
16
6.42
3.83
1.6
1.3
—
—
—
0
0
20
85
3.05
3.65
2.3
2.0
—
—
—
0
0
37
222
2.79
3.52
10.8
6.3
1.21
1.21
mmol/l
0.10
32
185
21
97
2.81
3.27
4.8
4.0
—
—
—
0
0
17
71
2.96
3.16
1.9
1.7
—
—
—
0
0
5
5
10.75
3.03
2.8
2.0
—
—
—
0
0
15
60
3.01
2.99
2.9
2.7
1.82
2.31
g/l
2.40
15
53
28
160
2.43
2.76
1.5
2.1
—
—
—
0
0
12
44
3.17
2.74
1.5
1.3
—
—
—
0
0
11
37
3.42
2.66
8.9
3.6
—
—
—
0
0
20
99
2.54
2.66
1.9
1.7
1.74
1.14
mg/l
0.55
14
80
35
224
2.38
2.65
5.5
12.7
1.02
1.19
inr
2.50
12
62
6
11
5.93
2.61
8.8
2.5
3.95
5.61
e9/l
—
6
11
6
11
5.93
2.61
10.8
2.5
55.67
61.64
%
—
6
11
24
131
2.40
2.59
4.0
2.8
—
—
—
0
0
15
65
2.75
2.57
3.5
2.6
20.27
13.57
umol/l
0.78
15
56
13
54
2.81
2.40
3.2
2.9
44.47
24.75
%
0.95
13
44
28
171
2.21
2.27
4.8
3.6
47.90
42.02
e6/l
0.08
21
122
10
36
3.13
2.27
1.6
2.7
—
—
—
0
0
5
9
5.95
2.26
3.8
1.6
4.02
2.50
u/ml
—
5
9
34
231
2.11
2.05
7.2
4.8
0.00
0.00
estimate
—
6
48
12
52
2.64
2.03
12.6
4.0
104.58
103.69
mmol/l
0.28
12
52
34
233
2.08
1.98
6.0
3.6
0.00
0.00
estimate
—
6
47
9
36
2.76
1.83
8.1
2.8
1.02
1.22
mmol/l
—
9
36
27
175
2.00
1.78
2.5
2.1
84.52
95.08
pmol/l
0.57
18
89
33
230
1.99
1.77
6.2
3.6
0.00
0.00
estimate
—
6
51
5
13
4.10
1.75
4.4
4.3
—
—
—
0
0
16
86
2.18
1.71
1.8
1.5
2.35
2.25
g/l
—
10
48
13
67
2.21
1.52
1.1
1.2
—
—
—
0
0
10
46
2.41
1.49
1.1
1.3
—
—
—
0
0
6
22
2.92
1.47
2.3
2.2
—
—
—
0
0
6
22
2.92
1.47
16.0
5.4
23.58
23.97
mmol/l
—
6
22
0
40
0.00
1.39
0.0
1.3
—
—
—
0
0
9
43
2.29
1.37
5.9
3.1
96.68
94.75
%
—
9
43
28
197
1.80
1.36
4.0
4.0
44.41
34.72
ng/l
0.20
22
138
41
324
1.87
1.36
5.7
4.2
—
—
—
0
0
6
24
2.66
1.34
1.0
1.2
—
—
—
0
0
6
25
2.55
1.28
5.3
3.5
—
—
—
0
0
8
37
2.34
1.27
6.5
3.2
108.25
124.51
g/l
—
8
37
5
19
2.78
1.24
2.2
1.4
—
—
—
0
0
6
26
2.45
1.22
7.5
2.7
0.73
0.76
%
—
6
26
11
58
2.10
1.21
1.6
2.0
—
—
—
0
0
13
75
1.94
1.14
4.5
4.4
12226.54
91.08
ng/l
0.51
13
63
19
125
1.77
1.12
1.9
1.4
—
—
—
0
0
45
505
0.54
1.06
67.6
21.3
117.87
135.48
g/l
5.88
45
494
9
50
1.94
1.02
6.0
3.0
4.84
5.00
kpa
—
9
50
9
50
1.94
1.02
5.9
3.0
12.17
12.40
kpa
—
9
50
45
504
0.55
1.02
67.6
21.0
35.59
40.37
%
5.26
45
472
45
504
0.55
1.02
67.2
21.1
31.12
30.44
pg
1.83
45
493
45
504
0.55
1.02
67.2
21.1
93.98
91.32
fl
2.66
45
493
10
55
1.99
0.99
7.9
1.3
616.60
190.44
ug/g
—
10
38
6
27
2.36
0.96
7.5
2.7
1.55
1.77
%
—
6
27
6
28
2.27
0.94
1.2
1.1
—
—
—
0
0
8
42
2.04
0.93
6.8
2.5
—
—
—
0
0
6
33
1.91
0.81
2.2
2.8
—
—
—
0
0
42
470
0.63
0.75
29.3
13.5
—
—
—
0
0
7
44
1.67
0.68
1.3
1.6
—
—
—
0
0
5
28
1.86
0.68
6.8
2.5
0.80
0.74
%
—
5
28
5
29
1.79
0.65
6.8
2.5
1.22
1.48
%
—
5
29
15
107
1.54
0.63
6.0
3.4
—
1.01
—
0
9
18
134
1.49
0.63
8.3
3.7
0.00
0.00
estimate
—
6
45
0
19
0.00
0.61
0.0
1.1
—
—
—
0
0
43
389
1.39
0.46
52.0
17.6
16.34
14.98
%
0.90
43
382
5
31
1.67
0.44
6.8
2.5
117.60
127.65
g/l
—
5
31
5
32
1.61
0.43
7.6
4.4
26.28
24.83
mmol/l
—
5
32
8
114
0.66
0.42
1.5
1.6
1.66
1.27
mmol/l
—
8
94
18
144
1.36
0.42
5.4
3.0
—
—
—
0
0
5
35
1.47
0.40
5.6
2.5
—
—
—
0
0
11
142
0.72
0.36
3.9
3.2
—
—
—
0
0
6
45
1.37
0.35
2.0
1.7
—
—
—
0
0
7
54
1.34
0.32
2.0
1.4
—
—
—
0
0
45
473
0.80
0.23
51.0
17.1
90.69
81.14
umol/l
0.78
45
473
35
323
1.21
0.23
3.9
4.2
—
—
—
0
0
0
11
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
0.08
—
0
5
0
12
0.00
0.21
0.0
1.1
—
—
—
0
0
0
13
0.00
0.21
0.0
1.8
—
—
—
0
0
15
134
1.16
0.12
3.3
3.8
5.67
9.23
mg/mmol
—
10
93
5
44
1.15
0.10
9.6
4.0
—
—
—
0
0
12
134
0.87
0.10
8.1
3.1
—
—
—
0
0
13
141
0.90
0.06
3.6
4.2
—
—
—
0
0
5
51
0.98
0.00
1.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
28.02
—
0
6
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
7.63
—
0
6
0
8
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
12.33
—
0
6
0
8
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
3.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.3
—
—
—
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
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
3.8
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
2.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
5.52
—
0
5
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint DRUGADVERS_APLAST_ANAEM and mortality.

Females

Parameter HR [95% CI] p-value
DRUGADVERS_APLAST_ANAEM 4.979 [2.92, 8.49] < 0.001
Birth year 0.995 [0.99, 1.0] 0.247

During the follow-up period (1.1.1998 — 31.12.2019), 149 out of 248 females with DRUGADVERS_APLAST_ANAEM died.

Males

Parameter HR [95% CI] p-value
DRUGADVERS_APLAST_ANAEM 6.784 [3.45, 13.35] < 0.001
Birth year 0.984 [0.97, 0.99] 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 138 out of 209 males with DRUGADVERS_APLAST_ANAEM died.

Mortality risk

Mortality risk for people of age

years, who have DRUGADVERS_APLAST_ANAEM.

N-year risk Females Males
1 0.537% 0.922%
5 3.103% 7.005%
10 7.649% 16.357%
15 14.183% 29.634%
20 22.687% 44.419%

Relationships between endpoints

Index endpoint: DRUGADVERS_APLAST_ANAEM – Drug-induced aplastic 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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