Drug-induced gout

DRUGADVERS_GOUT

Endpoint definition

Report an error or suggest an improvement for this endpoint codes

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 M10.2#

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

156

4. Check minimum number of events

None

156

5. Include endpoints

None

156

6. Filter based on genotype QC (FinnGen only)

156

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 2039 925 1082
Only index persons 1283 594 689
Unadjusted period prevalence (%)
Whole population 0.03 0.03 0.03
Only index persons 0.02 0.02 0.03
Median age at first event (years)
Whole population 75.80 79.20 72.91
Only index persons 74.55 78.74 70.93

-FinnGen-

Key figures

All Female Male
Number of individuals 156 50 106
Unadjusted period prevalence (%) 0.04 0.02 0.05
Median age at first event (years) 69.89 73.16 68.36

-FinRegistry-

Age distribution of first events

030405060708090050100150200250300350400450500550600650AgeIndividuals

-FinnGen-

Age distribution of first events

010205060708005101520253035404550AgeIndividuals

-FinRegistry-

Year distribution of first events

197019751980198519901995200020052010201520202022050100150200250300350400450YearIndividuals

-FinnGen-

Year distribution of first events

19701975198019851990199520002005201020152020202305101520253035YearIndividuals

-FinRegistry-

Cumulative Incidence Function

01020304050607080901000.00.10.20.30.40.50.60.70.80.91.0AgeProbability of first incidence (%)

-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
144
Matched controls
1439
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M10.2
ICD-10 Finland
Drug-induced gout
+∞
208.1
144
*
M04AA01
ATC
allopurinol; systemic
47.0
78.8
125
176
M10.9
ICD-10 Finland
Gout, unspecified
14.3
35.3
66
80
C03CA01
ATC
furosemide; systemic
8.0
26.5
117
505
I50.9
ICD-10 Finland
Heart failure, unspecified
6.9
25.0
83
236
M10.0
ICD-10 Finland
Idiopathic gout
18.0
24.0
38
28
I50.0
ICD-10 Finland
Congestive heart failure
6.8
19.1
55
120
B01AA03
ATC
warfarin; systemic
5.0
18.6
89
351
212
Kela drug reimbursment
Gout
13.6
16.1
28
25
C03DA01
ATC
spironolactone; oral
5.3
14.8
52
139
I50.1
ICD-10 Finland
Left ventricular failure
6.8
13.8
37
70
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
6.7
13.5
36
68
205
Kela drug reimbursment
Chronic hypertension
3.5
12.0
86
424
H02AB06
ATC
prednisolone; systemic
3.5
11.7
97
530
A46
ICD-10 Finland
Erysipelas
4.3
11.5
49
155
I48
ICD-10 Finland
Atrial fibrillation and flutter
3.5
11.5
82
396
C01AA05
ATC
digoxin; systemic
4.0
10.5
47
154
C01DA14
ATC
isosorbide mononitrate; oral
3.3
9.7
62
265
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
3.2
9.6
67
307
C07AB07
ATC
bisoprolol; oral
3.3
9.6
108
687
M13.9
ICD-10 Finland
Arthritis, unspecified
5.7
9.3
27
56
R06.0
ICD-10 Finland
Dyspnoea
3.2
9.2
62
274
C01DA08
ATC
isosorbide dinitrate; oral, oral aerosol, sublingual, transdermal
3.1
9.2
72
354
201
Kela drug reimbursment
Chronic cardiac insufficiency
4.6
8.9
32
84
C09AA02
ATC
enalapril; systemic
3.1
8.8
61
276
E66.00
ICD-10 Finland
Metabolic syndrome
8.8
8.7
18
23
J44.8
ICD-10 Finland
Other specified chronic obstructive pulmonary disease
3.8
8.4
38
124
C03EB01
ATC
furosemide and potassium-sparing agents; systemic
5.1
7.9
25
57
E66.9
ICD-10 Finland
Obesity, unspecified
12.8
7.7
13
11
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
7.6
7.6
17
25
A11CC03
ATC
alfacalcidol; systemic
10.2
7.5
14
15
M10
ICD-10 Finland
Gout
5.2
7.3
22
48
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.0
7.2
49
214
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
5.9
7.1
19
36
R03BB04
ATC
tiotropium bromide; inhalant
3.4
7.0
35
123
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
7.8
6.9
15
21
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
4.7
6.9
23
56
C03AA03
ATC
hydrochlorothiazide; oral
3.7
6.8
30
95
103
Kela drug reimbursment
Diabetes, insulin-treated
2.6
6.8
64
336
C02AC05
ATC
moxonidine; oral
6.1
6.5
17
31
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
4.3
6.4
23
61
207
Kela drug reimbursment
Chronic arrhythmias
2.8
6.3
46
205
C09BA02
ATC
enalapril and diuretics; systemic
3.4
6.2
30
103
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
3.3
6.1
33
120
T90
ICPC
Diabetes non-insulin dependent
2.7
6.1
50
240
R03AK06
ATC
salmeterol and fluticasone; inhalant
3.1
6.1
35
135

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
91
316
5.51
25.35
6.0
3.0
7840.25
9184.86
umol/l
0.08
80
253
33
126
3.05
6.76
6.4
3.9
2.35
1.67
mmol/l
0.50
28
93
20
57
3.88
6.40
7.1
4.4
—
—
—
0
0
33
132
2.90
6.21
1.4
1.3
16.53
24.27
u/ml
0.17
15
52
35
145
2.82
6.17
1.4
1.3
81.17
45.00
iu/ml
0.37
18
46
29
109
3.04
6.08
10.6
8.1
—
—
—
0
0
31
129
2.75
5.39
6.7
3.9
—
—
—
0
0
38
190
2.32
4.48
2.1
2.0
—
—
—
0
0
25
107
2.59
4.09
7.0
3.6
—
—
—
0
0
9
14
6.75
4.04
1.1
1.5
—
—
—
0
0
25
108
2.57
4.01
1.3
1.3
993.33
645.71
titre
—
6
28
34
170
2.28
3.98
8.7
6.1
5.36
5.04
kpa
0.78
34
161
34
170
2.28
3.98
8.7
6.1
8.77
11.19
kpa
5.42
34
162
10
24
4.38
3.95
1.1
1.8
0.29
0.25
g/l
—
10
24
65
419
1.95
3.88
6.7
4.3
—
—
—
0
0
6
5
12.40
3.79
1.2
1.0
—
—
—
0
0
31
152
2.30
3.79
9.0
6.7
90.74
95.12
%
0.91
31
147
10
25
4.21
3.76
1.1
1.8
1.41
1.15
g/l
—
10
25
14
46
3.24
3.63
2.2
3.5
0.53
0.17
g/l
—
6
16
29
145
2.23
3.38
1.4
1.3
—
—
—
0
0
29
147
2.19
3.27
2.3
1.8
—
—
—
0
0
32
170
2.11
3.21
9.2
6.3
2.25
1.08
mmol/l
0.59
26
133
47
291
1.88
3.06
5.8
2.8
3.74
4.30
e6/l
0.14
42
251
83
615
1.75
2.95
6.6
6.2
13.36
12.23
umol/l
0.43
77
574
16
66
2.59
2.81
6.9
2.8
1.42
1.18
%
0.47
16
66
7
14
5.18
2.76
1.0
1.1
—
—
—
0
0
14
55
2.70
2.70
8.4
3.4
3.97
4.05
mmol/l
0.22
14
49
45
287
1.80
2.63
6.6
3.1
527.29
567.10
mosm/kgh2o
0.81
38
239
6
12
5.15
2.42
1.0
1.2
—
—
—
0
0
6
13
4.75
2.29
1.0
1.4
—
—
—
0
0
8
24
3.46
2.21
1.9
1.4
—
—
—
0
0
37
234
1.76
2.20
1.6
1.6
1.10
1.76
mg/l
1.42
30
182
42
276
1.71
2.19
7.1
6.5
—
—
—
0
0
74
563
1.60
2.17
24.1
10.1
1.61
1.32
inr
1.19
20
159
53
377
1.61
2.03
7.9
5.1
—
—
—
0
0
20
107
2.00
1.97
4.3
4.1
—
—
—
0
0
5
11
4.66
1.95
1.0
1.3
—
—
—
0
0
5
11
4.66
1.95
1.0
1.2
—
—
—
0
0
6
16
3.85
1.95
1.5
1.3
—
—
—
0
0
8
28
2.95
1.89
2.3
2.8
—
—
—
0
0
72
559
1.53
1.86
6.8
4.7
43.28
57.44
ng/l
0.68
58
436
5
12
4.27
1.83
1.2
1.2
—
—
—
0
0
5
12
4.27
1.83
1.0
1.5
—
—
—
0
0
9
35
2.67
1.83
2.3
2.0
—
—
—
0
0
48
341
1.59
1.83
7.3
3.4
—
—
—
0
0
7
23
3.14
1.82
4.4
3.1
—
—
—
0
0
19
103
1.96
1.81
2.7
2.1
—
—
—
0
0
70
545
1.52
1.76
6.5
4.4
0.00
0.00
estimate
0.00
17
111
6
18
3.42
1.76
2.3
1.6
4.59
5.04
e9/l
—
6
18
60
453
1.53
1.74
7.8
4.2
47.85
141.34
e6/l
1.48
51
349
13
62
2.20
1.71
2.0
2.6
—
—
—
0
0
6
19
3.24
1.68
2.3
1.7
61.50
58.32
%
—
6
19
6
19
3.24
1.68
3.7
1.8
86.18
89.45
%
—
6
19
7
25
2.88
1.67
1.9
1.7
24.29
27.49
umol/l
—
7
18
70
551
1.49
1.65
6.7
4.5
0.00
0.00
estimate
0.00
14
100
71
561
1.49
1.64
10.4
5.6
1.65
1.81
e9/l
0.61
66
503
15
78
2.02
1.60
1.5
1.4
—
—
—
0
0
69
544
1.48
1.60
8.2
5.9
0.00
0.00
estimate
0.00
18
105
6
20
3.08
1.59
1.5
1.1
—
—
—
0
0
36
247
1.59
1.57
5.8
4.3
—
—
—
0
0
78
638
1.45
1.46
9.7
9.1
5.76
4.37
e9/l
2.27
73
553
55
421
1.47
1.45
7.3
3.6
14.81
239.76
e6/l
0.87
49
335
53
403
1.48
1.45
6.1
4.1
48.31
9.53
mg/mmol
1.51
43
256
6
22
2.79
1.45
3.5
2.8
—
—
—
0
0
52
398
1.46
1.36
4.5
2.8
—
—
—
0
0
50
380
1.46
1.36
4.6
3.1
240.94
71.38
mg/l
1.00
40
246
35
248
1.53
1.33
6.9
5.1
1.02
1.02
kg/l
—
5
30
43
319
1.48
1.32
7.3
4.7
0.00
0.00
estimate
0.00
16
100
8
34
2.42
1.31
1.0
1.3
—
—
—
0
0
13
70
1.94
1.28
2.5
2.9
—
—
—
0
0
8
36
2.29
1.26
4.9
2.6
—
—
—
0
0
12
64
1.95
1.21
10.3
9.0
—
—
—
0
0
15
87
1.80
1.20
3.3
1.5
—
—
—
0
0
5
20
2.55
1.16
1.2
1.5
—
—
—
0
0
30
214
1.50
1.11
6.3
5.8
—
—
—
0
0
24
163
1.56
1.10
1.6
1.4
3.12
3.08
g/l
0.02
16
93
7
32
2.24
1.09
9.7
3.2
—
—
—
0
0
9
47
1.97
1.04
2.4
2.4
—
—
—
0
0
26
354
0.68
0.98
3.0
3.2
0.88
0.88
ug/l
0.01
21
242
73
626
1.31
0.90
13.2
6.4
1.20
1.20
mmol/l
0.26
63
519
6
31
1.97
0.85
1.3
1.1
—
—
—
0
0
90
995
0.77
0.81
5.1
4.8
1.16
1.41
mmol/l
7.49
80
882
0
24
0.00
0.80
0.0
1.2
—
—
—
0
0
0
26
0.00
0.79
0.0
1.5
—
—
—
0
0
66
570
1.27
0.74
15.1
5.6
1.20
1.21
mmol/l
0.05
60
501
15
101
1.54
0.73
5.3
4.2
0.67
0.77
%
—
6
39
36
443
0.76
0.73
2.5
2.2
—
—
—
0
0
14
93
1.56
0.72
5.6
4.4
0.00
0.11
%
—
6
36
96
1046
0.79
0.71
5.9
5.5
2.19
2.47
mmol/l
2.53
87
928
5
26
1.95
0.71
1.4
1.4
—
—
—
0
0
88
968
0.79
0.71
4.6
4.4
2.47
2.09
mu/l
0.76
81
827
14
94
1.54
0.69
3.0
1.4
—
—
—
0
0
5
28
1.81
0.66
1.8
1.5
—
—
—
0
0
104
1115
0.80
0.62
47.5
22.5
122.00
88.23
umol/l
4.56
104
1115
96
1038
0.80
0.62
5.5
5.2
6.52
6.19
mmol/l
1.17
88
914
90
819
1.23
0.61
8.0
4.3
28.42
15.72
mm/h
4.67
85
738
54
617
0.81
0.58
4.5
5.5
3.68
3.22
ug/l
0.14
48
539
15
107
1.44
0.58
4.5
1.5
—
—
—
0
0
13
90
1.48
0.57
6.0
4.3
0.00
0.24
%
—
5
33
6
37
1.65
0.56
26.8
15.8
—
—
—
0
0
93
1004
0.82
0.56
5.1
4.9
3.93
4.30
mmol/l
3.08
83
903
6
39
1.56
0.53
1.8
1.6
—
—
—
0
0
55
481
1.22
0.53
20.4
11.0
0.00
0.01
e9/l
0.17
48
397
48
414
1.23
0.53
4.8
3.6
—
—
—
0
0
16
119
1.38
0.50
1.3
1.3
—
—
—
0
0
90
967
0.84
0.48
4.4
4.4
1.57
1.25
mmol/l
3.45
78
854
86
792
1.19
0.47
7.6
4.7
—
—
—
0
0
106
1121
0.83
0.46
16.1
11.3
23.85
24.20
u/l
0.09
100
1067
24
291
0.79
0.43
3.1
3.7
—
—
—
0
0
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
73
790
0.86
0.39
6.8
4.6
—
—
—
0
0
0
19
0.00
0.39
0.0
1.3
—
15.79
—
0
14
0
19
0.00
0.39
0.0
1.2
—
1.79
—
0
14
82
877
0.86
0.37
43.0
20.6
35.16
38.34
%
0.84
41
535
6
42
1.45
0.36
8.0
2.5
2.93
1.77
mg/l
—
6
35
6
45
1.35
0.34
4.3
3.9
—
—
—
0
0
104
1089
0.87
0.33
37.1
18.1
—
—
—
0
0
11
83
1.35
0.33
2.4
1.5
—
—
—
0
0
11
142
0.76
0.32
1.4
1.4
—
—
—
0
0
7
55
1.29
0.30
3.4
5.5
—
—
—
0
0
8
62
1.31
0.28
3.1
3.2
—
—
—
0
0
48
525
0.88
0.28
2.4
2.1
85.55
90.06
pmol/l
0.37
30
280
22
255
0.84
0.27
1.2
1.3
—
—
—
0
0
34
307
1.14
0.22
6.9
4.3
—
—
—
0
0
41
375
1.13
0.22
11.6
3.9
7.40
7.40
ph
—
9
75
5
41
1.23
0.22
1.4
1.2
—
—
—
0
0
97
1008
0.90
0.22
9.2
7.0
43.81
41.69
mmol/mol
0.99
90
915
12
98
1.24
0.22
1.3
1.3
—
—
—
0
0
81
849
0.90
0.22
45.4
23.5
15.20
14.07
%
4.74
81
828
0
12
0.00
0.21
0.0
1.2
—
209.60
—
0
5
0
12
0.00
0.21
0.0
1.5
—
—
—
0
0
10
80
1.27
0.21
5.8
3.0
—
—
—
0
0
0
13
0.00
0.21
0.0
2.5
—
—
—
0
0
72
757
0.91
0.20
3.6
3.5
14.75
15.06
pmol/l
0.44
64
643
105
1082
0.91
0.18
42.0
18.8
25.53
27.21
mg/l
0.31
100
906
8
71
1.13
0.16
5.3
4.9
—
—
—
0
0
24
220
1.11
0.12
5.6
3.3
2.05
1.82
e6/l
0.07
19
137
40
378
1.08
0.11
5.3
4.8
—
—
—
0
0
11
96
1.16
0.10
11.5
4.0
—
—
—
0
0
14
125
1.13
0.10
5.2
4.0
—
—
—
0
0
16
145
1.12
0.09
2.2
1.4
—
—
—
0
0
7
68
1.03
0.08
2.6
1.3
—
—
—
0
0
8
92
0.86
0.07
1.8
2.0
123.63
246.77
ug/g
—
8
71
35
337
1.05
0.05
2.0
1.6
28.82
20.39
nmol/l
0.29
29
281
19
186
1.02
0.00
1.1
1.1
0.65
1.16
u/ml
—
6
54
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
5
54
0.92
0.00
1.0
1.1
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
22.72
—
0
6
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
0.00
0.0
1.8
—
30.20
—
0
5
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
0.00
0.0
1.8
—
1.16
—
0
5
5
49
1.02
0.00
1.0
1.2
—
—
—
0
0
0
7
0.00
0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
6
60
1.00
0.00
1.0
1.4
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
2.3
—
3.65
—
0
6
6
68
0.88
0.00
4.8
3.0
4.71
3.51
e9/l
—
6
46
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
1.97
—
0
5
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
19.60
—
0
5

Mortality – FinRegistry

Association

Association between endpoint DRUGADVERS_GOUT and mortality.

Females

Parameter HR [95% CI] p-value
DRUGADVERS_GOUT 2.636 [2.17, 3.21] < 0.001
Birth year 0.993 [0.98, 1.0] 0.103

During the follow-up period (1.1.1998 — 31.12.2019), 583 out of 777 females with DRUGADVERS_GOUT died.

Males

Parameter HR [95% CI] p-value
DRUGADVERS_GOUT 2.856 [2.31, 3.53] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 683 out of 935 males with DRUGADVERS_GOUT died.

Mortality risk

Mortality risk for people of age

years, who have DRUGADVERS_GOUT.

N-year risk Females Males
1 0.264% 0.645%
5 1.546% 3.143%
10 3.113% 7.409%
15 6.06% 14.055%
20 11.075% 22.563%

Relationships between endpoints

Index endpoint: DRUGADVERS_GOUT – Drug-induced gout

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
loading spinner Loading data