Drug-induced gout

DRUGADVERS_GOUT

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 M10.2#

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

160

4. Check minimum number of events

None

160

5. Include endpoints

None

160

6. Filter based on genotype QC (FinnGen only)

158

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 158 49 109
Unadjusted period prevalence (%) 0.04 0.02 0.05
Median age at first event (years) 70.49 74.41 68.72

-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
160
Matched controls
1600
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M10.2
ICD-10 Finland
Drug-induced gout
+∞
229.2
160
*
M04AA01
ATC
allopurinol; systemic
65.1
119.6
145
207
M10.9
ICD-10 Finland
Gout, unspecified
17.7
72.1
76
78
M10.0
ICD-10 Finland
Idiopathic gout
16.3
40.7
38
30
I50.9
ICD-10 Finland
Heart failure, unspecified
6.0
29.0
93
299
I50.0
ICD-10 Finland
Congestive heart failure
6.6
28.7
62
139
212
Kela drug reimbursment
Gout
13.4
28.4
29
26
C03CA01
ATC
furosemide; systemic
8.0
27.7
132
592
I50.1
ICD-10 Finland
Left ventricular failure
8.3
27.2
42
66
B01AA03
ATC
warfarin; systemic
5.5
25.7
97
350
C03DA01
ATC
spironolactone; oral
5.5
22.2
58
151
C01AA05
ATC
digoxin; systemic
4.8
17.5
51
143
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
5.7
17.4
38
83
M10
ICD-10 Finland
Gout
7.0
16.7
28
47
A46
ICD-10 Finland
Erysipelas
4.3
16.6
59
192
I48
ICD-10 Finland
Atrial fibrillation and flutter
3.7
14.9
89
407
N17.9
ICD-10 Finland
Acute renal failure, unspecified
6.6
14.7
26
46
205
Kela drug reimbursment
Chronic hypertension
3.6
14.5
95
459
201
Kela drug reimbursment
Chronic cardiac insufficiency
4.9
14.3
37
93
M13.9
ICD-10 Finland
Arthritis, unspecified
5.7
13.9
29
60
C07AB07
ATC
bisoprolol; oral
4.0
13.2
124
737
C03AA03
ATC
hydrochlorothiazide; oral
4.5
13.2
38
104
C09AA02
ATC
enalapril; systemic
3.4
12.7
70
298
C03EB01
ATC
furosemide and potassium-sparing agents; systemic
5.3
12.2
27
59
H02AB06
ATC
prednisolone; systemic
3.4
12.1
107
599
R06.0
ICD-10 Finland
Dyspnoea
3.1
10.9
72
335
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
5.7
10.1
20
39
I11.0
ICD-10 Finland
Hypertensive heart disease with (congestive) heart failure
5.6
9.9
20
40
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
2.9
9.8
75
375
C01DA14
ATC
isosorbide mononitrate; oral
2.9
9.3
67
322
I25.2
ICD-10 Finland
Old myocardial infarction
3.6
9.1
35
116
NK4XE
NOMESCO Finland
Joint ultrasound examination not elsewhere classified
5.4
9.1
19
39
C09BA02
ATC
enalapril and diuretics; systemic
3.6
9.0
34
111
C01DA08
ATC
isosorbide dinitrate; oral, oral aerosol, sublingual, transdermal
2.7
8.9
81
437
R60.0
ICD-10 Finland
Localized oedema
3.4
8.7
36
125
I50
ICD-10 Finland
Heart failure
4.9
8.1
19
43
I25.9
ICD-10 Finland
Chronic ischaemic heart disease, unspecified
2.9
7.8
46
196
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
3.8
7.8
26
78
207
Kela drug reimbursment
Chronic arrhythmias
2.7
7.6
52
239
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
2.7
7.6
58
282
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
8.3
7.6
16
21
M04AA03
ATC
febuxostat; oral
83.8
7.5
8
*
288
Kela drug reimbursment
Febuxostat
83.8
7.5
8
*
I70.2
ICD-10 Finland
Atherosclerosis of arteries of extremities
3.0
7.4
40
162
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
4.3
7.2
20
52
103
Kela drug reimbursment
Diabetes, insulin-treated
2.5
7.2
72
397
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
4.2
7.1
20
53
81
HP
Angiography of the heart and coronary arteries
3.3
6.9
29
101
C07AG02
ATC
carvedilol; oral
3.6
6.9
24
74
M01AB01
ATC
indometacin; systemic, rectal
3.3
6.8
28
96
J96.1
ICD-10 Finland
Chronic respiratory failure
8.4
6.8
14
18
206
Kela drug reimbursment
Chronic coronary artery disease and dyslipidaemia associated with chronic coronary artery disease
2.4
6.7
66
359
J44.8
ICD-10 Finland
Other specified chronic obstructive pulmonary disease
2.8
6.6
41
178
C02EA02, ,
ATC
3.6
6.6
23
71
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
3.0
6.6
33
128
E66.00
ICD-10 Finland
Metabolic syndrome
5.7
6.6
18
35
N18.8
ICD-10 Finland
Other chronic renal failure
6.5
6.5
16
27
R03AK06
ATC
salmeterol and fluticasone; inhalant
2.7
6.5
41
180
E66.9
ICD-10 Finland
Obesity, unspecified
8.7
6.5
13
16
C02AC05
ATC
moxonidine; oral
4.2
6.5
18
47
I25.5
ICD-10 Finland
Ischaemic cardiomyopathy
7.6
6.4
14
20
R03BB04
ATC
tiotropium bromide; inhalant
2.8
6.2
37
157
A11CC03
ATC
alfacalcidol; systemic
7.2
6.2
14
21
I25.1
ICD-10 Finland
Atherosclerotic heart disease
2.3
6.2
73
427
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
2.6
6.2
43
198
J01DB01
ATC
cefalexin; oral
2.8
6.1
131
990
Z01.8
ICD-10 Finland
Other specified special examinations
2.6
6.1
40
179

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
93
328
5.38
25.25
6.0
3.0
7574.25
8850.01
umol/l
0.08
83
263
30
112
3.07
6.36
12.0
8.0
—
—
—
0
0
36
150
2.81
6.27
1.4
1.3
77.32
43.63
iu/ml
0.36
19
48
33
134
2.84
6.02
1.4
1.3
16.53
24.27
u/ml
0.17
15
52
20
60
3.67
5.95
7.0
4.3
—
—
—
0
0
41
193
2.51
5.58
10.5
6.4
104.12
104.05
mmol/l
0.03
41
193
14
29
5.19
4.94
1.4
1.5
33717.78
5681.42
e6/l
—
9
19
10
15
7.03
4.54
1.1
1.5
—
—
—
0
0
39
197
2.30
4.47
2.1
2.0
—
—
—
0
0
35
177
2.25
3.98
9.9
6.1
5.32
5.05
kpa
0.62
35
168
35
177
2.25
3.98
9.9
6.1
8.88
11.24
kpa
5.04
35
169
25
110
2.51
3.86
1.3
1.3
993.33
634.48
titre
—
6
29
32
158
2.28
3.84
10.3
6.7
90.92
95.01
%
0.87
32
153
95
694
1.91
3.83
40.6
17.6
1.64
1.32
inr
1.81
26
203
6
5
12.39
3.79
1.2
1.0
—
—
—
0
0
66
432
1.90
3.71
6.6
4.3
—
—
—
0
0
23
100
2.52
3.63
11.5
6.2
24.64
24.33
mmol/l
0.10
23
95
14
46
3.24
3.63
2.2
3.5
0.53
0.17
g/l
—
6
16
25
114
2.41
3.58
7.0
3.7
—
—
—
0
0
30
149
2.25
3.55
2.3
1.8
—
—
—
0
0
50
305
1.93
3.43
5.6
2.9
3.65
4.05
e6/l
0.10
45
267
10
24
4.37
3.25
1.1
1.7
0.29
0.25
g/l
—
10
24
33
177
2.09
3.22
10.5
6.3
1.81
1.21
mmol/l
0.24
27
139
10
25
4.19
3.14
1.1
1.8
1.41
1.15
g/l
—
10
25
29
150
2.14
3.10
1.4
1.2
—
—
—
0
0
86
636
1.76
3.09
6.7
6.3
13.37
12.18
umol/l
0.48
80
595
56
365
1.82
3.09
4.0
2.0
5.27
3.20
mg/l
1.93
51
313
48
307
1.81
2.78
6.4
3.4
546.07
564.10
mosm/kgh2o
0.23
41
256
11
35
3.30
2.70
2.3
2.0
—
—
—
0
0
45
285
1.81
2.68
7.8
6.6
—
—
—
0
0
16
68
2.50
2.65
6.9
2.8
1.42
1.16
%
0.53
16
68
7
15
4.83
2.62
1.0
1.1
—
—
—
0
0
9
25
3.75
2.62
1.8
1.5
—
—
—
0
0
6
12
5.15
2.42
1.0
1.2
—
—
—
0
0
6
12
5.15
2.42
1.0
1.3
—
—
—
0
0
6
13
4.75
2.29
1.0
1.4
—
—
—
0
0
21
109
2.07
2.23
4.1
4.0
—
—
—
0
0
74
564
1.58
2.12
6.4
4.5
0.00
0.00
estimate
-0.00
20
123
51
358
1.62
2.05
7.1
3.4
—
—
—
0
0
7
21
3.44
1.99
1.4
1.1
—
—
—
0
0
74
572
1.55
1.96
6.7
4.7
42.77
56.42
ng/l
0.67
59
449
6
16
3.85
1.95
1.0
1.1
—
—
—
0
0
14
65
2.26
1.94
7.6
2.6
0.89
0.66
%
0.75
14
65
63
471
1.56
1.93
7.6
4.2
45.50
137.67
e6/l
1.53
54
359
8
28
2.95
1.89
2.3
2.8
—
—
—
0
0
38
253
1.66
1.86
5.5
4.4
—
—
—
0
0
6
17
3.62
1.85
1.5
1.4
—
—
—
0
0
5
12
4.26
1.83
1.2
1.2
—
—
—
0
0
5
12
4.26
1.83
1.0
1.2
—
—
—
0
0
53
385
1.56
1.82
4.8
3.2
7.08
7.32
mmol/l
0.17
48
302
56
412
1.55
1.82
5.8
3.9
46.26
9.36
mg/mmol
1.49
45
261
14
67
2.19
1.82
1.9
2.6
—
—
—
0
0
7
23
3.13
1.82
4.4
3.1
—
—
—
0
0
37
247
1.65
1.79
1.6
1.6
1.10
1.70
mg/l
1.32
30
192
6
18
3.42
1.76
2.3
1.6
4.59
5.04
e9/l
—
6
18
53
388
1.55
1.76
4.4
3.1
222.57
69.69
mg/l
1.01
45
253
11
48
2.39
1.75
2.4
2.4
—
—
—
0
0
5
13
3.93
1.73
1.0
1.5
—
—
—
0
0
19
105
1.92
1.72
2.7
2.1
—
—
—
0
0
67
520
1.50
1.68
9.3
6.5
—
—
—
0
0
6
19
3.24
1.67
3.7
1.8
86.18
89.45
%
—
6
19
7
25
2.88
1.67
1.9
1.7
24.29
27.10
umol/l
—
7
19
72
569
1.48
1.64
6.6
4.5
0.00
0.00
estimate
-0.00
14
104
58
439
1.50
1.63
7.2
3.6
14.53
233.18
e6/l
0.87
52
345
81
656
1.48
1.63
10.1
9.3
5.65
4.37
e9/l
2.12
76
571
71
562
1.47
1.60
8.0
6.0
0.00
0.00
estimate
-0.00
18
109
6
20
3.08
1.59
2.3
1.8
61.50
57.85
%
—
6
20
13
65
2.09
1.53
13.3
9.4
—
—
—
0
0
15
80
1.97
1.50
1.5
1.3
—
—
—
0
0
57
437
1.47
1.49
5.0
4.3
—
5.74
—
0
17
53
405
1.46
1.40
4.4
2.8
—
—
—
0
0
8
36
2.29
1.26
1.0
1.3
—
—
—
0
0
6
25
2.45
1.25
3.5
2.6
—
—
—
0
0
25
167
1.59
1.22
1.6
1.4
3.12
3.05
g/l
0.03
16
95
8
38
2.16
1.20
4.7
2.7
—
—
—
0
0
13
72
1.88
1.19
2.5
2.9
—
—
—
0
0
26
367
0.65
1.18
3.0
3.2
0.88
0.88
ug/l
0.00
21
250
15
88
1.78
1.16
3.3
1.5
—
—
—
0
0
5
20
2.55
1.16
1.2
1.5
—
—
—
0
0
35
257
1.46
1.12
6.8
5.2
1.02
1.02
kg/l
—
5
33
5
21
2.42
1.10
1.0
4.1
1.40
0.83
%
—
5
21
43
330
1.41
1.09
7.3
4.7
0.00
0.00
estimate
-0.00
16
104
76
643
1.35
1.06
13.7
6.3
1.20
1.21
mmol/l
0.20
66
540
7
35
2.04
1.01
9.7
3.1
—
—
—
0
0
69
586
1.31
0.90
15.7
5.6
1.20
1.20
mmol/l
0.01
64
518
6
31
1.97
0.85
1.3
1.1
—
—
—
0
0
0
26
0.00
0.79
0.0
1.5
—
—
—
0
0
37
457
0.75
0.77
2.5
2.2
—
—
—
0
0
5
27
1.88
0.69
1.4
1.4
—
—
—
0
0
14
95
1.52
0.66
3.0
1.4
—
—
—
0
0
15
104
1.49
0.65
5.3
4.5
0.50
0.92
%
—
8
49
94
1023
0.80
0.65
5.1
4.8
1.16
1.41
mmol/l
7.60
84
907
93
845
1.24
0.64
7.8
4.3
27.77
15.53
mm/h
4.58
88
761
14
96
1.50
0.64
5.6
4.6
0.00
0.10
%
—
7
41
5
30
1.69
0.62
1.8
1.6
—
—
—
0
0
56
641
0.81
0.61
4.7
5.5
3.87
3.14
ug/l
0.24
50
562
92
1000
0.81
0.61
4.6
4.4
2.47
2.08
mu/l
0.84
85
855
17
123
1.43
0.61
1.3
1.3
—
—
—
0
0
24
303
0.76
0.58
3.1
3.6
—
—
—
0
0
100
1075
0.81
0.57
5.9
5.5
2.19
2.48
mmol/l
2.84
91
954
112
1190
0.80
0.57
56.2
27.5
37.32
39.21
%
1.29
104
1103
12
82
1.50
0.56
5.2
2.9
—
—
—
0
0
6
38
1.60
0.55
26.8
15.5
—
—
—
0
0
57
499
1.22
0.54
20.4
11.2
0.00
0.01
e9/l
0.17
50
414
108
1149
0.82
0.54
47.4
22.6
121.67
88.22
umol/l
4.74
108
1149
6
39
1.56
0.53
1.8
1.6
—
—
—
0
0
15
109
1.42
0.53
4.5
1.5
—
—
—
0
0
13
92
1.45
0.52
4.8
4.4
0.17
0.40
%
—
6
39
9
65
1.41
0.51
2.9
3.2
—
—
—
0
0
100
1069
0.83
0.51
5.4
5.2
6.51
6.19
mmol/l
1.23
92
941
13
93
1.43
0.50
6.0
4.6
0.00
0.26
%
—
6
39
89
819
1.20
0.49
7.5
4.6
—
—
—
0
0
7
46
1.55
0.49
4.7
3.7
—
—
—
0
0
93
995
0.84
0.45
4.5
4.4
1.58
1.25
mmol/l
3.83
81
879
97
1032
0.85
0.43
5.1
4.9
3.91
4.31
mmol/l
3.53
87
927
49
433
1.19
0.42
4.9
3.6
—
—
—
0
0
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
110
1155
0.85
0.39
16.5
11.3
23.92
24.30
u/l
0.10
104
1101
0
19
0.00
0.39
0.0
1.2
—
1.79
—
0
14
0
19
0.00
0.39
0.0
1.3
—
15.79
—
0
14
76
819
0.86
0.38
6.9
4.6
—
—
—
0
0
10
73
1.39
0.35
4.6
5.0
—
—
—
0
0
27
229
1.22
0.35
5.2
3.3
1.90
1.81
e6/l
0.03
21
142
6
45
1.35
0.34
8.0
2.4
2.93
1.76
mg/l
—
6
37
43
385
1.16
0.31
11.9
3.9
7.40
7.40
ph
—
9
77
7
57
1.24
0.29
3.4
5.5
—
—
—
0
0
11
85
1.32
0.29
2.4
1.5
—
—
—
0
0
23
267
0.84
0.28
1.2
1.3
—
—
—
0
0
108
1122
0.88
0.26
36.2
18.1
—
—
—
0
0
5
41
1.23
0.22
1.4
1.2
—
—
—
0
0
12
145
0.81
0.22
1.3
1.4
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
209.60
—
0
5
0
13
0.00
0.21
0.0
2.5
—
—
—
0
0
12
99
1.23
0.20
1.3
1.3
—
—
—
0
0
38
349
1.12
0.19
2.1
1.6
27.68
20.20
nmol/l
0.29
32
290
101
1039
0.92
0.15
9.0
6.9
43.81
41.62
mmol/mol
1.04
94
942
75
779
0.93
0.14
3.7
3.5
14.82
15.07
pmol/l
0.35
67
661
109
1115
0.93
0.13
41.8
18.9
25.22
26.92
mg/l
0.32
103
939
34
319
1.08
0.11
6.9
4.3
—
—
—
0
0
52
542
0.94
0.10
2.4
2.1
84.74
90.40
pmol/l
0.53
32
291
89
912
0.95
0.10
43.9
23.0
16.23
15.42
%
0.76
89
895
14
126
1.12
0.09
5.2
3.9
—
—
—
0
0
16
150
1.07
0.04
2.2
1.4
—
—
—
0
0
11
101
1.10
0.04
11.5
3.9
—
—
—
0
0
20
190
1.06
0.04
1.1
1.1
0.65
1.16
u/ml
—
6
54
40
394
1.02
0.00
5.3
4.7
—
—
—
0
0
0
7
0.00
0.00
0.0
1.3
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
2.1
—
3.49
—
0
7
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
5
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
22.72
—
0
6
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
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
1.16
—
0
5
0
5
0.00
-0.00
0.0
1.8
—
30.20
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
10.38
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
19.60
—
0
5
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
5
52
0.96
-0.00
1.0
1.2
—
—
—
0
0
9
93
0.97
-0.00
1.7
1.9
111.00
246.77
ug/g
—
9
71
0
5
0.00
-0.00
0.0
1.0
—
1.97
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
184.76
—
0
5
5
55
0.91
-0.00
1.0
1.1
—
—
—
0
0
7
69
1.02
-0.00
2.6
1.3
—
—
—
0
0
6
69
0.86
-0.00
4.8
2.9
4.71
7.77
e9/l
—
6
48
0
8
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0

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
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