Other adrenocortical overactivity

E4_ADREACT

Endpoint definition

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 E27.0
  • Hospital discharge: ICD-9 2553A
  • Hospital discharge: ICD-8 25508
  • Cause of death: ICD-10 E27.0
  • Cause of death: ICD-9 2553A
  • Cause of death: ICD-8 25508

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

219

4. Check minimum number of events

None

219

5. Include endpoints

None

219

6. Filter based on genotype QC (FinnGen only)

219

Control definitions (FinnGen only)

Control exclude
E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E27
Name in latin
Alia hyperfunctio adrenocorticalis

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 4574 3566 1002
Only index persons 3335 2615 720
Unadjusted period prevalence (%)
Whole population 0.09 0.10 0.03
Only index persons 0.08 0.10 0.03
Median age at first event (years)
Whole population 7.91 7.69 8.52
Only index persons 8.08 7.85 8.90

-FinnGen-

Key figures

All Female Male
Number of individuals 219 183 36
Unadjusted period prevalence (%) 0.05 0.06 0.02
Median age at first event (years) 14.57 8.40 45.90

-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 (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
191
Matched controls
1911
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E27.0
ICD-10 Finland
Other adrenocortical overactivity
+∞
239.3
176
*
H02AB09
ATC
hydrocortisone; systemic
24.6
35.1
50
27
105
Kela drug reimbursment
Adrenal cortical hypofunction
+∞
27.8
26
*
H02AA02
ATC
fludrocortisone; oral
+∞
22.3
21
*
E27.1
ICD-10 Finland
Primary adrenocortical insufficiency
+∞
22.3
21
*
NK6MA
NOMESCO Finland
Measurement of bone age from hand and elbow using X-ray
13.1
18.6
33
30
E27.4
ICD-10 Finland
Other and unspecified adrenocortical insufficiency
+∞
15.8
15
*
D44.1
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Adrenal gland
173.6
15.7
16
*
E30.1
ICD-10 Finland
Precocious puberty
+∞
12.6
12
*
BCA31
NOMESCO Finland
Endoscopic unilateral adrenalectomy
138.7
12.6
13
*
25508
ICD-8 Finland
Diseases of adrenal glands, Hyperfunctio adrenocorticalis alia
+∞
11.6
11
*
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
8.5
9.4
20
26
D35.0
ICD-10 Finland
Benign neoplasm: Adrenal gland
52.4
8.8
10
*
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
6.2
8.4
22
39
E27.3
ICD-10 Finland
Drug-induced adrenocortical insufficiency
+∞
8.4
8
*
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
+∞
8.4
8
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.9
7.4
48
197
Z51.80
ICD-10 Finland
Manipulation of puberty development with hormone therapy
+∞
7.3
7
*
E24.9
ICD-10 Finland
Cushing syndrome, unspecified
+∞
7.3
7
*
E34.45
ICD-10 Finland
Abnormal growth increase
+∞
7.3
7
*
D35.2
ICD-10 Finland
Benign neoplasm: Pituitary gland
+∞
7.3
7
*
M05BA04
ATC
alendronic acid; oral
7.3
6.7
15
22
H02AB07
ATC
prednisone; oral
4.1
6.4
24
65
E27.2
ICD-10 Finland
Addisonian crisis
+∞
6.3
6
*
E24.8
ICD-10 Finland
Other Cushing syndrome
+∞
6.3
6
*
E66.01
ICD-10 Finland
Obesity due to excess calories
3.7
6.0
25
74
H03AA01
ATC
levothyroxine sodium; systemic
2.7
6.0
44
193
C03CA01
ATC
furosemide; systemic
3.2
6.0
31
109

Mortality – FinRegistry

Association

Association between endpoint E4_ADREACT and mortality.

Females

Parameter HR [95% CI] p-value
E4_ADREACT 4.569 [3.1, 6.73] < 0.001
Birth year 0.992 [0.98, 1.0] 0.084

During the follow-up period (1.1.1998 — 31.12.2019), 65 out of 2952 females with E4_ADREACT died.

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_ADREACT.

N-year risk Females Males
1 0.47% No data
5 2.272% No data
10 5.762% No data
15 11.548% No data
20 18.618% No data

Relationships between endpoints

Index endpoint: E4_ADREACT – Other adrenocortical overactivity

GWS hits: 1

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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