Cushing syndrome

E4_CUSHING

hyperaldosteronism: Overproduction of aldosterone by the adrenal glands, which may lead to hypokalemia and/or hypernatremia. [ NCIT:P378 ]

Suggest a new description

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 E24
  • Hospital discharge: ICD-9 2550|2593
  • Hospital discharge: ICD-8 2580
  • Cause of death: ICD-10 E24
  • Cause of death: ICD-9 2550|2593
  • Cause of death: ICD-8 2580

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

404

4. Check minimum number of events

None

404

5. Include endpoints

None

404

6. Filter based on genotype QC (FinnGen only)

404

Control definitions (FinnGen only)

Control exclude
E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF6
Parent code in ICD-10
E20-E35
Name in latin
Syndroma Cushing

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 2517 1702 780
Only index persons 1932 1354 578
Unadjusted period prevalence (%)
Whole population 0.04 0.05 0.02
Only index persons 0.04 0.05 0.02
Median age at first event (years)
Whole population 52.43 51.81 53.66
Only index persons 48.38 47.55 50.32

-FinnGen-

Key figures

All Female Male
Number of individuals 404 283 121
Unadjusted period prevalence (%) 0.08 0.10 0.05
Median age at first event (years) 51.12 47.52 59.54

-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
360
Matched controls
3599
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
H02AB09
ATC
hydrocortisone; systemic
118.2
133.4
139
19
E24.9
ICD-10 Finland
Cushing syndrome, unspecified
+∞
130.3
117
*
E24.0
ICD-10 Finland
Pituitary-dependent Cushing disease
+∞
107.9
98
*
E24.8
ICD-10 Finland
Other Cushing syndrome
+∞
96.3
88
*
D35.0
ICD-10 Finland
Benign neoplasm: Adrenal gland
68.8
63.6
72
13
D35.2
ICD-10 Finland
Benign neoplasm: Pituitary gland
215.6
54.6
55
*
BCA31
NOMESCO Finland
Endoscopic unilateral adrenalectomy
275.9
48.3
48
*
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
269.3
47.2
47
*
105
Kela drug reimbursment
Adrenal cortical hypofunction
+∞
44.7
42
*
AAE10
NOMESCO Finland
Transsphenoidal total or partial excision of intracranial lesion
483.2
44.2
43
*
D44.1
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Adrenal gland
100.0
40.8
44
5
E24.2
ICD-10 Finland
Drug-induced Cushing syndrome
+∞
40.4
38
*
H02AA02
ATC
fludrocortisone; oral
94.9
38.7
42
5
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
14.4
36.4
63
52
E27.4
ICD-10 Finland
Other and unspecified adrenocortical insufficiency
+∞
29.6
28
*
V04CD01
ATC
metyrapone; oral
+∞
29.6
28
*
25800
ICD-8 Finland
Polyglandular dysfunction and other diseases of endocrine glands, Cushing's syndrome
+∞
28.5
27
*
E89.6
ICD-10 Finland
Postprocedural adrenocortical(-medullary) hypofunction
+∞
28.5
27
*
C03DA01
ATC
spironolactone; oral
6.0
27.6
83
171
E24.3
ICD-10 Finland
Ectopic ACTH syndrome
+∞
26.4
25
*
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
6.8
24.8
66
115
101
Kela drug reimbursment
Anterior pituitary hypofunction
+∞
23.2
22
*
A10AE04
ATC
insulin glargine; parenteral
5.4
21.6
69
151
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.0
20.2
153
704
2550A
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SDR CUSHING E HYPERPLASIA GLANDULAE SUPRARENALI]
+∞
20.0
19
*
C08CA01
ATC
amlodipine; oral
3.0
19.8
153
709
BCA30
NOMESCO Finland
Unilateral adrenalectomy
211.1
19.8
20
*
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.8
18.4
184
991
103
Kela drug reimbursment
Diabetes, insulin-treated
3.0
18.1
131
574
2550X
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SYNDROMA CUSHING NUD]
+∞
17.9
17
*
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
5.5
17.8
55
115
E87.6
ICD-10 Finland
Hypokalaemia
9.8
17.4
35
39
C03CA01
ATC
furosemide; systemic
3.0
17.0
123
534
E21.09
ICD-10 Finland
Other primary hyperparathyroidism
+∞
16.8
16
*
2550B
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SYNDROMA CUSHING E HYPERFUNCTIO GLAN SUPRARENALI]
+∞
16.8
16
*
E23.00
ICD-10 Finland
Panhypopituitarism
+∞
15.7
15
*
E27.1
ICD-10 Finland
Primary adrenocortical insufficiency
+∞
15.7
15
*
A49.9
ICD-10 Finland
Bacterial infection, unspecified
4.4
15.5
59
153
JN4BD
NOMESCO Finland
Extensive body CT
4.0
15.5
66
191
BCA41
NOMESCO Finland
Endoscopic bilateral adrenalectomy
+∞
14.7
14
*
BC1CD
NOMESCO Finland
Very extensive CT of adrenal glands
+∞
14.7
14
*
215
Kela drug reimbursment
Diabetes, non-insulin-treated
2.8
14.6
116
525
BC1AD
NOMESCO Finland
CT of adrenal glands
28.5
14.4
19
7
H03AA01
ATC
levothyroxine sodium; systemic
2.7
13.9
121
575
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
4.7
13.8
48
114
WX408
NOMESCO Finland
General anesthesy, balanced
2.6
13.7
130
650
C74.0
ICD-10 Finland
Malignant neoplasm: Cortex of adrenal gland
+∞
13.6
13
*
E24
ICD-10 Finland
Cushing syndrome
+∞
13.6
13
*
AA4CM
NOMESCO Finland
Extensive MRI examination of sella turcica with 3 Tesla magnet
+∞
13.6
13
*
E26.0
ICD-10 Finland
Primary hyperaldosteronism
+∞
13.6
13
*
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
3.0
13.4
88
352
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
2.4
13.3
154
854
WX700
NOMESCO Finland
Respiratory and circulatory monitoring
3.1
13.3
81
308
205
Kela drug reimbursment
Chronic hypertension
2.7
13.1
110
512
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
2.7
12.8
102
458
E28.2
ICD-10 Finland
Polycystic ovarian syndrome
+∞
12.6
12
*
E23.03
ICD-10 Finland
Lack of ACTH
+∞
12.6
12
*
E27.0
ICD-10 Finland
Other adrenocortical overactivity
+∞
12.6
12
*
I10
ICD-10 Finland
Essential (primary) hypertension
2.2
12.0
207
1364
R53
ICD-10 Finland
Malaise and fatigue
2.7
11.8
95
428
2533
FHL
Unilateral removal of additional egg
+∞
11.5
11
*
E34.9
ICD-10 Finland
Endocrine disorder, unspecified
+∞
11.5
11
*
L01XX23
ATC
mitotane; oral
+∞
11.5
11
*
A10BA02
ATC
metformin; oral
2.4
11.4
117
600
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.4
11.3
120
626
C07AB07
ATC
bisoprolol; oral
2.2
11.2
173
1073
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.0
10.8
66
251
E24.4
ICD-10 Finland
Alcohol-induced pseudo-Cushing syndrome
+∞
10.5
10
*
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
3.0
10.3
65
248
A02BC02
ATC
pantoprazole; systemic
2.1
10.0
245
1812
TPH07
NOMESCO Finland
Cathetrisation of artery
3.3
9.9
51
171
JN3BD
NOMESCO Finland
Extensive abdominal CT
3.2
9.9
55
194
JN3CD
NOMESCO Finland
Abdominal CT examination both without and with contrast
6.7
9.7
24
38
Z71.3
ICD-10 Finland
Dietary counselling and surveillance
4.3
9.7
35
87
J01MA12
ATC
levofloxacin; systemic
2.5
9.5
83
387
E27.3
ICD-10 Finland
Drug-induced adrenocortical insufficiency
+∞
9.4
9
*
2550C
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SYNDROMA CUSHING E HYPERSECRETIO HYPOFYSEOS]
+∞
9.4
9
*
L28
ICPC
Limited function/disability (L)
2.8
9.4
65
266
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
3.3
9.3
48
162
DM1AA
NOMESCO Finland
Paranasal sinuses X-ray examination without contrast
5.9
9.2
25
45
TPH04
NOMESCO Finland
Cathetrisation of vein
2.4
9.2
90
443
N04BC06
ATC
cabergoline; oral (dopamine agonists)
37.7
9.1
11
*
FB1BD
NOMESCO Finland
Extensive CT examination of arteria pulmonalis
3.5
9.0
42
131
I26.9
ICD-10 Finland
Pulmonary embolism without mention of acute cor pulmonale
4.6
9.0
30
69
B01AB05
ATC
enoxaparin; parenteral
2.1
8.9
123
710
N91.1
ICD-10 Finland
Secondary amenorrhoea
11.1
8.9
16
15
E13.9
ICD-10 Finland
Other specified diabetes mellitus, without complications
14.5
8.8
14
10
DM1QA
NOMESCO Finland
Paranasal sinuses X-ray examination in one projection
4.8
8.7
28
62
R4110
NOMESCO Finland
Physiotherapy
2.1
8.5
113
638
N02BE01
ATC
paracetamol; systemic, rectal
2.4
8.5
311
2619
I15.2
ICD-10 Finland
Hypertension secondary to endocrine disorders
92.1
8.4
9
*
E21.3
ICD-10 Finland
Hyperparathyroidism, unspecified
92.1
8.4
9
*
102
Kela drug reimbursment
Diabetes insipidus
+∞
8.4
8
*
H01AC01
ATC
somatropin; parenteral
+∞
8.4
8
*
E24.1
ICD-10 Finland
Nelson syndrome
+∞
8.4
8
*
B01AB10
ATC
tinzaparin; parenteral
3.8
8.2
34
96
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
2.6
8.2
63
273
ZXC86
NOMESCO Finland
Use of endoscopic device
22.6
8.1
11
5
N02AJ06
ATC
codeine and paracetamol; systemic
2.0
8.1
143
903
SPAT1250
SPAT
Comprehensive monitoring of chronic illness
2.1
8.0
105
589
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
3.9
8.0
32
88
A03FA01
ATC
metoclopramide; systemic, rectal
2.2
7.9
90
472
SPAT1262
SPAT
Handing over of treatment supplies
2.3
7.9
82
412
XF400
NOMESCO Finland
ECG with 12 standard connections
2.4
7.8
67
308
C08CA13
ATC
lercanidipine; oral
2.7
7.8
55
226
J01FF01
ATC
clindamycin; systemic
2.0
7.7
113
661
ZX120
NOMESCO Finland
Intravenous
3.0
7.7
45
165
E66.01
ICD-10 Finland
Obesity due to excess calories
2.9
7.7
47
175
R60.0
ICD-10 Finland
Localized oedema
2.8
7.7
49
191
E66.8
ICD-10 Finland
Other obesity
3.7
7.6
32
92
N02AX02
ATC
tramadol; systemic, rectal
1.9
7.5
155
1028
BBA30
NOMESCO Finland
Excision of lesion of parathyroid gland
81.7
7.4
8
*
E21.0
ICD-10 Finland
Primary hyperparathyroidism
81.7
7.4
8
*
A28
ICPC
Limited function/disability NOS
2.7
7.4
53
219
E87.1
ICD-10 Finland
Hypo-osmolality and hyponatraemia
4.7
7.4
24
54
G03BA03
ATC
testosterone; systemic, rectal, sublingual, transdermal
5.1
7.4
22
45
M80.0
ICD-10 Finland
Postmenopausal osteoporosis with pathological fracture
9.7
7.3
14
15
301
Kela drug reimbursment
Growth hormone
+∞
7.3
7
*
2273A
ICD-9 Finland
Benign neoplasm of other endocrine glands and related structures, Pituitary gland and craniopharyngeal duct (pouch)
+∞
7.3
7
*
AA4WT
NOMESCO Finland
Selective blood sample from sinus petrosus inferior
+∞
7.3
7
*
N02AA05
ATC
oxycodone; systemic
2.6
7.3
55
234
I15.9
ICD-10 Finland
Secondary hypertension, unspecified
20.5
7.2
10
5
R03BB04
ATC
tiotropium bromide; inhalant
2.9
7.1
44
165
F43.22
ICD-10 Finland
Adaptation disorder with mixed anxiety and depression
4.1
7.0
26
67
NA2AA
NOMESCO Finland
Thoracal spine X-ray examination without contrast
5.7
7.0
19
35
JN1CG
NOMESCO Finland
Extensive MRI examination of upper part of abdomen with high intensity magnet
6.1
7.0
18
31
AA1AD
NOMESCO Finland
CT of head and brain
2.1
7.0
84
451
GD1PA
NOMESCO Finland
X-ray examination of the lungs in one projection
3.1
7.0
37
128
WZC30
NOMESCO Finland
Teaching
2.5
6.9
54
237
J18.9
ICD-10 Finland
Pneumonia, unspecified
2.1
6.9
80
424
A10AB04
ATC
insulin lispro; parenteral (insulins and analog. for injection, fast-acting)
4.3
6.8
24
59
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
2.4
6.8
61
287
R50.9
ICD-10 Finland
Fever, unspecified
2.5
6.7
55
246
G47.3
ICD-10 Finland
Sleep apnoea
2.1
6.7
77
405
ZX114
NOMESCO Finland
Intramuscular
8.0
6.7
14
18
TKC20
NOMESCO Finland
Catheterisation of bladder
3.2
6.6
34
115
J45.0
ICD-10 Finland
Predominantly allergic asthma
2.9
6.6
40
151
WX404
NOMESCO Finland
Intravenous generell anesthesy
2.0
6.6
87
485
C09AA05
ATC
ramipril; oral
2.1
6.5
83
456
C79.8
ICD-10 Finland
Secondary malignant neoplasm of other specified sites
5.9
6.5
17
30
N03AX16
ATC
pregabalin; oral
2.0
6.5
93
536
BBA40
NOMESCO Finland
Subtotal parathyroidectomy
71.1
6.4
7
*
E0000UV
ATC
NA
1.8
6.4
149
1015
XF603
NOMESCO Finland
Direct intraarterial blood pressure measurement
4.8
6.4
20
44
J45.9
ICD-10 Finland
Asthma, unspecified
2.1
6.3
72
375
A10AB01
ATC
insulin (human); parenteral (insulins and analog. for injection, fast-acting)
4.5
6.3
21
49
Z00.4
ICD-10 Finland
General psychiatric examination, not elsewhere classified
2.8
6.3
40
154
A02BC03
ATC
lansoprazole; oral
1.9
6.3
104
628
E21.1
ICD-10 Finland
Secondary hyperparathyroidism, not elsewhere classified
+∞
6.3
6
*
E23.04
ICD-10 Finland
Hypogonadotropic hypogonadism
+∞
6.3
6
*
E27.2
ICD-10 Finland
Addisonian crisis
+∞
6.3
6
*
C10AA01
ATC
simvastatin; oral
1.8
6.1
138
925
C10AA05
ATC
atorvastatin; oral
1.8
6.1
119
763
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
2.7
6.1
42
169
EP1AE
NOMESCO Finland
Neck ultrasound examination
3.6
6.1
26
77
WX892
NOMESCO Finland
Monitored bed care
2.9
6.1
35
128
WX110
NOMESCO Finland
Local anesthesy
1.8
6.1
246
1977
E78.01
ICD-10 Finland
Pure hypercholesterolaemia
2.1
6.0
72
385
C03AA03
ATC
hydrochlorothiazide; oral
2.8
6.0
38
146

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
159
22
118.53
307.01
5.5
1.4
—
—
—
0
0
229
299
16.37
185.55
8.7
1.7
358.5
364.6
nmol/l
0.09
223
279
65
34
22.59
85.01
1.2
1.1
—
—
nmol/l
—
0
0
68
42
19.26
82.36
1.3
1.1
0.4
—
nmol/l
—
6
0
64
40
18.82
76.93
1.3
1.1
—
—
—
0
0
58
42
15.96
64.32
1.4
1.2
262.2
364.5
pmol/l
0.66
45
36
53
74
8.09
36.93
2.6
1.3
10.6
11.2
u/l
0.09
45
58
282
1531
3.79
34.52
10.2
5.7
1.2
1.2
mmol/l
0.17
232
1291
203
953
3.27
30.31
5.3
3.4
7.4
7.4
ph
0.39
54
172
258
1406
3.31
29.64
8.8
4.9
1.2
1.2
mmol/l
0.36
251
1263
253
1370
3.27
29.25
3.6
2.1
77.2
77.0
nmol/l
0.04
243
1215
246
1319
3.21
28.77
7.2
4.3
33.9
35.9
g/l
5.63
236
1233
77
197
4.59
28.35
2.7
3.3
4.2
4.5
pmol/l
1.44
72
174
30
28
11.49
28.09
1.4
1.1
282.4
278.3
mosm/kgh2o
0.27
23
20
141
604
3.05
23.55
3.3
2.5
536.8
556.5
mosm/kgh2o
0.35
116
510
104
414
3.04
19.34
2.5
2.1
2.3
2.4
g/l
0.31
95
383
77
256
3.48
19.29
3.7
3.5
—
—
—
0
0
83
290
3.34
19.22
1.4
1.4
—
—
—
0
0
88
320
3.24
19.08
9.3
6.6
0.9
1.2
mmol/l
0.26
74
257
70
222
3.60
18.83
6.3
6.4
9.7
9.0
mmol/l
0.46
70
211
70
225
3.55
18.43
9.4
7.5
—
—
—
0
0
98
389
3.01
18.22
2.7
2.1
19.1
23.5
%
2.29
84
332
73
249
3.36
17.48
4.0
3.5
2.4
2.0
mmol/l
0.33
56
193
278
1861
2.58
17.37
8.0
4.2
7.0
6.6
mmol/l
2.05
265
1733
57
167
3.81
17.17
2.1
1.3
21.3
26.1
iu/l
0.49
48
139
237
1485
2.44
16.96
7.9
5.7
0.6
0.7
%
2.23
224
1386
63
201
3.53
16.72
3.5
2.9
94.4
67.6
ng/l
1.95
58
176
241
1532
2.42
16.54
7.9
5.6
2.2
2.8
%
4.93
228
1424
255
1665
2.44
16.43
7.3
5.6
0.0
0.0
e9/l
0.14
228
1454
173
953
2.43
16.40
3.4
3.0
6.8
7.5
mmol/l
1.13
147
793
258
1703
2.42
16.08
7.5
5.6
1.9
1.9
e9/l
0.24
238
1522
185
1058
2.38
16.03
8.0
5.6
—
—
—
0
0
253
1658
2.41
15.99
7.3
5.6
0.6
0.6
e9/l
5.40
227
1447
105
463
2.71
15.84
2.6
2.1
11.1
13.9
umol/l
3.85
97
424
240
1542
2.37
15.81
8.1
5.9
8.4
8.5
%
0.28
227
1445
28
49
6.07
15.61
3.2
1.4
0.2
0.4
nmol/l
0.99
20
40
258
1727
2.37
15.21
7.8
5.9
0.2
0.2
e9/l
1.89
235
1533
87
356
2.84
15.09
2.1
1.6
—
—
—
0
0
148
784
2.40
15.07
6.4
3.9
—
—
—
0
0
242
1584
2.32
14.93
8.1
5.7
24.3
28.4
%
7.27
229
1479
156
850
2.36
14.85
4.3
2.6
—
—
—
0
0
159
874
2.35
14.83
3.5
3.1
432.6
376.4
mg/l
0.05
115
534
164
927
2.29
14.20
4.3
3.9
13.6
8.5
mg/mmol
0.48
114
554
29
58
5.31
14.06
3.6
1.8
—
—
—
0
0
198
1228
2.20
13.48
12.8
7.2
1.2
1.2
inr
0.45
74
379
154
866
2.26
13.33
4.2
2.7
0.3
0.5
e6/l
0.87
122
637
235
1567
2.19
13.23
7.9
5.5
61.4
56.9
%
6.47
225
1471
47
144
3.56
13.18
10.9
7.8
—
—
—
0
0
138
759
2.24
12.46
2.8
2.0
3.0
3.1
mg/l
0.31
127
649
161
948
2.16
12.21
4.3
2.8
55.8
133.3
e6/l
0.47
126
716
167
1007
2.12
11.82
3.4
2.4
53.5
56.8
u/l
0.51
154
922
221
1481
2.09
11.78
13.9
8.9
0.0
0.0
e9/l
0.00
190
1224
151
878
2.15
11.73
3.2
3.0
1712.3
1009.8
ng/l
0.98
132
745
245
1710
2.10
11.65
8.9
6.1
8.9
10.5
umol/l
3.93
236
1617
121
652
2.22
11.33
3.3
2.3
6.7
6.7
e6/l
0.00
104
571
18
28
6.68
11.18
2.2
1.3
—
—
—
0
0
24
50
5.04
11.10
3.0
2.2
—
—
—
0
0
265
1931
2.08
10.89
11.6
9.1
5.0
4.0
e9/l
8.15
237
1706
48
171
3.05
10.54
1.4
1.2
—
—
—
0
0
90
441
2.34
10.48
2.5
1.9
—
—
—
0
0
26
61
4.49
10.46
3.1
2.0
3.4
3.1
mmol/l
0.10
18
37
177
1135
2.00
10.23
4.9
3.3
61.8
58.2
e6/l
0.06
136
780
163
1027
1.98
9.81
3.2
2.2
—
—
—
0
0
188
1244
1.96
9.81
2.2
1.9
88.4
97.1
pmol/l
1.95
100
626
31
88
3.73
9.70
3.2
3.2
—
—
—
0
0
106
578
2.13
9.42
5.2
2.8
2.5
2.4
mmol/l
1.08
96
508
326
2632
2.24
9.41
7.0
3.9
15.1
14.6
pmol/l
2.81
313
2394
37
121
3.27
9.35
1.8
2.1
2.0
1.5
g/l
1.65
31
105
319
2558
2.17
9.30
12.0
7.2
83.8
76.5
u/l
1.31
311
2389
215
1510
1.91
9.18
3.7
2.6
129.1
98.4
ug/l
1.31
203
1387
152
957
1.94
9.00
3.8
2.8
—
—
—
0
0
68
316
2.39
8.85
2.6
2.7
1.8
1.8
%
0.27
63
288
127
759
1.98
8.71
2.3
1.7
0.8
1.1
mg/l
1.74
101
583
58
253
2.51
8.65
3.3
4.3
0.0
0.3
%
0.94
18
63
24
62
4.05
8.55
1.3
1.8
—
—
—
0
0
34
112
3.22
8.50
2.6
2.2
20.2
21.3
s
0.79
29
101
17
33
5.33
8.48
4.9
1.6
52.7
17.3
ug/l
1.08
17
33
167
1102
1.88
8.46
4.5
3.2
2.4
2.3
mmol/l
0.05
153
963
45
178
2.72
8.15
3.8
3.4
7.4
7.4
ph
—
8
18
199
1400
1.83
8.12
2.4
2.0
—
—
—
0
0
49
206
2.57
7.87
2.3
2.4
—
—
—
0
0
99
561
2.01
7.79
4.0
3.4
495.8
197.2
ng/l
0.48
80
401
57
259
2.40
7.77
3.2
4.0
1.1
0.7
%
0.47
17
58
49
209
2.53
7.64
2.3
2.6
214.3
163.2
ng/l
0.51
44
188
61
289
2.31
7.56
3.5
4.0
1.6
1.2
%
0.36
19
91
58
270
2.34
7.48
3.5
4.2
0.0
0.2
%
3.11
19
78
306
2497
1.93
7.37
5.7
4.0
15.7
11.3
mm/h
4.02
287
2290
272
2147
1.82
7.19
6.2
4.1
1139.8
140.0
e6/l
—
5
34
19
47
4.19
7.16
3.3
2.2
—
—
—
0
0
20
52
3.99
7.07
3.3
1.9
16.5
16.1
%
0.16
12
23
125
792
1.84
6.95
4.1
4.5
—
—
—
0
0
284
2283
1.82
6.93
5.9
4.1
—
—
—
0
0
21
58
3.76
6.84
2.4
3.2
4.2
4.8
e9/l
0.48
21
58
27
89
3.18
6.75
1.6
1.3
217.5
305.6
ug/g
1.12
16
52
125
801
1.81
6.65
1.4
1.3
0.8
1.8
u/ml
0.96
33
214
354
3077
2.22
6.64
8.9
5.3
42.5
39.2
mmol/mol
5.90
342
2868
21
60
3.64
6.52
2.8
3.6
58.3
59.3
%
0.12
21
60
283
2303
1.76
6.28
4.5
3.6
—
—
—
0
0
6
0
+∞
6.26
1.5
0.0
0.9
—
nmol/l
—
6
0
167
1184
1.70
6.14
3.9
3.5
24.2
31.6
ng/l
0.77
115
790
126
826
1.76
6.14
3.6
2.6
2637.1
7536.8
umol/l
0.99
114
705
206
1546
1.68
6.10
5.6
3.8
—
—
—
0
0
19
54
3.64
5.95
2.5
1.8
128.6
129.7
g/l
0.06
14
39
114
733
1.77
5.91
1.8
1.5
18.7
21.0
nmol/l
1.03
104
613
47
228
2.20
5.49
2.1
2.8
71.5
70.7
e9/l
0.05
34
182
78
458
1.87
5.40
1.4
1.2
—
—
—
0
0
355
3150
2.05
5.34
7.6
4.7
1.7
1.9
mu/l
1.65
334
2880
11
22
5.11
5.29
1.0
1.2
—
—
—
0
0
100
645
1.73
5.04
1.9
1.7
417.3
13619847.9
pmol/l
0.50
84
536
39
183
2.25
4.94
6.9
3.9
—
—
—
0
0
79
480
1.80
4.88
1.4
1.3
781.3
508.9
titre
0.34
15
112
63
363
1.87
4.60
4.3
3.0
6.3
7.2
umol/l
0.17
54
315
30
133
2.36
4.34
3.8
3.6
—
—
—
0
0
104
706
1.64
4.27
1.5
1.5
2.2
2.4
g/l
0.58
66
430
23
91
2.62
4.21
1.2
1.3
423.1
480.9
mg/l
0.48
23
84
66
397
1.79
4.20
1.2
1.5
—
—
—
0
0
15
47
3.28
4.09
1.4
1.2
40.2
5.3
u/ml
—
5
19
119
843
1.58
4.08
9.6
6.9
—
—
—
0
0
84
546
1.68
4.06
2.1
1.6
1010.2
1177.0
nmol/l
1.05
69
399
27
118
2.38
4.04
2.3
1.8
3.7
3.6
ug/l
0.01
27
108
16
53
3.10
4.01
1.3
1.2
—
—
—
0
0
22
88
2.59
3.95
1.8
1.9
3.5
6.0
iu/l
—
7
30
14
43
3.34
3.94
1.1
1.2
—
—
—
0
0
67
413
1.75
3.92
2.4
2.1
253.9
114.3
ug/g
0.96
59
323
63
382
1.77
3.90
1.5
1.3
—
—
—
0
0
15
49
3.14
3.84
1.2
1.9
—
—
—
0
0
16
56
2.93
3.67
4.5
2.6
—
—
—
0
0
12
35
3.50
3.64
1.2
1.3
—
—
—
0
0
48
275
1.85
3.57
4.3
3.5
—
—
—
0
0
8
13
6.25
3.51
1.6
3.4
2003.3
681.1
u/ml
—
8
13
365
3366
1.87
3.50
26.3
12.5
22.5
21.9
mg/l
0.13
321
2590
66
419
1.69
3.47
1.4
1.2
—
—
—
0
0
122
899
1.51
3.43
4.2
3.0
—
—
—
0
0
321
2867
1.58
3.42
31.2
15.1
14.1
13.6
%
6.76
316
2821
9
18
5.09
3.39
1.4
4.2
22.7
14.0
mu/l
—
9
18
29
143
2.11
3.30
4.0
3.5
—
—
—
0
0
201
1645
1.44
3.27
4.4
3.5
0.0
0.0
estimate
0.50
47
306
199
1627
1.44
3.25
6.2
4.6
0.0
0.0
estimate
0.50
49
317
11
33
3.40
3.21
1.4
1.3
—
—
—
0
0
40
224
1.87
3.21
2.2
2.6
5.5
4.0
e9/l
2.90
33
173
197
1614
1.43
3.15
4.2
3.4
0.0
0.0
estimate
0.00
51
311
122
917
1.47
3.07
4.1
3.7
—
—
—
0
0
9
21
4.36
3.01
1.3
1.3
1.8
2.0
mmol/l
—
9
21
25
121
2.14
2.99
2.1
1.8
4472.7
3449.0
u/l
—
9
39
17
70
2.49
2.92
1.1
1.3
—
—
—
0
0
13
47
2.82
2.84
5.0
1.9
57.4
59.3
%
0.11
13
47
44
264
1.75
2.84
1.3
1.3
160.0
140.7
iu/ml
0.10
18
116
52
328
1.67
2.81
1.9
4.1
13.0
19.7
ug/l
0.19
40
274
30
162
1.92
2.70
2.1
2.5
—
—
—
0
0
45
277
1.70
2.66
1.1
1.2
—
—
—
0
0
10
32
3.18
2.66
2.3
1.6
—
—
—
0
0
10
32
3.18
2.66
2.3
1.6
—
—
—
0
0
10
32
3.18
2.66
2.3
1.6
—
—
—
0
0
10
32
3.18
2.66
2.3
1.6
—
—
—
0
0
15
62
2.47
2.57
1.3
5.2
—
—
—
0
0
10
33
3.08
2.54
5.1
4.0
—
—
—
0
0
7
16
4.43
2.48
1.1
1.6
—
—
—
0
0
17
76
2.29
2.47
3.1
2.5
154.0
117.3
ug/min
—
9
44
20
96
2.14
2.47
1.3
1.4
—
—
—
0
0
116
904
1.40
2.33
2.0
1.6
1.6
1.3
mmol/l
1.65
99
760
9
28
3.26
2.32
3.6
3.6
—
—
—
0
0
333
3086
1.45
2.14
27.9
13.1
39.1
40.0
%
0.95
241
2307
12
49
2.49
2.12
1.5
1.5
—
—
—
0
0
10
37
2.75
2.12
1.7
2.4
—
—
—
0
0
84
630
1.42
2.08
1.3
1.3
29.5
33.3
iu/ml
0.08
18
201
23
125
1.89
2.07
2.9
3.3
25.5
1296.2
u/ml
0.60
18
107
34
209
1.68
2.05
3.7
2.5
—
—
—
0
0
17
83
2.09
2.04
1.2
1.2
—
—
—
0
0
70
511
1.45
2.01
1.3
1.6
—
—
—
0
0
53
366
1.52
2.00
36.9
16.5
1.4
1.2
inr
—
7
57
82
618
1.41
1.98
1.6
1.8
—
—
—
0
0
56
398
1.47
1.85
2.0
1.4
—
—
—
0
0
10
40
2.54
1.85
1.4
1.5
—
—
—
0
0
6
17
3.57
1.84
1.2
1.2
—
—
—
0
0
9
35
2.61
1.81
1.7
2.2
—
—
—
0
0
8
29
2.79
1.80
1.0
1.1
—
—
—
0
0
11
47
2.38
1.79
4.6
3.6
0.4
1.5
%
1.78
11
38
14
67
2.13
1.78
1.6
2.1
—
—
—
0
0
20
111
1.84
1.72
3.7
3.0
0.2
0.2
g/l
0.18
12
37
44
304
1.50
1.67
1.5
1.4
—
—
—
0
0
79
611
1.36
1.64
1.3
1.3
1.2
10.7
u/ml
3.99
26
237
6
20
3.03
1.58
1.2
1.3
—
—
—
0
0
5
15
3.36
1.53
1.6
1.7
—
—
—
0
0
7
27
2.62
1.52
1.1
1.7
—
—
—
0
0
110
907
1.29
1.47
4.4
3.7
0.0
0.0
estimate
0.50
49
311
51
374
1.42
1.45
1.6
1.7
—
—
—
0
0
38
263
1.49
1.45
2.5
2.4
—
13.2
—
0
11
23
141
1.67
1.45
1.6
1.8
—
—
—
0
0
6
22
2.75
1.44
1.5
1.1
—
—
—
0
0
9
39
2.34
1.44
1.1
1.4
—
—
—
0
0
13
67
1.97
1.40
3.0
3.1
1.7
1.4
mmol/l
0.57
13
67
14
75
1.90
1.36
1.2
1.2
—
—
—
0
0
11
54
2.07
1.34
1.6
1.1
28.9
13.8
u/l
0.41
11
45
23
351
0.63
1.31
1.3
1.4
—
—
—
0
0
6
24
2.52
1.31
1.2
1.1
—
—
—
0
0
19
114
1.70
1.30
3.7
4.1
—
—
—
0
0
367
3536
1.41
1.21
24.2
11.6
—
—
—
0
0
6
26
2.33
1.19
1.3
1.3
—
—
—
0
0
342
3263
1.31
1.18
6.3
4.3
6.3
5.9
mmol/l
3.73
329
2991
7
32
2.21
1.08
1.3
1.9
32.9
33.1
pg
—
7
32
7
33
2.14
1.06
1.3
1.2
—
—
—
0
0
7
34
2.08
1.03
1.4
1.0
—
—
—
0
0
16
99
1.64
1.01
1.3
1.2
—
—
—
0
0
9
49
1.86
0.99
1.6
1.2
—
—
—
0
0
353
3407
1.29
0.91
6.1
4.7
2.7
2.8
mmol/l
1.56
330
3137
6
29
2.08
0.89
1.0
1.2
—
—
—
0
0
11
64
1.74
0.87
1.2
1.5
—
—
—
0
0
6
31
1.95
0.84
3.2
2.8
—
—
—
0
0
21
147
1.45
0.82
1.1
1.0
—
—
—
0
0
18
123
1.49
0.79
2.0
1.6
—
—
—
0
0
0
26
0.00
0.78
0.0
1.1
—
—
—
0
0
87
750
1.20
0.78
3.9
3.5
—
—
—
0
0
23
166
1.41
0.77
1.0
1.1
—
—
—
0
0
6
34
1.78
0.76
1.7
2.3
—
—
—
0
0
10
59
1.71
0.76
1.1
1.5
—
—
—
0
0
12
75
1.62
0.75
4.9
4.6
—
—
—
0
0
5
25
2.01
0.73
1.0
1.1
—
—
—
0
0
15
216
0.68
0.71
1.7
1.7
—
—
—
0
0
7
41
1.72
0.70
3.1
3.0
0.7
0.8
nmol/l
—
7
33
36
286
1.28
0.68
6.1
3.8
—
—
—
0
0
32
252
1.29
0.65
1.2
1.4
—
—
—
0
0
18
130
1.40
0.62
1.5
1.2
—
—
—
0
0
32
254
1.28
0.62
4.5
3.3
—
—
—
0
0
5
30
1.67
0.61
3.8
3.4
77.4
54.3
%
—
5
20
5
30
1.67
0.61
1.2
1.1
—
—
—
0
0
42
346
1.24
0.60
1.5
1.4
—
—
—
0
0
25
320
0.77
0.60
1.5
1.6
—
—
—
0
0
331
3210
1.17
0.58
5.0
3.8
1.6
1.3
mmol/l
5.96
311
2951
9
63
1.44
0.52
3.8
3.2
10.1
7.5
mmol/l
—
9
63
342
3334
1.17
0.51
5.6
4.2
1.4
1.5
mmol/l
4.79
323
3073
10
67
1.51
0.50
5.4
4.0
21.4
28.6
mg/l
—
5
43
7
47
1.50
0.48
1.3
1.1
—
—
—
0
0
343
3350
1.16
0.46
5.6
4.2
4.6
4.7
mmol/l
1.86
324
3106
5
81
0.61
0.46
1.0
1.1
—
—
—
0
0
31
257
1.22
0.44
1.3
1.4
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
1388.3
—
0
15
5
34
1.48
0.40
1.0
1.1
—
—
—
0
0
0
18
0.00
0.40
0.0
1.5
—
—
—
0
0
7
105
0.66
0.39
1.3
1.2
—
—
—
0
0
6
41
1.47
0.36
1.7
2.6
—
—
—
0
0
101
936
1.11
0.35
1.5
1.4
—
—
—
0
0
365
3599
1.15
0.31
16.7
9.9
27.6
25.6
u/l
1.21
360
3477
12
93
1.30
0.30
4.4
3.6
3.9
3.8
mmol/l
0.17
12
85
10
130
0.76
0.30
2.0
1.4
—
—
—
0
0
10
130
0.76
0.30
2.0
1.5
—
—
—
0
0
7
56
1.25
0.29
1.0
1.1
—
—
—
0
0
10
129
0.77
0.28
2.0
1.4
—
—
—
0
0
119
1257
0.92
0.28
4.1
2.7
—
—
—
0
0
19
223
0.84
0.25
1.6
1.4
—
—
—
0
0
68
728
0.92
0.22
5.9
5.1
2.3
2.6
ug/l
0.15
63
643
13
107
1.22
0.22
3.7
2.8
—
—
—
0
0
0
11
0.00
0.21
0.0
2.9
—
—
—
0
0
5
43
1.16
0.21
1.2
1.0
—
—
—
0
0
40
434
0.91
0.18
3.5
3.0
0.8
0.7
ug/l
0.20
28
288
11
131
0.84
0.17
2.0
1.4
—
—
—
0
0
8
73
1.10
0.16
1.1
1.2
—
—
—
0
0
6
76
0.79
0.15
1.7
3.1
15.3
28.0
u/ml
—
6
76
9
79
1.14
0.15
2.3
1.9
—
—
—
0
0
69
725
0.94
0.15
4.8
3.6
1.0
1.0
kg/l
0.35
12
86
25
227
1.11
0.14
1.2
1.2
—
—
—
0
0
5
44
1.14
0.10
1.0
1.2
—
—
—
0
0
5
65
0.77
0.08
1.2
1.6
—
—
—
0
0
11
122
0.90
0.07
1.9
1.5
—
—
—
0
0
378
3766
1.06
0.06
38.2
18.6
269.3
254.1
e9/l
3.97
373
3682
378
3770
1.04
0.03
38.1
18.5
4.4
4.5
e12/l
1.01
371
3679
378
3771
1.04
0.02
38.3
18.6
7.7
6.6
e9/l
15.99
371
3675
16
159
1.01
0.00
1.1
1.1
—
—
—
0
0
10
103
0.97
0.00
2.0
1.5
—
—
—
0
0
5
49
1.02
0.00
1.0
1.1
—
—
—
0
0
0
9
0.00
0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
0.00
0.0
2.3
—
—
—
0
0
0
5
0.00
0.00
0.0
4.6
—
44.2
—
0
5
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
3.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
8
0.00
0.00
0.0
3.3
—
6.2
—
0
8
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.6
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
2.8
—
0
8
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
5
58
0.86
0.00
1.8
1.4
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_CUSHING and mortality.

Females

Parameter HR [95% CI] p-value
E4_CUSHING 3.602 [2.92, 4.44] < 0.001
Birth year 0.996 [0.99, 1.0] 0.334

During the follow-up period (1.1.1998 — 31.12.2019), 240 out of 978 females with E4_CUSHING died.

Males

Parameter HR [95% CI] p-value
E4_CUSHING 3.754 [2.69, 5.23] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 147 out of 409 males with E4_CUSHING died.

Mortality risk

Mortality risk for people of age

years, who have E4_CUSHING.

N-year risk Females Males
1 0.26% 0.602%
5 2.009% 4.136%
10 5.011% 10.054%
15 9.495% 19.573%
20 16.424% 30.551%

Relationships between endpoints

Index endpoint: E4_CUSHING – Cushing syndrome

GWS hits: 1

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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