Delayed puberty

E4_DELPUB

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 E30.00, E30.09
  • Hospital discharge: ICD-9 2590
  • Cause of death: ICD-10 E30.00, E30.09
  • Cause of death: ICD-9 2590

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

321

4. Check minimum number of events

None

321

5. Include endpoints

None

321

6. Filter based on genotype QC (FinnGen only)

321

Control definitions (FinnGen only)

Control exclude
E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2

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 7828 1705 6119
Only index persons 7752 1673 6079
Unadjusted period prevalence (%)
Whole population 0.14 0.05 0.17
Only index persons 0.20 0.06 0.23
Median age at first event (years)
Whole population 14.73 13.87 14.97
Only index persons 14.73 13.86 14.96

-FinnGen-

Key figures

All Female Male
Number of individuals 321 142 179
Unadjusted period prevalence (%) 0.07 0.05 0.08
Median age at first event (years) 14.62 14.15 14.99

-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
293
Matched controls
2928
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E30.09
ICD-10 Finland
Delayed puberty NOS
3254.5
179.6
155
*
E30.00
ICD-10 Finland
Familial delayed puberty
1485.8
169.8
149
*
NK6MA
NOMESCO Finland
Measurement of bone age from hand and elbow using X-ray
41.3
73.5
92
32
G03BA03
ATC
testosterone; systemic, rectal, sublingual, transdermal
65.9
68.6
78
16
E34.35
ICD-10 Finland
Abnormal growth retardation
470.7
42.3
41
*
101
Kela drug reimbursment
Anterior pituitary hypofunction
+∞
28.6
27
*
H01AC01
ATC
somatropin; parenteral
+∞
22.2
21
*
E30.9
ICD-10 Finland
Disorder of puberty, unspecified
+∞
20.0
19
*
2590A
ICD-9 Finland
Other endocrine disorders, Delay in sexual development and puberty, not elsewhere classified
+∞
20.0
19
*
E34.39
ICD-10 Finland
Short stature, not elsewhere classified
95.6
16.8
18
*
E23.04
ICD-10 Finland
Hypogonadotropic hypogonadism
48.8
12.0
14
*
121
Kela drug reimbursment
Severe hypofunction of sexual glands
24.1
11.7
16
7
E34.30
ICD-10 Finland
Short stature NOS
+∞
11.5
11
*
E23.01
ICD-10 Finland
Isolated deficiency of growth hormone
+∞
11.5
11
*
R62.8
ICD-10 Finland
Other lack of expected normal physiological development
16.8
10.5
16
10
G03CA03
ATC
estradiol; nasal, systemic, rectal, transdermal, vaginal
5.5
10.2
30
60
N91.0
ICD-10 Finland
Primary amenorrhoea
17.5
10.0
15
9
E30.0
ICD-10 Finland
Delayed puberty
+∞
9.4
9
*
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
51.6
8.7
10
*
Z51.80
ICD-10 Finland
Manipulation of puberty development with hormone therapy
+∞
8.4
8
*
ZXD10
NOMESCO Finland
Scheduled procedure
2.3
8.2
97
528
E29.1
ICD-10 Finland
Testicular hypofunction
34.4
8.1
10
*
T10
ICPC
Growth delay
82.1
7.5
8
*
E28.3
ICD-10 Finland
Primary ovarian failure
+∞
7.3
7
*
F70.0
ICD-10 Finland
Mild mental retardation, With the statement of no, or minimal, impairment of behaviour
10.4
7.1
13
13
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
5.3
6.9
20
40
G03FB08
ATC
dydrogesterone and estrogen; systemic (progestogens and estrogens, sequential prep.)
23.1
6.7
9
*
E30.8
ICD-10 Finland
Other disorders of puberty
71.3
6.5
7
*
301
Kela drug reimbursment
Growth hormone
+∞
6.3
6
*

Mortality – FinRegistry

Association

Association between endpoint E4_DELPUB and mortality.

Females

No data

Males

Parameter HR [95% CI] p-value
E4_DELPUB 1.963 [1.44, 2.68] < 0.001
Birth year 0.985 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 74 out of 5417 males with E4_DELPUB died.

Mortality risk

Mortality risk for people of age

years, who have E4_DELPUB.

N-year risk Females Males
1 No data 0.338%
5 No data 2.166%
10 No data 5.179%
15 No data 10.013%
20 No data 16.731%

Relationships between endpoints

Index endpoint: E4_DELPUB – Delayed puberty

GWS hits: -

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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