Disorders of parathyroid gland, other and/or unspecified

E4_PARANAS

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 E21.4, E21.5, E21.5+M14.1
  • Hospital discharge: ICD-9 252[8-9]
  • Hospital discharge: ICD-8 2529
  • Cause of death: ICD-10 E21.4, E21.5, E21.5+M14.1
  • Cause of death: ICD-9 252[8-9]
  • Cause of death: ICD-8 2529

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

240

4. Check minimum number of events

None

240

5. Include endpoints

None

240

6. Filter based on genotype QC (FinnGen only)

240

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 1856 1425 415
Only index persons 1503 1173 330
Unadjusted period prevalence (%)
Whole population 0.03 0.04 0.01
Only index persons 0.04 0.04 0.01
Median age at first event (years)
Whole population 64.79 65.50 62.14
Only index persons 63.64 64.58 60.30

-FinnGen-

Key figures

All Female Male
Number of individuals 240 188 52
Unadjusted period prevalence (%) 0.06 0.06 0.02
Median age at first event (years) 60.18 60.32 59.69

-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
227
Matched controls
2278
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E21.5
ICD-10 Finland
Disorder of parathyroid gland, unspecified
+∞
187.3
153
*
E21.09
ICD-10 Finland
Other primary hyperparathyroidism
+∞
152.9
129
*
BBA30
NOMESCO Finland
Excision of lesion of parathyroid gland
768.0
61.8
58
*
BBA40
NOMESCO Finland
Subtotal parathyroidectomy
+∞
57.8
53
*
E21.3
ICD-10 Finland
Hyperparathyroidism, unspecified
351.6
55.8
54
*
E21.4
ICD-10 Finland
Other specified disorders of parathyroid gland
+∞
52.1
48
*
E21.0
ICD-10 Finland
Primary hyperparathyroidism
278.7
45.7
45
*
A11CC03
ATC
alfacalcidol; systemic
42.5
34.2
42
12
106
Kela drug reimbursment
Hypoparathyroidism
+∞
28.8
27
*
E83.50
ICD-10 Finland
Hypercalcemia
41.0
28.4
35
10
E21
ICD-10 Finland
Hyperparathyroidism and other disorders of parathyroid gland
+∞
27.7
26
*
A12AA04
ATC
calcium carbonate; oral
41.0
26.0
32
9
H05BX01
ATC
cinacalcet; oral
+∞
25.5
24
*
E21.2
ICD-10 Finland
Other hyperparathyroidism
279.4
25.2
25
*
321
Kela drug reimbursment
Paricalcitol and cinacalcet
218.2
19.9
20
*
A12AA06
ATC
calcium lactate gluconate; oral
+∞
19.0
18
*
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
6.1
17.7
51
102
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
8.6
17.1
38
52
A11CC02
ATC
dihydrotachysterol; oral
+∞
15.8
15
*
BBA20
NOMESCO Finland
Exploration of parathyroid gland
159.8
14.6
15
*
N18.8
ICD-10 Finland
Other chronic renal failure
13.3
13.4
23
19
E20.9
ICD-10 Finland
Hypoparathyroidism, unspecified
+∞
12.6
12
*
D35.1
ICD-10 Finland
Benign neoplasm: Parathyroid gland
+∞
12.6
12
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
17.1
12.4
19
12
EP1AE
NOMESCO Finland
Neck ultrasound examination
6.2
11.9
32
58
E89.2
ICD-10 Finland
Postprocedural hypoparathyroidism
+∞
11.6
11
*
M14.1*E21.5
ICD-10 Finland
Crystal arthropathy in hyperparathyroidism
+∞
11.6
11
*
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
16.6
11.0
17
11
25298
ICD-8 Finland
Diseases of parathyroid gland, Alii definiti
+∞
10.5
10
*
E83.51
ICD-10 Finland
Hypocalcemia
34.3
10.4
13
*
127
Kela drug reimbursment
Transplant complication
24.7
10.4
14
6
M04AA01
ATC
allopurinol; systemic
3.7
10.2
46
144
205
Kela drug reimbursment
Chronic hypertension
2.5
9.5
98
523
Z94.0
ICD-10 Finland
Kidney transplant status
22.8
9.5
13
6
E34.9
ICD-10 Finland
Endocrine disorder, unspecified
+∞
9.4
9
*
D44.8
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Pluriglandular involvement
+∞
9.4
9
*
Z49.1
ICD-10 Finland
Extracorporeal dialysis
16.5
9.2
14
9
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.4
9.0
119
717
L04AA06
ATC
mycophenolic acid; systemic
17.1
8.7
13
8
KAS10
NOMESCO Finland
Allogenic transplantation of kidney from cadaver donor
28.7
8.6
11
*
196
Kela drug reimbursment
Paricalcitol and cinacalcet
93.4
8.5
9
*
E21.1
ICD-10 Finland
Secondary hyperparathyroidism, not elsewhere classified
93.4
8.5
9
*
Q61.2
ICD-10 Finland
Polycystic kidney, autosomal dominant
+∞
8.4
8
*
E20.8
ICD-10 Finland
Other hypoparathyroidism
+∞
8.4
8
*
C08CA13
ATC
lercanidipine; oral
3.0
8.3
51
200
WX408
NOMESCO Finland
General anesthesy, balanced
2.5
7.9
77
392
190
Kela drug reimbursment
Lanthanum carbonate, sevelamer and sucroferric oxyhydroxide
46.6
7.8
9
*
TK800
NOMESCO Finland
Hemodialysis
12.4
7.7
13
11
N18.0
ICD-10 Finland
End-stage renal disease
26.0
7.6
10
*
N18.5
ICD-10 Finland
Chronic kidney disease, stage 5
82.7
7.5
8
*
25299
ICD-8 Finland
Diseases of parathyroid gland, Other and unspecified
+∞
7.3
7
*
V03AE02
ATC
sevelamer; oral
+∞
7.3
7
*
E20.0
ICD-10 Finland
Idiopathic hypoparathyroidism
+∞
7.3
7
*
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
31.1
7.2
9
*
B03XA02
ATC
darbepoetin alfa; parenteral
12.6
7.2
12
10
C08CA01
ATC
amlodipine; oral
2.1
6.9
108
680
C03CA01
ATC
furosemide; systemic
2.2
6.9
95
564
UJF32
NOMESCO Finland
Coloscopy
2.3
6.8
78
427
WZC30
NOMESCO Finland
Teaching
2.8
6.8
45
182
PBL10
NOMESCO Finland
Construction of arteriovenous fistula from radial artery
23.3
6.7
9
*
M05BA04
ATC
alendronic acid; oral
2.9
6.7
41
158
M81.9
ICD-10 Finland
Osteoporosis, unspecified
4.2
6.6
24
62
I10
ICD-10 Finland
Essential (primary) hypertension
2.1
6.6
162
1218
BBA70
NOMESCO Finland
Implantation or transplantation of parathyroid gland
71.8
6.5
7
*
H02AB09
ATC
hydrocortisone; systemic
14.9
6.5
10
7
V03AE01
ATC
polystyrene sulfonate; oral
18.7
6.3
9
5
E26.0
ICD-10 Finland
Primary hyperaldosteronism
+∞
6.3
6
*
B05DA
ATC
Isotonic solutions
27.5
6.3
8
*
N19
ICD-10 Finland
Unspecified kidney failure
5.9
6.1
16
29
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.1
6.1
86
512

Mortality – FinRegistry

Association

Association between endpoint E4_PARANAS and mortality.

Females

Parameter HR [95% CI] p-value
E4_PARANAS 1.495 [1.3, 1.72] < 0.001
Birth year 0.993 [0.98, 1.0] 0.123

During the follow-up period (1.1.1998 — 31.12.2019), 411 out of 1112 females with E4_PARANAS died.

Males

Parameter HR [95% CI] p-value
E4_PARANAS 1.696 [1.3, 2.22] < 0.001
Birth year 0.985 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 129 out of 310 males with E4_PARANAS died.

Mortality risk

Mortality risk for people of age

years, who have E4_PARANAS.

N-year risk Females Males
1 0.142% 0.283%
5 0.791% 1.52%
10 2.046% 4.214%
15 4.067% 8.631%
20 7.273% 14.569%

Relationships between endpoints

Index endpoint: E4_PARANAS – Disorders of parathyroid gland, other and/or unspecified

GWS hits: 2

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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