Pituitary-dependent Cushing's disease

E4_PITUITARY_DEPENDENT_CUSHINGS_DISEASE

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 E24.0
  • Cause of death: ICD-10 E24.0

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

116

4. Check minimum number of events

None

116

5. Include endpoints

None

116

6. Filter based on genotype QC (FinnGen only)

112

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

This endpoint is excluded (different definition than used in FinnGen).

-FinnGen-

Key figures

All Female Male
Number of individuals 112 88 24
Unadjusted period prevalence (%) 0.03 0.03 0.01
Median age at first event (years) 46.27 44.68 52.09

-FinnGen-

Age distribution of first events

-FinnGen-

Year distribution of first events

-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
116
Matched controls
1160
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E24.0
ICD-10 Finland
Pituitary-dependent Cushing disease
+∞
164.3
115
*
H02AB09
ATC
hydrocortisone; systemic
223.0
156.8
79
11
D35.2
ICD-10 Finland
Benign neoplasm: Pituitary gland
315.5
65.6
61
*
AAE10
NOMESCO Finland
Transsphenoidal total or partial excision of intracranial lesion
480.1
57.8
53
*
E24.9
ICD-10 Finland
Cushing syndrome, unspecified
+∞
52.1
46
*
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
242.1
46.7
45
*
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
41.0
29.9
37
13
H02AA02
ATC
fludrocortisone; oral
+∞
26.0
24
*
V04CD01
ATC
metyrapone; oral
+∞
26.0
24
*
105
Kela drug reimbursment
Adrenal cortical hypofunction
+∞
24.9
23
*
E24.8
ICD-10 Finland
Other Cushing syndrome
+∞
22.6
21
*
101
Kela drug reimbursment
Anterior pituitary hypofunction
126.9
20.3
21
*
E89.6
ICD-10 Finland
Postprocedural adrenocortical(-medullary) hypofunction
+∞
19.3
18
*
NK6QA
NOMESCO Finland
Measurement of bone density from two or more locations with X-ray
8.7
19.2
28
41
C03DA01
ATC
spironolactone; oral
6.6
16.1
31
61
H03AA01
ATC
levothyroxine sodium; systemic
4.5
14.3
56
200
ZXC86
NOMESCO Finland
Use of endoscopic device
157.7
13.8
14
*
WX700
NOMESCO Finland
Respiratory and circulatory monitoring
4.8
12.9
37
103
BCA41
NOMESCO Finland
Endoscopic bilateral adrenalectomy
+∞
12.7
12
*
AA4CM
NOMESCO Finland
Extensive MRI examination of sella turcica with 3 Tesla magnet
+∞
12.7
12
*
E23.00
ICD-10 Finland
Panhypopituitarism
145.0
12.7
13
*
D35.0
ICD-10 Finland
Benign neoplasm: Adrenal gland
24.6
12.4
17
8
AA4WT
NOMESCO Finland
Selective blood sample from sinus petrosus inferior
+∞
11.6
11
*
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
4.1
10.9
39
127
WX408
NOMESCO Finland
General anesthesy, balanced
3.7
10.6
50
197
E24
ICD-10 Finland
Cushing syndrome
+∞
10.6
10
*
A10BA02
ATC
metformin; oral
3.6
10.0
46
177
N04BC06
ATC
cabergoline; oral
60.2
9.8
11
*
E27.4
ICD-10 Finland
Other and unspecified adrenocortical insufficiency
60.2
9.8
11
*
E11.8
ICD-10 Finland
Type 2 diabetes mellitus, with unspecified complications
5.3
9.0
20
44
BCA31
NOMESCO Finland
Endoscopic unilateral adrenalectomy
96.8
8.5
9
*
E23.03
ICD-10 Finland
Lack of ACTH
96.8
8.5
9
*
2550C
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SYNDROMA CUSHING E HYPERSECRETIO HYPOFYSEOS]
+∞
8.4
8
*
AA4DG
NOMESCO Finland
Very extensive MRI examination of sella turcica with high intensity magnet
+∞
8.4
8
*
ZXC95
NOMESCO Finland
Use of surgical navigator
36.1
8.2
10
*
C03CA01
ATC
furosemide; systemic
3.3
7.9
39
154
WX105
NOMESCO Finland
Surface analgesia on skin or mucosa
4.1
7.6
24
70
C08CA01
ATC
amlodipine; oral
3.0
7.6
51
241
E27.1
ICD-10 Finland
Primary adrenocortical insufficiency
85.3
7.5
8
*
L28
ICPC
Limited function/disability (L)
3.7
7.4
27
87
215
Kela drug reimbursment
Diabetes, non-insulin-treated
3.1
7.3
39
161
WX882
NOMESCO Finland
High dependency care
21.7
7.3
10
5
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
3.1
7.0
36
145
103
Kela drug reimbursment
Diabetes, insulin-treated
3.1
6.9
39
165
Z71.3
ICD-10 Finland
Dietary counselling and surveillance
6.7
6.9
17
29
Z01.8
ICD-10 Finland
Other specified special examinations
3.1
6.9
37
152
H01AC01
ATC
somatropin; parenteral
73.7
6.5
7
*
AA4BG
NOMESCO Finland
MRI examination of sella turcica with high intensity magnet
73.7
6.5
7
*
E27.0
ICD-10 Finland
Other adrenocortical overactivity
73.7
6.5
7
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.7
6.5
54
281
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.7
6.4
61
339
A02BC02
ATC
pantoprazole; systemic
3.1
6.3
91
622
E24.3
ICD-10 Finland
Ectopic ACTH syndrome
+∞
6.3
6
*
2550X
ICD-9 Finland
Disorders of adrenal glands, Cushing's syndrome[SYNDROMA CUSHING NUD]
+∞
6.3
6
*
E24.1
ICD-10 Finland
Nelson syndrome
+∞
6.3
6
*
2273A
ICD-9 Finland
Benign neoplasm of other endocrine glands and related structures, Pituitary gland and craniopharyngeal duct (pouch)
+∞
6.3
6
*
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
3.7
6.3
22
69
C08CA13
ATC
lercanidipine; oral
3.4
6.2
25
86
ZXE10
NOMESCO Finland
More than one and less than three hours
2.7
6.2
56
302
F32.10
ICD-10 Finland
Moderate depressive episode without somatic syndrome
3.8
6.0
20
60

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
73
8
240.55
77.68
6.8
1.5
—
—
—
0
0
53
6
159.77
53.38
4.5
1.0
212.66
46.50
nmol/24h
—
53
6
96
439
7.88
19.64
9.9
7.0
1.22
1.22
mmol/l
0.01
78
383
30
49
7.91
18.72
8.9
3.8
24.20
24.80
mmol/l
0.35
30
49
36
92
5.22
13.99
10.6
6.2
0.44
1.82
mmol/l
1.90
27
73
67
277
4.36
13.97
5.0
5.0
7.40
7.40
ph
0.23
21
46
29
81
4.44
9.86
1.2
1.3
—
—
—
0
0
33
107
3.91
9.14
11.3
5.9
105.82
104.27
mmol/l
1.17
33
107
38
136
3.67
9.12
2.6
3.3
0.78
0.81
mmol/l
0.98
38
131
12
5
26.49
9.11
2.5
2.0
73.93
84.60
ug/l
—
12
5
33
111
3.76
8.63
3.2
7.0
0.91
1.04
mmol/l
1.43
33
102
43
172
3.38
8.63
3.2
2.9
519.57
533.06
mosm/kgh2o
0.13
35
154
14
12
13.07
8.33
1.3
1.7
—
—
—
0
0
116
999
+∞
7.01
30.7
12.9
139.68
139.84
mmol/l
0.29
116
971
23
69
3.91
6.99
14.2
5.8
—
—
—
0
0
12
11
12.00
6.98
1.3
1.7
—
—
nmol/l
—
0
0
116
1004
+∞
6.56
30.6
13.1
3.90
3.94
mmol/l
1.04
116
976
78
493
2.78
6.27
5.0
5.6
0.04
0.04
e9/l
0.19
70
441
79
507
2.75
6.08
5.5
5.5
1.86
1.89
e9/l
0.17
71
460
79
510
2.72
5.96
5.3
6.1
0.16
0.18
e9/l
0.57
70
458
77
492
2.68
5.92
5.1
5.6
0.63
0.54
e9/l
2.32
69
442
16
43
4.16
5.59
18.5
7.0
95.61
95.14
%
0.34
16
43
8
5
17.02
5.49
1.0
5.6
56.38
158.20
nmol/l
—
8
5
52
285
2.49
5.39
3.2
3.0
7.84
7.62
mmol/l
0.11
47
241
85
585
2.70
5.37
6.9
10.0
4.96
3.97
e9/l
2.66
77
517
68
423
2.47
5.32
10.6
9.5
0.01
0.00
e9/l
0.86
58
344
21
72
3.34
5.19
1.8
3.9
2.40
1.73
mmol/l
0.40
15
52
28
117
2.84
4.95
2.1
1.6
—
—
—
0
0
16
48
3.71
4.81
18.5
6.4
1.09
1.29
%
0.40
16
48
16
48
3.71
4.81
18.5
6.4
0.50
0.65
%
1.05
16
48
90
656
2.66
4.74
4.0
3.4
—
—
—
0
0
9
11
8.75
4.65
1.9
1.1
61.78
61.27
mmol/l
—
9
11
46
252
2.37
4.65
3.6
2.6
—
—
—
0
0
70
459
2.32
4.63
6.5
6.3
—
—
—
0
0
7
5
14.76
4.63
1.4
1.6
24.63
5.66
mu/l
—
7
5
10
15
7.18
4.57
2.6
1.3
—
—
—
0
0
51
297
2.28
4.43
3.1
2.1
—
—
—
0
0
38
195
2.41
4.41
4.2
3.8
—
—
—
0
0
10
18
5.97
4.07
1.9
2.8
—
—
—
0
0
39
213
2.25
3.86
1.5
1.8
0.78
0.79
mg/l
0.02
28
170
11
24
4.95
3.85
2.1
1.5
29.82
37.88
nmol/l
0.54
11
24
44
253
2.19
3.84
3.0
2.8
0.23
0.22
e6/l
0.02
33
189
27
126
2.49
3.79
2.4
1.9
—
—
—
0
0
18
69
2.90
3.68
4.2
3.1
0.11
0.89
%
—
9
19
14
46
3.32
3.67
15.2
6.1
—
—
—
0
0
43
250
2.14
3.62
3.3
3.2
15.16
74.59
mg/l
2.31
33
152
18
70
2.86
3.58
4.1
3.4
0.00
0.05
%
—
9
20
9
18
5.32
3.44
2.4
2.7
—
—
—
0
0
44
265
2.06
3.34
3.8
3.9
1.94
11.84
mg/mmol
2.43
33
154
45
277
2.02
3.19
3.2
3.2
18.58
43.33
e6/l
0.56
33
210
9
20
4.78
3.18
2.6
3.2
8.68
9.09
kpa
—
9
20
9
20
4.78
3.18
2.6
3.2
4.91
4.91
kpa
—
9
20
58
395
1.94
3.05
18.7
9.5
1.25
1.20
inr
0.16
22
117
62
437
1.90
2.89
2.5
2.0
—
—
—
0
0
51
338
1.91
2.86
4.0
3.7
33.95
58.61
e6/l
0.47
37
227
33
188
2.06
2.85
2.8
2.8
6.39
5.17
e6/l
0.22
28
173
16
67
2.61
2.77
1.3
1.2
—
—
—
0
0
11
35
3.36
2.73
3.8
2.5
—
—
—
0
0
29
161
2.07
2.67
2.6
3.2
40.71
33.52
ng/l
0.13
24
110
85
676
1.96
2.63
4.4
4.0
—
—
—
0
0
8
20
4.21
2.62
3.4
4.2
62.38
59.80
%
—
8
20
8
20
4.21
2.62
2.4
4.0
5.37
4.69
e9/l
—
8
20
31
179
2.00
2.56
1.9
1.7
467.08
481.29
pmol/l
0.09
25
151
37
230
1.89
2.47
1.2
1.5
2.04
2.29
g/l
0.43
22
141
16
72
2.42
2.40
4.5
3.4
0.00
0.14
%
—
7
22
5
8
6.47
2.39
1.0
1.5
—
—
—
0
0
17
79
2.35
2.39
4.4
3.3
0.75
0.78
%
—
8
29
25
137
2.05
2.37
2.3
2.5
11.52
14.35
umol/l
1.13
25
125
12
47
2.73
2.35
4.6
4.6
—
—
—
0
0
23
123
2.09
2.32
2.1
2.6
2.48
2.48
g/l
0.00
23
110
5
9
5.75
2.23
1.0
1.1
251.60
157.07
mmol/24h
—
5
9
16
75
2.31
2.20
3.3
3.5
—
—
—
0
0
38
249
1.78
2.11
1.4
1.3
1.11
1.04
u/ml
—
10
77
5
10
5.17
2.09
1.2
1.4
—
—
—
0
0
13
58
2.40
1.99
2.1
2.1
5.30
5.16
ug/l
0.02
13
50
47
334
1.68
1.94
3.6
3.3
17.76
19.98
ng/l
0.32
35
204
24
140
1.90
1.91
1.3
1.2
—
—
—
0
0
7
23
3.17
1.83
1.6
3.4
—
—
—
0
0
43
303
1.67
1.81
3.0
2.7
—
—
—
0
0
61
470
1.63
1.80
3.5
2.8
127.43
78.26
ug/l
0.68
61
441
77
630
1.66
1.78
5.1
4.2
—
64.88
—
0
16
8
31
2.69
1.69
1.3
1.2
89.75
208.21
e6/l
—
8
24
8
31
2.69
1.69
1.1
1.1
2.25
2.91
e6/l
—
8
22
23
138
1.83
1.68
2.3
2.7
2.47
3.53
e6/l
0.27
13
70
5
14
3.68
1.63
2.0
3.0
—
—
—
0
0
5
14
3.68
1.63
1.2
1.2
—
—
—
0
0
7
26
2.80
1.61
1.1
1.3
—
—
—
0
0
7
26
2.80
1.61
2.4
2.2
1.84
1.58
mg/l
—
7
21
116
1115
+∞
1.53
32.3
18.4
134.79
134.65
g/l
0.04
116
1103
116
1115
+∞
1.53
32.0
18.3
91.26
90.74
fl
0.53
116
1103
116
1115
+∞
1.53
31.9
18.2
30.05
30.20
pg
0.36
116
1103
6
137
0.41
1.52
1.5
1.3
—
—
—
0
0
7
28
2.59
1.47
2.9
4.9
—
—
—
0
0
6
24
2.58
1.32
3.5
3.8
3.95
3.93
mmol/l
—
6
24
28
192
1.60
1.27
1.2
1.3
44.57
26.89
iu/ml
—
8
71
5
19
2.70
1.23
1.4
1.5
—
—
—
0
0
35
257
1.52
1.19
3.7
3.7
0.00
0.00
estimate
-0.00
19
92
36
266
1.51
1.19
1.3
1.5
—
—
—
0
0
5
21
2.44
1.10
1.2
3.0
9.66
10.84
mg/l
—
5
21
15
91
1.74
1.06
1.0
1.2
—
—
—
0
0
110
1044
2.04
1.01
20.8
11.2
—
—
—
0
0
57
473
1.40
1.00
6.5
4.9
0.00
0.00
estimate
-0.00
20
92
13
78
1.75
0.96
5.5
4.0
—
—
—
0
0
12
71
1.77
0.93
1.4
3.3
62.05
66.54
g/l
1.09
12
65
6
29
2.13
0.91
3.5
5.9
1.20
1.61
mmol/l
—
6
29
12
73
1.72
0.85
1.3
2.8
8.91
9.73
g/l
0.63
12
68
47
386
1.37
0.85
1.9
1.9
96.07
101.31
pmol/l
0.32
25
190
57
484
1.35
0.83
4.4
3.5
0.00
0.00
estimate
-0.00
21
97
36
284
1.39
0.82
4.9
3.3
—
—
—
0
0
10
58
1.79
0.82
3.0
3.4
—
—
—
0
0
32
248
1.40
0.81
3.9
3.5
—
—
—
0
0
5
23
2.22
0.77
1.2
1.1
—
—
—
0
0
10
60
1.73
0.75
1.2
2.1
1.37
1.70
g/l
—
10
55
9
56
1.66
0.74
1.1
3.2
—
—
—
0
0
5
25
2.04
0.73
1.4
1.2
—
—
—
0
0
56
481
1.32
0.73
4.5
3.5
0.00
0.00
estimate
-0.00
17
86
7
41
1.75
0.71
1.7
2.6
2.11
1.56
g/l
—
7
34
19
137
1.46
0.70
1.3
1.6
—
—
—
0
0
31
247
1.35
0.66
8.0
8.3
—
—
—
0
0
11
72
1.58
0.61
1.4
1.3
48.19
142.24
u/ml
2.35
11
67
0
22
0.00
0.60
0.0
2.0
—
—
—
0
0
24
188
1.35
0.57
1.2
1.3
1.21
6.80
u/ml
—
8
78
16
118
1.41
0.53
1.4
1.4
—
—
—
0
0
6
40
1.53
0.52
1.7
1.5
—
—
—
0
0
15
113
1.38
0.45
1.3
1.4
—
—
—
0
0
27
223
1.27
0.45
1.5
1.5
20.36
23.03
nmol/l
0.45
27
190
12
89
1.39
0.39
1.5
1.2
350.10
123.70
iu/ml
—
6
36
14
107
1.35
0.39
1.4
1.2
—
—
—
0
0
7
53
1.34
0.31
1.0
1.1
—
—
—
0
0
22
187
1.22
0.29
1.5
1.6
—
—
—
0
0
8
62
1.31
0.29
1.1
1.2
—
—
—
0
0
10
77
1.33
0.27
1.3
1.4
—
—
—
0
0
9
73
1.25
0.26
1.2
1.4
—
—
—
0
0
6
81
0.73
0.25
2.0
1.8
—
—
—
0
0
11
88
1.28
0.23
1.0
1.5
—
—
—
0
0
0
11
0.00
0.21
0.0
1.2
—
19.48
—
0
11
0
11
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
1.1
—
—
—
0
0
0
12
0.00
0.21
0.0
10.2
—
0.65
—
0
12
0
12
0.00
0.21
0.0
1.2
—
—
—
0
0
0
13
0.00
0.21
0.0
1.5
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
0
13
0.00
0.21
0.0
2.0
—
618.85
—
0
13
6
47
1.29
0.21
1.0
1.2
—
—
—
0
0
6
49
1.24
0.20
1.0
1.1
—
—
—
0
0
0
14
0.00
0.20
0.0
15.1
—
860.71
—
0
14
0
14
0.00
0.20
0.0
22.5
—
1546.07
—
0
14
13
113
1.17
0.13
1.2
2.0
—
—
—
0
0
23
210
1.12
0.13
2.7
3.1
—
—
—
0
0
6
53
1.14
0.09
1.7
2.3
—
—
—
0
0
6
54
1.12
0.09
1.0
1.3
—
—
—
0
0
6
56
1.08
0.09
1.0
1.3
—
—
—
0
0
24
231
1.05
0.03
1.7
1.9
—
—
—
0
0
38
386
0.98
0.00
3.9
2.8
—
—
—
0
0
13
127
1.03
0.00
1.5
1.4
—
—
—
0
0
0
7
0.00
0.00
0.0
7.9
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
40.56
—
0
7
0
7
0.00
0.00
0.0
1.9
—
156.14
—
0
7
5
55
0.91
0.00
1.0
1.3
—
—
—
0
0
5
55
0.91
0.00
1.0
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
3.0
—
33121.00
—
0
5
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
12
120
1.00
-0.00
1.3
1.7
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
259.13
—
0
6
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
-0.00
0.0
9.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.3
—
31.75
—
0
8
0
5
0.00
-0.00
0.0
3.8
—
55.70
—
0
5
0
5
0.00
-0.00
0.0
4.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
0.22
—
0
5
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
14.6
—
—
—
0
0
0
8
0.00
-0.00
0.0
3.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
4.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
229.20
—
0
5
0
9
0.00
-0.00
0.0
6.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
5
54
0.92
-0.00
1.0
1.3
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.4
—
—
—
0
0
5
59
0.84
-0.00
11.6
2.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
3.0
—
—
—
0
0

Mortality – FinRegistry

This endpoint is excluded (different definition than used in FinnGen).

Relationships between endpoints

Index endpoint: E4_PITUITARY_DEPENDENT_CUSHINGS_DISEASE – Pituitary-dependent Cushing's disease

GWS hits: -

This endpoint is excluded (different definition than used in FinnGen).