Disorders of puberty, other/unspecified

E4_PUBDISNAS

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:

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

146

4. Check minimum number of events

None

146

5. Include endpoints

None

146

6. Filter based on genotype QC (FinnGen only)

146

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 2778 2033 744
Only index persons 2125 1439 686
Unadjusted period prevalence (%)
Whole population 0.05 0.06 0.02
Only index persons 0.04 0.05 0.03
Median age at first event (years)
Whole population 9.61 7.65 14.97
Only index persons 10.35 8.12 15.01

-FinnGen-

Key figures

All Female Male
Number of individuals 146 114 32
Unadjusted period prevalence (%) 0.03 0.04 0.01
Median age at first event (years) 10.56 9.26 15.21

-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
133
Matched controls
1330
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E30.9
ICD-10 Finland
Disorder of puberty, unspecified
+∞
84.7
72
*
E30.8
ICD-10 Finland
Other disorders of puberty
+∞
74.0
64
*
NK6MA
NOMESCO Finland
Measurement of bone age from hand and elbow using X-ray
28.4
28.7
39
19
E30.09
ICD-10 Finland
Delayed puberty NOS
+∞
18.1
17
*
E30.1
ICD-10 Finland
Precocious puberty
+∞
14.9
14
*
E34.35
ICD-10 Finland
Abnormal growth retardation
+∞
12.7
12
*
L02AE02
ATC
leuprorelin; implant, parenteral
33.5
11.9
15
5
E22.80
ICD-10 Finland
Central precocious puberty
119.0
10.6
11
*
E30.00
ICD-10 Finland
Familial delayed puberty
107.3
9.5
10
*
H03AA01
ATC
levothyroxine sodium; systemic
4.1
9.3
39
121
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
5.5
8.7
26
56
AA1CG
NOMESCO Finland
Extensive MRI examination of brain with high intensity magnet
6.2
8.6
23
43
H01AC01
ATC
somatropin; parenteral
+∞
8.4
8
*
Z51.80
ICD-10 Finland
Manipulation of puberty development with hormone therapy
+∞
8.4
8
*
G03BA03
ATC
testosterone; systemic, rectal, sublingual, transdermal
18.7
8.2
12
7
104
Kela drug reimbursment
Thyroid insufficiency
8.5
7.6
16
21
F82
ICD-10 Finland
Specific developmental disorder of motor function
17.0
7.4
11
7
101
Kela drug reimbursment
Anterior pituitary hypofunction
+∞
7.4
7
*
121
Kela drug reimbursment
Severe hypofunction of sexual glands
28.1
6.3
8
*
E23.00
ICD-10 Finland
Panhypopituitarism
+∞
6.3
6
*
E23.01
ICD-10 Finland
Isolated deficiency of growth hormone
+∞
6.3
6
*

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
37
61
7.79
22.84
3.6
1.7
5.2
6.0
u/l
0.20
27
42
35
60
7.36
20.75
3.4
1.7
9.9
14.3
iu/l
0.42
29
43
14
10
15.38
15.25
4.4
1.3
29.0
25.2
nmol/l
—
14
10
27
52
6.14
14.05
2.3
1.6
6.6
11.0
nmol/l
1.24
20
44
11
16
7.35
7.25
1.4
1.7
—
—
—
0
0
9
7
13.59
5.66
1.8
1.3
4.9
3.5
nmol/l
—
9
7
21
76
3.06
4.68
2.0
1.5
400.9
346.9
mu/l
0.22
21
71
116
895
2.44
4.65
6.3
3.6
14.6
14.4
pmol/l
0.41
107
792
49
289
2.05
3.81
1.7
1.5
86.3
92.1
pmol/l
0.44
26
136
87
637
1.91
3.51
8.0
7.8
2.0
2.0
e9/l
0.29
80
569
84
609
1.89
3.49
8.1
7.9
0.5
0.5
e9/l
0.08
75
528
85
621
1.88
3.42
8.6
8.6
0.2
0.2
e9/l
0.15
77
542
91
684
1.88
3.30
9.9
10.1
3.4
3.8
e9/l
1.38
81
587
83
608
1.85
3.25
8.2
8.0
0.0
0.0
e9/l
0.01
76
525
62
420
1.83
3.09
6.6
8.6
—
—
—
0
0
6
8
7.76
3.08
1.2
1.3
—
—
—
0
0
6
9
6.89
2.89
2.2
4.9
2.4
2.0
mmol/l
—
6
9
77
566
1.76
2.86
4.6
5.2
6.2
6.2
mmol/l
0.07
71
502
10
31
3.39
2.83
1.2
1.3
—
—
—
0
0
79
594
1.72
2.64
9.8
9.6
0.0
0.0
e9/l
0.00
67
473
49
325
1.76
2.54
9.8
9.6
—
—
—
0
0
96
773
1.71
2.39
3.2
2.8
1.2
1.2
mmol/l
0.15
88
727
121
1042
1.94
2.39
7.2
4.1
1.7
1.8
mu/l
0.31
113
957
28
159
1.94
2.35
4.0
3.4
—
—
—
0
0
45
299
1.73
2.29
2.4
2.7
—
—
—
0
0
93
751
1.66
2.21
5.9
4.3
9.6
8.2
mm/h
0.67
86
685
51
354
1.68
2.20
2.8
2.5
—
—
—
0
0
80
624
1.62
2.17
3.1
2.7
58.4
57.0
ug/l
0.04
71
572
102
850
1.66
2.08
3.6
2.9
5.5
5.5
mmol/l
0.05
95
770
131
1177
2.10
2.02
14.5
12.5
39.3
39.6
%
0.30
106
997
56
408
1.60
1.97
4.7
3.7
33.7
64.3
e6/l
0.69
37
263
23
130
1.91
1.96
6.6
12.3
—
—
—
0
0
6
16
3.86
1.95
1.0
1.3
8.1
7.1
mg/l
—
6
16
48
340
1.61
1.88
3.8
3.1
41.2
248.7
e6/l
0.53
36
253
36
237
1.69
1.87
4.0
2.4
6.4
8.6
e6/l
0.38
29
204
99
831
1.59
1.85
3.5
3.0
4.5
4.5
mmol/l
0.10
89
775
129
1161
1.95
1.85
13.2
10.7
16.1
22.3
mg/l
2.01
103
826
26
157
1.80
1.81
5.5
8.1
—
—
—
0
0
119
1051
1.72
1.75
15.2
11.1
3.9
3.9
mmol/l
0.45
114
1009
45
319
1.59
1.74
3.8
3.2
0.2
0.3
e6/l
0.19
35
233
119
1052
1.71
1.73
15.6
11.1
139.7
139.6
mmol/l
0.18
114
1011
5
13
3.94
1.73
1.2
1.3
—
—
—
0
0
97
818
1.55
1.71
3.5
2.9
1.5
1.5
mmol/l
0.05
87
763
85
698
1.52
1.68
4.2
3.6
36.7
37.1
mmol/mol
0.14
80
646
97
831
1.50
1.48
3.7
3.1
2.8
2.7
mmol/l
0.37
89
767
37
261
1.56
1.45
3.2
6.1
1.1
1.1
inr
0.05
11
89
43
314
1.52
1.44
3.6
3.2
—
—
—
0
0
30
203
1.60
1.39
1.6
3.5
1.2
1.1
mg/l
0.07
20
140
16
90
1.87
1.39
1.4
1.4
—
—
—
0
0
25
162
1.66
1.37
6.0
8.8
1.1
1.2
mmol/l
0.69
25
151
5
17
3.01
1.37
1.4
2.4
—
—
—
0
0
0
37
0.00
1.36
0.0
1.7
—
—
—
0
0
18
107
1.78
1.33
14.4
7.0
—
—
—
0
0
6
24
2.56
1.32
1.2
2.8
—
—
—
0
0
8
36
2.29
1.26
1.6
8.1
132.4
128.2
g/l
—
8
36
5
19
2.69
1.22
2.8
2.9
—
—
—
0
0
31
219
1.53
1.20
3.9
3.1
28.5
22.4
ng/l
0.13
15
105
8
40
2.06
1.14
2.6
1.4
—
—
—
0
0
39
296
1.43
1.07
2.6
2.8
3.6
2.6
mg/l
1.43
31
243
9
46
2.02
1.06
1.3
1.2
—
—
—
0
0
32
236
1.46
1.01
4.2
3.1
7.4
7.4
ph
—
6
42
34
257
1.42
0.95
5.4
3.2
—
—
—
0
0
6
27
2.27
0.94
1.8
4.3
—
—
—
0
0
21
145
1.52
0.91
12.8
10.0
26.4
25.0
mmol/l
1.02
21
145
85
751
1.32
0.85
5.9
4.1
—
—
—
0
0
6
33
1.85
0.80
1.0
1.2
—
—
—
0
0
19
133
1.49
0.78
5.6
7.9
0.8
0.8
mmol/l
0.04
19
125
126
1187
1.45
0.78
11.7
8.7
—
—
—
0
0
6
34
1.80
0.77
1.3
1.1
—
—
—
0
0
9
56
1.65
0.74
2.7
5.1
—
—
—
0
0
5
25
2.03
0.73
2.0
4.3
—
—
—
0
0
5
25
2.03
0.73
1.0
1.2
—
—
—
0
0
5
25
2.03
0.73
2.8
2.2
—
—
—
0
0
12
78
1.59
0.68
1.9
2.1
—
—
—
0
0
16
113
1.47
0.64
1.8
1.6
—
—
—
0
0
12
80
1.54
0.62
2.0
1.8
1.2
1.0
g/l
0.35
12
75
0
20
0.00
0.61
0.0
3.0
—
—
—
0
0
0
20
0.00
0.61
0.0
2.0
—
—
—
0
0
0
20
0.00
0.61
0.0
1.5
—
—
—
0
0
0
22
0.00
0.60
0.0
1.1
—
—
—
0
0
0
22
0.00
0.60
0.0
1.1
—
—
—
0
0
24
186
1.35
0.59
4.3
4.5
—
—
—
0
0
49
421
1.25
0.57
5.0
3.0
—
—
—
0
0
27
215
1.31
0.56
1.6
1.5
—
—
—
0
0
19
143
1.38
0.56
1.3
1.2
39.9
7.6
u/ml
—
7
58
9
61
1.51
0.55
1.6
1.4
—
—
—
0
0
9
61
1.51
0.55
1.6
1.4
—
—
—
0
0
9
62
1.48
0.54
1.6
1.5
—
—
—
0
0
33
274
1.26
0.51
6.4
3.2
0.0
0.0
estimate
0.00
14
106
38
321
1.25
0.51
1.9
1.8
—
—
—
0
0
17
128
1.37
0.50
1.5
1.4
—
—
—
0
0
47
411
1.21
0.46
1.8
1.7
—
—
—
0
0
42
364
1.22
0.44
1.8
1.7
—
—
—
0
0
27
223
1.26
0.44
2.2
3.2
173.7
86.9
ug/g
0.57
18
159
5
33
1.53
0.41
1.2
1.8
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
0
15
0.00
0.41
0.0
4.7
—
22.6
—
0
15
59
532
1.18
0.41
5.5
3.2
0.0
0.0
estimate
0.00
12
109
10
71
1.44
0.40
5.5
2.8
—
—
—
0
0
58
523
1.18
0.40
7.3
4.6
0.0
0.0
estimate
0.00
14
108
0
19
0.00
0.39
0.0
3.7
—
28.4
—
0
12
31
264
1.22
0.39
5.1
4.6
—
—
—
0
0
13
98
1.36
0.39
1.2
1.3
—
—
—
0
0
5
36
1.40
0.38
1.4
2.7
—
—
—
0
0
15
117
1.31
0.37
2.2
2.4
—
—
—
0
0
6
42
1.45
0.36
3.2
15.0
97.0
95.6
%
—
6
42
6
42
1.45
0.36
2.0
2.4
—
—
—
0
0
15
118
1.30
0.35
1.1
1.2
—
—
—
0
0
6
44
1.38
0.35
3.2
14.3
1.1
1.3
%
—
6
44
6
44
1.38
0.35
3.2
14.3
0.4
0.7
%
—
6
44
61
558
1.16
0.35
3.4
2.6
—
—
—
0
0
19
155
1.26
0.34
1.4
1.2
20.0
23.3
iu/ml
—
5
36
6
46
1.32
0.33
2.0
1.8
18.0
65.0
u/ml
—
6
46
7
52
1.36
0.31
1.6
1.8
—
—
—
0
0
7
52
1.36
0.31
1.3
1.8
—
—
—
0
0
57
523
1.15
0.31
5.6
3.2
0.0
0.0
estimate
0.00
13
104
7
57
1.24
0.29
1.3
1.4
—
—
—
0
0
8
64
1.26
0.28
1.0
1.1
—
—
—
0
0
46
419
1.14
0.27
1.7
1.5
2.3
1.8
g/l
0.66
23
212
5
40
1.26
0.22
1.8
2.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
1.3
—
187.2
—
0
10
0
12
0.00
0.21
0.0
3.1
—
136.8
—
0
12
15
127
1.20
0.20
1.6
2.0
—
—
—
0
0
13
109
1.21
0.19
1.7
2.0
—
—
—
0
0
7
60
1.17
0.18
1.7
2.3
1.2
1.2
mmol/l
—
7
49
8
68
1.19
0.17
1.1
1.1
—
—
—
0
0
11
92
1.21
0.16
1.1
1.4
—
—
—
0
0
49
462
1.09
0.15
1.4
1.6
0.6
1.3
u/ml
1.10
11
84
13
150
0.85
0.15
4.2
2.4
761.1
4283.6
u/l
—
6
59
44
467
0.92
0.15
2.6
2.2
—
—
—
0
0
13
145
0.89
0.10
1.4
1.4
—
—
—
0
0
5
46
1.09
0.09
1.0
1.6
—
—
—
0
0
30
283
1.08
0.09
4.0
2.8
—
—
—
0
0
33
315
1.06
0.07
1.9
1.8
—
—
—
0
0
15
160
0.93
0.04
1.5
1.9
—
—
—
0
0
29
298
0.97
0.02
2.3
2.0
—
—
—
0
0
10
104
0.96
0.00
1.9
2.1
—
—
—
0
0
10
101
0.99
0.00
1.3
1.2
—
—
—
0
0
16
161
0.99
0.00
1.7
1.9
—
—
—
0
0
31
311
1.00
0.00
1.5
1.6
—
—
—
0
0
17
175
0.97
0.00
1.1
1.2
—
—
—
0
0
15
148
1.02
0.00
1.7
1.9
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
24.3
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
25.8
—
0.6
—
0
5
0
5
0.00
0.00
0.0
9.0
—
—
—
0
0
0
8
0.00
0.00
0.0
2.8
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.6
—
9.1
—
0
7
0
5
0.00
0.00
0.0
2.8
—
—
—
0
0
0
7
0.00
0.00
0.0
1.3
—
—
—
0
0
7
69
1.02
0.00
1.6
1.4
—
—
—
0
0
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
9
96
0.93
0.00
6.0
3.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
0.00
0.0
1.7
—
—
—
0
0
0
9
0.00
0.00
0.0
1.3
—
—
—
0
0
16
160
1.00
0.00
1.7
1.9
—
—
—
0
0
16
160
1.00
0.00
1.7
1.9
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
7.1
—
0
6
0
6
0.00
0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
6
61
0.98
0.00
1.7
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
2.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
0.00
0.0
3.3
—
—
—
0
0
6
61
0.98
0.00
1.0
1.1
—
4.2
—
0
20

Mortality – FinRegistry

Association

Association between endpoint E4_PUBDISNAS and mortality.

Females

Parameter HR [95% CI] p-value
E4_PUBDISNAS 2.209 [1.53, 3.18] < 0.001
Birth year 0.992 [0.98, 1.0] 0.079

During the follow-up period (1.1.1998 — 31.12.2019), 97 out of 1798 females with E4_PUBDISNAS died.

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_PUBDISNAS.

N-year risk Females Males
1 0.179% No data
5 1.09% No data
10 2.848% No data
15 5.741% No data
20 9.391% No data

Relationships between endpoints

Index endpoint: E4_PUBDISNAS – Disorders of puberty, other/unspecified

GWS hits: -

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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