Rheumatic fever without mention of heart involvement

I9_RHEUFEVWITHOUTHEART

rheumatic fever: Rheumatic fever (RF) is a multisystem inflammatory disease occurring as a post-infectious, nonsuppurative sequela of untreated streptococcus pyogenes (Group A streptococcus [GAS]) pharyngitis, and mainly occurs in individuals aged 5 to 15 years. The most common presenting signs are fever, migratory polyarthritis and carditis.

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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.

123

4. Check minimum number of events

None

123

5. Include endpoints

None

123

6. Filter based on genotype QC (FinnGen only)

123

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy
2
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 1291 714 563
Only index persons 971 550 421
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.02
Only index persons 0.02 0.02 0.02
Median age at first event (years)
Whole population 36.50 39.46 32.27
Only index persons 30.76 33.43 27.27

-FinnGen-

Key figures

All Female Male
Number of individuals 123 69 54
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 28.34 29.68 26.64

-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
113
Matched controls
1131
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
39097
ICD-8 Finland
Rheumatic fever without mention of heart involvement, Suspecta
+∞
40.0
36
*
39099
ICD-8 Finland
Rheumatic fever without mention of heart involvement, Unspecified
+∞
26.0
24
*
I00
ICD-10 Finland
Rheumatic fever without mention of heart involvement
+∞
23.8
22
*
L54.0*I00
ICD-10 Finland
Erythema marginatum in acute rheumatic fever
+∞
8.4
8
*
3900A
ICD-9 Finland
Rheumatic fever without mention of heart involvement[FEBRIS RHEUMATICA, MORBO CORDIS NON INDICATO]
+∞
7.4
7
*
71239
ICD-8 Finland
Rheumatoid arthritis and allied conditions, Arthritis rheumatoides NUD
73.8
6.5
7
*
I02.9
ICD-10 Finland
Rheumatic chorea without heart involvement
+∞
6.3
6
*

Mortality – FinRegistry

Association

Association between endpoint I9_RHEUFEVWITHOUTHEART and mortality.

Females

Parameter HR [95% CI] p-value
I9_RHEUFEVWITHOUTHEART 2.023 [1.5, 2.72] < 0.001
Birth year 0.999 [0.99, 1.01] 0.863

During the follow-up period (1.1.1998 — 31.12.2019), 93 out of 253 females with I9_RHEUFEVWITHOUTHEART died.

Males

Parameter HR [95% CI] p-value
I9_RHEUFEVWITHOUTHEART 1.981 [1.33, 2.95] < 0.001
Birth year 0.983 [0.97, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 65 out of 180 males with I9_RHEUFEVWITHOUTHEART died.

Mortality risk

Mortality risk for people of age

years, who have I9_RHEUFEVWITHOUTHEART.

N-year risk Females Males
1 0.15% 0.323%
5 1.268% 2.127%
10 3.63% 5.092%
15 6.593% 9.279%
20 11.567% 15.75%

Relationships between endpoints

Index endpoint: I9_RHEUFEVWITHOUTHEART – Rheumatic fever without mention of heart involvement

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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