Thromboangiitis obliterans

I9_THROMBANG

thromboangiitis obliterans: Buerger disease, also known as thromboangiitis obliterans (TAO), is a rare inflammatory non-necrotizing vascular disease affecting the small- and medium-sized arteries and veins of the upper and lower extremities characterized by endarteritis and vaso-occlusion due to occlusive thrombus development. The development and progression of the disease is consistently associated with exposure to tobacco.

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Endpoint definition

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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 I73.1
  • Hospital discharge: ICD-9 4431A
  • Hospital discharge: ICD-8 44310
  • Cause of death: ICD-10 I73.1
  • Cause of death: ICD-9 4431A
  • Cause of death: ICD-8 44310

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

136

4. Check minimum number of events

None

136

5. Include endpoints

None

136

6. Filter based on genotype QC (FinnGen only)

134

Control definitions (FinnGen only)

Control exclude
I9_DOAAC

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
I73
Name in latin
Tromboangi(i)tis obliterans (Bürger)

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 1319 389 900
Only index persons 869 322 547
Unadjusted period prevalence (%)
Whole population 0.02 0.01 0.03
Only index persons 0.02 0.01 0.02
Median age at first event (years)
Whole population 52.80 53.06 52.44
Only index persons 51.00 51.70 50.59

-FinnGen-

Key figures

All Female Male
Number of individuals 134 48 86
Unadjusted period prevalence (%) 0.03 0.02 0.04
Median age at first event (years) 49.36 46.15 51.16

-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

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
136
Matched controls
1360
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I73.1
ICD-10 Finland
Thromboangiitis obliterans [Buerger]
+∞
118.8
96
*
I70.2
ICD-10 Finland
Atherosclerosis of arteries of extremities
155.6
61.1
61
7
XPX99
NOMESCO Finland
Other diagnostic examination of periferal vessel
21.3
41.5
34
21
44310
ICD-8 Finland
Other peripheral vascular disease, Thrombo-angiitis obliterans (Buerger's disease)
+∞
36.1
33
*
C08CA05
ATC
nifedipine; systemic
10.0
27.8
37
49
4431A
ICD-9 Finland
Other peripheral vascular disease, Thromboangiitis obliterans [Buerger's disease]
+∞
24.7
23
*
4402A
ICD-9 Finland
Atherosclerosis, Of native arteries of the extremities
+∞
14.9
14
*
I71.4
ICD-10 Finland
Abdominal aortic aneurysm, without mention of rupture
+∞
12.7
12
*
I73.0
ICD-10 Finland
Raynaud syndrome
47.5
11.1
13
*
2424
FHL
Sympatectomy, lumbar
+∞
10.5
10
*
I73.9
ICD-10 Finland
Peripheral vascular disease, unspecified
107.2
9.5
10
*
PD4BC
NOMESCO Finland
Extensive arterigography of lower extremity with X-ray
+∞
9.5
9
*
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
10.6
9.1
17
18
C08CA02
ATC
felodipine; oral
4.0
8.5
27
79
I71.3
ICD-10 Finland
Abdominal aortic aneurysm, ruptured
+∞
8.4
8
*
I73.8
ICD-10 Finland
Other specified peripheral vascular diseases
+∞
8.4
8
*
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
15.8
8.4
13
9
PD4AC
NOMESCO Finland
Arterigography of lower extremity with X-ray
47.8
7.8
9
*
I70.9
ICD-10 Finland
Generalized and unspecified atherosclerosis
84.5
7.5
8
*
PE1AT
NOMESCO Finland
Femoral artery PTA
+∞
7.4
7
*
2423
FHL
Sympatectomy, thoracic
+∞
7.4
7
*
9571
FHL
Amputation of toe or toes
+∞
7.4
7
*
M34.9
ICD-10 Finland
Systemic sclerosis, unspecified
+∞
7.4
7
*
J01FF01
ATC
clindamycin; systemic
2.8
7.1
49
229
PEH57
NOMESCO Finland
Bypass from femoral artery to popliteal artery below knee
+∞
6.3
6
*
PD4AD
NOMESCO Finland
CT of lower extremity arteries
+∞
6.3
6
*
9573
FHL
Leg amputation
+∞
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
31
129
2.82
5.46
2.1
2.1
—
—
—
0
0
52
295
2.23
4.67
4.4
3.9
—
—
—
0
0
35
181
2.26
3.85
5.4
3.3
347.88
86.14
ng/l
0.52
26
148
71
503
1.86
3.15
23.0
16.7
1.43
1.33
inr
0.30
28
150
65
451
1.85
3.06
9.8
5.0
0.68
0.64
%
0.22
60
420
20
89
2.46
3.04
3.0
3.8
3.27
2.13
mmol/l
0.44
14
70
67
470
1.84
3.04
11.6
5.3
—
—
—
0
0
66
462
1.83
3.00
10.0
5.0
2.77
2.76
%
0.01
61
428
48
307
1.87
2.89
3.4
2.3
—
—
—
0
0
42
261
1.88
2.75
2.5
2.0
5.75
3.02
mg/l
1.60
37
216
21
102
2.25
2.64
3.0
1.5
—
—
—
0
0
28
154
2.03
2.59
3.4
2.2
2.54
2.29
g/l
1.05
28
131
65
468
1.74
2.59
10.0
5.0
62.91
58.31
%
2.04
60
440
67
488
1.74
2.55
4.2
3.6
0.00
0.00
estimate
-0.00
16
80
54
370
1.76
2.55
5.8
3.4
828.53
63.00
e6/l
0.46
42
261
23
118
2.14
2.54
1.6
1.3
1653.33
397.14
titre
—
9
28
48
320
1.77
2.47
4.8
2.9
51.86
299.89
e6/l
0.63
40
240
66
484
1.71
2.42
5.6
5.1
0.00
0.00
estimate
-0.00
17
87
5
8
6.43
2.39
1.6
1.1
—
—
—
0
0
42
272
1.79
2.37
4.5
2.8
—
—
—
0
0
66
487
1.69
2.34
4.2
3.6
0.00
0.00
estimate
-0.00
19
97
43
282
1.77
2.33
4.1
3.5
—
—
—
0
0
6
13
4.77
2.29
2.0
1.3
21.08
15.01
ug/l
—
6
13
67
499
1.68
2.28
8.0
6.7
1.21
1.21
mmol/l
0.13
56
418
16
75
2.28
2.18
6.1
3.8
0.50
0.33
%
—
8
27
6
14
4.43
2.17
1.2
1.1
—
—
—
0
0
67
506
1.64
2.11
9.8
5.0
1.55
1.87
e9/l
1.62
58
457
17
85
2.14
2.00
5.8
3.8
1.00
0.86
%
—
9
35
7
21
3.46
1.99
1.0
3.7
—
—
—
0
0
5
11
4.67
1.96
1.6
1.4
—
—
—
0
0
39
265
1.66
1.82
4.3
3.8
0.00
0.00
estimate
-0.00
16
82
7
24
3.02
1.74
1.0
3.1
—
—
—
0
0
64
495
1.55
1.74
9.9
4.9
0.62
0.61
e9/l
0.11
55
434
16
83
2.05
1.73
1.5
3.1
63.08
66.63
g/l
1.11
16
71
17
91
1.99
1.69
1.6
2.7
80.29
67.44
e9/l
0.69
11
73
41
287
1.61
1.69
4.7
2.8
1.14
0.31
e6/l
0.39
33
209
66
517
1.54
1.67
11.0
5.4
0.19
0.20
e9/l
0.13
55
454
64
498
1.54
1.67
10.4
4.9
0.05
0.04
e9/l
0.88
55
439
15
78
2.04
1.61
9.1
6.3
—
—
—
0
0
11
51
2.26
1.55
2.3
2.5
1.46
1.28
%
0.27
11
51
15
80
1.98
1.51
6.5
3.9
0.00
0.13
%
—
7
30
11
53
2.17
1.43
5.8
2.8
—
—
—
0
0
11
53
2.17
1.43
10.3
4.1
24.41
24.61
mmol/l
0.04
11
53
14
75
1.97
1.40
6.9
4.0
0.17
0.35
%
—
6
26
5
17
3.01
1.37
1.4
1.6
—
—
—
0
0
41
302
1.51
1.34
5.0
3.9
7.38
7.41
ph
—
7
63
41
302
1.51
1.34
3.4
2.9
—
—
—
0
0
20
123
1.73
1.33
8.1
6.1
1.02
1.02
mmol/l
0.02
20
111
35
250
1.54
1.31
2.1
1.6
15.48
21.24
nmol/l
1.30
28
206
5
18
2.84
1.29
4.6
2.7
—
—
—
0
0
71
587
1.44
1.28
12.2
9.0
4.88
4.25
e9/l
1.08
61
512
10
49
2.12
1.25
1.9
2.5
0.64
0.68
%
—
10
49
80
680
1.43
1.21
6.2
4.2
—
—
—
0
0
14
80
1.84
1.18
5.7
3.5
—
—
—
0
0
5
20
2.55
1.16
3.2
2.5
4.90
4.79
kpa
—
5
20
5
20
2.55
1.16
3.2
2.5
9.68
8.28
kpa
—
5
20
13
73
1.86
1.15
3.7
1.9
9.23
10.42
g/l
0.59
13
66
51
403
1.42
1.15
17.7
9.6
0.00
0.01
e9/l
0.26
43
333
79
898
0.71
1.11
4.6
4.4
2.04
1.94
mu/l
0.20
71
800
23
155
1.58
1.10
4.7
2.6
1.07
1.47
e6/l
0.25
14
87
56
462
1.36
0.95
7.3
6.0
1.20
1.21
mmol/l
0.35
51
413
14
86
1.70
0.95
6.1
9.2
—
—
—
0
0
6
29
2.12
0.90
1.0
1.1
—
—
—
0
0
88
970
0.74
0.89
4.5
4.8
5.99
5.94
mmol/l
0.17
79
876
8
43
1.91
0.89
15.1
20.2
—
—
—
0
0
29
217
1.43
0.86
1.4
1.3
—
—
—
0
0
83
921
0.75
0.86
6.4
5.8
40.73
39.95
mmol/mol
0.32
75
846
11
65
1.75
0.85
3.6
2.6
0.04
0.14
e6/l
1.60
11
65
8
46
1.78
0.84
2.5
2.9
—
—
—
0
0
14
90
1.62
0.82
1.6
1.5
—
—
—
0
0
19
132
1.51
0.81
1.2
1.3
—
—
—
0
0
0
25
0.00
0.80
0.0
1.2
—
—
—
0
0
11
68
1.67
0.74
1.1
3.0
—
—
—
0
0
29
225
1.37
0.71
1.8
1.8
350.73
464.28
pmol/l
1.77
22
188
18
129
1.46
0.67
10.8
8.8
5.20
5.05
kpa
0.18
18
123
18
129
1.46
0.67
10.8
8.8
10.03
11.62
kpa
1.32
18
123
18
130
1.44
0.65
2.1
4.9
3.01
43.67
ug/l
0.71
18
112
51
442
1.25
0.56
5.9
3.8
44.10
44.01
ng/l
0.00
43
338
29
234
1.30
0.56
9.9
6.5
—
—
—
0
0
6
38
1.61
0.55
1.2
1.2
—
—
—
0
0
5
85
0.57
0.47
1.0
1.6
—
—
—
0
0
13
95
1.41
0.45
3.5
3.3
—
—
—
0
0
13
95
1.41
0.45
1.3
1.4
—
—
—
0
0
86
801
1.20
0.43
30.7
18.0
16.39
15.39
%
0.71
86
789
11
79
1.43
0.42
1.8
1.4
—
—
—
0
0
0
17
0.00
0.41
0.0
1.8
—
—
—
0
0
9
66
1.39
0.39
12.7
6.8
93.01
94.27
%
—
9
66
37
416
0.85
0.33
2.0
2.2
—
—
—
0
0
17
138
1.27
0.32
1.5
1.5
—
—
—
0
0
67
718
0.87
0.31
3.5
3.7
15.49
14.89
pmol/l
0.94
59
642
37
328
1.18
0.31
7.2
4.0
—
—
—
0
0
95
993
0.86
0.31
4.9
5.1
2.47
2.64
mmol/l
0.91
87
898
97
1012
0.86
0.30
26.3
14.0
—
—
—
0
0
33
292
1.17
0.28
3.9
3.0
3819.07
260.48
mg/l
0.72
23
190
25
216
1.19
0.28
3.6
3.4
—
—
—
0
0
35
315
1.15
0.24
4.7
3.5
15.88
6.52
mg/mmol
0.60
26
193
14
115
1.24
0.24
2.4
1.5
—
—
—
0
0
29
325
0.86
0.24
3.4
3.0
—
—
—
0
0
23
262
0.85
0.24
2.7
3.1
0.74
0.81
ug/l
0.14
13
185
92
956
0.88
0.23
4.6
4.6
1.33
1.45
mmol/l
1.86
84
866
17
198
0.84
0.22
1.3
1.1
0.30
1.59
u/ml
—
5
51
93
964
0.89
0.22
4.7
4.6
4.28
4.51
mmol/l
1.20
85
880
0
11
0.00
0.21
0.0
1.3
—
—
—
0
0
0
11
0.00
0.21
0.0
1.3
—
—
—
0
0
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
12
0.00
0.21
0.0
1.1
—
0.24
—
0
6
0
13
0.00
0.21
0.0
1.1
—
8.17
—
0
7
45
417
1.12
0.20
2.5
2.0
96.14
94.72
pmol/l
0.06
33
208
8
69
1.17
0.17
1.1
1.3
—
—
—
0
0
71
681
1.09
0.15
4.4
4.1
—
—
—
0
0
16
141
1.15
0.14
1.4
1.3
—
—
—
0
0
10
86
1.18
0.11
1.0
1.3
—
—
—
0
0
23
212
1.10
0.11
2.1
1.8
1142.62
1213.91
nmol/l
0.15
17
159
77
748
1.07
0.10
6.7
4.0
15.56
14.02
mm/h
0.30
71
678
105
1068
0.93
0.09
40.3
22.1
38.49
39.84
%
0.87
93
1011
6
57
1.06
0.08
1.0
1.2
—
—
—
0
0
5
61
0.81
0.08
1.2
1.3
—
—
—
0
0
9
86
1.05
0.07
2.9
3.0
—
—
—
0
0
12
109
1.11
0.06
1.5
1.4
—
—
—
0
0
92
933
0.96
0.05
4.2
4.1
1.27
1.23
mmol/l
0.35
85
841
45
463
0.96
0.05
4.0
5.1
2.67
3.18
ug/l
0.21
39
401
98
974
1.02
0.00
30.3
15.1
32.18
26.15
mg/l
0.85
93
783
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
5
50
1.00
0.00
5.0
3.7
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
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
6
0.00
0.00
0.0
1.0
—
—
—
0
0
6
63
0.95
-0.00
3.7
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
1800.00
—
0
5
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
14
140
1.00
-0.00
1.3
1.3
25.78
6.55
u/ml
—
6
46
0
7
0.00
-0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
0.81
—
0
5
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
197.96
—
0
5
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
29.00
—
0
5
5
52
0.96
-0.00
1.2
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
1.32
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
10
100
1.00
-0.00
1.3
1.5
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.1
—
265.43
—
0
7

Mortality – FinRegistry

Association

Association between endpoint I9_THROMBANG and mortality.

Females

Parameter HR [95% CI] p-value
I9_THROMBANG 2.288 [1.72, 3.04] < 0.001
Birth year 0.996 [0.99, 1.0] 0.357

During the follow-up period (1.1.1998 — 31.12.2019), 81 out of 256 females with I9_THROMBANG died.

Males

Parameter HR [95% CI] p-value
I9_THROMBANG 1.982 [1.58, 2.48] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 146 out of 390 males with I9_THROMBANG died.

Mortality risk

Mortality risk for people of age

years, who have I9_THROMBANG.

N-year risk Females Males
1 0.265% 0.289%
5 1.479% 2.21%
10 3.389% 5.427%
15 6.828% 9.841%
20 11.912% 16.326%

Relationships between endpoints

Index endpoint: I9_THROMBANG – Thromboangiitis obliterans

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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