Fatigue fracture of vertebra

M13_FATIGFRACT

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 M48.4
  • Cause of death: ICD-10 M48.4

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

165

4. Check minimum number of events

None

165

5. Include endpoints

None

165

6. Filter based on genotype QC (FinnGen only)

165

Control definitions (FinnGen only)

Control exclude
M13_DORSOPATHY

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
M48
Name in latin
Fractura vertebrae ex fatigatione

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 1686 892 789
Only index persons 1561 823 738
Unadjusted period prevalence (%)
Whole population 0.02 0.03 0.02
Only index persons 0.03 0.03 0.03
Median age at first event (years)
Whole population 40.97 61.05 18.09
Only index persons 40.52 60.94 17.75

-FinnGen-

Key figures

All Female Male
Number of individuals 165 103 62
Unadjusted period prevalence (%) 0.03 0.04 0.03
Median age at first event (years) 62.68 62.70 62.64

-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
143
Matched controls
1430
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M48.4
ICD-10 Finland
Fatigue fracture of vertebra
4503599627370496.0
201.3
142
*
M48.0
ICD-10 Finland
Spinal stenosis
177.0
38.9
39
*
NA3BG
NOMESCO Finland
Lumbar spine MRI examination with high intensity magnet
42.3
27.0
33
10
M54.5
ICD-10 Finland
Low back pain
7.7
25.8
74
174
M51.3
ICD-10 Finland
Other specified intervertebral disc degeneration
90.3
21.4
23
*
M51.1
ICD-10 Finland
Lumbar and other intervertebral disc disorders with radiculopathy
57.1
20.9
24
5
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
22.4
20.1
29
16
M54.4
ICD-10 Finland
Lumbago with sciatica
11.1
19.3
38
45
N03AX16
ATC
pregabalin; oral
7.0
18.8
52
107
M54.9
ICD-10 Finland
Dorsalgia, unspecified
14.9
18.4
31
26
N03AX12
ATC
gabapentin; oral
9.0
17.9
40
59
NA3CG
NOMESCO Finland
Lumbar spine extensive MRI examination with high intensity magnet
72.4
17.2
19
*
N02AA05
ATC
oxycodone; systemic
6.2
15.1
45
99
N02AE01
ATC
buprenorphine; parenteral, sublingual, transdermal
6.9
15.0
40
76
S32.0
ICD-10 Finland
Fracture of lumbar vertebra
18.5
12.0
18
11
ABC36
NOMESCO Finland
Decompression of lumbar nerve roots
130.0
11.6
12
*
M47.2
ICD-10 Finland
Other spondylosis with radiculopathy
130.0
11.6
12
*
W01
ICD-10 Finland
Fall on same level from slipping, tripping and stumbling
3.7
11.3
64
258
L03
ICPC
Low back symptom/complaint
4.0
10.3
46
150
S22.0
ICD-10 Finland
Fracture of thoracic vertebra
43.4
10.1
12
*
M05BA04
ATC
alendronic acid; oral
5.0
10.1
34
84
H05BA01
ATC
calcitonin (salmon synthetic); nasal, parenteral
10.2
9.9
19
21
N02AX02
ATC
tramadol; systemic, rectal
3.3
9.8
67
303
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.3
9.8
67
304
NA3EA
NOMESCO Finland
Lumbar spine X-ray examination with flexion
106.8
9.5
10
*
NA3AD
NOMESCO Finland
Lumbar spine and sacrum CT examination
106.8
9.5
10
*
M54.3
ICD-10 Finland
Sciatica
29.5
8.6
11
*
M43.1
ICD-10 Finland
Spondylolisthesis
95.4
8.5
9
*
M25.5
ICD-10 Finland
Pain in joint
3.3
8.3
49
196
N02AJ06
ATC
codeine and paracetamol; systemic
3.1
8.3
58
258
M50.1
ICD-10 Finland
Cervical disc disorder with radiculopathy
35.6
8.2
10
*
M81.9
ICD-10 Finland
Osteoporosis, unspecified
8.2
7.9
17
23
M84.3
ICD-10 Finland
Stress fracture, not elsewhere classified
47.6
7.8
9
*
NA1BG
NOMESCO Finland
Cervical spine MRI examination with high intensity magnet
19.7
7.7
11
6
A02BC05
ATC
esomeprazole; systemic
2.8
7.5
66
337
TAC99
NOMESCO Finland
Other blockade for chronic pain
+∞
7.3
7
*
M43.0
ICD-10 Finland
Spondylolysis
+∞
7.3
7
*
M05BX04
ATC
denosumab; parenteral
7.7
7.2
16
23
N06AA09
ATC
amitriptyline; systemic
5.4
7.2
21
44
M54
ICD-10 Finland
Dorsalgia
4.9
7.1
23
54
Z01.8
ICD-10 Finland
Other specified special examinations
3.4
7.1
38
139
L02
ICPC
Back symptom/complaint
5.3
6.5
19
40
NAG62
NOMESCO Finland
Posterior fusion of lumbar spine with fixation, 2-3 vertebraea
+∞
6.3
6
*
ABC56
NOMESCO Finland
Decompression of lumbar spinal canal and nerve roots
+∞
6.3
6
*
NAG40
NOMESCO Finland
Anterior fusion of cervical spine without fixation
+∞
6.3
6
*
NA2AA
NOMESCO Finland
Thoracal spine X-ray examination without contrast
10.7
6.1
11
11
J01DA01
ATC
[U] cefalexin; systemic
2.4
6.1
83
521
M05BB03
ATC
alendronic acid and colecalciferol; oral
7.8
6.1
13
18
K08.1
ICD-10 Finland
Loss of teeth due to accident, extraction or local periodontal disease
4.4
6.0
21
54

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
98
592
2.61
8.31
7.2
6.6
1.2
1.2
mmol/l
1.75
93
540
36
130
3.26
8.13
7.6
6.6
12.3
12.9
kpa
0.27
36
125
31
107
3.34
7.50
4.6
10.3
1.2
1.5
mmol/l
0.85
31
100
60
302
2.55
7.26
5.1
3.9
—
—
—
0
0
98
621
2.42
7.09
6.9
6.4
2.8
2.9
%
0.15
91
587
102
660
2.43
7.01
6.4
6.3
1.9
2.1
e9/l
0.65
89
581
99
633
2.41
6.98
6.7
6.3
56.4
55.6
%
0.30
92
602
98
624
2.40
6.97
7.4
6.6
8.9
8.6
%
0.34
90
597
77
442
2.39
6.93
6.9
6.5
—
—
—
0
0
95
603
2.36
6.72
7.4
6.5
0.6
0.7
%
0.07
88
571
99
644
2.34
6.56
6.4
6.3
0.0
0.0
e9/l
0.34
86
555
118
829
2.49
6.55
6.4
4.0
—
—
—
0
0
126
920
2.56
6.30
5.3
3.8
13.4
12.2
mm/h
0.29
115
834
98
643
2.29
6.26
7.4
6.4
28.9
29.4
%
0.14
92
610
100
662
2.30
6.24
7.0
6.9
0.2
0.2
e9/l
0.20
90
578
96
642
2.18
5.63
6.7
6.3
0.6
0.6
e9/l
1.13
84
552
107
754
2.19
5.41
9.5
9.5
4.0
4.0
e9/l
0.03
94
659
20
65
3.36
5.27
6.9
10.3
93.9
94.9
%
0.37
20
65
125
945
2.33
5.21
9.4
6.3
78.3
86.7
u/l
1.64
120
877
21
72
3.20
5.09
6.4
9.4
1.6
1.2
%
0.54
21
72
21
72
3.20
5.09
6.6
9.4
0.6
0.7
%
0.40
21
72
83
541
2.07
5.03
5.0
4.5
35.2
35.7
g/l
0.30
76
507
35
160
2.51
5.01
2.0
1.8
—
—
—
0
0
44
228
2.27
4.76
1.8
1.6
1141.0
1128.2
nmol/l
0.03
33
173
30
132
2.56
4.63
4.6
9.3
—
—
—
0
0
65
398
2.04
4.57
3.0
2.3
—
—
—
0
0
8
9
9.27
4.33
3.0
2.6
—
—
—
0
0
18
62
3.14
4.32
6.5
9.5
24.1
23.8
mmol/l
0.13
18
57
43
230
2.18
4.27
4.2
3.1
2.5
2.5
mmol/l
0.16
36
204
17
57
3.21
4.26
9.9
10.7
—
—
—
0
0
69
441
1.97
4.24
3.5
3.0
2.3
2.4
mmol/l
1.36
55
387
61
376
1.99
4.14
5.0
3.1
—
—
—
0
0
70
453
1.95
4.12
4.9
3.8
39.0
50.4
ng/l
0.23
48
325
57
351
1.95
3.83
4.1
3.1
—
—
—
0
0
146
1256
2.41
3.36
24.1
13.0
26.5
24.1
mg/l
0.27
123
953
30
153
2.17
3.31
1.2
1.2
—
—
—
0
0
48
295
1.88
3.18
2.4
3.3
321.3
8486.2
umol/l
2.01
37
257
56
363
1.82
3.13
4.2
3.2
0.2
0.4
e6/l
1.21
49
274
18
75
2.57
3.09
8.6
3.6
—
—
—
0
0
33
180
2.04
3.07
1.1
1.2
29.6
38.4
iu/ml
—
5
59
23
109
2.29
3.02
4.8
4.5
—
—
—
0
0
44
270
1.86
2.90
3.2
2.8
578.3
581.0
mosm/kgh2o
0.02
38
234
69
488
1.71
2.81
2.4
1.9
93.8
93.2
pmol/l
0.04
42
243
18
79
2.44
2.79
2.1
2.2
—
—
—
0
0
60
413
1.71
2.67
4.2
3.2
14.4
213.2
e6/l
0.70
51
322
69
494
1.68
2.65
11.5
7.9
1.2
1.3
inr
0.72
14
148
6
11
5.61
2.56
1.3
1.8
12.7
23.2
ug/l
—
6
11
12
45
2.80
2.51
2.1
3.9
0.1
0.2
g/l
—
6
24
51
349
1.67
2.27
2.7
2.5
2.9
3.0
mg/l
0.26
45
299
62
449
1.61
2.20
2.4
2.2
—
—
—
0
0
64
468
1.60
2.18
4.7
3.8
32.5
114.5
e6/l
2.03
54
342
29
171
1.84
2.15
1.3
1.2
1.8
6.2
u/ml
1.07
12
60
11
43
2.67
2.14
3.5
3.5
—
—
—
0
0
54
381
1.62
2.12
4.1
3.4
7.4
7.4
ph
—
6
64
72
546
1.57
2.08
2.9
2.8
108.0
108.4
ug/l
0.01
64
500
7
21
3.43
1.99
4.3
4.4
—
—
—
0
0
13
59
2.31
1.89
1.3
1.1
—
—
—
0
0
24
139
1.85
1.88
2.0
1.5
—
—
—
0
0
25
147
1.83
1.87
1.4
1.4
424.0
377.6
titre
—
10
34
5
12
4.26
1.83
2.8
4.1
2.4
4.6
nmol/l
—
5
12
22
126
1.86
1.79
1.3
1.2
—
—
—
0
0
9
36
2.58
1.77
1.0
1.2
—
—
—
0
0
6
18
3.42
1.76
1.0
1.1
—
—
—
0
0
19
104
1.93
1.76
2.2
2.6
4.4
5.8
ug/l
0.69
13
91
14
68
2.16
1.76
2.5
3.1
3.4
3.7
e9/l
—
8
53
15
75
2.10
1.76
1.1
1.3
372.4
170.0
iu/ml
—
5
35
8
30
2.75
1.75
2.0
1.2
—
—
—
0
0
154
1434
2.11
1.62
32.5
19.6
6.7
6.6
e9/l
0.20
148
1385
111
957
1.49
1.58
4.9
3.9
14.7
14.9
pmol/l
0.21
98
859
28
410
0.62
1.51
2.4
3.1
—
—
—
0
0
144
1321
1.71
1.49
21.1
12.2
—
—
—
0
0
9
38
2.45
1.48
1.0
1.0
—
—
—
0
0
49
367
1.48
1.42
7.5
6.5
—
—
—
0
0
6
23
2.67
1.38
1.2
1.4
—
—
—
0
0
12
61
2.04
1.36
2.8
2.7
—
—
—
0
0
14
78
1.87
1.25
6.2
5.6
24.8
25.2
mmol/l
0.18
14
78
14
78
1.87
1.25
5.9
3.7
—
—
—
0
0
6
25
2.45
1.25
1.3
2.6
—
—
—
0
0
18
110
1.71
1.21
2.1
1.7
—
—
—
0
0
144
1337
1.61
1.21
13.2
9.5
22.2
24.3
u/l
1.33
136
1282
129
1173
1.46
1.18
5.9
4.5
2.0
2.0
mu/l
0.02
120
1059
17
105
1.69
1.11
5.5
5.1
5.2
5.2
kpa
0.07
17
97
7
32
2.24
1.09
1.3
1.3
—
—
—
0
0
19
123
1.62
1.05
2.7
9.8
24.3
24.8
mmol/l
0.25
19
123
42
324
1.40
1.03
1.5
1.6
1.5
1.0
u/ml
0.32
11
64
18
117
1.60
0.98
2.9
3.0
71.6
63.3
e9/l
0.48
13
91
14
85
1.71
0.98
5.1
5.5
—
—
—
0
0
9
51
1.81
0.96
1.1
1.6
—
—
—
0
0
69
582
1.32
0.95
4.7
3.8
0.0
0.0
estimate
—
8
112
16
102
1.63
0.94
1.4
1.6
—
—
—
0
0
6
27
2.27
0.94
1.2
1.2
55.3
39.1
nmol/l
—
6
27
8
43
1.90
0.88
2.4
2.2
—
—
—
0
0
8
44
1.86
0.87
1.6
2.6
28.0
14.6
iu/l
—
8
32
11
65
1.74
0.84
1.2
1.2
—
—
—
0
0
8
46
1.78
0.84
1.8
2.4
13.9
6.8
u/l
—
8
33
126
1166
1.34
0.83
26.5
15.5
38.9
39.0
%
0.07
88
868
8
47
1.74
0.82
7.6
4.5
—
—
—
0
0
23
167
1.44
0.79
2.2
3.0
108.7
97.9
ug/g
0.11
15
120
69
595
1.27
0.78
6.1
5.4
0.0
0.0
estimate
—
9
115
9
53
1.74
0.77
1.9
1.2
—
—
—
0
0
6
108
0.54
0.75
5.8
3.3
—
—
—
0
0
69
600
1.26
0.71
4.7
3.8
0.0
0.0
estimate
—
8
113
23
172
1.39
0.68
2.7
7.1
—
—
—
0
0
21
156
1.40
0.65
1.2
1.3
—
—
—
0
0
5
29
1.75
0.64
1.0
1.1
—
5.9
—
0
9
31
247
1.31
0.63
1.5
1.8
523.6
437.7
pmol/l
0.40
20
204
6
35
1.74
0.58
6.3
9.3
—
—
—
0
0
17
125
1.40
0.56
2.9
6.9
9.4
8.5
mmol/l
0.20
17
115
39
326
1.26
0.55
4.5
4.8
2.6
3.2
ug/l
0.17
34
292
27
333
0.77
0.55
1.5
1.5
1.2
1.3
mmol/l
0.25
18
276
42
357
1.24
0.52
3.8
3.9
—
—
—
0
0
35
293
1.25
0.49
1.5
1.5
2.2
2.1
g/l
0.02
14
151
19
147
1.33
0.48
1.4
1.3
—
—
—
0
0
30
358
0.80
0.47
1.4
1.4
—
—
—
0
0
5
31
1.63
0.43
1.8
14.4
—
—
—
0
0
0
15
0.00
0.41
0.0
1.8
—
—
—
0
0
0
16
0.00
0.41
0.0
1.0
—
—
—
0
0
126
1206
1.19
0.38
4.5
4.8
2.5
2.6
mmol/l
0.65
113
1104
9
124
0.71
0.36
1.2
1.6
—
—
—
0
0
6
42
1.44
0.36
2.0
3.0
—
—
—
0
0
16
127
1.29
0.35
1.3
1.3
—
—
—
0
0
68
627
1.14
0.33
10.4
9.3
0.0
0.0
e9/l
0.58
55
515
44
393
1.16
0.33
2.6
3.3
7.5
7.5
mmol/l
0.01
36
344
31
269
1.19
0.32
4.8
3.6
—
—
—
0
0
39
347
1.16
0.30
3.2
3.2
1666.2
63.2
mg/l
0.51
25
235
8
65
1.24
0.27
2.6
8.1
0.8
0.7
%
—
8
65
116
1121
1.12
0.23
3.8
3.9
1.2
1.2
mmol/l
0.03
106
1024
30
268
1.15
0.23
6.1
3.9
1.0
1.0
kg/l
—
8
44
0
11
0.00
0.21
0.0
1.8
—
—
—
0
0
0
11
0.00
0.21
0.0
1.4
—
—
—
0
0
0
12
0.00
0.21
0.0
1.5
—
28.0
—
0
12
0
12
0.00
0.21
0.0
3.8
—
—
—
0
0
0
12
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
3.5
—
—
—
0
0
24
270
0.87
0.21
4.3
4.4
—
—
—
0
0
0
13
0.00
0.21
0.0
15.4
—
878.4
—
0
13
0
13
0.00
0.21
0.0
21.1
—
1622.2
—
0
13
5
66
0.75
0.17
1.4
1.5
—
—
—
0
0
5
65
0.76
0.17
2.8
11.6
1.3
1.4
mg/l
—
5
58
8
71
1.13
0.16
2.0
4.4
—
—
—
0
0
9
105
0.85
0.13
1.7
1.6
—
—
—
0
0
14
157
0.88
0.11
1.4
1.7
—
—
—
0
0
85
870
0.95
0.08
3.9
3.7
—
—
—
0
0
7
66
1.06
0.08
1.4
1.2
—
—
—
0
0
120
1183
1.05
0.07
4.6
4.4
5.8
6.0
mmol/l
1.55
107
1074
9
85
1.06
0.07
1.2
1.4
—
—
—
0
0
9
100
0.89
0.06
4.4
3.5
1.2
1.2
mmol/l
—
9
84
113
1114
1.05
0.06
5.8
6.1
39.3
40.6
mmol/mol
0.93
105
1033
118
1168
1.04
0.04
4.3
4.2
1.5
1.5
mmol/l
0.32
107
1068
32
312
1.03
0.02
6.7
3.8
0.0
0.0
estimate
—
8
114
33
338
0.97
0.02
4.8
3.6
—
—
—
0
0
117
1177
0.98
0.01
4.2
4.3
4.4
4.5
mmol/l
0.61
105
1084
12
114
1.06
0.01
2.3
1.5
—
—
—
0
0
19
194
0.98
0.00
1.7
1.8
—
—
—
0
0
37
374
0.99
0.00
3.4
4.1
26.9
9.5
mg/mmol
0.41
22
245
0
7
0.00
0.00
0.0
5.7
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
5
52
0.96
0.00
1.2
1.5
—
—
—
0
0
0
8
0.00
0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
2.2
—
140.0
—
0
5
0
8
0.00
0.00
0.0
1.6
—
—
—
0
0
8
89
0.89
0.00
2.1
3.6
—
—
—
0
0
0
6
0.00
0.00
0.0
2.3
—
—
—
0
0
0
6
0.00
0.00
0.0
2.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
185.2
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
2.8
—
—
—
0
0
0
9
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
5
51
0.98
0.00
1.2
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
3.3
—
7.0
—
0
7
0
5
0.00
0.00
0.0
2.0
—
—
—
0
0
5
53
0.94
0.00
1.2
1.5
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
12.1
—
0
7
9
93
0.97
0.00
1.3
1.6
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.3
—
6.2
—
0
8
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
5
52
0.96
0.00
1.2
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
0.00
0.0
7.6
—
0.6
—
0
7

Mortality – FinRegistry

Association

Association between endpoint M13_FATIGFRACT and mortality.

Females

Parameter HR [95% CI] p-value
M13_FATIGFRACT 1.518 [1.15, 2.0] 0.003
Birth year 0.996 [0.99, 1.0] 0.403

During the follow-up period (1.1.1998 — 31.12.2019), 179 out of 579 females with M13_FATIGFRACT died.

Males

Parameter HR [95% CI] p-value
M13_FATIGFRACT 1.865 [1.31, 2.66] < 0.001
Birth year 0.984 [0.97, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 109 out of 387 males with M13_FATIGFRACT died.

Mortality risk

Mortality risk for people of age

years, who have M13_FATIGFRACT.

N-year risk Females Males
1 0.183% 0.329%
5 0.973% 1.964%
10 2.401% 4.885%
15 4.479% 8.956%
20 7.785% 15.13%

Relationships between endpoints

Index endpoint: M13_FATIGFRACT – Fatigue fracture of vertebra

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
loading spinner Loading data