Paget disease

M13_PAGET

osteitis deformans: A disease of bone that initially results in the excessive resorption of bone (by osteoclasts) followed by the replacement of normal bone marrow with vascular and fibrous tissue.

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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 M88
  • Hospital discharge: ICD-9 7310
  • Hospital discharge: ICD-8 72199
  • Cause of death: ICD-10 M88
  • Cause of death: ICD-9 7310
  • Cause of death: ICD-8 72199

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

178

4. Check minimum number of events

None

178

5. Include endpoints

None

178

6. Filter based on genotype QC (FinnGen only)

171

Control definitions (FinnGen only)

Control exclude
M13_OSTEOCHONDRO

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
M86-M90
Name in latin
Osteitis deformans Paget

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 1125 513 598
Only index persons 891 427 464
Unadjusted period prevalence (%)
Whole population 0.02 0.01 0.02
Only index persons 0.02 0.02 0.02
Median age at first event (years)
Whole population 66.25 66.30 66.15
Only index persons 64.97 63.99 65.87

-FinnGen-

Key figures

All Female Male
Number of individuals 171 74 97
Unadjusted period prevalence (%) 0.04 0.03 0.04
Median age at first event (years) 66.84 65.73 67.68

-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
178
Matched controls
1780
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M88.9
ICD-10 Finland
Paget disease of bone, unspecified
+∞
128.1
107
*
M88.88
ICD-10 Finland
Paget disease of other bones, other
+∞
97.0
84
*
M88.0
ICD-10 Finland
Paget disease of skull
+∞
25.6
24
*
M88
ICD-10 Finland
Paget disease of bone [osteitis deformans]
+∞
16.9
16
*
D48.0
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Bone and articular cartilage
23.8
16.5
23
11
ZX120
NOMESCO Finland
Intravenous
4.6
14.4
40
106
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
4.7
13.7
36
91
7310A
ICD-9 Finland
Osteitis deformans and osteopathies associated with other disorders classified elsewhere, Osteitis deformans without mention of bone tumour
+∞
12.6
12
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.1
12.4
92
458
NK6AN
NOMESCO Finland
Total body bone isotope imaging
9.1
9.3
19
23
NE1AA
NOMESCO Finland
Pelvis X-ray examination
3.9
9.3
30
88
NK6BN
NOMESCO Finland
Bone dynamic isotope examination
94.3
8.5
9
*
M79.0
ICD-10 Finland
Rheumatism, unspecified
9.0
7.5
15
18
72199
ICD-8 Finland
Osteitis deformans
+∞
7.3
7
*
NF1AA
NOMESCO Finland
Hip X-ray examination
3.3
7.2
30
104
N02AX02
ATC
tramadol; systemic, rectal
2.3
7.0
93
571
TPH04
NOMESCO Finland
Cathetrisation of vein
2.5
6.7
53
258
Q78.1
ICD-10 Finland
Polyostotic fibrous dysplasia
+∞
6.3
6
*
NE1BG
NOMESCO Finland
Pelvic, hip and femur MRI examination with high intensity magnet
8.2
6.2
13
17
N03AX16
ATC
[U] pregabalin
2.4
6.0
51
255

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
50
109
5.99
23.20
2.7
4.1
71.38
88.47
ng/l
0.92
44
94
135
758
4.23
16.41
9.3
6.0
1.22
1.21
mmol/l
0.79
116
651
43
114
4.65
15.51
2.0
2.1
—
—
—
0
0
94
473
3.09
12.45
6.8
3.9
7.40
7.40
ph
0.05
22
87
105
638
2.57
8.67
6.6
6.1
—
—
—
0
0
86
487
2.48
8.11
4.2
3.4
2.35
2.35
mmol/l
0.12
74
427
120
799
2.54
7.83
10.3
9.1
3.96
4.10
e9/l
0.28
103
697
17
25
7.40
7.50
3.5
2.9
—
—
—
0
0
107
689
2.39
7.33
6.8
5.4
0.61
0.61
e9/l
0.02
94
593
107
692
2.37
7.22
6.8
5.4
0.04
0.04
e9/l
0.64
94
597
109
712
2.37
7.16
7.2
5.6
0.18
0.19
e9/l
0.43
95
622
108
706
2.35
7.04
7.0
5.5
1.75
1.87
e9/l
0.52
96
624
100
636
2.31
6.91
6.4
4.3
35.26
34.71
g/l
0.42
91
587
82
484
2.29
6.72
4.3
3.2
6.66
7.46
mmol/l
1.25
75
395
17
31
5.95
6.49
2.6
5.4
—
—
—
0
0
18
49
3.97
6.09
2.6
4.0
77.74
196.69
mg/l
0.39
12
37
18
49
3.97
6.09
2.6
4.0
25.30
35.13
mg/l
0.39
12
38
134
998
2.39
5.95
4.5
3.7
15.24
14.96
pmol/l
0.74
126
879
74
453
2.08
5.24
2.7
2.3
—
—
—
0
0
9
13
7.22
4.21
1.0
1.0
—
—
—
0
0
8
10
8.31
4.10
1.3
1.5
—
—
—
0
0
133
1056
2.03
4.07
6.2
4.1
15.29
14.24
mm/h
0.25
121
957
14
43
3.45
4.00
2.4
2.1
1.90
1.70
mg/l
0.41
14
37
105
778
1.85
3.89
7.3
6.1
10.52
11.75
umol/l
0.82
98
728
126
995
1.91
3.75
5.8
4.3
—
—
—
0
0
9
16
5.86
3.71
1.2
1.1
—
—
—
0
0
88
625
1.81
3.68
13.1
9.4
0.00
0.00
e9/l
0.31
72
518
103
773
1.79
3.52
22.0
16.8
1.38
1.36
inr
0.06
33
218
13
42
3.26
3.44
1.3
1.2
—
—
—
0
0
61
394
1.83
3.43
3.1
2.8
385.00
9490.02
umol/l
2.65
54
333
166
1470
2.92
3.43
25.5
18.1
139.74
139.68
mmol/l
0.11
166
1423
9
18
5.21
3.42
1.3
1.1
—
—
—
0
0
10
23
4.54
3.36
1.3
1.3
—
—
—
0
0
50
306
1.88
3.32
4.9
3.1
2.44
2.46
mmol/l
0.68
43
269
9
19
4.93
3.28
1.2
1.1
—
—
—
0
0
45
268
1.91
3.24
3.1
2.8
2.81
1.80
e6/l
0.29
28
152
81
579
1.73
3.19
2.6
2.2
—
—
—
0
0
13
46
2.97
2.99
2.9
4.0
0.11
0.12
g/l
—
5
16
23
110
2.25
2.94
3.3
5.4
0.25
0.09
%
—
8
43
164
1468
2.49
2.85
15.5
10.7
23.82
24.98
u/l
0.59
156
1401
69
488
1.68
2.73
3.9
3.3
18.61
176.99
e6/l
0.64
54
377
64
444
1.69
2.72
3.7
3.3
0.44
0.31
e6/l
0.20
51
329
54
358
1.73
2.71
4.4
3.8
88.30
85.60
%
0.37
54
348
64
446
1.68
2.67
2.8
2.2
64.24
67.41
u/l
0.11
59
404
12
44
2.85
2.60
1.2
1.1
—
—
—
0
0
23
116
2.13
2.60
2.9
1.7
287.74
386.47
nmol/l
1.23
23
107
147
1277
1.87
2.58
6.3
4.5
1.85
2.01
mu/l
0.87
137
1131
23
117
2.11
2.54
3.3
5.2
1.25
0.95
%
—
8
50
166
1508
2.50
2.53
34.0
22.6
30.21
30.46
pg
1.02
166
1478
75
551
1.62
2.52
4.9
3.8
68.32
72.57
e6/l
0.03
57
403
166
1509
2.48
2.51
33.7
22.8
40.27
39.54
%
1.27
160
1404
166
1509
2.48
2.51
34.0
22.6
91.60
91.75
fl
0.16
166
1479
166
1509
2.48
2.51
34.3
22.8
132.20
134.04
g/l
0.84
166
1477
67
479
1.64
2.51
4.2
3.0
—
—
—
0
0
26
140
2.00
2.48
1.5
1.3
—
—
—
0
0
91
703
1.60
2.47
4.9
3.8
0.00
0.00
estimate
-0.00
18
142
83
628
1.60
2.46
3.9
4.0
25.36
40.30
ng/l
1.55
66
494
155
1376
1.98
2.45
5.6
5.4
2.60
2.60
mmol/l
0.02
141
1247
63
446
1.64
2.44
4.5
4.0
—
—
—
0
0
156
1389
2.00
2.43
22.7
15.2
22.06
26.56
mg/l
1.11
135
1111
21
105
2.13
2.43
2.3
2.0
9.41
12.45
nmol/l
0.90
21
91
7
17
4.24
2.38
1.4
3.1
—
—
—
0
0
22
114
2.06
2.33
2.0
1.5
—
—
—
0
0
30
174
1.87
2.32
1.4
1.3
240.00
437.14
titre
—
7
42
20
100
2.13
2.31
2.5
5.4
1.60
0.39
%
—
5
38
26
144
1.94
2.30
6.2
3.8
—
—
—
0
0
89
700
1.54
2.14
6.8
5.2
0.00
0.00
estimate
-0.00
18
133
58
418
1.57
2.04
3.8
3.2
—
—
—
0
0
89
708
1.51
1.99
5.0
3.8
0.00
0.00
estimate
-0.00
14
124
152
1365
1.78
1.98
5.4
5.0
6.01
6.13
mmol/l
0.68
135
1238
9
33
2.82
1.96
1.1
1.1
—
—
—
0
0
15
72
2.18
1.92
1.3
1.2
—
—
—
0
0
15
74
2.12
1.81
3.3
3.0
—
—
—
0
0
16
82
2.05
1.76
1.5
1.3
—
—
—
0
0
32
206
1.67
1.75
3.1
1.8
—
—
—
0
0
22
127
1.84
1.74
4.2
3.1
—
—
—
0
0
23
135
1.81
1.72
3.2
4.4
5.81
5.65
kpa
0.30
23
129
5
13
3.92
1.72
1.6
1.2
—
—
—
0
0
148
1334
1.65
1.72
5.1
4.8
4.52
4.45
mmol/l
0.28
134
1218
30
191
1.69
1.71
1.3
1.3
—
—
—
0
0
23
136
1.79
1.69
2.0
1.5
—
—
—
0
0
133
1175
1.52
1.63
28.2
18.5
16.04
15.29
%
0.61
133
1156
21
122
1.82
1.63
5.0
7.8
—
—
—
0
0
143
1284
1.58
1.62
4.6
4.3
1.39
1.25
mmol/l
1.42
126
1159
156
1431
1.73
1.61
21.6
14.2
—
—
—
0
0
79
633
1.45
1.61
2.3
2.0
100.86
94.29
pmol/l
0.41
44
320
8
33
2.49
1.55
1.3
1.3
—
—
—
0
0
11
51
2.23
1.54
2.1
1.7
—
—
—
0
0
46
334
1.51
1.53
3.6
3.0
546.00
553.13
mosm/kgh2o
0.07
40
281
32
215
1.60
1.49
1.4
1.2
33.13
42.61
iu/ml
—
9
75
48
355
1.48
1.46
10.2
6.4
—
—
—
0
0
50
377
1.45
1.38
4.0
3.1
0.72
0.77
ug/l
0.22
40
268
13
68
1.98
1.37
3.7
9.9
—
—
—
0
0
27
179
1.60
1.33
1.3
1.3
—
—
—
0
0
145
1324
1.51
1.33
5.1
4.8
1.41
1.44
mmol/l
0.36
130
1198
23
147
1.65
1.31
2.0
1.5
—
—
—
0
0
5
18
2.83
1.29
6.4
2.7
5.62
12.17
nmol/l
—
5
18
79
653
1.38
1.28
5.9
5.3
2.31
2.73
ug/l
0.35
68
579
44
330
1.44
1.24
4.5
3.5
—
—
—
0
0
46
349
1.43
1.22
1.4
1.3
—
—
—
0
0
35
252
1.48
1.21
2.5
1.4
2.84
2.83
g/l
0.00
23
146
60
480
1.38
1.17
3.8
3.2
29.14
59.50
mg/l
1.40
42
316
0
33
0.00
1.17
0.0
1.2
—
556.48
—
0
33
58
462
1.38
1.16
5.3
4.4
—
—
—
0
0
5
20
2.54
1.16
1.2
1.2
—
—
—
0
0
18
112
1.68
1.14
4.6
4.1
—
—
—
0
0
122
1094
1.37
1.12
29.2
21.1
329.61
331.56
g/l
1.41
122
1089
13
74
1.82
1.10
2.8
3.4
—
—
—
0
0
5
21
2.42
1.10
1.6
2.6
—
—
—
0
0
143
1318
1.43
1.10
7.0
6.4
40.29
41.16
mmol/mol
0.64
133
1218
49
384
1.38
1.08
4.9
3.8
—
—
—
0
0
7
33
2.17
1.07
6.4
2.8
—
—
—
0
0
35
260
1.43
1.04
1.4
1.2
0.63
1.10
u/ml
—
7
76
5
22
2.31
1.04
3.2
2.5
4.28
5.31
e9/l
—
5
22
43
335
1.37
0.98
1.8
1.7
1190.20
1168.63
nmol/l
0.04
33
255
28
202
1.46
0.97
1.6
1.3
24.76
18.41
u/ml
0.11
12
75
22
153
1.50
0.91
2.4
1.5
—
—
—
0
0
13
79
1.70
0.91
4.1
8.2
24.60
24.66
mmol/l
0.02
13
79
39
307
1.35
0.83
5.1
4.2
1.02
1.02
kg/l
—
5
50
61
513
1.29
0.82
4.7
3.9
5.11
10.26
mg/mmol
1.16
42
328
14
90
1.60
0.81
5.6
4.0
—
—
—
0
0
6
33
1.85
0.80
2.7
2.6
—
—
—
0
0
14
91
1.58
0.78
4.9
5.3
25.11
24.55
mmol/l
0.22
14
91
0
28
0.00
0.77
0.0
1.3
—
91.91
—
0
22
0
28
0.00
0.77
0.0
1.1
—
11.82
—
0
22
0
28
0.00
0.77
0.0
1.5
—
—
—
0
0
7
38
1.88
0.74
8.3
2.2
5.23
4.92
kpa
—
7
38
7
38
1.88
0.74
8.3
2.2
8.51
8.23
kpa
—
7
38
5
25
2.03
0.73
3.2
3.4
60.20
60.92
%
—
5
25
5
26
1.95
0.71
2.8
3.2
4.10
4.07
mmol/l
—
5
26
5
26
1.95
0.71
2.8
3.2
—
—
—
0
0
5
26
1.95
0.71
2.8
3.2
104.40
106.15
mmol/l
—
5
26
46
380
1.28
0.71
5.8
4.0
0.00
0.00
estimate
-0.00
16
125
5
28
1.81
0.66
1.6
1.4
1.46
1.70
mmol/l
—
5
28
41
338
1.28
0.64
2.0
1.8
379.64
457.01
pmol/l
1.68
36
281
0
21
0.00
0.60
0.0
1.2
—
—
—
0
0
6
36
1.69
0.57
2.5
1.9
—
—
—
0
0
8
55
1.48
0.57
1.1
1.5
—
—
—
0
0
11
76
1.48
0.49
1.0
1.3
—
74.83
—
0
6
7
46
1.54
0.49
1.6
1.6
—
—
—
0
0
10
69
1.48
0.45
1.9
1.7
0.19
4.97
ug/l
—
10
62
8
56
1.45
0.43
7.8
4.9
—
—
—
0
0
5
32
1.58
0.42
1.4
3.1
28.40
31.22
umol/l
—
5
27
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
16
0.00
0.41
0.0
2.6
—
—
—
0
0
12
88
1.39
0.41
2.3
2.5
—
—
—
0
0
12
88
1.39
0.41
2.0
2.4
—
23.28
—
0
5
0
17
0.00
0.41
0.0
1.0
—
278.00
—
0
8
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
107
1010
1.15
0.37
4.7
4.1
—
—
—
0
0
9
71
1.28
0.36
1.0
1.3
—
—
—
0
0
10
75
1.35
0.31
2.8
2.8
0.64
0.66
%
—
10
75
7
55
1.28
0.30
7.4
11.5
—
—
—
0
0
11
85
1.31
0.29
1.3
1.2
—
—
—
0
0
10
77
1.32
0.26
2.9
2.8
1.69
1.06
%
—
10
77
9
76
1.19
0.25
1.2
1.6
—
—
—
0
0
35
315
1.14
0.23
3.0
3.4
402.86
189.41
ng/l
0.38
29
261
5
39
1.29
0.23
1.0
1.1
—
—
—
0
0
19
163
1.19
0.22
1.4
1.2
—
—
—
0
0
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
2.0
—
—
—
0
0
0
12
0.00
0.21
0.0
1.2
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
6
48
1.26
0.20
1.7
3.3
—
—
—
0
0
0
14
0.00
0.20
0.0
1.3
—
—
—
0
0
0
14
0.00
0.20
0.0
2.7
—
—
—
0
0
43
397
1.11
0.20
3.4
3.5
—
—
—
0
0
40
372
1.10
0.16
1.6
1.7
1.69
1.31
mmol/l
0.82
32
304
12
103
1.18
0.14
2.8
4.2
—
—
—
0
0
13
113
1.16
0.13
1.6
1.5
—
—
—
0
0
11
95
1.17
0.12
4.7
8.1
95.80
94.69
%
1.04
11
95
12
105
1.15
0.11
2.3
2.7
—
—
—
0
0
10
115
0.86
0.11
1.1
1.5
—
—
—
0
0
15
166
0.89
0.10
1.3
1.4
—
—
—
0
0
24
244
0.98
0.00
2.0
1.9
29.02
29.44
s
0.18
24
237
12
115
1.05
0.00
1.3
1.2
—
—
—
0
0
5
55
0.91
0.00
1.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
10.71
—
0
7
0
7
0.00
-0.00
0.0
1.9
—
—
—
0
0
5
49
1.02
-0.00
1.2
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
246.11
—
0
9
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
5
59
0.84
-0.00
6.2
4.5
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.4
—
—
—
0
0
6
67
0.89
-0.00
1.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
1.81
—
0
9
0
8
0.00
-0.00
0.0
14.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
161.53
—
0
5
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
—
—
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
5
0.00
-0.00
0.0
1.0
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint M13_PAGET and mortality.

Females

Parameter HR [95% CI] p-value
M13_PAGET 1.012 [0.76, 1.35] 0.938
Birth year 0.999 [0.99, 1.01] 0.783

During the follow-up period (1.1.1998 — 31.12.2019), 86 out of 317 females with M13_PAGET died.

Males

Parameter HR [95% CI] p-value
M13_PAGET 1.119 [0.88, 1.43] 0.362
Birth year 0.99 [0.98, 1.0] 0.027

During the follow-up period (1.1.1998 — 31.12.2019), 132 out of 382 males with M13_PAGET died.

Mortality risk

Mortality risk for people of age

years, who have M13_PAGET.

N-year risk Females Males
1 0.097% 0.261%
5 0.632% 1.405%
10 1.7% 3.576%
15 3.327% 6.476%
20 6.058% 11.352%

Relationships between endpoints

Index endpoint: M13_PAGET – Paget disease

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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