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.

Suggest a new description

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 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.

169

4. Check minimum number of events

None

169

5. Include endpoints

None

169

6. Filter based on genotype QC (FinnGen only)

169

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 169 74 95
Unadjusted period prevalence (%) 0.03 0.03 0.04
Median age at first event (years) 67.23 66.64 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 (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
155
Matched controls
1548
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M88.9
ICD-10 Finland
Paget disease of bone, unspecified
+∞
104.3
88
*
M88.88
ICD-10 Finland
Paget disease of other bones, other
+∞
85.5
74
*
M88.0
ICD-10 Finland
Paget disease of skull
+∞
20.2
19
*
D48.0
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Bone and articular cartilage
37.9
16.2
20
6
M88
ICD-10 Finland
Paget disease of bone [osteitis deformans]
+∞
15.9
15
*
ZX120
NOMESCO Finland
Intravenous
5.8
12.5
37
79
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.2
10.7
76
354
7310A
ICD-9 Finland
Osteitis deformans and osteopathies associated with other disorders classified elsewhere, Osteitis deformans without mention of bone tumour
+∞
10.5
10
*
NK6AN
NOMESCO Finland
Total body bone isotope imaging
8.9
8.3
17
21
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
4.2
7.9
30
83
72199
ICD-8 Finland
Osteitis deformans
+∞
7.3
7
*
M79.0
ICD-10 Finland
Rheumatism, unspecified
8.9
7.0
14
17
NK6BN
NOMESCO Finland
Bone dynamic isotope examination
41.9
6.8
8
*
NF1AA
NOMESCO Finland
Hip X-ray examination
3.9
6.7
27
79
N02AX02
ATC
tramadol; systemic, rectal
2.4
6.7
85
515
Y83
ICD-10 Finland
Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
4.8
6.5
21
49
NE1AA
NOMESCO Finland
Pelvis X-ray examination
4.3
6.4
23
60

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
49
100
6.49
24.54
2.8
3.7
72.0
90.7
ng/l
0.97
43
85
130
737
4.31
15.61
9.4
5.8
1.2
1.2
mmol/l
0.78
110
627
41
108
4.69
14.94
2.1
2.0
—
—
—
0
0
91
458
3.14
12.15
6.9
3.8
7.4
7.4
ph
0.11
21
85
15
22
7.38
9.90
3.7
3.1
—
—
—
0
0
16
30
5.79
8.38
2.7
5.1
—
—
—
0
0
82
465
2.48
7.73
4.2
3.5
2.3
2.4
mmol/l
0.34
69
403
78
439
2.44
7.40
6.8
5.1
—
—
—
0
0
114
763
2.52
7.32
10.6
9.4
3.9
4.1
e9/l
0.50
98
669
80
465
2.37
6.96
4.3
3.2
6.7
7.6
mmol/l
1.48
73
379
101
656
2.34
6.71
7.0
5.5
0.6
0.6
e9/l
0.02
90
565
103
678
2.33
6.58
7.4
5.7
0.2
0.2
e9/l
0.24
91
591
101
660
2.32
6.56
7.0
5.5
0.0
0.0
e9/l
0.79
90
571
102
672
2.31
6.46
7.2
5.6
1.8
1.9
e9/l
0.38
90
590
129
951
2.51
6.15
4.5
3.7
15.3
15.0
pmol/l
0.61
121
836
95
618
2.23
6.07
6.6
4.3
35.1
34.7
g/l
0.26
86
572
17
47
3.91
5.64
2.6
3.9
83.5
201.4
mg/l
0.37
11
36
17
47
3.91
5.64
2.6
3.9
26.2
35.9
mg/l
0.35
11
37
69
434
2.00
4.45
2.7
2.4
—
—
—
0
0
9
13
7.24
4.22
1.0
1.0
—
—
—
0
0
10
23
4.56
4.15
1.3
1.3
—
—
—
0
0
13
39
3.53
3.84
1.3
1.2
—
—
—
0
0
126
1004
2.00
3.78
6.3
4.1
15.6
14.0
mm/h
0.39
114
909
13
40
3.44
3.71
2.4
2.1
1.8
1.7
mg/l
0.28
13
34
100
743
1.85
3.68
7.4
6.3
10.3
11.8
umol/l
1.15
93
698
120
948
1.92
3.59
6.0
4.3
—
—
—
0
0
7
9
8.05
3.59
1.3
1.6
—
—
—
0
0
9
18
5.22
3.42
1.3
1.1
—
—
—
0
0
78
552
1.77
3.25
2.6
2.2
—
—
—
0
0
8
16
5.19
3.09
1.3
1.1
—
—
—
0
0
82
595
1.73
3.09
13.8
9.7
0.0
0.0
e9/l
0.31
69
498
157
1400
2.71
2.97
25.8
18.4
139.7
139.7
mmol/l
0.13
157
1354
26
135
2.09
2.74
1.5
1.3
—
—
—
0
0
56
376
1.73
2.71
3.2
2.7
388.3
7956.6
umol/l
2.17
49
314
8
19
4.36
2.71
1.3
1.1
—
—
—
0
0
12
43
2.93
2.71
1.2
1.1
—
—
—
0
0
22
108
2.19
2.66
3.5
5.5
0.0
0.1
%
—
7
41
140
1212
1.90
2.58
6.3
4.5
1.9
2.0
mu/l
0.82
130
1068
38
231
1.83
2.56
35.7
28.0
1.7
1.4
inr
—
5
31
65
461
1.67
2.55
3.9
3.3
18.5
184.9
e6/l
0.63
51
353
60
418
1.68
2.51
3.5
3.3
0.5
0.3
e6/l
0.19
48
305
12
45
2.79
2.51
3.1
4.0
0.1
0.1
g/l
—
5
16
7
16
4.51
2.50
1.4
3.0
—
—
—
0
0
155
1396
2.33
2.47
16.0
10.9
23.6
25.0
u/l
0.77
147
1331
60
424
1.64
2.36
2.9
2.2
65.1
57.1
u/l
0.89
55
386
45
296
1.71
2.31
5.1
3.2
2.4
2.5
mmol/l
0.66
38
262
20
101
2.11
2.26
2.4
2.0
9.9
12.4
nmol/l
0.70
20
87
83
640
1.58
2.26
10.5
9.8
1.3
1.3
inr
0.01
27
175
41
265
1.72
2.24
3.9
6.1
—
—
—
0
0
157
1432
2.36
2.24
34.4
23.0
30.2
30.5
pg
0.95
157
1403
22
116
2.03
2.23
3.5
5.2
1.0
0.9
%
—
7
46
157
1433
2.35
2.21
34.7
23.2
132.2
134.0
g/l
0.76
157
1402
157
1433
2.35
2.21
34.4
23.0
91.7
91.8
fl
0.08
157
1404
70
521
1.59
2.20
4.8
3.8
71.8
77.6
e6/l
0.03
54
378
79
605
1.57
2.20
3.5
4.0
25.6
40.4
ng/l
1.45
62
478
50
343
1.65
2.19
4.6
3.9
87.7
85.1
%
0.33
50
333
15
68
2.32
2.18
1.3
1.1
—
—
—
0
0
147
1313
1.92
2.17
5.7
5.5
2.6
2.6
mmol/l
0.08
132
1187
55
391
1.60
2.08
3.5
3.3
—
—
—
0
0
147
1318
1.89
2.07
22.8
15.5
22.6
27.1
mg/l
1.04
126
1063
25
142
1.89
2.07
6.5
3.4
—
—
—
0
0
62
454
1.58
2.07
4.1
3.0
—
—
—
0
0
60
438
1.57
2.02
4.6
4.0
—
—
—
0
0
8
27
3.06
1.96
1.1
1.1
—
—
—
0
0
85
675
1.52
1.94
4.7
3.8
0.0
0.0
estimate
0.00
15
127
27
162
1.79
1.89
1.5
1.2
240.0
432.2
titre
—
7
41
21
116
1.93
1.89
3.0
1.7
291.9
388.4
nmol/l
1.07
21
106
15
73
2.16
1.87
3.3
3.0
—
—
—
0
0
84
674
1.49
1.78
6.6
5.2
0.0
0.0
estimate
0.00
16
127
31
198
1.69
1.76
3.2
1.8
—
—
—
0
0
144
1300
1.73
1.75
5.6
5.1
6.1
6.1
mmol/l
0.38
127
1177
15
77
2.04
1.65
1.5
1.2
—
—
—
0
0
84
683
1.46
1.62
4.7
3.8
0.0
0.0
estimate
0.00
12
119
21
123
1.81
1.60
3.6
3.1
—
—
—
0
0
19
108
1.86
1.58
2.1
1.4
—
—
—
0
0
76
612
1.44
1.52
2.3
2.0
99.0
93.8
pmol/l
0.29
41
313
22
133
1.75
1.51
3.1
4.2
5.8
5.6
kpa
0.39
22
127
43
309
1.53
1.51
3.3
2.9
564.2
563.9
mosm/kgh2o
0.00
37
258
136
1225
1.56
1.50
4.7
4.3
1.4
1.2
mmol/l
1.72
119
1103
49
364
1.49
1.47
4.0
3.1
0.7
0.8
ug/l
0.19
39
262
148
1362
1.70
1.46
22.2
14.5
—
—
—
0
0
46
338
1.50
1.46
10.2
6.6
—
—
—
0
0
20
119
1.77
1.45
5.1
7.7
—
—
—
0
0
78
635
1.42
1.45
5.9
5.4
2.3
2.8
ug/l
0.36
67
565
140
1273
1.58
1.43
5.2
4.9
4.5
4.4
mmol/l
0.27
125
1157
43
313
1.50
1.42
2.9
2.7
4.5
4.1
e6/l
0.11
37
274
123
1093
1.46
1.37
24.5
17.3
39.8
38.7
%
1.24
73
700
13
69
1.96
1.32
3.7
9.8
—
—
—
0
0
5
18
2.83
1.29
6.4
2.7
5.6
12.2
nmol/l
—
5
18
15
85
1.84
1.28
3.6
2.6
0.1
0.1
e6/l
0.26
15
85
5
19
2.68
1.22
3.2
2.6
4.3
5.6
e9/l
—
5
19
5
19
2.68
1.22
1.2
1.2
—
—
—
0
0
20
126
1.67
1.21
2.1
1.4
—
—
—
0
0
0
33
0.00
1.17
0.0
1.2
—
556.5
—
0
33
13
73
1.85
1.14
2.8
3.2
—
—
—
0
0
7
30
2.39
1.14
1.3
1.3
—
—
—
0
0
14
81
1.79
1.13
5.6
4.2
—
—
—
0
0
56
447
1.38
1.12
5.4
4.4
—
—
—
0
0
42
319
1.42
1.12
3.7
3.5
—
—
—
0
0
7
31
2.31
1.12
6.4
2.8
—
—
—
0
0
33
240
1.47
1.10
2.6
1.3
2.9
2.8
g/l
0.07
21
141
29
206
1.49
1.08
1.4
1.2
39.3
44.8
iu/ml
—
7
70
17
106
1.67
1.07
4.7
4.3
—
—
—
0
0
137
1264
1.44
1.06
5.3
4.8
1.4
1.4
mmol/l
0.44
121
1139
5
22
2.31
1.04
3.2
3.6
60.2
62.2
%
—
5
22
25
174
1.51
1.02
1.3
1.2
—
—
—
0
0
42
324
1.39
1.02
1.8
1.7
1130.7
1185.2
nmol/l
0.10
32
246
9
48
1.92
1.02
2.1
1.7
—
—
—
0
0
57
463
1.35
1.01
4.0
3.2
21.8
61.0
mg/l
2.40
40
304
7
36
1.98
0.98
8.3
2.3
5.2
4.9
kpa
—
7
36
7
36
1.98
0.98
8.3
2.3
8.5
8.2
kpa
—
7
36
136
1260
1.41
0.96
7.2
6.5
40.6
41.2
mmol/mol
0.41
126
1162
46
368
1.34
0.90
5.1
3.8
—
—
—
0
0
6
30
2.04
0.88
2.5
2.0
—
—
—
0
0
14
88
1.64
0.87
4.9
5.4
25.1
24.6
mmol/l
0.20
14
88
20
138
1.51
0.86
2.1
1.5
—
—
—
0
0
42
334
1.34
0.85
1.4
1.3
—
—
—
0
0
59
494
1.30
0.83
5.1
4.0
3.5
9.8
mg/mmol
2.40
40
317
32
246
1.37
0.80
1.4
1.2
0.5
1.1
u/ml
—
6
71
6
33
1.85
0.80
2.7
2.6
—
—
—
0
0
0
27
0.00
0.78
0.0
1.5
—
—
—
0
0
26
194
1.40
0.77
1.5
1.2
29.6
18.5
u/ml
—
10
74
0
28
0.00
0.77
0.0
1.3
—
91.9
—
0
22
0
28
0.00
0.77
0.0
1.1
—
11.8
—
0
22
20
144
1.44
0.72
2.4
1.5
—
—
—
0
0
5
27
1.88
0.69
2.8
3.1
—
—
—
0
0
5
27
1.88
0.69
2.8
3.1
104.4
106.4
mmol/l
—
5
27
5
27
1.88
0.69
2.8
3.1
4.1
4.1
mmol/l
—
5
27
115
1064
1.25
0.66
30.9
19.4
14.1
13.8
%
1.36
115
1042
0
21
0.00
0.60
0.0
1.2
—
—
—
0
0
8
53
1.53
0.59
7.8
5.1
—
—
—
0
0
24
187
1.33
0.57
1.3
1.3
—
—
—
0
0
36
298
1.26
0.55
4.4
4.3
1.0
1.0
kg/l
—
5
48
6
39
1.56
0.53
1.7
1.6
—
—
—
0
0
39
329
1.24
0.51
2.0
1.8
381.9
457.6
pmol/l
1.53
34
274
9
65
1.41
0.51
1.1
1.3
—
—
—
0
0
12
84
1.46
0.51
2.3
2.5
—
—
—
0
0
24
191
1.30
0.50
3.9
6.0
104.7
104.3
mmol/l
0.15
24
184
35
294
1.24
0.48
3.0
3.5
402.9
194.1
ng/l
0.36
29
248
10
68
1.50
0.48
1.9
1.7
0.2
5.0
ug/l
—
10
61
11
78
1.44
0.44
1.3
1.2
—
—
—
0
0
43
375
1.20
0.42
5.1
4.0
0.0
0.0
estimate
0.00
15
120
0
16
0.00
0.41
0.0
2.9
—
—
—
0
0
0
17
0.00
0.41
0.0
1.0
—
278.0
—
0
8
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
6
46
1.32
0.33
1.7
3.5
—
—
—
0
0
10
74
1.37
0.33
1.0
1.3
—
60.2
—
0
5
7
55
1.28
0.30
7.4
11.5
—
—
—
0
0
5
37
1.36
0.24
1.0
1.1
—
—
—
0
0
101
969
1.11
0.22
4.6
4.1
—
—
—
0
0
0
11
0.00
0.21
0.0
1.2
—
—
—
0
0
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
2.6
—
—
—
0
0
0
10
0.00
0.21
0.0
2.0
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
14
0.00
0.20
0.0
1.3
—
—
—
0
0
0
14
0.00
0.20
0.0
1.3
—
—
—
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
6
50
1.21
0.20
1.2
1.5
—
—
—
0
0
41
379
1.11
0.18
3.5
3.4
—
—
—
0
0
12
101
1.20
0.17
2.3
2.7
—
—
—
0
0
8
70
1.15
0.16
1.3
1.6
—
—
—
0
0
9
78
1.16
0.15
2.7
2.8
1.8
1.1
%
—
9
78
9
106
0.84
0.13
1.1
1.5
—
—
—
0
0
14
157
0.88
0.11
1.4
1.4
—
—
—
0
0
5
45
1.11
0.10
1.0
1.1
—
—
—
0
0
17
158
1.08
0.06
1.4
1.2
—
—
—
0
0
10
110
0.90
0.05
1.1
1.2
—
—
—
0
0
10
94
1.07
0.01
4.6
8.2
95.7
94.7
%
—
10
94
11
104
1.06
0.01
2.3
4.1
—
—
—
0
0
35
354
0.99
0.00
1.6
1.7
1.7
1.3
mmol/l
0.63
27
289
11
107
1.03
0.00
1.6
1.5
—
—
—
0
0
23
232
0.99
0.00
2.0
1.8
28.8
29.5
s
0.33
23
225
0
5
0.00
0.00
0.0
1.2
—
5.2
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.9
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
8
0.00
0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
10.7
—
0
7
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
6
65
0.92
0.00
1.0
1.2
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
—
—
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
6
0.00
0.00
0.0
1.5
—
—
—
0
0
0
7
0.00
0.00
0.0
10.1
—
—
—
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
9
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
0.00
0.0
1.9
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
0.00
0.0
1.9
—
—
—
0
0
0
9
0.00
0.00
0.0
1.0
—
246.1
—
0
9
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
0.00
0.0
1.0
—
1.8
—
0
9

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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