Spina bifida

Q17_SPINA_BIFIDA

spina bifida: A congenital neural tube defect in which vertebrae are not fully formed. It results in the protrusion of the spinal cord through the opening of the vertebrae.

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

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 Q05
  • Cause of death: ICD-10 Q05

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

85

4. Check minimum number of events

None

85

5. Include endpoints

None

85

6. Filter based on genotype QC (FinnGen only)

85

Control definitions (FinnGen only)

Control exclude
Q17_CONGEN_MALFO_NERVOUS_SYSTEM

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF4
Parent code in ICD-10
Q0

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 1097 602 489
Only index persons 925 521 404
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.02
Median age at first event (years)
Whole population 12.19 14.94 8.44
Only index persons 15.83 18.69 12.14

-FinnGen-

Key figures

All Female Male
Number of individuals 85 56 29
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 28.52 25.92 33.54

-FinRegistry-

Age distribution of first events

0102030405060708090050100150200250300350400450500AgeIndividuals

-FinnGen-

Age distribution of first events

0102030405060024681012141618AgeIndividuals

-FinRegistry-

Year distribution of first events

197019751980198519901995200020052010201520202022050100150200250300350400YearIndividuals

-FinnGen-

Year distribution of first events

19701975198019851990199520002005201520202023051015202530YearIndividuals

-FinRegistry-

Cumulative Incidence Function

01020304050607080901000.00.10.20.30.40.50.60.70.80.91.0AgeProbability of first incidence (%)

-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
75
Matched controls
751
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
Q05.2
ICD-10 Finland
Lumbar spina bifida with hydrocephalus
+∞
39.0
34
*
Q05.7
ICD-10 Finland
Lumbar spina bifida without hydrocephalus
+∞
30.2
27
*
Q05.9
ICD-10 Finland
Spina bifida, unspecified
+∞
27.8
25
*
7410D
ICD-9 Finland
Spina bifida, With hydrocephalus[SPINA BIFIDA APERTA CUM HYDROCEPHALO REG LUMBALIS]
+∞
25.4
23
*
XKC03
NOMESCO Finland
Water cystometry
45.9
24.1
29
10
204
Kela drug reimbursment
Leukemia lymphatica
45.6
20.9
25
8
G04AC01
ATC
NA
35.1
20.4
26
11
G04BD04
ATC
oxybutynin; oral, transdermal
36.5
19.8
25
10
J01XE01
ATC
nitrofurantoin; oral
47.5
17.8
21
6
UKC02
NOMESCO Finland
Cystoscopy
13.4
16.7
31
37
J01EA01
ATC
trimethoprim; systemic
8.4
16.1
46
118
L89
ICD-10 Finland
Decubitus ulcer and pressure area
66.5
14.4
16
*
N31.0
ICD-10 Finland
Uninhibited neuropathic bladder, not elsewhere classified
66.5
14.4
16
*
G95.8
ICD-10 Finland
Other specified diseases of spinal cord
+∞
14.0
13
*
Q05.0
ICD-10 Finland
Cervical spina bifida with hydrocephalus
+∞
14.0
13
*
KH1AE
NOMESCO Finland
Urinary tract ultrasound examination
16.7
13.7
22
18
N31.9
ICD-10 Finland
Neuromuscular dysfunction of bladder, unspecified
61.3
13.4
15
*
N10
ICD-10 Finland
Acute tubulo-interstitial nephritis
11.1
13.1
26
34
Q05.8
ICD-10 Finland
Sacral spina bifida without hydrocephalus
+∞
12.9
12
*
7419D
ICD-9 Finland
Spina bifida, Without mention of hydrocephalus[SPINA BIFIDA APERTA SINE HYDROCEPHALO REG LUMBALIS]
+∞
12.9
12
*
XKD06
NOMESCO Finland
Physiologic investigation of micturition
26.8
12.7
17
8
R15
ICD-10 Finland
Faecal incontinence
51.5
11.3
13
*
1530
FHL
Urethrocystoscopy
51.5
11.3
13
*
74190
ICD-8 Finland
Spina bifida, Hydrocephalo non indicato, cute tecta
+∞
10.7
10
*
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
20.3
10.4
15
9
KA1AE
NOMESCO Finland
Kidney ultrasound examination
24.1
10.2
14
7
A46
ICD-10 Finland
Erysipelas
11.1
10.0
19
22
AAF20
NOMESCO Finland
Revision of shunt of ventricle of brain
113.5
9.6
10
*
M41.4
ICD-10 Finland
Neuromuscular scoliosis
+∞
9.6
9
*
Q05.3
ICD-10 Finland
Sacral spina bifida with hydrocephalus
+∞
9.6
9
*
XKD00
NOMESCO Finland
Uroflowmetry
9.8
9.4
19
25
G04BD07
ATC
tolterodine; oral
13.0
8.8
15
14
J01MA12
ATC
levofloxacin; systemic
6.3
8.5
24
52
Q06.8
ICD-10 Finland
Other specified congenital malformations of spinal cord
+∞
8.5
8
*
74199
ICD-8 Finland
Spina bifida, Without mention of hydrocephalus
+∞
8.5
8
*
74101
ICD-8 Finland
Spina bifida, Cum hydrocephalo, non cute tecta
+∞
8.5
8
*
KDV20
NOMESCO Finland
Submucous urethral injection
+∞
8.5
8
*
J01MA02
ATC
ciprofloxacin; systemic
4.1
7.7
40
162
NH1AA
NOMESCO Finland
Ankle X-ray examination without contrast
10.4
7.4
14
16
74191
ICD-8 Finland
Spina bifida, Hydrocephalo non indicato, non ente tecta
+∞
7.4
7
*
Q66.0
ICD-10 Finland
Talipes equinovarus
+∞
7.4
7
*
R5110
NOMESCO Finland
Evaluation of the need for aids, the testing, fitting and choice of the aid, instruction in use and delivery of it
7.0
7.3
18
32
WYA30
NOMESCO Finland
Preparations for expected poor cooperation
7.2
7.1
17
29
S97
ICPC
Chronic ulcer skin
12.7
7.1
12
11
NE1AA
NOMESCO Finland
Pelvis X-ray examination
12.7
7.1
12
11
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
25.1
6.8
9
*
N39.4
ICD-10 Finland
Other specified urinary incontinence
7.8
6.7
15
23
N39.0
ICD-10 Finland
Urinary tract infection, site not specified
5.3
6.7
21
51
R4120
NOMESCO Finland
Occupational therapy
8.3
6.6
14
20
JN3AA
NOMESCO Finland
Abdominal X-ray examination without contrast
12.6
6.5
11
10
SPAT1262
SPAT
Handing over of treatment supplies
5.5
6.4
19
43
R33
ICD-10 Finland
Retention of urine
9.0
6.4
13
17
L17
ICPC
Foot/toe symptom/complaint
4.2
6.4
27
89
N32.82
ICD-10 Finland
Instability of the detrusor vesicae muscle
29.3
6.4
8
*
9165
FHL
Removal of osteosynthesis material
29.3
6.4
8
*
N31.8
ICD-10 Finland
Other neuromuscular dysfunction of bladder
+∞
6.3
6
*
74100
ICD-8 Finland
Spina bifida, Cum hydrocephalo, cute tecta
+∞
6.3
6
*
N31.1
ICD-10 Finland
Reflex neuropathic bladder, not elsewhere classified
+∞
6.3
6
*
A06AC01
ATC
ispaghula (psylla seeds); oral
4.4
6.3
24
72
G04BD08
ATC
solifenacin; oral
9.3
6.1
12
15
SPAT1229
SPAT
Assessment of need for aid
9.3
6.1
12
15

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
53
176
6.34
16.28
7.4
2.6
—
—
—
0
0
37
123
4.56
10.48
4.1
2.2
4.91
11.64
e6/l
0.53
30
110
43
165
4.25
9.96
5.8
2.8
0.12
0.47
e6/l
1.45
35
124
28
79
4.79
9.67
4.8
1.3
—
—
—
0
0
33
113
4.14
8.77
3.7
2.5
596.75
529.93
mosm/kgh2o
0.60
28
99
41
171
3.70
8.09
6.1
2.7
—
—
—
0
0
48
225
3.60
7.86
7.9
3.7
217.11
53.01
e6/l
0.58
37
158
43
188
3.61
7.85
7.0
2.9
21.23
47.00
e6/l
0.79
35
148
36
142
3.66
7.66
7.8
4.2
—
—
—
0
0
35
142
3.49
7.05
7.5
3.6
—
—
—
0
0
50
260
3.24
6.59
7.0
3.1
—
—
—
0
0
56
325
3.12
5.87
11.3
4.5
0.10
0.00
estimate
—
10
65
56
327
3.09
5.77
9.2
3.2
0.00
0.00
estimate
0.00
11
59
55
320
3.04
5.66
9.3
3.2
0.00
0.00
estimate
0.00
11
61
23
87
3.25
4.99
4.4
1.7
—
—
—
0
0
66
456
3.00
4.45
8.9
4.2
—
—
—
0
0
38
203
2.58
4.30
3.2
2.0
—
—
—
0
0
38
203
2.58
4.30
2.4
1.8
95.87
95.97
pmol/l
0.00
21
107
16
53
3.49
4.23
6.6
9.6
—
—
—
0
0
61
412
2.70
4.17
5.8
10.0
4.64
4.03
e9/l
1.05
55
365
6
5
12.76
3.82
3.2
4.6
—
—
—
0
0
46
282
2.38
3.73
7.7
8.0
1.21
1.22
mmol/l
0.28
38
237
35
197
2.32
3.38
2.8
2.9
2.35
2.35
mmol/l
0.02
30
180
37
221
2.19
3.05
4.9
6.9
—
—
—
0
0
12
42
3.16
2.88
4.7
1.6
—
—
—
0
0
46
310
2.05
2.68
5.3
6.1
8.43
11.96
umol/l
1.61
40
298
51
357
2.07
2.68
5.0
6.3
0.54
0.53
e9/l
0.06
43
317
7
15
4.98
2.65
1.9
2.1
—
—
—
0
0
51
359
2.05
2.62
5.0
6.2
0.04
0.04
e9/l
0.15
43
319
9
26
3.74
2.56
4.6
3.1
—
—
—
0
0
30
177
2.07
2.47
10.2
3.3
0.00
0.00
estimate
—
10
63
29
169
2.09
2.46
3.5
7.1
—
—
—
0
0
6
12
5.29
2.44
3.3
3.3
—
—
—
0
0
12
47
2.81
2.39
5.5
3.4
—
—
—
0
0
8
24
3.57
2.24
3.0
1.5
—
—
—
0
0
51
372
1.93
2.23
5.1
6.3
1.80
2.10
e9/l
0.93
44
336
8
25
3.42
2.15
1.4
2.1
—
—
—
0
0
51
376
1.89
2.12
5.1
6.5
0.20
0.19
e9/l
0.31
44
338
5
10
5.23
2.10
1.8
8.5
—
—
—
0
0
31
200
1.87
1.91
14.4
5.0
1.67
1.07
inr
—
9
68
5
12
4.35
1.85
18.4
6.9
—
—
—
0
0
5
13
4.01
1.74
1.8
1.8
—
—
—
0
0
10
43
2.50
1.67
25.5
5.3
5.25
5.05
kpa
—
10
38
7
26
2.84
1.62
1.4
1.3
—
—
—
0
0
8
33
2.57
1.58
7.0
5.9
24.90
24.26
mmol/l
—
8
33
0
42
0.00
1.57
0.0
1.5
—
293.92
—
0
22
80
729
2.65
1.52
22.1
11.7
67.01
70.87
umol/l
0.20
80
729
6
22
2.85
1.46
3.5
4.9
—
—
—
0
0
12
61
2.13
1.41
1.0
1.4
—
—
—
0
0
41
310
1.62
1.36
13.9
9.4
0.00
0.00
e9/l
0.50
34
251
25
166
1.72
1.36
7.6
4.0
7.38
7.41
ph
—
5
30
11
55
2.15
1.34
1.3
1.6
—
—
—
0
0
9
44
2.17
1.31
10.2
10.6
25.43
25.49
mmol/l
—
9
44
8
36
2.35
1.28
7.1
5.7
—
—
—
0
0
8
36
2.35
1.28
1.1
1.9
—
—
—
0
0
20
127
1.75
1.26
3.3
3.9
3.37
10.19
mg/mmol
1.04
14
74
45
354
1.58
1.23
5.4
6.3
25.11
29.33
%
1.99
40
338
52
424
1.58
1.21
3.8
3.0
—
—
—
0
0
6
26
2.40
1.21
4.2
3.7
—
—
—
0
0
11
58
2.03
1.18
1.3
1.6
—
—
—
0
0
11
58
2.03
1.18
1.3
1.6
—
—
—
0
0
11
58
2.03
1.18
1.3
1.6
—
—
—
0
0
14
81
1.87
1.17
1.4
1.2
—
—
—
0
0
27
190
1.62
1.17
1.1
1.5
2.00
2.07
g/l
0.14
19
126
27
192
1.60
1.12
3.0
4.7
—
—
—
0
0
77
708
1.93
1.05
27.4
11.5
27.39
19.14
mg/l
1.51
66
522
12
71
1.80
0.94
1.0
1.2
—
—
—
0
0
6
29
2.15
0.91
12.5
11.1
95.38
92.90
%
—
6
29
6
29
2.15
0.91
12.5
10.9
0.73
0.78
%
—
6
29
8
44
1.90
0.89
1.4
1.8
—
—
—
0
0
6
30
2.07
0.89
12.5
10.6
1.40
1.63
%
—
6
30
18
123
1.59
0.86
3.1
3.1
19.12
634.66
mg/l
0.58
13
74
6
31
2.00
0.86
1.2
5.0
20.33
20.64
s
—
6
25
19
257
0.66
0.79
3.3
2.3
—
—
—
0
0
31
245
1.42
0.75
1.9
2.1
—
—
—
0
0
9
58
1.62
0.72
13.7
3.0
—
—
—
0
0
9
58
1.62
0.72
1.3
1.6
—
—
—
0
0
68
619
1.49
0.71
24.9
14.0
13.48
13.41
%
0.17
68
609
18
129
1.50
0.71
1.1
1.3
3.67
3.75
u/ml
—
7
48
26
201
1.42
0.71
1.1
1.4
0.59
1.53
u/ml
—
7
50
10
151
0.62
0.67
1.1
1.6
—
—
—
0
0
19
250
0.69
0.67
1.5
2.0
—
—
—
0
0
19
141
1.45
0.63
3.7
3.6
—
—
—
0
0
78
737
1.71
0.63
20.3
10.4
—
—
—
0
0
25
196
1.39
0.62
8.7
2.6
—
—
—
0
0
0
22
0.00
0.60
0.0
1.0
—
0.18
—
0
9
0
23
0.00
0.59
0.0
1.0
—
3.57
—
0
13
6
37
1.67
0.57
1.0
3.4
69.52
66.22
g/l
—
6
32
10
137
0.69
0.43
1.7
1.6
—
—
—
0
0
17
133
1.35
0.43
1.2
1.3
19.77
31.59
iu/ml
—
7
45
0
15
0.00
0.41
0.0
1.2
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
5
34
1.50
0.41
1.0
1.4
0.29
0.22
g/l
—
5
34
5
79
0.61
0.37
1.6
1.2
—
—
—
0
0
16
195
0.78
0.33
1.6
1.7
—
—
—
0
0
7
99
0.68
0.33
1.4
1.2
—
—
—
0
0
25
216
1.22
0.30
4.8
3.0
11.18
18.71
ng/l
2.02
17
114
16
134
1.24
0.25
1.5
1.5
—
—
—
0
0
59
619
0.85
0.23
4.2
3.5
5.66
5.66
mmol/l
0.01
53
574
0
10
0.00
0.21
0.0
1.1
—
111.54
—
0
10
0
10
0.00
0.21
0.0
14.3
—
1561.10
—
0
10
0
10
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.4
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
12.1
—
802.10
—
0
10
0
12
0.00
0.21
0.0
1.1
—
—
—
0
0
6
47
1.30
0.21
3.5
5.8
—
—
—
0
0
6
49
1.24
0.20
3.3
4.2
—
0.64
—
0
11
0
14
0.00
0.20
0.0
1.5
—
—
—
0
0
0
14
0.00
0.20
0.0
1.1
—
0.85
—
0
5
0
14
0.00
0.20
0.0
1.1
—
0.20
—
0
5
68
700
0.86
0.16
20.5
11.6
37.58
40.76
%
1.38
48
582
26
241
1.11
0.12
1.2
1.5
—
—
—
0
0
6
74
0.80
0.08
1.7
1.3
—
—
—
0
0
5
53
0.94
0.00
4.4
4.1
—
0.07
—
0
14
0
6
0.00
0.00
0.0
29.5
—
5.52
—
0
6
80
798
1.04
0.00
31.1
16.9
89.46
89.88
fl
0.34
80
790
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
8
0.00
0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
0.28
—
0
5
7
72
0.97
0.00
1.3
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
14.4
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
0.70
—
0
5
0
5
0.00
0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
80
799
1.02
0.00
31.9
17.0
133.76
136.61
g/l
0.94
80
791
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
6
61
0.98
0.00
1.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
8
0.00
0.00
0.0
5.1
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
7.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.3
—
—
—
0
0
0
9
0.00
0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
3.6
—
24.40
—
0
5
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
1.6
—
—
—
0
0
0
6
0.00
0.00
0.0
1.3
—
—
—
0
0
0
9
0.00
0.00
0.0
3.1
—
17.11
—
0
9
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
7.28
—
0
5
0
7
0.00
0.00
0.0
5.1
—
6.14
—
0
7
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
0.00
0.0
3.7
—
65.83
—
0
6
0
5
0.00
0.00
0.0
3.4
—
—
—
0
0
0
5
0.00
0.00
0.0
2.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
7
75
0.93
0.00
1.3
1.2
—
—
—
0
0
80
799
1.02
0.00
31.0
16.9
29.79
30.09
pg
0.83
80
791
0
6
0.00
0.00
0.0
1.2
—
1809.17
—
0
6
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
0.00
0.0
9.6
—
0.65
—
0
9

Mortality – FinRegistry

Association

Association between endpoint Q17_SPINA_BIFIDA and mortality.

Females

No data

Males

No data

Mortality risk

Mortality risk for people of age

years, who have Q17_SPINA_BIFIDA.

N-year risk Females Males
1 No data No data
5 No data No data
10 No data No data
15 No data No data
20 No data No data

Relationships between endpoints

Index endpoint: Q17_SPINA_BIFIDA – Spina bifida

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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