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Problems related to education and literacy

Z21_PROBL_RELATED_EDUCATION_LITER

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 Z55
  • Cause of death: ICD-10 Z55

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

94

4. Check minimum number of events

None

94

5. Include endpoints

None

94

6. Filter based on genotype QC (FinnGen only)

94

Control definitions (FinnGen only)

Control exclude
Z21_PERSONS_W_POTEN_HEALTH_HAZARDS_RELATED_SOCIO_PSYCHOSO_CIRCUMSTANC

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF4
Parent code in ICD-10
Z5[5-9]|Z6

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

This endpoint is excluded from FinRegistry analyses (omitted endpoint).

-FinnGen-

Key figures

All Female Male
Number of individuals 94 52 42
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 15.49 15.81 15.08

-FinnGen-

Age distribution of first events

02030406080900510152025303540455055606570AgeIndividuals

-FinnGen-

Year distribution of first events

197019751980198519901995200020052010201520202023051015202530YearIndividuals

-FinnGen-

Cumulative Incidence Function

Not a core endpoint, no data to show.

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
85
Matched controls
847
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
Z55.4
ICD-10 Finland
Educational maladjustment and discord with teachers and classmates
+∞
31.2
28
*
Z55.9
ICD-10 Finland
Problem related to education and literacy, unspecified
+∞
17.3
16
*
Z55.8
ICD-10 Finland
Other problems related to education and literacy
+∞
13.9
13
*
Z00.4
ICD-10 Finland
General psychiatric examination, not elsewhere classified
7.2
13.5
38
86
N05AH04
ATC
quetiapine; oral
6.2
11.6
36
90
F41.9
ICD-10 Finland
Anxiety disorder, unspecified
6.0
10.7
33
81
Z55.0
ICD-10 Finland
Illiteracy and low-level literacy
+∞
10.6
10
*
Z55.3
ICD-10 Finland
Underachievement in school
+∞
10.6
10
*
N06AB03
ATC
fluoxetine; oral
6.6
8.7
23
45
F93.89
ICD-10 Finland
Other childhood emotional disorders
17.8
7.5
11
7
N06AB10
ATC
escitalopram; oral
3.8
7.1
36
137
F32.10
ICD-10 Finland
Moderate depressive episode without somatic syndrome
5.3
7.1
22
52
N05AX12
ATC
aripiprazole; systemic
6.2
6.8
18
35
WX290
NOMESCO Finland
Other blockade of nerve
3.5
6.5
62
370
Z63.7
ICD-10 Finland
Other stressful life events affecting family and household
+∞
6.3
6
*
X69
ICD-10 Finland
Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
9.8
6.3
12
14
N06AX12
ATC
bupropion; oral
6.1
6.1
16
31
N06AB04
ATC
citalopram; systemic
4.4
6.0
22
62

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
19
36
6.36
10.12
3.4
1.9
—
—
—
0
0
21
60
4.22
6.91
9.8
1.6
—
—
—
0
0
10
20
5.48
4.90
28.1
16.0
94.32
94.36
%
—
10
20
10
20
5.48
4.90
28.1
16.1
0.87
0.76
%
—
10
20
10
20
5.48
4.90
27.8
16.1
1.64
1.64
%
—
10
20
21
78
3.18
4.63
3.4
1.6
—
—
—
0
0
8
10
8.61
4.15
1.5
2.8
—
—
—
0
0
35
184
2.44
3.95
2.7
4.6
36.71
38.20
g/l
0.50
30
174
9
17
5.73
3.61
1.3
1.1
—
—
—
0
0
24
110
2.59
3.57
3.5
4.1
—
—
—
0
0
22
102
2.51
3.18
3.4
1.5
—
—
—
0
0
22
103
2.48
3.11
3.4
1.5
—
—
—
0
0
7
12
6.20
3.08
12.4
2.1
1.74
1.19
mmol/l
—
7
12
35
209
2.07
2.77
5.4
5.3
—
—
—
0
0
21
102
2.36
2.73
3.5
1.5
—
—
—
0
0
10
32
3.38
2.73
27.9
12.9
—
—
—
0
0
20
95
2.40
2.73
3.6
1.5
—
—
—
0
0
38
238
2.00
2.62
8.7
7.5
1.20
1.22
mmol/l
0.94
32
197
50
350
1.92
2.45
6.9
5.9
0.17
0.16
e9/l
0.17
41
313
53
382
1.89
2.34
2.9
2.5
—
—
—
0
0
8
24
3.54
2.23
10.9
22.0
—
—
—
0
0
48
339
1.85
2.23
5.9
5.3
0.03
0.04
e9/l
0.32
40
297
6
14
4.50
2.18
1.0
1.6
—
—
—
0
0
85
744
2.49
2.18
14.4
9.1
26.63
20.89
mg/l
0.71
66
552
47
336
1.80
2.05
6.1
5.3
0.56
0.54
e9/l
0.29
40
295
19
100
2.13
2.04
3.8
1.6
—
—
—
0
0
6
16
3.93
1.97
24.7
4.6
—
—
—
0
0
24
140
1.96
1.96
2.1
2.0
329.61
88.07
ug/g
0.95
18
107
11
46
2.58
1.93
1.2
1.2
—
—
—
0
0
12
53
2.45
1.90
1.9
1.2
—
—
—
0
0
53
400
1.75
1.87
9.4
8.0
4.40
4.07
e9/l
0.45
45
352
49
364
1.72
1.81
6.0
5.2
1.99
1.93
e9/l
0.26
40
323
5
134
0.34
1.79
1.0
1.3
—
—
—
0
0
75
631
1.93
1.78
3.3
2.8
5.52
5.48
mmol/l
0.14
70
576
6
18
3.49
1.77
1.0
1.2
307.67
331.28
mg/l
—
6
18
43
311
1.71
1.73
6.3
6.9
0.00
0.00
e9/l
0.49
34
253
32
213
1.76
1.72
1.7
1.4
1.67
2.02
g/l
1.13
20
144
13
65
2.16
1.57
1.7
1.4
371.08
417.27
nmol/l
0.35
13
56
6
23
2.71
1.39
1.3
1.3
—
—
—
0
0
20
123
1.80
1.38
1.3
1.3
4.77
6.64
u/ml
—
9
51
9
42
2.26
1.38
1.1
1.1
—
—
—
0
0
38
281
1.59
1.33
3.3
2.6
—
—
—
0
0
6
24
2.60
1.32
1.0
1.1
—
—
—
0
0
5
18
2.87
1.30
1.0
1.5
11.20
78.44
e6/l
—
5
18
6
25
2.49
1.26
19.7
5.6
25.08
25.94
mmol/l
—
6
25
26
177
1.65
1.26
3.8
2.7
1.02
1.02
kg/l
—
6
21
9
162
0.51
1.23
1.6
1.6
—
—
—
0
0
46
361
1.54
1.22
3.6
2.9
0.00
0.00
estimate
—
7
84
8
38
2.21
1.22
10.3
4.1
—
—
—
0
0
28
196
1.61
1.22
2.8
2.4
99.78
56.52
u/l
0.45
23
183
47
371
1.53
1.21
3.6
3.0
0.00
0.00
estimate
—
9
80
44
344
1.52
1.18
5.8
5.3
31.96
29.62
%
0.59
39
328
26
180
1.61
1.18
1.5
1.5
82.49
93.66
pmol/l
1.17
14
99
46
364
1.52
1.16
4.8
3.9
0.00
0.00
estimate
—
9
85
5
21
2.46
1.10
2.0
2.0
—
—
—
0
0
5
21
2.46
1.10
14.0
4.4
129.60
138.38
g/l
—
5
21
30
219
1.54
1.08
3.6
3.3
0.00
0.01
estimate
—
9
82
25
177
1.56
1.03
3.4
2.1
—
—
—
0
0
21
292
0.64
0.99
2.7
1.7
—
—
—
0
0
22
153
1.57
0.97
4.5
6.3
—
—
—
0
0
18
258
0.63
0.97
1.9
1.9
—
—
—
0
0
6
27
2.30
0.95
1.2
1.4
—
—
—
0
0
8
42
1.99
0.91
3.9
4.1
—
—
—
0
0
6
30
2.07
0.88
2.2
1.2
—
—
—
0
0
42
342
1.41
0.85
5.7
5.0
54.73
56.35
%
0.30
36
326
54
460
1.41
0.85
4.2
3.7
—
24.00
—
0
8
17
115
1.58
0.84
2.0
2.5
—
—
—
0
0
24
178
1.47
0.79
1.9
2.4
18.84
50.56
e6/l
0.81
18
138
28
215
1.43
0.78
2.7
2.9
13.30
59.63
e6/l
1.10
20
148
5
23
2.24
0.77
2.0
1.7
—
—
—
0
0
30
235
1.41
0.74
3.1
2.5
—
—
—
0
0
23
174
1.43
0.69
1.6
1.5
—
—
—
0
0
11
70
1.65
0.68
1.5
2.7
—
—
—
0
0
7
44
1.64
0.66
5.6
2.0
—
—
—
0
0
5
29
1.76
0.64
1.2
1.4
22.00
34.03
nmol/l
—
5
29
18
132
1.45
0.63
2.8
1.6
0.78
0.68
mg/l
0.16
13
92
19
142
1.42
0.60
3.5
3.2
—
—
—
0
0
12
81
1.55
0.60
3.7
3.0
24.40
122.82
ng/l
—
5
44
8
54
1.53
0.59
1.0
1.1
—
—
—
0
0
82
771
1.50
0.58
15.2
9.5
40.88
41.29
%
0.33
57
658
16
213
0.70
0.58
2.4
1.9
—
—
—
0
0
24
189
1.36
0.57
4.5
4.3
—
—
—
0
0
22
171
1.37
0.57
3.7
4.9
1.04
1.05
inr
—
8
62
30
246
1.32
0.55
1.4
1.3
0.38
1.05
u/ml
—
9
65
6
39
1.57
0.54
2.0
1.3
—
—
—
0
0
22
273
0.75
0.52
1.4
1.8
—
—
—
0
0
8
60
1.36
0.41
1.1
1.8
—
—
—
0
0
0
16
0.00
0.41
0.0
1.5
—
—
—
0
0
0
16
0.00
0.41
0.0
1.7
—
—
—
0
0
0
19
0.00
0.39
0.0
2.9
—
—
—
0
0
20
241
0.78
0.38
2.1
1.7
—
—
—
0
0
20
167
1.25
0.32
1.7
2.4
—
—
—
0
0
20
168
1.24
0.30
6.0
2.9
14.05
17.77
ng/l
0.36
13
72
10
77
1.33
0.27
1.5
1.2
—
—
—
0
0
9
76
1.20
0.25
1.9
2.0
12.72
14.90
umol/l
—
9
67
0
10
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
3.0
—
—
—
0
0
6
49
1.24
0.20
3.8
3.6
5.09
4.56
pmol/l
—
6
44
6
49
1.24
0.20
1.5
1.5
2.55
1.68
%
—
6
43
8
72
1.12
0.16
1.3
1.2
—
—
—
0
0
10
83
1.23
0.16
1.0
1.1
—
—
—
0
0
69
669
1.12
0.13
3.1
2.8
2.86
2.80
mmol/l
0.17
60
636
82
806
1.14
0.09
14.2
8.4
—
—
—
0
0
6
53
1.14
0.09
1.5
1.4
—
—
—
0
0
7
68
1.03
0.08
1.3
1.4
—
—
—
0
0
9
85
1.07
0.07
2.2
3.2
—
—
—
0
0
29
302
0.94
0.05
1.8
1.7
—
—
—
0
0
11
101
1.10
0.04
1.5
1.5
—
—
—
0
0
64
630
1.05
0.03
2.6
2.7
1.43
1.23
mmol/l
0.89
57
605
67
664
1.03
0.00
2.9
2.7
1.28
1.42
mmol/l
2.25
59
632
10
102
0.98
0.00
1.8
2.2
—
—
—
0
0
67
668
1.01
0.00
3.1
2.8
4.58
4.58
mmol/l
0.00
60
638
38
383
0.99
0.00
2.0
2.1
—
—
—
0
0
50
496
1.02
0.00
4.5
3.6
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
1565.83
—
0
6
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
1.6
—
—
—
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
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
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
1.2
—
12.56
—
0
5
6
64
0.93
0.00
1.7
1.7
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
6.24
—
0
7
0
5
0.00
0.00
0.0
1.4
—
2301.40
—
0
5
0
7
0.00
0.00
0.0
1.4
—
1.19
—
0
7

Mortality – FinRegistry

This endpoint is excluded from FinRegistry analyses (omitted endpoint).

Relationships between endpoints

Index endpoint: Z21_PROBL_RELATED_EDUCATION_LITER – Problems related to education and literacy

GWS hits: -

This endpoint is excluded from FinRegistry analyses (omitted endpoint).