Disorders of adrenal gland, other and/or unspecified

E4_ADRENAS

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 E27.8, E27.9
  • Hospital discharge: ICD-9 255[8-9]
  • Hospital discharge: ICD-8 2559
  • Cause of death: ICD-10 E27.8, E27.9
  • Cause of death: ICD-9 255[8-9]
  • Cause of death: ICD-8 2559

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

174

4. Check minimum number of events

None

174

5. Include endpoints

None

174

6. Filter based on genotype QC (FinnGen only)

174

Control definitions (FinnGen only)

Control exclude
E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2

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 1308 813 486
Only index persons 1013 644 369
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.01
Median age at first event (years)
Whole population 49.81 46.38 55.27
Only index persons 49.26 46.43 54.20

-FinnGen-

Key figures

All Female Male
Number of individuals 174 111 63
Unadjusted period prevalence (%) 0.03 0.04 0.03
Median age at first event (years) 49.75 44.18 59.55

-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
163
Matched controls
1629
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E27.9
ICD-10 Finland
Disorder of adrenal gland, unspecified
+∞
90.2
78
*
H02AB09
ATC
hydrocortisone; systemic
136.8
64.9
66
8
E27.8
ICD-10 Finland
Other specified disorders of adrenal gland
+∞
48.4
44
*
105
Kela drug reimbursment
Adrenal cortical hypofunction
+∞
22.4
21
*
E27.3
ICD-10 Finland
Drug-induced adrenocortical insufficiency
+∞
21.3
20
*
E27.4
ICD-10 Finland
Other and unspecified adrenocortical insufficiency
+∞
21.3
20
*
E27.1
ICD-10 Finland
Primary adrenocortical insufficiency
+∞
20.2
19
*
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
19.1
19.7
30
19
H02AA02
ATC
fludrocortisone; oral
106.9
18.0
19
*
25599
ICD-8 Finland
Diseases of adrenal glands, Other and unspecified
+∞
15.9
15
*
2559X
ICD-9 Finland
Disorders of adrenal glands, Unspecified disorder of adrenal glands
+∞
12.7
12
*
E27.2
ICD-10 Finland
Addisonian crisis
+∞
11.6
11
*
101
Kela drug reimbursment
Anterior pituitary hypofunction
+∞
11.6
11
*
E23.03
ICD-10 Finland
Lack of ACTH
+∞
10.5
10
*
25598
ICD-8 Finland
Diseases of adrenal glands, Alii definiti
+∞
10.5
10
*
C03DA01
ATC
spironolactone; oral
5.5
10.0
30
64
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
4.3
9.8
38
107
D35.0
ICD-10 Finland
Benign neoplasm: Adrenal gland
19.0
9.6
14
8
R06.0
ICD-10 Finland
Dyspnoea
3.4
9.6
54
207
AA4CG
NOMESCO Finland
Extensive MRI examination of sella turcica with high intensity magnet
105.9
9.5
10
*
N02AE01
ATC
buprenorphine; parenteral, sublingual, transdermal
4.3
9.1
35
97
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.7
8.4
84
463
M05BA04
ATC
alendronic acid; oral
5.0
8.2
26
59
C03CA01
ATC
furosemide; systemic
2.9
8.2
59
265
R53
ICD-10 Finland
Malaise and fatigue
3.0
7.9
52
217
D35.2
ICD-10 Finland
Benign neoplasm: Pituitary gland
47.3
7.8
9
*
H02AB06
ATC
prednisolone; systemic
2.6
7.8
93
557
SPAT1301
SPAT
No procedures
2.7
7.6
66
329
E23.00
ICD-10 Finland
Panhypopituitarism
+∞
7.3
7
*
D44.1
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Adrenal gland
16.7
7.3
11
7
FB1BD
NOMESCO Finland
Extensive CT examination of arteria pulmonalis
5.0
7.3
23
52
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.7
7.1
60
293
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
2.5
7.0
73
398
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
4.8
6.9
22
51
A06AC01
ATC
ispaghula (psylla seeds); oral
2.8
6.9
52
237
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.5
6.8
66
346
N06AX21
ATC
duloxetine; oral
3.6
6.7
31
101
A10BA02
ATC
metformin; oral
2.7
6.7
51
232
M54.5
ICD-10 Finland
Low back pain
2.5
6.7
65
340
N03AX12
ATC
gabapentin; oral
3.1
6.6
37
139
M79.6
ICD-10 Finland
Pain in limb
2.4
6.6
71
391
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
3.0
6.6
41
166
SPAT1230
SPAT
Aid fitting and borrowing and monitoring of use
3.2
6.5
36
133
R51.80
ICD-10 Finland
Headache
3.3
6.5
35
125
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
2.9
6.5
45
192
103
Kela drug reimbursment
Diabetes, insulin-treated
2.7
6.5
48
215
A49.9
ICD-10 Finland
Bacterial infection, unspecified
3.7
6.4
28
87
N92.1
ICD-10 Finland
Excessive and frequent menstruation with irregular cycle
5.5
6.4
18
36
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
2.9
6.4
40
163
AA1AD
NOMESCO Finland
CT of head and brain
2.7
6.2
47
213
E87.1
ICD-10 Finland
Hypo-osmolality and hyponatraemia
7.2
6.2
14
21
R03AC12
ATC
salmeterol; inhalant
6.0
6.2
16
29
Z01.8
ICD-10 Finland
Other specified special examinations
2.7
6.1
46
207

Mortality – FinRegistry

Association

Association between endpoint E4_ADRENAS and mortality.

Females

Parameter HR [95% CI] p-value
E4_ADRENAS 2.633 [1.78, 3.89] < 0.001
Birth year 0.998 [0.99, 1.01] 0.58

During the follow-up period (1.1.1998 — 31.12.2019), 81 out of 411 females with E4_ADRENAS died.

Males

Parameter HR [95% CI] p-value
E4_ADRENAS 2.646 [1.65, 4.25] < 0.001
Birth year 0.987 [0.98, 1.0] 0.007

During the follow-up period (1.1.1998 — 31.12.2019), 69 out of 264 males with E4_ADRENAS died.

Mortality risk

Mortality risk for people of age

years, who have E4_ADRENAS.

N-year risk Females Males
1 0.191% 0.525%
5 1.462% 3.045%
10 3.893% 7.638%
15 7.674% 14.4%
20 13.363% 23.783%

Relationships between endpoints

Index endpoint: E4_ADRENAS – Disorders of adrenal gland, other and/or unspecified

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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