Other disorders of amino-acid metabolism

E4_AMINO

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 E72
  • Cause of death: ICD-10 E72

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

149

4. Check minimum number of events

None

149

5. Include endpoints

168

6. Filter based on genotype QC (FinnGen only)

168

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E70-E90
Name in latin
Aliae perturbationes metabolismi acidorum aminoicorum

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 1745 846 887
Only index persons 1331 659 672
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.02
Only index persons 0.02 0.02 0.03
Median age at first event (years)
Whole population 52.90 55.02 50.64
Only index persons 53.93 55.81 52.09

-FinnGen-

Key figures

All Female Male
Number of individuals 168 85 83
Unadjusted period prevalence (%) 0.03 0.03 0.04
Median age at first event (years) 52.70 47.48 58.05

-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
157
Matched controls
1569
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E72.0
ICD-10 Finland
Disorders of amino-acid transport
+∞
47.3
43
*
E72.2
ICD-10 Finland
Disorders of urea cycle metabolism
+∞
25.7
24
*
E72.8
ICD-10 Finland
Other specified disorders of amino-acid metabolism
+∞
23.5
22
*
503
Kela drug reimbursment
Inborn metabolic disorders
+∞
23.5
22
*
E72.5
ICD-10 Finland
Disorders of glycine metabolism
+∞
21.3
20
*
E72.4
ICD-10 Finland
Disorders of ornithine metabolism
+∞
13.7
13
*
124
Kela drug reimbursment
Inborn metabolic disorders
+∞
12.7
12
*
E72.9
ICD-10 Finland
Disorder of amino-acid metabolism, unspecified
+∞
12.7
12
*
E78.5
ICD-10 Finland
Hyperlipidaemia, unspecified
15.1
12.3
20
15
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
4.8
12.1
44
118
E72.3
ICD-10 Finland
Disorders of lysine and hydroxylysine metabolism
+∞
11.6
11
*
E87.1
ICD-10 Finland
Hypo-osmolality and hyponatraemia
+∞
11.6
11
*
E78.01
ICD-10 Finland
Pure hypercholesterolaemia
6.2
11.2
31
60
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
10.0
11.2
22
25
C10AA01
ATC
simvastatin; oral
3.3
11.2
79
370
E78.00
ICD-10 Finland
Familial hypercholesterolaemia
+∞
10.5
10
*
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
6.0
10.0
28
55
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
4.3
10.0
39
111
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
4.0
9.6
42
132
A11CC03
ATC
alfacalcidol; systemic
23.4
9.5
13
6
A10AE04
ATC
insulin glargine; parenteral
5.5
9.5
28
59
A09
ICD-10 Finland
Other gastroenteritis and colitis of infectious and unspecified origin
3.8
9.0
41
134
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
3.4
8.8
50
191
I10
ICD-10 Finland
Essential (primary) hypertension
2.8
8.8
91
520
103
Kela drug reimbursment
Diabetes, insulin-treated
3.1
8.7
56
235
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
5.2
8.7
27
60
TK800
NOMESCO Finland
Hemodialysis
17.6
8.7
13
8
C03CA01
ATC
furosemide; systemic
3.1
8.6
58
250
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
21.5
8.6
12
6
E72.1
ICD-10 Finland
Disorders of sulfur-bearing amino-acid metabolism
+∞
8.4
8
*
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
7.6
8.4
19
28
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
18.4
8.2
12
7
E78.9
ICD-10 Finland
Disorder of lipoprotein metabolism, unspecified
35.4
8.2
10
*
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.7
8.1
79
429
N17.9
ICD-10 Finland
Acute renal failure, unspecified
8.5
8.1
17
22
D64.9
ICD-10 Finland
Anaemia, unspecified
4.8
7.9
26
62
N05CD07
ATC
temazepam; oral
3.8
7.6
33
102
N10
ICD-10 Finland
Acute tubulo-interstitial nephritis
3.6
7.3
34
112
A49.9
ICD-10 Finland
Bacterial infection, unspecified
4.1
7.2
28
79
DM1QA
NOMESCO Finland
Paranasal sinuses X-ray examination in one projection
8.2
7.1
15
20
A41.0
ICD-10 Finland
Sepsis due to Staphylococcus aureus
14.7
7.0
11
8
AA1AD
NOMESCO Finland
CT of head and brain
3.0
6.9
44
178
A41.9
ICD-10 Finland
Sepsis, unspecified
10.0
6.9
13
14
J01FF01
ATC
clindamycin; systemic
2.8
6.8
52
239
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.8
6.8
50
225
L28
ICPC
Limited function/disability (L)
3.4
6.8
34
118
Z94.0
ICD-10 Finland
Kidney transplant status
41.9
6.8
8
*
I25.1
ICD-10 Finland
Atherosclerotic heart disease
3.0
6.8
41
163
C01DA14
ATC
isosorbide mononitrate; oral
3.5
6.7
32
107
C10AA05
ATC
atorvastatin; oral
2.6
6.7
57
278
KH1AE
NOMESCO Finland
Urinary tract ultrasound examination
4.9
6.7
21
48
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
4.9
6.7
21
48
I25.9
ICD-10 Finland
Chronic ischaemic heart disease, unspecified
4.0
6.6
26
74
A10AB01
ATC
insulin (human); parenteral (insulins and analog. for injection, fast-acting)
8.0
6.6
14
19
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
8.0
6.6
14
19
215
Kela drug reimbursment
Diabetes, non-insulin-treated
2.9
6.4
43
183
A10AB04
ATC
insulin lispro; parenteral (insulins and analog. for injection, fast-acting)
9.9
6.4
12
13
M04AA01
ATC
allopurinol; systemic
3.3
6.4
32
112
A10AE05
ATC
insulin detemir; parenteral
5.1
6.4
19
41
Z49.1
ICD-10 Finland
Extracorporeal dialysis
19.0
6.3
9
5
TPH04
NOMESCO Finland
Cathetrisation of vein
3.0
6.3
39
157
N16.3*E72.0
ICD-10 Finland
Renal tubulo-interstitial disorders in cystinosis
+∞
6.3
6
*
2700A
ICD-9 Finland
Disorders of amino-acid transport and metabolism, Disturbances of amino-acid transport[CYSTINURIA]
+∞
6.3
6
*
XF400
NOMESCO Finland
ECG with 12 standard connections
3.1
6.2
35
132
SPAT1262
SPAT
Handing over of treatment supplies
3.1
6.2
35
132
J18.9
ICD-10 Finland
Pneumonia, unspecified
2.7
6.2
47
215
SPAT1222
SPAT
Counselling/guidance promoting independent living
3.4
6.1
30
103
ZX120
NOMESCO Finland
Intravenous
4.4
6.1
21
53

Mortality – FinRegistry

Association

Association between endpoint E4_AMINO and mortality.

Females

Parameter HR [95% CI] p-value
E4_AMINO 2.512 [1.93, 3.26] < 0.001
Birth year 0.993 [0.98, 1.0] 0.091

During the follow-up period (1.1.1998 — 31.12.2019), 205 out of 578 females with E4_AMINO died.

Males

Parameter HR [95% CI] p-value
E4_AMINO 3.747 [2.76, 5.09] < 0.001
Birth year 0.986 [0.98, 1.0] 0.005

During the follow-up period (1.1.1998 — 31.12.2019), 230 out of 601 males with E4_AMINO died.

Mortality risk

Mortality risk for people of age

years, who have E4_AMINO.

N-year risk Females Males
1 0.268% 0.683%
5 1.525% 4.062%
10 3.659% 10.004%
15 6.716% 18.481%
20 11.084% 29.844%

Relationships between endpoints

Index endpoint: E4_AMINO – Other disorders of amino-acid metabolism

GWS hits: 1

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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