Gilbert syndrome

E4_GILBERT

Gilbert syndrome: An autosomal recessive inherited disorder characterized by unconjugated hyperbilirubinemia, resulting in harmless intermittent jaundice.

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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 E80.4
  • Hospital discharge: ICD-9 2774A
  • Hospital discharge: ICD-8 27350
  • Cause of death: ICD-10 E80.4
  • Cause of death: ICD-9 2774A
  • Cause of death: ICD-8 27350

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

272

4. Check minimum number of events

None

272

5. Include endpoints

None

272

6. Filter based on genotype QC (FinnGen only)

272

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E80
Name in latin
Syndroma Gilbert

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 2080 758 1310
Only index persons 1976 732 1244
Unadjusted period prevalence (%)
Whole population 0.03 0.02 0.04
Only index persons 0.04 0.03 0.05
Median age at first event (years)
Whole population 35.03 37.47 33.51
Only index persons 34.37 36.95 32.86

-FinnGen-

Key figures

All Female Male
Number of individuals 272 113 159
Unadjusted period prevalence (%) 0.06 0.04 0.07
Median age at first event (years) 41.55 39.84 42.76

-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
244
Matched controls
2440
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E80.4
ICD-10 Finland
Gilbert syndrome
+∞
294.0
219
*
R17
ICD-10 Finland
Hyperbilirubinaemia, with or without jaundice, not elsewhere classified
42.4
24.6
30
8
27350
ICD-8 Finland
Other and unspecified congenital disorders of metabolism, Icterus intermittens juvenilis
+∞
16.9
16
*
2774A
ICD-9 Finland
Other and unspecified disorders of metabolism, Disorders of bilirubin excretion[SYNDROMA GILBERT]
+∞
13.7
13
*
57308
ICD-8 Finland
Other diseases of liver, Alii definiti
+∞
11.5
11
*
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
2.7
11.5
105
534
A06AC01
ATC
ispaghula (psylla seeds); oral
3.0
9.6
61
244
K21.9
ICD-10 Finland
Gastro-oesophageal reflux disease without oesophagitis
4.1
8.6
33
89
E80.7
ICD-10 Finland
Disorder of bilirubin metabolism, unspecified
+∞
8.4
8
*
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.5
8.4
74
357
Z01.8
ICD-10 Finland
Other specified special examinations
2.5
7.0
62
296
A02BC02
ATC
pantoprazole; systemic
2.0
6.2
142
1012

Mortality – FinRegistry

Association

Association between endpoint E4_GILBERT and mortality.

Females

No data

Males

Parameter HR [95% CI] p-value
E4_GILBERT 1.128 [0.89, 1.43] 0.317
Birth year 0.984 [0.97, 0.99] 0.002

During the follow-up period (1.1.1998 — 31.12.2019), 100 out of 970 males with E4_GILBERT died.

Mortality risk

Mortality risk for people of age

years, who have E4_GILBERT.

N-year risk Females Males
1 No data 0.198%
5 No data 1.228%
10 No data 3.072%
15 No data 5.6%
20 No data 9.732%

Relationships between endpoints

Index endpoint: E4_GILBERT – Gilbert syndrome

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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