Metabolic disorder, other/unspecified

E4_METABONAS

metabolic disease: A congenital disorder (due to inherited enzyme abnormality) or acquired (due to failure of a metabolically important organ) disorder resulting from an abnormal metabolic process.

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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 E88.8#, E88.9#
  • Hospital discharge: ICD-9 277[8-9]
  • Cause of death: ICD-10 E88.8#, E88.9#
  • Cause of death: ICD-9 277[8-9]

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

109

4. Check minimum number of events

None

109

5. Include endpoints

None

109

6. Filter based on genotype QC (FinnGen only)

109

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

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 1049 516 527
Only index persons 686 348 338
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.01
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 19.12 21.80 16.02
Only index persons 38.81 39.57 38.04

-FinnGen-

Key figures

All Female Male
Number of individuals 109 56 53
Unadjusted period prevalence (%) 0.02 0.02 0.02
Median age at first event (years) 51.48 51.51 51.44

-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
94
Matched controls
939
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E88.8
ICD-10 Finland
Other specified metabolic disorders
+∞
57.3
49
*
E88.9
ICD-10 Finland
Metabolic disorder, unspecified
+∞
54.6
47
*
E88.0
ICD-10 Finland
Disorders of plasma-protein metabolism, not elsewhere classified
+∞
26.3
24
*
GD1AA
NOMESCO Finland
Thorax X-ray examination
5.0
12.3
59
236
L28
ICPC
Limited function/disability (L)
5.5
8.7
27
64
R5110
NOMESCO Finland
Evaluation of the need for aids, the testing, fitting and choice of the aid, instruction in use and delivery of it
6.8
8.3
21
38
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
6.4
8.2
22
43
J44.8
ICD-10 Finland
Other specified chronic obstructive pulmonary disease
9.4
8.0
16
20
R5140
NOMESCO Finland
Monitoring the use of the aid
7.2
7.9
19
32
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.9
7.9
39
143
ZXE00
NOMESCO Finland
One hour or less
3.5
7.7
53
254
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
9.7
7.7
15
18
R06.0
ICD-10 Finland
Dyspnoea
4.1
7.5
33
110
G47.3
ICD-10 Finland
Sleep apnoea
4.3
7.5
30
92
G71.3
ICD-10 Finland
Mitochondrial myopathy, not elsewhere classified
+∞
7.4
7
*
GD1DD
NOMESCO Finland
High resolution CT examination of lungs
10.1
7.4
14
16
Z50.8
ICD-10 Finland
Care involving use of other rehabilitation procedures
6.7
7.2
18
32
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
4.9
7.2
24
61
JJ2AT
NOMESCO Finland
Biopsy of liver with ultrasound guidance
15.3
7.1
11
8
TAB00
NOMESCO Finland
Lumbar puncture
10.6
7.0
13
14
JN3AD
NOMESCO Finland
Abdominal CT examination
8.3
7.0
15
21
EBA15
NOMESCO Finland
Extraction of large number of teeth
18.4
6.9
10
6
Z31.5
ICD-10 Finland
Genetic counselling
8.4
6.7
14
19
TQX10
NOMESCO Finland
Biopsy of skin and subcutaneous tissue
6.9
6.7
16
27
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
3.8
6.6
30
103
J45.9
ICD-10 Finland
Asthma, unspecified
4.0
6.5
27
85
JN3BD
NOMESCO Finland
Extensive abdominal CT
6.0
6.4
17
33
E78.5
ICD-10 Finland
Hyperlipidaemia, unspecified
19.7
6.4
9
5
127
Kela drug reimbursment
Transplant complication
28.8
6.3
8
*
J01MA12
ATC
levofloxacin; systemic
4.0
6.3
26
81
Z94.4
ICD-10 Finland
Liver transplant status
+∞
6.3
6
*
R4110
NOMESCO Finland
Physiotherapy
3.4
6.2
35
139
Z3231
NOMESCO Finland
Registered nurse
3.2
6.1
38
163

Mortality – FinRegistry

Association

Association between endpoint E4_METABONAS and mortality.

Females

Parameter HR [95% CI] p-value
E4_METABONAS 3.691 [2.35, 5.8] < 0.001
Birth year 0.995 [0.99, 1.0] 0.251

During the follow-up period (1.1.1998 — 31.12.2019), 69 out of 330 females with E4_METABONAS died.

Males

Parameter HR [95% CI] p-value
E4_METABONAS 4.79 [3.22, 7.12] < 0.001
Birth year 0.984 [0.97, 0.99] 0.002

During the follow-up period (1.1.1998 — 31.12.2019), 78 out of 316 males with E4_METABONAS died.

Mortality risk

Mortality risk for people of age

years, who have E4_METABONAS.

N-year risk Females Males
1 0.407% 0.844%
5 2.113% 5.355%
10 5.119% 12.316%
15 10.336% 21.695%
20 17.406% 33.78%

Relationships between endpoints

Index endpoint: E4_METABONAS – Metabolic disorder, other/unspecified

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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