Reiter disease

REITER

reactive arthritis: Reactive arthritis (ReA) is an autoimmune disorder belonging to the group of seronegative spondyloarthropathies and is characterized by the classic triad of arthritis, urethritis and conjunctivitis.

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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 M02.3
  • Hospital discharge: ICD-9 0993
  • Cause of death: ICD-10 M02.3
  • Cause of death: ICD-9 0993

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

219

4. Check minimum number of events

None

219

5. Include endpoints

None

219

6. Filter based on genotype QC (FinnGen only)

219

Control definitions (FinnGen only)

Control exclude
RHEUMA_ARHTROPAT_REACTIVE

Extra metadata

First used in FinnGen datafreeze
DF2
Parent code in ICD-10
M02
Name in latin
Morbus Reiter

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 1810 445 1350
Only index persons 1625 422 1203
Unadjusted period prevalence (%)
Whole population 0.03 0.01 0.04
Only index persons 0.04 0.02 0.05
Median age at first event (years)
Whole population 43.46 44.10 43.14
Only index persons 42.52 43.47 42.19

-FinnGen-

Key figures

All Female Male
Number of individuals 219 69 150
Unadjusted period prevalence (%) 0.05 0.02 0.07
Median age at first event (years) 42.54 38.83 44.24

-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
202
Matched controls
2020
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M02.3
ICD-10 Finland
Reiter disease
+∞
273.0
195
*
A07EC01
ATC
sulfasalazine; oral, rectal
35.1
84.4
115
73
202
Kela drug reimbursment
Connective tissue diseases, rheumatoid arthritis and comparable disease
25.5
76.7
118
105
M02.9
ICD-10 Finland
Reactive arthropathy, unspecified
132.0
48.3
50
5
L04AX03
ATC
methotrexate; systemic (immunosuppressants)
14.3
44.4
82
92
TNX10
NOMESCO Finland
Arthrocentesis, unspecified region, unspecified region
18.9
39.2
62
46
L01BA01
ATC
methotrexate; systemic (folic acid analog.)
23.7
36.0
52
29
NK4XE
NOMESCO Finland
Joint ultrasound examination not elsewhere classified
12.4
28.2
53
56
M13.9
ICD-10 Finland
Arthritis, unspecified
9.0
20.8
46
64
H02AB06
ATC
prednisolone; systemic
4.0
19.1
134
671
P01BA02
ATC
hydroxychloroquine; oral
7.6
17.7
43
69
13603
ICD-8 Finland
Other and unspecified infective and parasitic diseases, Morbus Reiter, syndroma urethro-oculo-articularis
+∞
16.9
16
*
M02.8
ICD-10 Finland
Other reactive arthropathies
+∞
16.9
16
*
M45
ICD-10 Finland
Ankylosing spondylitis
14.6
16.2
27
21
H20.0
ICD-10 Finland
Acute and subacute iridocyclitis
9.5
15.5
32
39
313
Kela drug reimbursment
Abatacept, adalimumab, anakinra, certolizumab pegol, etanercept, golimumab, infliximab, ixekizumab, sarilumab, secukinumab, tocilizumab and ustekinumab (rheumatoid diseases)
12.8
15.3
27
24
L04AA13
ATC
leflunomide; oral
14.1
14.8
25
20
281
Kela drug reimbursment
Abatacept, adalimumab, anakinra, certolizumab pegol, etanercept, golimumab, infliximab, ixekizumab, sarilumab, secukinumab and tocilizumab
12.8
14.2
25
22
L88
ICPC
Rheumatoid/seropositive arthritis
10.9
13.7
26
27
0993A
ICD-9 Finland
Other venereal diseases, Reiter's disease
+∞
12.6
12
*
M05.8
ICD-10 Finland
Other seropositive rheumatoid arthritis
8.1
11.7
26
36
S01BA01
ATC
dexamethasone; ophthalmic (corticosteroids, plain)
9.5
11.4
23
27
M46.9
ICD-10 Finland
Inflammatory spondylopathy, unspecified
26.8
11.3
15
6
S01FA02
ATC
scopolamine; ophthalmic
24.9
10.4
14
6
M02.1
ICD-10 Finland
Postdysenteric arthropathy
+∞
9.4
9
*
7111L
ICD-9 Finland
Arthropathy associated with infections, Arthropathy associated with Reiter's disease and nonspecific urethritis[UROARTHRITIS, USEAT NIVELET]
+∞
9.4
9
*
3640A
ICD-9 Finland
Disorders of iris and ciliary body, Acute and subacute iridocyclitis
+∞
9.4
9
*
S01BA04
ATC
prednisolone; ophthalmic (corticosteroids, plain)
11.5
9.0
16
15
H02AB07
ATC
prednisone; oral
3.4
8.8
44
151
L04AB01
ATC
etanercept; parenteral
12.3
8.7
15
13
H20.1
ICD-10 Finland
Chronic iridocyclitis
21.1
8.6
12
6
ZX120
NOMESCO Finland
Intravenous
4.1
8.5
34
96
Z3231
NOMESCO Finland
Registered nurse
2.7
8.4
69
327
M02.0
ICD-10 Finland
Arthropathy following intestinal bypass
+∞
8.4
8
*
L04AB04
ATC
adalimumab; parenteral
10.7
8.2
15
15
S01CA02
ATC
prednisolone and antiinfectives; ophthalmic (ophth., corticosteroids and antiinfectives in comb.)
15.8
7.8
12
8
N48.1
ICD-10 Finland
Balanoposthitis
8.6
7.8
16
20
M06.0
ICD-10 Finland
Seronegative rheumatoid arthritis
8.6
7.8
16
20
M13.1
ICD-10 Finland
Monoarthritis, not elsewhere classified
26.1
7.6
10
*
M13.0
ICD-10 Finland
Polyarthritis, unspecified
14.1
7.5
12
9
71490
ICD-8 Finland
Other specified forms of arthritis, Arthritis postinfectiosa NUD
83.0
7.5
8
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.4
6.7
65
328
M07.3*L40.5
ICD-10 Finland
Other psoriatic arthropathies
8.3
6.7
14
18
R4110
NOMESCO Finland
Physiotherapy
2.4
6.7
65
330
M01AC06
ATC
meloxicam; systemic, rectal
2.2
6.7
85
494
M01AH01
ATC
celecoxib; oral (coxibs)
2.8
6.6
45
189
TQX10
NOMESCO Finland
Biopsy of skin and subcutaneous tissue
3.6
6.6
29
90
M01CB01
ATC
sodium aurothiomalate; parenteral
14.9
6.5
10
7
M01AE03
ATC
ketoprofen; systemic, rectal
2.1
6.2
88
535

Mortality – FinRegistry

Association

Association between endpoint REITER and mortality.

Females

Parameter HR [95% CI] p-value
REITER 1.516 [1.12, 2.06] 0.008
Birth year 0.999 [0.99, 1.01] 0.892

During the follow-up period (1.1.1998 — 31.12.2019), 52 out of 387 females with REITER died.

Males

Parameter HR [95% CI] p-value
REITER 1.526 [1.28, 1.82] < 0.001
Birth year 0.983 [0.97, 0.99] < 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 189 out of 1071 males with REITER died.

Mortality risk

Mortality risk for people of age

years, who have REITER.

N-year risk Females Males
1 0.168% 0.209%
5 1.11% 1.463%
10 2.728% 3.843%
15 5.054% 7.025%
20 9.186% 12.038%

Relationships between endpoints

Index endpoint: REITER – Reiter disease

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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