Sickle-cell disorders

D3_SICKLECELLDIS

obsolete_sickle cell disease: ['A blood disorder characterized by the appearance of sickle-shaped red blood cells and anemia.']

Suggest a new description

Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

557745

1. Apply sex-specific rule

None

557745

2. Check conditions

None

557745

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 D57
  • Hospital discharge: ICD-9 282[5-6]
  • Cause of death: ICD-10 D57
  • Cause of death: ICD-9 282[5-6]

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

107

4. Check minimum number of events

None

107

5. Include endpoints

None

107

6. Filter based on genotype QC (FinnGen only)

74

Control definitions (FinnGen only)

Control exclude
D3_HAEMOLYTICANAEMIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
D55-D59
Name in latin
Morbi meniscocytici

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 754 385 332
Only index persons 575 317 258
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 52.37 54.03 52.53
Only index persons 56.62 57.36 55.71

-FinnGen-

Key figures

All Female Male
Number of individuals 74 38 36
Unadjusted period prevalence (%) 0.01 0.01 0.02
Median age at first event (years) 60.42 60.79 60.04

-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

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
98
Matched controls
980
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D57.3
ICD-10 Finland
Sickle-cell trait
+∞
46.6
41
*
N08.2*D57.8
ICD-10 Finland
Glomerular disorders in sickle-cell disorders
+∞
35.6
32
*
N08.2*D89.80
ICD-10 Finland
Immunoglobulin A (IgA) nephropathy
244.9
34.1
33
*
D89.80
ICD-10 Finland
Immunoglobulin A (IgA) deposits in organisms
348.9
27.1
26
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
50.5
24.7
29
8
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
9.0
23.2
37
62
Z94.0
ICD-10 Finland
Kidney transplant status
148.3
22.7
23
*
A12AA04
ATC
calcium carbonate; oral
66.2
22.4
25
5
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
66.2
22.4
25
5
A11CC03
ATC
alfacalcidol; systemic
40.6
22.0
27
9
127
Kela drug reimbursment
Transplant complication
140.1
21.5
22
*
L04AA06
ATC
mycophenolic acid; systemic
49.3
19.6
23
6
KA2AE
NOMESCO Finland
Ultrasound examination transplanted kidney
+∞
19.4
18
*
KAS10
NOMESCO Finland
Allogenic transplantation of kidney from cadaver donor
232.7
19.3
19
*
TK800
NOMESCO Finland
Hemodialysis
65.9
18.8
21
*
KA2AT
NOMESCO Finland
Biopsy of transplanted kidney with ultrasound guidance
+∞
18.3
17
*
Z49.1
ICD-10 Finland
Extracorporeal dialysis
116.5
18.3
19
*
190
Kela drug reimbursment
Lanthanum carbonate, sevelamer and sucroferric oxyhydroxide
217.8
18.2
18
*
PBL10
NOMESCO Finland
Construction of arteriovenous fistula from radial artery
58.2
16.7
19
*
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
8.5
16.1
24
36
N18.0
ICD-10 Finland
End-stage renal disease
101.8
16.1
17
*
D57.1
ICD-10 Finland
Sickle-cell anaemia without crisis
+∞
16.1
15
*
N08.2
ICD-10 Finland
Glomerular disorders in blood diseases and disorders involving the immune mechanism
188.9
16.0
16
*
L04AD02
ATC
tacrolimus; systemic
188.9
16.0
16
*
V03AE01
ATC
polystyrene sulfonate; oral
54.4
15.7
18
*
JN1AE
NOMESCO Finland
Ultrasound examination of upper part of abdomen
7.5
15.4
26
45
B03XA02
ATC
darbepoetin alfa; parenteral
27.1
13.5
18
8
H02AB04
ATC
methylprednisolone; systemic
5.6
13.3
32
78
TPH15
NOMESCO Finland
Insertion of central venous catheter through external or internal jugular vein
12.3
13.2
24
25
KA1AE
NOMESCO Finland
Kidney ultrasound examination
28.9
13.0
17
7
196
Kela drug reimbursment
Paricalcitol and cinacalcet
+∞
12.8
12
*
V03AE03
ATC
lanthanum carbonate; oral
+∞
12.8
12
*
V03AE02
ATC
sevelamer; oral
148.2
12.8
13
*
M04AA01
ATC
allopurinol; systemic
5.4
12.3
31
78
137
Kela drug reimbursment
Uraemia requiring dialysis
74.0
11.9
13
*
B03XA01
ATC
erythropoietin; parenteral
74.0
11.9
13
*
C09AA02
ATC
enalapril; systemic
4.7
11.8
38
117
TPH04
NOMESCO Finland
Cathetrisation of vein
4.6
11.7
39
123
K57.3
ICD-10 Finland
Diverticular disease of large intestine without perforation or abscess
4.9
11.4
32
88
TPH90
NOMESCO Finland
Removal of fixed intravenous catheter
49.4
11.2
13
*
PG1DE
NOMESCO Finland
Other extensive ultrasound examination of artery
12.2
11.2
20
20
KA3AT
NOMESCO Finland
Biopsy of kidney with ultrasound guidance
67.6
10.9
12
*
J01EE01
ATC
sulfamethoxazole and trimethoprim; systemic
11.1
10.6
20
22
320
Kela drug reimbursment
Lanthanum carbonate, sevelamer and sucroferric oxyhydroxide
122.6
10.6
11
*
321
Kela drug reimbursment
Paricalcitol and cinacalcet
+∞
10.6
10
*
H05BX01
ATC
cinacalcet; oral
+∞
10.6
10
*
C03CA01
ATC
furosemide; systemic
3.9
10.2
52
220
Z49.0
ICD-10 Finland
Preparatory care for dialysis
61.3
9.9
11
*
B05DA
ATC
Isotonic solutions
61.3
9.9
11
*
B05DB
ATC
Hypertonic solutions
61.3
9.9
11
*
205
Kela drug reimbursment
Chronic hypertension
3.9
9.7
43
164
D57.0
ICD-10 Finland
Sickle-cell anaemia with crisis
+∞
9.5
9
*
L04AD01
ATC
ciclosporin; systemic
40.8
9.2
11
*
Z49.2
ICD-10 Finland
Other dialysis
55.1
8.9
10
*
I15.1
ICD-10 Finland
Hypertension secondary to other renal disorders
55.1
8.9
10
*
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
5.1
8.7
21
50
TK820
NOMESCO Finland
Peritoneal dialysis
98.1
8.6
9
*
D64.9
ICD-10 Finland
Anaemia, unspecified
4.8
8.1
21
53
L04AX01
ATC
azathioprine; systemic
12.3
8.1
14
13
ZXE20
NOMESCO Finland
More than three and less than five hours
4.3
8.0
24
68
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
3.8
7.9
31
107
N08.39*E11.2
ICD-10 Finland
Non-insulin-dependent diabetes mellitus - Diabetic nephropathy
49.0
7.8
9
*
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.4
7.8
40
164
L01XX05
ATC
hydroxycarbamide; oral
27.5
7.7
10
*
R4110
NOMESCO Finland
Physiotherapy
3.3
7.6
41
174
JAK10
NOMESCO Finland
Laparotomy and insertion of peritoneal dialysis catheter
86.3
7.5
8
*
PG5DE
NOMESCO Finland
Ultrasound examination of injection gate to artery or vein with Doppler method
86.3
7.5
8
*
N18.8
ICD-10 Finland
Other chronic renal failure
17.5
7.4
11
7
N08.2*D89.82
ICD-10 Finland
Nepropathy caused by deposition of the light chain of the immunoglobulins
+∞
7.4
7
*
PBM10
NOMESCO Finland
Closure of arteriovenous fistula of radial artery
+∞
7.4
7
*
ZXD30
NOMESCO Finland
Difficulties in perfomrming procedure
8.1
7.4
16
23
WZC10
NOMESCO Finland
Written specialist consultation based on a referral from a dentist or a physician
9.4
7.1
14
17
UJF32
NOMESCO Finland
Coloscopy
3.3
7.0
35
140
C02CA01
ATC
prazosin; oral
12.2
7.0
12
11
ZXD05
NOMESCO Finland
Urgent procedure
3.1
6.9
44
203
L04AA01
ATC
[U] ciclosporin
43.2
6.9
8
*
XPX08
NOMESCO Finland
Intraoperative flow measurement
43.2
6.9
8
*
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
3.8
6.8
25
82
C08CA01
ATC
amlodipine; oral
3.0
6.7
51
260
PG5RT
NOMESCO Finland
PTA of arterio-venous shunt for dialysis
74.5
6.5
7
*
TJA35
NOMESCO Finland
Removal of peritoneal dialysis catheter
74.5
6.5
7
*
ZXE10
NOMESCO Finland
More than one and less than three hours
3.0
6.4
45
218
D41.0
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Kidney
19.6
6.4
9
5
D56.3
ICD-10 Finland
Thalassaemia trait
+∞
6.3
6
*
TPH20
NOMESCO Finland
Insertion of central venous catheter through subclavian or brachiocephalic vein
13.7
6.2
10
8
J01MA02
ATC
ciprofloxacin; systemic
2.9
6.2
47
237
N39.0
ICD-10 Finland
Urinary tract infection, site not specified
3.5
6.2
25
87
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
2.9
6.1
46
231

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
35
65
7.82
19.77
13.4
2.7
90.50
67.20
e9/l
1.64
22
49
15
0
+∞
16.07
2.2
0.0
—
—
—
0
0
40
133
4.39
11.17
5.7
2.9
3.27
2.00
e6/l
0.21
18
67
57
249
4.08
10.80
7.8
2.9
1.19
0.38
e6/l
0.42
45
178
55
235
4.05
10.75
10.6
3.3
196.09
64.91
mg/l
1.06
50
152
54
229
4.02
10.64
22.0
3.5
7.39
7.40
ph
0.57
43
162
15
8
21.80
10.64
2.6
1.6
—
—
—
0
0
10
0
+∞
10.60
4.3
0.0
—
—
—
0
0
49
197
3.97
10.38
11.6
4.1
92.84
90.76
%
0.21
49
192
54
237
3.85
9.96
8.1
2.8
—
—
estimate
—
0
0
61
296
3.81
9.56
9.2
3.1
41.95
63.32
e6/l
0.35
52
221
17
17
11.83
9.48
2.2
1.1
141.60
210.00
au/ml
—
5
5
12
5
27.01
9.15
1.0
1.6
—
—
—
0
0
17
19
10.57
8.98
2.2
1.3
—
—
—
0
0
29
88
4.26
8.93
13.8
4.4
7.35
7.39
ph
1.89
18
54
8
0
+∞
8.45
7.1
0.0
5.97
—
mmol/l
—
8
0
27
82
4.16
8.26
17.4
7.8
—
—
—
0
0
70
397
3.67
8.13
30.1
7.1
1.21
1.21
mmol/l
0.14
65
348
30
101
3.84
7.93
4.1
1.4
—
—
—
0
0
62
337
3.29
7.51
12.4
3.9
112.07
89.52
e6/l
0.11
52
226
63
347
3.28
7.43
2.5
2.0
96.83
99.39
pmol/l
0.14
33
179
35
136
3.45
7.41
3.8
1.6
—
—
—
0
0
18
31
6.86
7.35
1.5
1.3
—
—
—
0
0
30
107
3.60
7.23
10.2
7.4
103.70
103.98
mmol/l
0.10
30
107
21
60
4.18
6.89
14.1
10.7
25.30
25.40
mmol/l
0.04
21
60
51
257
3.05
6.88
7.3
2.3
—
—
—
0
0
12
12
11.20
6.75
1.2
1.0
—
—
—
0
0
52
277
2.87
6.17
17.1
6.1
—
—
—
0
0
13
20
7.31
5.78
10.2
4.8
76.77
65.13
%
1.00
13
20
38
178
2.85
5.64
3.8
2.0
—
—
—
0
0
10
12
9.13
5.20
9.7
6.4
10.55
10.41
%
—
10
12
18
56
3.71
5.20
2.0
1.2
—
—
—
0
0
60
366
2.65
5.17
21.6
11.1
0.03
0.00
e9/l
1.16
48
292
71
475
2.80
5.01
21.5
10.3
4.29
4.36
e9/l
0.08
64
415
45
243
2.58
4.94
5.1
4.4
—
—
—
0
0
47
261
2.54
4.84
11.9
5.7
—
—
—
0
0
24
94
3.06
4.83
8.4
7.1
7.40
7.41
ph
0.24
11
56
60
375
2.55
4.79
7.5
2.6
—
—
estimate
—
0
0
19
66
3.33
4.64
2.5
1.4
—
—
—
0
0
41
218
2.51
4.58
3.5
2.2
3.37
2.81
mg/l
0.82
36
198
24
100
2.85
4.31
1.9
1.4
—
—
—
0
0
63
416
2.44
4.27
16.9
6.4
0.58
0.57
e9/l
0.12
56
359
63
417
2.43
4.24
16.9
6.4
0.04
0.04
e9/l
0.01
56
357
81
610
2.89
4.03
16.8
7.8
82.86
80.52
u/l
0.11
76
575
23
97
2.79
4.02
8.7
7.0
-0.55
1.01
mmol/l
0.66
17
77
26
117
2.66
4.02
1.5
1.9
—
—
—
0
0
66
453
2.40
3.99
8.9
3.8
0.21
0.00
estimate
0.47
14
89
66
454
2.39
3.95
8.7
3.7
0.00
0.00
estimate
-0.00
14
99
57
370
2.29
3.89
21.1
13.0
1.35
1.23
inr
0.71
52
303
63
428
2.32
3.84
17.3
6.4
1.81
1.88
e9/l
0.26
56
381
7
8
9.31
3.84
1.4
1.1
—
—
—
0
0
10
20
5.44
3.80
1.6
1.3
—
—
—
0
0
65
449
2.33
3.79
8.9
3.7
0.07
0.00
estimate
0.47
14
97
63
433
2.27
3.67
17.3
7.0
0.19
0.19
e9/l
0.03
57
378
57
377
2.22
3.64
8.5
3.3
6.44
6.13
ph
0.85
24
200
28
141
2.38
3.39
1.8
1.8
1046.27
1252.31
nmol/l
0.70
22
110
40
235
2.19
3.37
1.7
1.5
—
—
—
0
0
31
165
2.29
3.31
4.8
3.6
28.54
277.35
ng/l
0.78
26
121
7
13
5.70
2.92
1.1
1.2
—
—
—
0
0
47
308
2.01
2.87
3.0
2.0
—
—
—
0
0
6
11
5.73
2.58
2.8
5.5
3809.00
784.27
mg
—
6
11
6
12
5.25
2.44
1.2
1.0
—
—
—
0
0
6
13
4.84
2.31
1.5
1.4
—
—
—
0
0
6
13
4.84
2.31
1.5
1.4
—
—
—
0
0
6
13
4.84
2.31
1.5
1.4
—
—
—
0
0
6
13
4.84
2.31
1.5
1.4
—
—
—
0
0
38
251
1.84
2.14
4.2
3.2
—
—
—
0
0
5
10
5.20
2.09
1.8
1.6
—
—
—
0
0
38
255
1.80
2.01
3.5
2.4
72.03
55.34
u/l
1.96
38
237
8
29
2.91
1.83
1.0
1.9
1.25
1.19
g/l
—
8
29
8
29
2.91
1.83
1.0
1.8
0.24
0.24
g/l
—
8
29
79
673
1.90
1.71
54.7
19.2
14.74
13.56
%
5.97
79
667
18
99
2.00
1.71
2.3
1.7
—
—
—
0
0
5
14
3.70
1.63
1.2
1.0
—
—
—
0
0
5
14
3.70
1.63
1.2
1.4
—
—
—
0
0
7
28
2.61
1.48
2.3
1.8
—
—
—
0
0
19
294
0.56
1.44
3.8
3.3
—
—
—
0
0
11
54
2.17
1.39
2.5
2.7
64.05
65.73
g/l
0.18
11
49
6
24
2.59
1.32
2.5
1.9
—
—
—
0
0
17
101
1.83
1.30
1.5
1.2
—
—
—
0
0
5
19
2.72
1.23
2.6
1.2
—
—
—
0
0
5
19
2.72
1.23
1.0
1.2
—
—
—
0
0
8
40
2.09
1.15
1.8
1.3
—
—
—
0
0
14
82
1.83
1.12
1.3
1.5
—
—
—
0
0
28
200
1.56
1.10
8.1
3.6
1.01
1.02
kg/l
1.21
21
124
5
21
2.45
1.10
2.8
1.2
—
58.00
—
0
5
5
22
2.34
1.04
2.0
1.5
—
—
—
0
0
13
80
1.72
0.90
1.8
1.9
—
—
—
0
0
12
73
1.73
0.86
9.9
2.9
0.01
1.41
e6/l
0.60
12
68
41
336
1.38
0.78
8.0
3.8
0.20
0.00
estimate
—
10
78
87
811
1.65
0.78
31.0
13.8
—
—
—
0
0
5
23
2.23
0.77
2.0
1.1
—
—
—
0
0
5
23
2.23
0.77
2.0
1.6
—
—
—
0
0
32
252
1.40
0.77
8.6
3.7
0.00
0.01
estimate
0.49
11
88
7
41
1.76
0.71
16.6
6.5
—
—
—
0
0
8
49
1.69
0.64
1.4
2.3
—
—
—
0
0
13
89
1.53
0.61
1.8
1.3
—
—
—
0
0
8
52
1.59
0.61
2.3
3.7
—
—
—
0
0
0
21
0.00
0.61
0.0
5.3
—
34.36
—
0
14
8
54
1.52
0.59
3.1
3.6
4.44
4.64
pmol/l
—
8
45
7
45
1.60
0.50
1.1
1.2
—
—
—
0
0
12
86
1.45
0.47
2.0
1.2
—
—
—
0
0
5
72
0.68
0.27
1.6
1.3
—
—
—
0
0
28
247
1.19
0.26
8.6
3.6
0.00
0.00
estimate
-0.00
11
81
24
212
1.17
0.22
1.2
1.4
0.82
2.88
u/ml
—
6
50
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
11
0.00
0.21
0.0
1.3
—
—
—
0
0
0
10
0.00
0.21
0.0
2.8
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
2.12
—
0
7
0
13
0.00
0.21
0.0
2.5
—
—
—
0
0
0
13
0.00
0.21
0.0
1.2
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
14
0.00
0.20
0.0
1.4
—
—
—
0
0
0
14
0.00
0.20
0.0
1.1
—
—
—
0
0
8
71
1.14
0.16
10.4
3.6
—
—
—
0
0
29
266
1.13
0.16
4.7
3.9
—
—
—
0
0
20
179
1.15
0.15
8.3
5.4
—
—
—
0
0
12
137
0.86
0.13
1.3
1.3
4.16
6.44
u/ml
—
7
47
62
602
1.08
0.09
4.9
4.4
14.44
14.95
pmol/l
0.80
57
546
9
86
1.05
0.07
1.3
1.2
—
—
—
0
0
33
319
1.05
0.04
4.2
3.7
23.35
25.43
ng/l
0.18
26
227
20
190
1.07
0.04
1.9
1.5
2.36
2.80
g/l
0.38
11
102
10
107
0.93
0.02
1.0
1.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.4
—
29.60
—
0
5
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
9
93
0.96
-0.00
1.7
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
7.30
—
0
5
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
67.67
—
0
6
7
71
0.98
-0.00
13.9
5.4
7.23
7.32
ph
—
7
49
0
6
0.00
-0.00
0.0
2.8
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint D3_SICKLECELLDIS and mortality.

Females

Parameter HR [95% CI] p-value
D3_SICKLECELLDIS 1.674 [1.26, 2.22] < 0.001
Birth year 0.99 [0.98, 1.0] 0.031

During the follow-up period (1.1.1998 — 31.12.2019), 91 out of 347 females with D3_SICKLECELLDIS died.

Males

Parameter HR [95% CI] p-value
D3_SICKLECELLDIS 2.204 [1.57, 3.09] < 0.001
Birth year 0.988 [0.98, 1.0] 0.011

During the follow-up period (1.1.1998 — 31.12.2019), 96 out of 302 males with D3_SICKLECELLDIS died.

Mortality risk

Mortality risk for people of age

years, who have D3_SICKLECELLDIS.

N-year risk Females Males
1 0.132% 0.379%
5 0.85% 2.853%
10 2.005% 6.648%
15 3.874% 12.489%
20 6.564% 20.377%

Relationships between endpoints

Index endpoint: D3_SICKLECELLDIS – Sickle-cell disorders

GWS hits: -

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