Drug-induced aplastic anaemia

DRUGADVERS_APLAST_ANAEM

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 D61.1#

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

75

4. Check minimum number of events

None

75

5. Include endpoints

None

75

6. Filter based on genotype QC (FinnGen only)

55

Control definitions (FinnGen only)

Controls for this endpoint are individuals that are not cases.

Extra metadata

Level in the ICD hierarchy
C
First used in FinnGen datafreeze
DF5

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 549 296 245
Only index persons 425 235 190
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 69.55 71.11 67.73
Only index persons 68.94 70.57 66.92

-FinnGen-

Key figures

All Female Male
Number of individuals 55 28 27
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 64.36 60.56 68.30

-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
60
Matched controls
600
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
D61.1
ICD-10 Finland
Drug-induced aplastic anaemia
+∞
86.1
60
*
A04AA01
ATC
ondansetron; systemic, rectal
17.0
15.2
25
24
D70.82
ICD-10 Finland
Drug-induced neutropenia
65.3
13.6
15
*
A03FA01
ATC
metoclopramide; systemic, rectal
6.8
12.4
31
82
D64.9
ICD-10 Finland
Anaemia, unspecified
7.1
11.3
22
45
H02AB02
ATC
dexamethasone; systemic
6.5
10.3
22
49
WW500
NOMESCO Finland
Blood transfusion
14.3
10.1
17
16
N02AA05
ATC
oxycodone; systemic
5.1
8.4
25
74
Z51.5
ICD-10 Finland
Palliative care
8.1
7.9
18
30
WD125
NOMESCO Finland
Demanding cystostatic therapy of methastized malignancy
10.4
7.3
14
17
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
5.3
7.2
18
45
L04AX01
ATC
azathioprine; systemic
16.4
7.2
11
8
GD1AA
NOMESCO Finland
Thorax X-ray examination
4.4
6.9
41
198
WD105
NOMESCO Finland
Cystostatic therapy of methastized malignancy
11.2
6.7
12
13
Z51.1
ICD-10 Finland
Chemotherapy session for neoplasm
77.8
6.6
7
*
D70.89
ICD-10 Finland
Neutropenic splenomegaly
30.2
6.4
8
*
L03AA02
ATC
filgrastim; parenteral
14.7
6.3
10
8

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
18
39
6.16
8.54
2.1
1.7
—
—
—
0
0
25
84
4.39
6.99
10.5
2.8
0.75
0.81
mmol/l
1.30
25
77
35
154
4.05
6.67
8.1
5.6
7.40
7.40
ph
0.06
29
110
31
130
3.86
6.25
8.2
4.6
—
—
—
0
0
10
12
9.73
5.30
1.5
1.3
—
—
—
0
0
18
59
3.93
5.02
2.4
1.9
—
—
—
0
0
15
45
4.11
4.69
1.4
1.4
—
—
—
0
0
31
157
3.02
4.24
8.3
2.3
—
—
—
0
0
32
165
3.01
4.24
22.1
5.8
—
—
—
0
0
10
18
6.43
4.18
1.5
1.3
—
—
—
0
0
39
227
3.05
4.11
10.5
2.6
—
—
estimate
—
0
0
29
148
2.86
3.83
26.0
6.1
—
—
—
0
0
21
91
3.01
3.70
2.5
2.3
—
—
—
0
0
38
234
2.70
3.35
22.6
6.2
2.58
2.81
%
0.24
38
218
38
234
2.70
3.35
22.6
6.2
0.58
0.63
%
0.20
38
218
38
236
2.66
3.27
23.0
6.3
11.19
8.92
%
1.57
38
220
38
240
2.59
3.10
21.3
6.1
56.02
59.26
%
0.76
38
228
13
47
3.25
3.04
5.2
3.6
96.78
95.10
%
0.76
13
47
5
5
10.73
3.03
1.0
1.0
—
—
—
0
0
5
5
10.73
3.03
1.0
1.0
—
—
—
0
0
22
109
2.61
2.95
1.9
1.8
2.33
1.60
mg/l
0.34
16
90
38
245
2.50
2.89
23.1
6.2
25.36
26.07
%
0.17
38
230
5
6
8.94
2.80
1.0
2.2
4.30
3.87
mg/l
—
5
6
13
51
2.98
2.65
1.6
1.3
—
—
—
0
0
15
64
2.79
2.64
12.1
4.3
104.47
104.06
mmol/l
0.11
15
64
18
85
2.60
2.62
2.1
1.8
—
—
—
0
0
6
11
5.92
2.61
8.8
2.5
3.95
5.61
e9/l
—
6
11
5
7
7.65
2.60
1.0
1.0
—
—
—
0
0
12
46
3.01
2.54
8.5
4.0
—
—
—
0
0
29
174
2.29
2.49
1.7
2.1
—
—
—
0
0
5
8
6.69
2.42
1.4
1.6
—
—
—
0
0
5
8
6.69
2.42
1.4
1.6
—
—
—
0
0
5
8
6.69
2.42
1.4
1.6
—
—
—
0
0
5
8
6.69
2.42
1.4
1.6
—
—
—
0
0
31
194
2.24
2.39
5.4
4.1
46.32
35.45
e6/l
0.17
22
142
10
35
3.22
2.34
7.3
3.3
24.28
24.19
mmol/l
—
10
35
25
144
2.26
2.34
4.1
2.9
—
—
estimate
—
0
0
25
144
2.26
2.34
4.4
3.0
1.40
0.58
e6/l
0.30
20
103
6
13
5.00
2.33
10.8
2.2
55.67
62.07
%
—
6
13
11
43
2.90
2.22
1.8
2.7
—
—
—
0
0
11
43
2.90
2.22
5.8
3.5
107.64
124.98
g/l
1.39
11
43
17
85
2.40
2.17
3.6
3.0
20.49
12.88
umol/l
1.11
17
74
5
10
5.34
2.11
3.8
1.6
4.02
2.63
u/ml
—
5
10
15
73
2.41
2.02
3.1
3.3
48.67
24.79
%
1.39
15
63
16
81
2.33
1.97
3.3
3.1
1.68
2.29
g/l
3.88
16
72
12
53
2.58
1.96
1.2
1.3
—
—
—
0
0
28
179
2.06
1.95
4.8
3.2
19.05
393.51
e6/l
0.52
22
136
9
35
2.84
1.89
6.8
6.7
1.22
1.21
mmol/l
—
9
30
12
54
2.53
1.88
5.6
3.3
12.07
12.69
kpa
0.18
12
54
12
54
2.53
1.88
5.6
3.3
4.80
4.96
kpa
0.47
12
54
8
29
3.02
1.87
6.3
3.4
1.39
1.67
%
—
8
29
20
115
2.11
1.82
14.8
6.9
—
—
—
0
0
5
13
4.09
1.75
4.4
4.4
2.80
3.17
index
—
5
6
10
41
2.72
1.74
7.6
3.4
1.05
1.21
mmol/l
—
10
41
31
212
1.96
1.74
6.0
3.4
6.16
6.25
ph
0.18
16
118
5
14
3.79
1.65
2.2
2.5
9.38
11.14
mg/l
—
5
14
14
74
2.16
1.55
1.2
1.2
—
—
—
0
0
7
28
2.69
1.50
7.1
3.8
36.97
36.90
°c
—
7
28
7
28
2.69
1.50
6.7
3.3
0.76
0.74
%
—
7
28
7
28
2.69
1.50
14.0
5.6
23.50
24.30
mmol/l
—
7
28
11
53
2.32
1.49
6.1
3.5
7.42
7.42
ph
—
6
38
30
211
1.84
1.48
2.6
2.3
87.24
94.12
pmol/l
0.34
19
106
6
23
2.78
1.40
2.3
2.2
—
—
—
0
0
5
17
3.11
1.38
2.6
3.6
1.48
1.49
%
—
5
17
5
17
3.11
1.38
6.2
5.5
14.34
16.03
%
—
5
17
8
34
2.56
1.35
6.4
4.4
24.34
24.78
mmol/l
—
8
34
30
216
1.78
1.34
4.6
4.2
28.75
33.13
ng/l
0.17
24
156
6
25
2.55
1.28
1.0
1.2
—
—
—
0
0
36
277
1.75
1.25
8.0
4.0
0.00
0.00
estimate
—
7
59
43
349
1.82
1.23
7.1
4.6
—
—
—
0
0
46
518
0.52
1.18
79.5
25.7
117.98
135.20
g/l
5.86
46
509
7
30
2.50
1.17
5.1
2.8
22.06
24.64
mmol/l
—
7
30
46
517
0.53
1.13
78.5
25.5
5.97
6.63
e9/l
1.02
46
502
46
517
0.53
1.13
78.7
25.4
31.40
30.46
pg
2.97
46
508
46
517
0.53
1.13
78.7
25.5
94.26
91.41
fl
3.06
46
508
46
517
0.53
1.13
79.7
25.7
35.61
40.45
%
5.91
46
508
46
517
0.53
1.13
78.6
25.5
3.83
4.46
e12/l
6.27
46
502
35
272
1.69
1.13
8.2
4.0
0.00
0.00
estimate
—
8
61
7
33
2.27
1.10
7.0
2.9
0.67
0.69
%
—
7
33
46
516
0.53
1.09
78.7
25.6
200.46
243.06
e9/l
2.49
46
503
35
274
1.67
1.09
8.2
4.0
134.44
0.00
estimate
—
9
63
7
34
2.20
1.07
7.0
2.9
1.19
1.45
%
—
7
34
17
110
1.76
1.05
2.1
1.5
2.58
2.21
g/l
0.30
11
59
7
36
2.07
1.01
5.4
2.7
117.86
126.47
g/l
—
7
36
12
71
1.86
0.97
1.8
2.1
—
—
—
0
0
14
88
1.77
0.95
4.5
4.5
11353.57
81.93
ng/l
0.51
14
74
8
43
1.99
0.92
6.7
2.6
—
—
—
0
0
43
485
0.60
0.89
32.7
15.0
—
—
—
0
0
11
65
1.85
0.89
8.5
1.4
592.09
168.90
ug/g
0.59
11
44
0
24
0.00
0.81
0.0
1.0
—
—
—
0
0
19
139
1.54
0.72
2.1
1.4
—
—
—
0
0
5
29
1.79
0.65
3.4
2.5
24.00
24.34
mmol/l
—
5
29
8
51
1.65
0.64
1.3
1.7
—
—
—
0
0
8
51
1.65
0.64
2.1
1.7
—
—
—
0
0
6
35
1.79
0.60
5.0
2.5
—
—
—
0
0
21
165
1.42
0.55
10.7
4.0
0.00
0.00
estimate
—
8
56
6
39
1.60
0.55
1.3
1.1
—
—
—
0
0
46
498
0.67
0.53
64.1
22.1
89.76
82.16
umol/l
0.57
46
493
12
161
0.68
0.49
4.6
3.6
—
—
—
0
0
20
159
1.39
0.49
6.2
3.1
—
—
—
0
0
45
485
0.71
0.44
53.6
19.6
4.00
3.99
mmol/l
0.16
45
474
45
485
0.71
0.44
50.8
19.4
138.49
139.60
mmol/l
2.04
45
476
8
60
1.38
0.42
1.9
1.4
—
—
—
0
0
12
89
1.44
0.42
1.5
1.4
11.84
9.56
u/ml
—
5
35
5
34
1.51
0.41
6.2
2.9
7.42
7.43
ph
—
5
25
43
392
1.34
0.40
61.5
21.2
15.06
13.75
%
4.31
43
387
6
46
1.34
0.34
12.8
4.0
—
—
—
0
0
16
193
0.77
0.33
1.6
2.0
1.28
1.36
mmol/l
0.19
16
155
13
156
0.79
0.25
11.1
3.2
0.00
0.00
estimate
—
7
49
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
1.7
—
—
—
0
0
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
3.7
—
12.45
—
0
10
0
10
0.00
0.21
0.0
1.3
—
—
—
0
0
0
12
0.00
0.21
0.0
1.0
—
0.06
—
0
7
0
12
0.00
0.21
0.0
1.5
—
1.55
—
0
12
0
13
0.00
0.21
0.0
1.5
—
0.75
—
0
13
0
13
0.00
0.21
0.0
1.8
—
—
—
0
0
0
14
0.00
0.20
0.0
1.1
—
—
—
0
0
11
92
1.24
0.17
1.5
1.4
101.12
31.44
iu/ml
—
5
25
23
210
1.15
0.15
10.1
3.8
0.00
0.00
estimate
—
6
52
16
171
0.91
0.06
3.9
4.1
5.46
8.50
mg/mmol
0.31
11
116
0
6
0.00
-0.00
0.0
1.2
—
12.33
—
0
6
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
7.63
—
0
6
0
7
0.00
-0.00
0.0
1.1
—
28.44
—
0
7
0
6
0.00
-0.00
0.0
1.0
—
5.95
—
0
6
5
59
0.83
-0.00
1.2
1.2
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.9
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint DRUGADVERS_APLAST_ANAEM and mortality.

Females

Parameter HR [95% CI] p-value
DRUGADVERS_APLAST_ANAEM 4.979 [2.92, 8.49] < 0.001
Birth year 0.995 [0.99, 1.0] 0.247

During the follow-up period (1.1.1998 — 31.12.2019), 149 out of 248 females with DRUGADVERS_APLAST_ANAEM died.

Males

Parameter HR [95% CI] p-value
DRUGADVERS_APLAST_ANAEM 6.784 [3.45, 13.35] < 0.001
Birth year 0.984 [0.97, 0.99] 0.001

During the follow-up period (1.1.1998 — 31.12.2019), 138 out of 209 males with DRUGADVERS_APLAST_ANAEM died.

Mortality risk

Mortality risk for people of age

years, who have DRUGADVERS_APLAST_ANAEM.

N-year risk Females Males
1 0.537% 0.922%
5 3.103% 7.005%
10 7.649% 16.357%
15 14.183% 29.634%
20 22.687% 44.419%

Relationships between endpoints

Index endpoint: DRUGADVERS_APLAST_ANAEM – Drug-induced aplastic anaemia

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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