Disorders of aromatic amino-acid metabolism

E4_AROMAMINO

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 E70
  • Cause of death: ICD-10 E70

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

125

4. Check minimum number of events

None

125

5. Include endpoints

130

6. Filter based on genotype QC (FinnGen only)

114

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E70-E90
Name in latin
Perturbationes metabolismi acidorum aminoicorum aromaticorum

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 1159 532 616
Only index persons 866 389 477
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.02
Only index persons 0.02 0.01 0.02
Median age at first event (years)
Whole population 58.64 60.78 56.81
Only index persons 56.65 56.92 56.42

-FinnGen-

Key figures

All Female Male
Number of individuals 114 52 62
Unadjusted period prevalence (%) 0.02 0.02 0.03
Median age at first event (years) 53.79 45.54 60.71

-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
118
Matched controls
1180
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E70.2
ICD-10 Finland
Disorders of tyrosine metabolism
+∞
48.3
43
*
I70.2
ICD-10 Finland
Atherosclerosis of arteries of extremities
13.0
36.0
42
48
E70.3
ICD-10 Finland
Albinism
+∞
26.0
24
*
E70.0
ICD-10 Finland
Classical phenylketonuria
+∞
21.5
20
*
I25.9
ICD-10 Finland
Chronic ischaemic heart disease, unspecified
6.5
15.3
29
56
I25.1
ICD-10 Finland
Atherosclerotic heart disease
4.9
14.4
42
119
B01AC04
ATC
clopidogrel; oral
5.1
13.0
33
83
E78.01
ICD-10 Finland
Pure hypercholesterolaemia
5.4
12.8
30
70
E70.8
ICD-10 Finland
Other disorders of aromatic amino-acid metabolism
+∞
12.7
12
*
TPH04
NOMESCO Finland
Cathetrisation of vein
4.4
12.0
40
124
E70.9
ICD-10 Finland
Disorder of aromatic amino-acid metabolism, unspecified
+∞
11.6
11
*
WX408
NOMESCO Finland
General anesthesy, balanced
4.0
11.6
45
156
ZXD05
NOMESCO Finland
Urgent procedure
3.8
11.2
54
216
E78.5
ICD-10 Finland
Hyperlipidaemia, unspecified
17.8
11.2
17
11
PD4BC
NOMESCO Finland
Extensive arterigography of lower extremity with X-ray
48.3
11.2
13
*
PE1AT
NOMESCO Finland
Femoral artery PTA
66.1
10.8
12
*
A10AC01
ATC
insulin (human); parenteral
5.6
10.8
23
49
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
3.7
10.1
43
157
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
9.8
10.1
20
24
PD4DE
NOMESCO Finland
Lower extremity artery ultrasound examination with Doppler method
33.1
9.6
12
*
E70.1
ICD-10 Finland
Other hyperphenylalaninaemias
+∞
9.5
9
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
15.4
9.5
15
11
Y83
ICD-10 Finland
Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
5.8
9.5
19
38
E11.5
ICD-10 Finland
Type 2 diabetes mellitus, with peripheral circulatory complications
15.7
8.9
14
10
103
Kela drug reimbursment
Diabetes, insulin-treated
3.3
8.8
46
190
AN1
HP
Coronary angiography
5.3
8.7
19
41
XPX99
NOMESCO Finland
Other diagnostic examination of periferal vessel
8.2
8.7
19
27
I70.9
ICD-10 Finland
Generalized and unspecified atherosclerosis
14.2
8.6
14
11
H55
ICD-10 Finland
Nystagmus and other irregular eye movements
+∞
8.4
8
*
C03CA01
ATC
furosemide; systemic
3.1
8.2
51
232
Z31.5
ICD-10 Finland
Genetic counselling
8.0
8.1
18
26
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
8.0
8.1
18
26
Z50.8
ICD-10 Finland
Care involving use of other rehabilitation procedures
4.8
7.8
19
45
N08.39*E11.2
ICD-10 Finland
Non-insulin-dependent diabetes mellitus - Diabetic nephropathy
27.0
7.7
10
*
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
9.4
7.6
15
18
A11CC03
ATC
alfacalcidol; systemic
14.7
7.6
12
9
N08.39*E10.2
ICD-10 Finland
Insulin-dependent diabetes mellitus - Diabetic nephropathy
85.2
7.5
8
*
XF402
NOMESCO Finland
ECG with work load test
4.6
7.4
19
47
PD4AC
NOMESCO Finland
Arterigography of lower extremity with X-ray
17.1
7.4
11
7
F70.0
ICD-10 Finland
Mild mental retardation, With the statement of no, or minimal, impairment of behaviour
+∞
7.4
7
*
A12AA04
ATC
calcium carbonate; oral
21.6
7.3
10
5
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
11.1
7.2
13
13
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
3.6
7.2
27
89
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
9.2
7.1
14
17
C10AA01
ATC
simvastatin; oral
2.8
6.9
52
258
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
4.7
6.8
17
41
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
3.4
6.8
28
98
T90
ICPC
Diabetes non-insulin dependent
3.1
6.7
35
141
S91.3
ICD-10 Finland
Open wound of other parts of foot
13.3
6.7
11
9
C01DA14
ATC
isosorbide mononitrate; oral
3.5
6.6
26
88
TPH07
NOMESCO Finland
Cathetrisation of artery
4.2
6.5
19
52
E78.00
ICD-10 Finland
Familial hypercholesterolaemia
73.7
6.5
7
*
E11.8
ICD-10 Finland
Type 2 diabetes mellitus, with unspecified complications
4.0
6.5
20
57
Z3226
NOMESCO Finland
Physiotherapist
3.1
6.5
32
125
XG410
NOMESCO Finland
Flow-volume spirometry
7.8
6.4
14
20
Z01.8
ICD-10 Finland
Other specified special examinations
3.1
6.4
32
126
A10BB12
ATC
glimepiride; oral
4.6
6.3
16
39
NFQ20
NOMESCO Finland
Amputation of femur
28.3
6.3
8
*
E10.5
ICD-10 Finland
Type 1 diabetes mellitus, With peripheral circulatory complications
+∞
6.3
6
*
503
Kela drug reimbursment
Inborn metabolic disorders
+∞
6.3
6
*
A10AE04
ATC
insulin glargine; parenteral
3.9
6.2
20
59
A10BH01
ATC
sitagliptin; oral
4.2
6.1
17
45
FN1AC
NOMESCO Finland
Angiography of heart and/or coronary arteries
3.1
6.1
30
117

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
26
93
3.30
6.05
4.0
6.8
7.41
7.41
ph
0.01
16
58
51
270
2.57
5.74
4.8
3.4
6.91
8.38
mmol/l
1.44
43
229
25
92
3.18
5.53
3.6
6.9
0.81
0.86
mmol/l
0.02
19
76
47
245
2.53
5.40
5.5
3.8
16.78
6.50
mg/mmol
0.76
32
157
5
0
+∞
5.24
16.4
0.0
—
—
—
0
0
51
285
2.39
4.96
8.1
8.1
—
—
—
0
0
44
235
2.39
4.69
4.5
3.2
102.45
37.24
mg/l
0.95
32
158
65
415
2.26
4.52
11.5
8.6
1.22
1.21
mmol/l
0.55
54
357
9
12
8.01
4.44
5.9
1.8
9.30
6.54
pmol/l
—
9
12
9
12
8.01
4.44
2.8
2.3
3.78
3.96
e9/l
—
9
12
68
457
2.15
4.00
10.1
7.7
0.04
0.04
e9/l
0.13
60
402
59
380
2.11
3.83
8.2
12.7
1.12
1.23
inr
1.39
52
320
67
455
2.09
3.75
10.1
7.7
0.62
0.56
e9/l
1.10
60
398
68
467
2.08
3.67
10.0
7.6
1.91
1.81
e9/l
0.47
62
422
68
471
2.05
3.54
10.6
7.9
0.20
0.18
e9/l
0.34
63
420
8
15
5.63
3.25
7.8
2.3
—
—
—
0
0
54
353
1.98
3.23
8.1
5.2
34.26
35.97
g/l
1.11
49
329
26
128
2.32
3.23
3.3
2.7
22.21
23.95
%
0.29
26
122
36
203
2.11
3.22
7.1
5.7
—
—
—
0
0
10
25
4.27
3.17
5.1
2.2
7.39
7.42
ph
—
10
25
52
338
1.96
3.14
2.7
2.0
98.91
95.96
pmol/l
0.21
30
186
59
401
1.94
3.12
17.6
11.7
0.00
0.00
e9/l
-0.00
49
322
5
5
10.36
3.00
1.0
2.0
16.98
11.12
%
—
5
5
9
22
4.34
2.95
3.3
2.5
58.33
57.43
%
—
9
22
27
143
2.15
2.80
3.9
2.6
2.37
2.36
g/l
0.02
27
134
11
36
3.26
2.64
1.1
1.3
—
—
—
0
0
38
234
1.92
2.61
5.4
4.8
—
—
—
0
0
5
7
7.39
2.57
15.8
2.3
92.40
63.00
mmol/l
—
5
7
16
70
2.49
2.54
3.2
3.9
9.52
9.82
g/l
0.17
16
64
69
518
1.80
2.48
15.6
10.8
4.74
3.94
e9/l
1.64
62
461
27
150
2.04
2.47
3.6
2.7
11.90
13.88
umol/l
0.78
27
142
9
27
3.52
2.45
1.1
1.4
—
—
—
0
0
39
247
1.86
2.44
9.1
3.8
7.39
7.39
ph
0.06
29
177
42
274
1.83
2.39
5.0
3.2
—
—
—
0
0
17
79
2.35
2.38
20.6
12.1
—
—
—
0
0
7
18
4.06
2.29
4.7
2.3
16.31
16.13
%
—
7
18
19
95
2.19
2.26
3.9
1.7
—
—
—
0
0
17
81
2.28
2.26
2.2
1.9
—
—
—
0
0
53
376
1.74
2.25
4.3
3.6
6.40
6.28
ph
0.27
30
226
45
306
1.76
2.21
5.1
3.9
56.09
31.23
ng/l
0.81
36
215
7
19
3.85
2.18
6.4
1.7
8.90
8.25
kpa
—
7
19
7
19
3.85
2.18
6.4
1.7
4.93
4.83
kpa
—
7
19
15
69
2.34
2.15
8.3
3.5
—
—
—
0
0
13
56
2.49
2.13
2.2
1.9
1.21
1.14
g/l
0.09
13
48
5
10
5.17
2.09
1.2
1.6
—
—
—
0
0
7
20
3.65
2.09
4.9
2.4
89.11
89.69
%
—
7
20
10
38
2.78
2.06
18.5
14.6
1.39
1.22
%
—
10
38
7
21
3.48
2.00
1.1
1.2
—
—
—
0
0
12
52
2.46
1.95
4.7
8.8
94.98
93.25
%
0.68
12
52
12
52
2.46
1.95
2.7
3.6
—
—
—
0
0
23
133
1.91
1.87
2.4
2.1
—
—
—
0
0
5
12
4.30
1.84
1.2
1.2
—
—
—
0
0
40
276
1.68
1.81
10.1
6.7
—
—
—
0
0
47
340
1.64
1.77
6.5
4.2
8.60
81.04
e6/l
1.32
36
254
43
307
1.63
1.70
5.7
3.5
9.16
264.34
e6/l
0.69
35
247
15
77
2.09
1.68
4.3
5.1
6.37
93.26
ug/l
0.51
15
66
61
477
1.58
1.64
5.4
3.7
0.00
0.00
estimate
-0.00
17
104
10
43
2.45
1.63
1.8
1.8
—
—
—
0
0
51
385
1.57
1.58
4.1
2.8
—
—
estimate
—
0
0
8
33
2.53
1.57
14.9
2.3
24.91
23.88
mmol/l
—
8
33
0
44
0.00
1.55
0.0
1.1
—
—
—
0
0
7
27
2.69
1.54
1.3
1.4
1.24
1.14
g/l
—
7
27
7
27
2.69
1.54
1.3
1.3
0.19
0.24
g/l
—
7
27
37
260
1.62
1.54
2.5
2.6
—
—
—
0
0
61
484
1.54
1.49
5.5
3.8
0.00
0.00
estimate
-0.00
14
100
23
143
1.76
1.49
2.9
1.7
1162.33
1147.39
nmol/l
0.02
18
108
9
39
2.41
1.46
2.8
1.2
—
—
—
0
0
9
39
2.41
1.46
20.4
14.2
0.68
0.60
%
—
9
39
60
476
1.53
1.46
5.5
3.8
0.00
0.00
estimate
-0.00
17
106
5
16
3.21
1.45
1.2
1.3
—
—
—
0
0
5
16
3.21
1.45
1.2
1.3
—
—
—
0
0
5
16
3.21
1.45
1.2
1.3
—
—
—
0
0
5
16
3.21
1.45
1.2
1.3
—
—
—
0
0
5
16
3.21
1.45
1.6
1.4
1.86
1.49
mmol/l
—
5
16
15
83
1.92
1.39
1.5
1.5
—
—
—
0
0
36
259
1.56
1.34
6.4
3.3
0.13
0.34
e6/l
1.21
27
198
36
259
1.56
1.34
3.2
2.8
—
—
—
0
0
14
77
1.93
1.32
15.2
6.6
7.39
7.41
ph
0.53
14
66
18
108
1.79
1.31
19.4
10.3
103.94
104.78
mmol/l
0.32
18
108
6
26
2.38
1.20
5.0
1.8
131.00
128.00
g/l
—
6
21
38
284
1.50
1.18
6.3
3.8
0.00
0.00
estimate
-0.00
15
94
0
34
0.00
1.18
0.0
1.2
—
0.50
—
0
5
8
39
2.13
1.18
35.8
3.9
37.00
36.98
°c
—
8
39
8
39
2.13
1.18
2.0
1.8
—
0.00
estimate
—
0
11
5
20
2.56
1.16
1.6
1.9
14.38
11.96
mg/l
—
5
20
8
40
2.07
1.14
1.6
2.5
—
—
—
0
0
8
40
2.07
1.14
2.0
1.7
—
—
—
0
0
29
212
1.49
0.99
1.9
1.6
2.06
2.50
g/l
0.68
21
122
12
70
1.80
0.97
16.8
18.3
23.73
24.87
mmol/l
0.70
12
70
12
71
1.77
0.93
3.8
3.8
—
—
—
0
0
24
172
1.50
0.90
1.2
1.3
14.32
22.70
iu/ml
—
5
48
16
104
1.62
0.90
1.4
1.3
—
—
—
0
0
0
25
0.00
0.80
0.0
1.1
—
—
—
0
0
31
240
1.40
0.79
2.7
2.9
—
0.25
—
0
8
5
23
2.22
0.77
13.0
5.9
—
—
—
0
0
5
25
2.04
0.73
3.0
2.0
—
—
—
0
0
9
58
1.60
0.71
23.0
16.8
24.74
23.83
mmol/l
—
9
58
16
111
1.51
0.70
2.1
1.5
—
—
—
0
0
19
138
1.45
0.68
4.1
3.4
0.98
1.83
e6/l
—
10
73
16
112
1.50
0.68
1.4
1.2
—
—
—
0
0
12
80
1.56
0.62
11.8
5.2
0.14
0.88
%
—
7
32
11
72
1.58
0.61
9.8
5.5
0.33
0.73
%
—
6
26
26
204
1.35
0.61
2.4
2.3
1.10
1.31
mg/l
0.20
21
168
0
22
0.00
0.60
0.0
1.6
—
—
—
0
0
6
35
1.75
0.58
1.2
1.2
—
—
—
0
0
9
60
1.54
0.56
1.4
1.5
—
—
—
0
0
11
75
1.51
0.53
12.8
5.5
0.00
0.11
%
—
6
27
13
95
1.41
0.46
1.1
1.3
—
—
—
0
0
43
376
1.23
0.44
5.9
3.6
0.00
0.03
estimate
0.74
15
90
8
57
1.43
0.43
12.5
8.6
—
—
—
0
0
0
17
0.00
0.41
0.0
2.5
—
0.73
—
0
12
0
19
0.00
0.39
0.0
1.3
—
—
—
0
0
10
72
1.42
0.38
15.8
6.0
0.00
0.35
%
—
5
23
26
300
0.83
0.31
5.2
5.5
1.71
2.78
ug/l
0.79
21
274
38
339
1.18
0.31
3.6
2.7
—
—
—
0
0
31
273
1.18
0.29
5.0
3.1
0.00
0.03
estimate
0.49
14
79
26
231
1.16
0.22
1.5
1.5
1.20
1.09
u/ml
—
8
55
5
42
1.20
0.22
2.6
2.4
10.72
19.20
iu/l
—
5
34
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
9
115
0.76
0.21
1.8
1.6
—
—
—
0
0
0
14
0.00
0.20
0.0
1.1
—
183.36
—
0
14
31
340
0.88
0.20
2.2
1.8
1.84
1.34
mmol/l
1.10
26
293
12
100
1.22
0.19
2.2
1.6
—
—
—
0
0
89
864
1.12
0.17
26.0
15.3
27.05
23.56
mg/l
0.46
81
683
91
885
1.12
0.16
35.3
17.8
138.85
139.77
mmol/l
2.69
91
860
80
775
1.10
0.14
5.9
4.0
1.57
1.24
mmol/l
1.67
74
711
91
887
1.11
0.14
35.7
17.8
4.02
3.97
mmol/l
0.86
91
862
27
249
1.11
0.13
1.4
1.5
—
—
—
0
0
94
960
0.90
0.13
42.4
23.0
131.79
135.72
g/l
1.46
94
945
24
220
1.11
0.13
5.1
4.0
1.02
1.02
kg/l
0.20
17
153
81
789
1.08
0.11
6.5
4.8
6.41
5.89
mmol/l
1.82
74
720
34
320
1.09
0.11
2.4
2.0
—
—
—
0
0
94
958
0.91
0.11
42.0
22.9
7.44
6.66
e9/l
2.98
94
937
94
958
0.91
0.11
41.5
22.8
30.17
30.21
pg
0.07
94
945
94
958
0.91
0.11
41.8
22.8
4.40
4.52
e12/l
1.28
94
936
94
958
0.91
0.11
42.2
23.7
39.53
40.37
%
0.94
94
944
94
958
0.91
0.11
42.1
22.9
248.32
245.51
e9/l
0.14
94
941
17
187
0.89
0.11
2.2
2.0
—
—
—
0
0
5
43
1.17
0.10
1.0
1.3
—
—
—
0
0
94
957
0.91
0.10
41.5
22.8
90.53
90.60
fl
0.05
94
944
91
927
0.92
0.09
34.5
18.9
91.93
77.24
umol/l
2.02
91
908
10
113
0.87
0.09
1.7
1.8
—
—
—
0
0
80
783
1.07
0.08
6.4
5.0
1.85
1.93
mu/l
0.34
74
713
80
813
0.95
0.05
6.6
4.6
1.27
1.44
mmol/l
3.21
75
752
89
902
0.95
0.05
26.4
13.0
—
—
—
0
0
63
640
0.97
0.03
5.7
4.2
14.82
14.79
pmol/l
0.03
58
576
15
142
1.06
0.02
2.2
1.8
—
—
—
0
0
82
829
0.96
0.02
7.2
5.2
2.43
2.65
mmol/l
1.28
77
768
0
5
0.00
0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
47.00
—
0
5
0
5
0.00
0.00
0.0
1.2
—
12.82
—
0
5
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
9
92
0.98
-0.00
1.3
1.3
—
—
—
0
0
6
66
0.90
-0.00
1.2
1.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
1657.33
—
0
6
0
9
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.7
—
0.57
—
0
7
0
8
0.00
-0.00
0.0
1.1
—
—
—
0
0
8
89
0.89
-0.00
1.5
1.2
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_AROMAMINO and mortality.

Females

Parameter HR [95% CI] p-value
E4_AROMAMINO 2.581 [1.81, 3.67] < 0.001
Birth year 0.995 [0.99, 1.0] 0.231

During the follow-up period (1.1.1998 — 31.12.2019), 148 out of 395 females with E4_AROMAMINO died.

Males

Parameter HR [95% CI] p-value
E4_AROMAMINO 2.889 [2.02, 4.13] < 0.001
Birth year 0.987 [0.98, 1.0] 0.006

During the follow-up period (1.1.1998 — 31.12.2019), 185 out of 477 males with E4_AROMAMINO died.

Mortality risk

Mortality risk for people of age

years, who have E4_AROMAMINO.

N-year risk Females Males
1 0.266% 0.666%
5 1.487% 3.418%
10 3.9% 8.606%
15 7.321% 15.494%
20 12.257% 25.231%

Relationships between endpoints

Index endpoint: E4_AROMAMINO – Disorders of aromatic amino-acid metabolism

GWS hits: 1

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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