Disorders of sphingolipid metabolism and other lipid storage disorders

E4_SPHINGOLIP

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 E75
  • Cause of death: ICD-10 E75

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

150

4. Check minimum number of events

None

150

5. Include endpoints

156

6. Filter based on genotype QC (FinnGen only)

128

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 sphingolipidorum et aliae perturbationes accumulationis lipidorum

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 1246 706 535
Only index persons 803 474 329
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.01
Median age at first event (years)
Whole population 36.20 39.79 31.10
Only index persons 46.79 48.86 43.80

-FinnGen-

Key figures

All Female Male
Number of individuals 128 80 48
Unadjusted period prevalence (%) 0.03 0.03 0.02
Median age at first event (years) 55.99 55.38 57.00

-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
133
Matched controls
1330
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E75.2
ICD-10 Finland
Other sphingolipidosis
+∞
72.7
63
*
E75.5
ICD-10 Finland
Other lipid storage disorders
+∞
22.5
21
*
N08.4*E75.2
ICD-10 Finland
Glomerular disorders in Fabry(-Anderson) disease
+∞
22.5
21
*
E75.6
ICD-10 Finland
Lipid storage disorder, unspecified
+∞
21.4
20
*
Z31.5
ICD-10 Finland
Genetic counselling
8.9
21.3
30
42
E78.5
ICD-10 Finland
Hyperlipidaemia, unspecified
15.1
17.4
29
24
XF402
NOMESCO Finland
ECG with work load test
5.7
13.6
29
62
FM1AE
NOMESCO Finland
Standard cardiac ultrasound examination
4.4
13.5
44
134
E78.01
ICD-10 Finland
Pure hypercholesterolaemia
4.7
13.2
38
105
WX892
NOMESCO Finland
Monitored bed care
6.7
12.7
22
38
195
Kela drug reimbursment
Agalsidase alfa, agalsidase beta and migalastat
+∞
12.7
12
*
336
Kela drug reimbursment
Agalsidase alfa, agalsidase beta and migalastat
+∞
12.7
12
*
ZX120
NOMESCO Finland
Intravenous
5.2
12.2
29
68
TPH04
NOMESCO Finland
Cathetrisation of vein
3.9
11.2
42
140
E78.00
ICD-10 Finland
Familial hypercholesterolaemia
59.4
9.8
11
*
XF404
NOMESCO Finland
Ambulatory ECG
4.9
9.6
23
54
I25.1
ICD-10 Finland
Atherosclerotic heart disease
3.9
9.5
33
103
E75.0
ICD-10 Finland
GM2gangliosidosis
107.3
9.5
10
*
A16AB04
ATC
agalsidase beta; parenteral
+∞
9.5
9
*
C10AA01
ATC
simvastatin; oral
3.1
9.3
62
292
AA1BG
NOMESCO Finland
Standard MRI examination of brain with high intensity magnet
4.4
9.0
25
66
B01AC04
ATC
clopidogrel; oral
4.0
8.8
29
87
FM1DG
NOMESCO Finland
Very extensive MRI examination of heart with high intesity magnet
17.8
8.7
13
8
E75.3
ICD-10 Finland
Sphingolipidosis, unspecified
+∞
8.4
8
*
I20.99
ICD-10 Finland
Angina pectoris, unspecified
8.1
8.3
18
25
Z01.8
ICD-10 Finland
Other specified special examinations
3.2
8.1
42
169
C03CA01
ATC
furosemide; systemic
2.9
7.8
49
220
N17.9
ICD-10 Finland
Acute renal failure, unspecified
10.3
7.5
14
15
Z01.0
ICD-10 Finland
Examination of eyes and vision
3.2
7.5
35
132
E75.1
ICD-10 Finland
Other gangliosidosis
+∞
7.4
7
*
333
Kela drug reimbursment
Eliglustat, imiglucerase and velaglucerase alfa
+∞
7.4
7
*
6AB04, ,
NOMESCO Finland
+∞
7.4
7
*
151
Kela drug reimbursment
Eliglustat, imiglucerase and velaglucerase alfa
+∞
7.4
7
*
138
Kela drug reimbursment
Severe anaemia associated with chronic renal failure
31.9
7.2
9
*
XF400
NOMESCO Finland
ECG with 12 standard connections
3.4
7.0
29
101
A11CC03
ATC
alfacalcidol; systemic
42.3
6.8
8
*
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
23.9
6.8
9
*
E78.9
ICD-10 Finland
Disorder of lipoprotein metabolism, unspecified
23.9
6.8
9
*
XFE00
NOMESCO Finland
Epicardial ultrasonography
23.9
6.8
9
*
AA1AD
NOMESCO Finland
CT of head and brain
2.8
6.7
46
214
C10AA05
ATC
atorvastatin; oral
2.6
6.6
58
305
TK800
NOMESCO Finland
Hemodialysis
15.3
6.5
10
7
N18.0
ICD-10 Finland
End-stage renal disease
73.2
6.5
7
*
FM1CG
NOMESCO Finland
Extensive examination of hear with high intensity magnet
73.2
6.5
7
*
E75.4
ICD-10 Finland
Neuronal ceroid lipofuscinosis
+∞
6.3
6
*
GD1UA
NOMESCO Finland
Thorax X-ray examination outside radiological department
3.2
6.3
29
108
Z3231
NOMESCO Finland
Registered nurse
2.6
6.2
50
251
Z3229
NOMESCO Finland
Other healthcare associate professional
3.8
6.1
20
59
XFP20
NOMESCO Finland
Check up of cardiac pacemaker
5.9
6.1
16
30

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
73
368
3.18
9.87
6.6
5.9
—
—
—
0
0
69
338
3.16
9.79
5.4
3.0
73.93
29.72
mg/l
1.13
55
216
69
345
3.08
9.33
6.1
3.6
17.98
5.32
mg/mmol
0.95
54
211
74
406
2.85
8.14
5.0
3.3
44.39
44.49
ng/l
0.00
55
277
69
371
2.79
7.80
5.6
2.9
7.01
8.10
mmol/l
1.45
63
304
27
93
3.39
6.62
8.5
3.6
7.38
7.39
ph
0.14
19
50
26
90
3.35
6.32
8.7
3.6
1.98
1.76
mmol/l
0.11
20
71
19
53
4.02
6.30
10.1
4.3
24.06
24.34
mmol/l
0.16
19
53
38
165
2.82
6.27
4.7
4.2
0.82
0.82
mmol/l
0.12
38
155
88
582
2.51
5.92
7.5
5.7
0.58
0.56
e9/l
0.33
79
520
26
94
3.20
5.88
8.4
3.5
5.70
5.69
kpa
0.02
26
87
41
192
2.64
5.80
5.9
3.5
375.29
428.94
ng/l
0.07
35
131
88
586
2.48
5.77
7.6
5.7
0.04
0.04
e9/l
0.19
79
523
89
606
2.42
5.40
7.5
5.7
1.77
1.85
e9/l
0.32
82
557
89
609
2.39
5.29
7.6
5.9
0.17
0.19
e9/l
0.61
79
550
80
523
2.33
5.29
15.6
6.9
1.22
1.21
mmol/l
0.36
73
445
54
305
2.30
4.98
4.1
2.7
0.41
0.41
e6/l
0.01
48
231
54
310
2.25
4.75
13.3
3.5
7.39
7.39
ph
0.19
44
223
7
5
14.66
4.63
2.7
1.2
1707.57
304.80
mg
—
7
5
11
20
5.89
4.39
1.6
1.3
—
—
—
0
0
48
277
2.15
4.07
6.2
4.4
—
—
—
0
0
20
79
2.80
3.84
13.5
12.2
—
—
—
0
0
20
80
2.77
3.75
5.1
2.9
5.05
4.35
kpa
0.77
20
75
58
370
2.01
3.69
4.1
2.7
18.40
224.58
e6/l
0.65
53
294
70
481
1.96
3.57
15.2
11.5
1.25
1.21
inr
0.20
58
399
17
64
2.90
3.55
4.9
1.6
—
—
—
0
0
31
159
2.24
3.46
3.3
2.7
2.28
1.80
e6/l
0.14
22
82
63
423
1.93
3.39
5.1
3.4
34.54
97.17
e6/l
1.14
53
303
15
54
3.00
3.38
2.5
2.4
—
—
—
0
0
71
500
1.90
3.28
15.9
10.4
0.00
0.01
e9/l
0.53
61
414
8
15
5.60
3.24
7.6
5.5
—
—
—
0
0
6
8
7.78
3.08
1.2
1.4
7.25
5.99
mmol/l
—
6
8
20
89
2.47
3.05
3.3
6.1
0.20
0.14
%
—
5
28
107
877
2.13
3.02
5.9
4.1
14.87
14.81
pmol/l
0.10
101
784
8
17
4.93
2.97
3.4
2.5
3.20
5.12
e9/l
—
8
17
72
529
1.79
2.74
5.6
2.9
142.90
95.86
ug/l
1.06
67
491
43
271
1.87
2.70
3.9
2.5
345.32
331.92
umol/l
0.34
37
228
20
95
2.30
2.65
3.3
5.8
3.40
1.01
%
—
5
34
20
95
2.30
2.65
3.2
2.3
304.40
392.77
nmol/l
1.57
20
88
85
661
1.79
2.62
11.0
9.4
5.00
3.84
e9/l
0.56
78
592
78
593
1.76
2.59
7.1
6.7
12.54
11.34
umol/l
0.35
72
563
14
61
2.45
2.23
4.1
2.9
137.93
126.22
g/l
0.91
14
55
18
89
2.18
2.18
2.6
6.1
1.00
0.79
%
—
5
28
66
502
1.62
2.01
2.4
3.0
—
—
estimate
—
0
0
48
337
1.66
2.01
2.6
2.5
65.73
69.16
u/l
0.07
41
307
8
27
3.09
1.97
3.4
2.9
54.50
60.59
%
—
8
27
29
179
1.79
1.90
1.5
1.6
1106.14
1245.42
nmol/l
0.33
22
138
11
47
2.46
1.83
2.9
3.5
—
—
—
0
0
8
29
2.87
1.82
2.6
2.7
22.60
25.79
mmol/l
—
8
29
22
126
1.89
1.82
7.3
7.3
104.91
104.28
mmol/l
0.24
22
126
14
69
2.15
1.72
4.2
3.2
4.93
5.21
kpa
1.04
14
69
6
19
3.26
1.68
3.2
3.2
70.83
61.07
%
—
6
19
47
342
1.58
1.66
8.6
5.2
—
—
—
0
0
7
26
2.78
1.60
1.0
1.0
—
—
—
0
0
20
117
1.83
1.56
1.4
1.3
—
—
—
0
0
18
102
1.88
1.54
5.8
14.6
2.19
1.30
mmol/l
0.28
11
88
5
15
3.42
1.53
1.6
1.7
0.86
0.28
nmol/l
—
5
10
20
118
1.82
1.52
1.4
1.6
—
—
—
0
0
62
489
1.50
1.49
2.3
1.9
97.59
100.30
pmol/l
0.20
36
252
20
121
1.77
1.40
1.7
1.4
—
—
—
0
0
26
170
1.66
1.40
1.3
1.4
253.33
669.00
titre
—
6
40
24
156
1.66
1.32
2.0
2.4
—
—
—
0
0
61
490
1.45
1.29
4.2
3.1
6.09
6.23
ph
0.55
39
281
5
18
2.84
1.29
5.6
2.8
—
—
—
0
0
44
333
1.48
1.26
2.3
2.5
—
—
—
0
0
5
19
2.69
1.22
5.6
8.1
12.02
10.99
mg/l
—
5
19
6
26
2.37
1.20
7.0
3.6
—
—
—
0
0
17
103
1.75
1.19
6.0
14.6
7.41
7.42
ph
—
8
66
0
35
0.00
1.17
0.0
1.3
—
—
—
0
0
5
21
2.43
1.10
1.0
1.0
—
—
—
0
0
28
198
1.52
1.10
1.8
1.8
398.35
445.88
pmol/l
0.49
20
169
5
109
0.44
1.06
1.6
1.3
—
—
—
0
0
10
53
1.96
1.04
2.9
2.8
0.43
0.66
%
—
10
53
49
391
1.40
1.04
2.5
2.9
2.30
2.35
mmol/l
1.64
42
351
15
92
1.71
1.02
1.2
1.5
—
—
—
0
0
10
54
1.92
0.99
3.0
2.7
0.91
1.28
%
—
10
54
74
638
1.36
0.96
4.8
3.5
0.00
0.00
estimate
-0.00
14
128
19
128
1.57
0.92
1.5
1.6
—
—
—
0
0
73
631
1.35
0.91
4.7
3.5
0.00
0.00
estimate
-0.00
15
135
72
624
1.34
0.87
4.7
3.5
0.00
0.00
estimate
-0.00
15
134
84
749
1.33
0.81
6.0
4.2
—
4059.38
—
0
16
7
39
1.84
0.74
1.0
1.6
—
4.36
—
0
7
43
354
1.32
0.72
4.2
2.7
—
—
—
0
0
13
85
1.59
0.72
17.7
3.7
1.22
1.22
mmol/l
0.02
13
69
5
26
1.96
0.71
4.4
3.6
9.58
8.15
kpa
—
5
26
118
1120
1.48
0.67
25.9
13.6
26.08
22.49
mg/l
0.57
101
897
5
28
1.82
0.67
1.6
1.2
—
—
—
0
0
43
361
1.28
0.62
4.0
3.0
0.00
0.00
estimate
-0.00
12
103
14
97
1.50
0.62
1.5
1.8
—
—
—
0
0
8
52
1.57
0.61
1.1
1.2
—
—
—
0
0
10
64
1.61
0.60
1.6
1.3
—
—
—
0
0
0
22
0.00
0.60
0.0
1.8
—
—
—
0
0
8
53
1.54
0.59
1.1
1.7
—
—
—
0
0
18
134
1.40
0.56
2.4
1.5
—
—
—
0
0
38
325
1.24
0.46
1.9
1.6
18.36
20.94
nmol/l
0.46
30
267
5
31
1.64
0.43
1.4
1.3
—
—
—
0
0
107
1019
1.26
0.43
6.6
4.1
1.52
1.23
mmol/l
2.37
102
932
0
16
0.00
0.41
0.0
1.1
—
—
—
0
0
5
35
1.44
0.39
1.2
1.0
1.40
7.39
e6/l
—
5
28
5
35
1.44
0.39
1.2
1.1
2.20
272.96
e6/l
—
5
28
5
35
1.44
0.39
1.0
1.8
—
—
—
0
0
16
125
1.32
0.39
1.5
1.6
—
—
—
0
0
45
401
1.18
0.36
4.6
2.9
—
—
—
0
0
27
229
1.22
0.36
2.4
2.2
—
—
—
0
0
31
268
1.20
0.34
5.9
4.9
—
—
—
0
0
13
102
1.30
0.31
1.8
2.6
31.08
29.26
u/l
0.14
13
86
13
102
1.30
0.31
2.8
2.1
0.15
0.21
e6/l
0.24
13
97
30
262
1.19
0.30
2.3
1.8
1.00
1.30
mg/l
0.41
24
212
18
149
1.24
0.29
1.3
1.3
—
—
—
0
0
14
113
1.27
0.28
2.1
1.6
0.00
0.00
estimate
—
6
27
30
265
1.17
0.26
1.4
1.3
2.39
2.35
g/l
0.04
16
147
10
78
1.30
0.25
4.3
2.8
—
—
—
0
0
33
366
0.87
0.24
4.6
3.5
0.00
0.01
estimate
0.50
14
122
53
493
1.12
0.23
4.7
3.4
0.00
0.01
estimate
0.50
11
112
5
41
1.23
0.22
2.4
2.9
—
—
—
0
0
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
12
0.00
0.21
0.0
1.1
—
—
—
0
0
0
13
0.00
0.21
0.0
1.1
—
—
—
0
0
0
13
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.5
—
4.70
—
0
13
12
99
1.23
0.20
4.8
3.4
—
—
—
0
0
6
49
1.23
0.20
1.0
1.1
—
—
—
0
0
0
14
0.00
0.20
0.0
2.1
—
—
—
0
0
6
52
1.16
0.19
1.0
1.1
—
—
—
0
0
7
61
1.16
0.18
12.7
13.9
92.43
94.24
%
—
7
61
117
1147
1.17
0.17
22.8
12.0
—
—
—
0
0
12
101
1.21
0.17
4.6
3.8
7.39
7.35
ph
—
7
67
110
1075
1.13
0.17
7.4
4.7
1.33
1.50
mmol/l
4.76
104
990
109
1069
1.11
0.13
6.0
4.8
6.09
5.80
mmol/l
0.95
100
974
5
43
1.17
0.10
1.0
1.5
—
—
—
0
0
5
44
1.14
0.10
3.4
1.3
—
—
—
0
0
20
184
1.10
0.10
2.6
1.7
—
—
—
0
0
6
54
1.12
0.09
1.2
12.9
—
—
—
0
0
23
242
0.94
0.05
1.3
1.3
39.18
35.73
iu/ml
—
5
73
109
1080
1.05
0.03
7.7
4.8
4.38
4.65
mmol/l
1.79
104
1003
33
321
1.04
0.02
1.5
1.5
—
—
—
0
0
19
191
0.99
0.00
2.6
3.5
0.90
0.78
ug/l
0.21
12
133
11
113
0.97
0.00
1.0
1.2
—
—
—
0
0
14
137
1.02
0.00
1.1
1.3
—
—
—
0
0
44
443
0.99
0.00
2.2
2.1
—
—
—
0
0
13
135
0.96
0.00
1.6
1.9
—
—
—
0
0
22
215
1.03
0.00
1.2
1.3
1.16
7.99
u/ml
—
10
77
0
8
0.00
-0.00
0.0
1.3
—
78.88
—
0
8
9
93
0.97
-0.00
1.4
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
56.33
—
0
6
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.9
—
—
—
0
0
5
53
0.94
-0.00
1.0
1.3
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
1465.00
—
0
7
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
3.1
—
62.79
—
0
7
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_SPHINGOLIP and mortality.

Females

Parameter HR [95% CI] p-value
E4_SPHINGOLIP 3.646 [2.73, 4.87] < 0.001
Birth year 0.999 [0.99, 1.01] 0.732

During the follow-up period (1.1.1998 — 31.12.2019), 168 out of 492 females with E4_SPHINGOLIP died.

Males

Parameter HR [95% CI] p-value
E4_SPHINGOLIP 3.928 [2.65, 5.83] < 0.001
Birth year 0.989 [0.98, 1.0] 0.021

During the follow-up period (1.1.1998 — 31.12.2019), 135 out of 358 males with E4_SPHINGOLIP died.

Mortality risk

Mortality risk for people of age

years, who have E4_SPHINGOLIP.

N-year risk Females Males
1 0.297% 0.842%
5 2.115% 4.462%
10 5.718% 11.325%
15 11.212% 20.673%
20 19.21% 34.437%

Relationships between endpoints

Index endpoint: E4_SPHINGOLIP – Disorders of sphingolipid metabolism and other lipid storage disorders

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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