Ototoxic hearing loss

H8_HL_OTOTOX

nonsyndromic deafness: An auditory system disease that is associated with permanent hearing loss caused by damage to structures in the inner ear and/or the middle ear, which is not associated with other signs and symptoms.

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Endpoint definition

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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 H91.0#
  • Cause of death: ICD-10 H91.0#

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

76

4. Check minimum number of events

None

76

5. Include endpoints

None

76

6. Filter based on genotype QC (FinnGen only)

68

Control definitions (FinnGen only)

Control exclude
H8_OTHEREAR

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
H91
Name in latin
Hypacusis ototoxica

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 494 281 211
Only index persons 427 248 179
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 66.06 68.61 62.66
Only index persons 65.57 67.99 62.22

-FinnGen-

Key figures

All Female Male
Number of individuals 68 40 28
Unadjusted period prevalence (%) 0.01 0.01 0.01
Median age at first event (years) 60.01 60.18 59.77

-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
69
Matched controls
690
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
H91.0
ICD-10 Finland
Ototoxic hearing loss
+∞
99.1
69
*
H90.3
ICD-10 Finland
Sensorineural hearing loss, bilateral
108.1
32.9
34
6
DAX00
NOMESCO Finland
Adjustment or review of hearing aid
142.9
11.8
12
*
DFF00
NOMESCO Finland
Pure tone audiometry
16.9
11.5
18
14
UDC00
NOMESCO Finland
Ear microscopy
14.9
11.4
19
17
Z01.1
ICD-10 Finland
Examination of ears and hearing
9.6
10.4
22
32
H91.1
ICD-10 Finland
Presbycusis
21.5
9.9
14
8
DAX08
NOMESCO Finland
Fitting of hearing aid
115.2
9.7
10
*
H90.1
ICD-10 Finland
Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side
+∞
9.6
9
*
Z97.4
ICD-10 Finland
Presence of external hearing-aid
102.0
8.6
9
*
H91.2
ICD-10 Finland
Sudden idiopathic hearing loss
+∞
8.5
8
*
H81.0
ICD-10 Finland
Ménière disease
28.8
7.8
10
*
N07CA01
ATC
betahistine; oral
8.1
6.4
14
21
Z46.1
ICD-10 Finland
Fitting and adjustment of hearing aid
14.3
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
28
157
2.32
2.77
1.7
1.9
20.44
20.52
nmol/l
0.01
23
129
30
191
2.01
2.05
4.1
3.2
—
—
—
0
0
11
48
2.54
1.81
1.1
1.3
—
—
—
0
0
27
172
1.94
1.80
4.7
4.2
—
—
—
0
0
34
239
1.83
1.65
2.0
2.3
99.16
96.97
pmol/l
0.08
16
120
38
278
1.82
1.61
11.7
9.2
1.22
1.21
mmol/l
0.69
30
233
19
111
1.98
1.60
6.5
4.0
19.50
346.40
ng/l
2.00
14
92
5
22
2.37
1.05
2.0
5.9
8.76
8.30
kpa
—
5
22
9
51
1.88
0.99
15.7
11.0
—
—
—
0
0
56
492
1.73
0.96
4.8
5.2
4.52
4.54
mmol/l
0.05
50
446
45
378
1.55
0.91
7.2
5.0
—
31.38
—
0
8
59
531
1.77
0.85
33.5
21.6
138.31
139.50
mmol/l
1.34
59
516
23
169
1.54
0.85
3.5
4.3
7.40
7.39
ph
0.53
16
120
59
532
1.75
0.83
34.4
21.7
4.00
3.98
mmol/l
0.26
59
516
58
521
1.71
0.83
27.9
18.0
21.20
23.73
mg/l
0.32
50
435
0
24
0.00
0.81
0.0
1.2
—
0.29
—
0
7
10
60
1.78
0.77
1.2
1.2
—
—
—
0
0
5
26
1.99
0.72
18.4
3.0
37.00
36.90
°c
—
5
26
30
241
1.43
0.70
6.2
3.7
29.08
44.05
ng/l
0.45
21
175
17
123
1.51
0.66
2.6
3.3
461.52
552.26
mosm/kgh2o
0.93
17
108
18
132
1.49
0.66
2.6
2.8
7.31
4.61
e6/l
0.32
18
121
5
29
1.78
0.65
6.4
6.1
—
—
—
0
0
0
22
0.00
0.60
0.0
1.1
—
—
—
0
0
0
22
0.00
0.60
0.0
1.2
—
—
—
0
0
52
468
1.45
0.60
3.9
4.4
1.33
1.24
mmol/l
0.25
46
421
9
59
1.60
0.58
2.2
4.0
7.49
15.29
ug/l
—
9
48
44
387
1.38
0.57
7.0
4.9
—
—
—
0
0
22
173
1.40
0.56
4.7
3.3
5.25
7.46
mmol/l
1.56
15
144
55
503
1.46
0.55
5.6
5.9
2.55
2.62
mmol/l
0.22
49
459
59
547
1.54
0.55
33.7
22.8
88.31
78.57
umol/l
0.60
59
538
53
487
1.38
0.47
4.9
5.1
1.50
1.47
mmol/l
0.22
47
441
29
245
1.32
0.46
3.6
2.9
—
—
estimate
—
0
0
12
87
1.46
0.46
2.5
2.0
—
—
—
0
0
14
181
0.72
0.45
3.4
3.4
—
—
—
0
0
24
198
1.33
0.45
3.6
3.4
19.19
42.17
e6/l
0.60
19
152
57
532
1.41
0.43
23.0
16.1
—
—
—
0
0
20
162
1.33
0.42
3.6
3.4
57.57
90.27
mg/l
—
10
106
20
162
1.33
0.42
4.8
4.1
0.00
0.00
estimate
—
6
50
0
15
0.00
0.42
0.0
1.5
—
—
—
0
0
0
16
0.00
0.41
0.0
1.2
—
—
—
0
0
11
80
1.45
0.41
1.3
1.6
—
—
—
0
0
0
17
0.00
0.41
0.0
1.2
—
—
—
0
0
9
66
1.42
0.40
2.3
1.7
—
—
—
0
0
9
66
1.42
0.40
1.7
1.2
—
—
—
0
0
0
18
0.00
0.40
0.0
1.5
—
—
—
0
0
0
18
0.00
0.40
0.0
1.4
—
—
—
0
0
9
67
1.39
0.40
1.1
1.5
—
—
—
0
0
0
19
0.00
0.39
0.0
1.5
—
—
—
0
0
0
19
0.00
0.39
0.0
1.5
—
—
—
0
0
0
19
0.00
0.39
0.0
1.5
—
—
—
0
0
21
173
1.31
0.39
3.0
2.7
—
—
—
0
0
6
43
1.43
0.36
6.7
3.3
—
—
—
0
0
23
194
1.28
0.36
3.1
2.0
—
—
—
0
0
6
45
1.36
0.35
1.8
1.2
—
—
—
0
0
7
52
1.38
0.32
1.6
1.9
—
—
—
0
0
12
94
1.33
0.30
2.0
1.7
—
—
—
0
0
59
562
1.34
0.30
40.8
26.3
242.19
251.57
e9/l
0.53
59
548
13
159
0.78
0.28
1.5
1.5
—
—
—
0
0
59
563
1.33
0.28
40.7
26.2
89.80
90.88
fl
1.28
59
553
59
563
1.33
0.28
40.8
26.3
4.38
4.43
e12/l
0.29
59
545
59
563
1.33
0.28
41.0
26.4
6.91
6.78
e9/l
0.17
59
546
59
563
1.33
0.28
42.0
26.4
129.51
132.65
g/l
0.81
59
552
59
563
1.33
0.28
40.9
27.0
38.57
39.45
%
0.47
59
553
59
563
1.33
0.28
40.7
26.1
29.80
30.20
pg
1.05
59
553
25
221
1.21
0.25
4.3
4.2
57.95
95.38
e6/l
0.36
19
160
33
300
1.19
0.24
6.5
4.3
0.00
0.00
estimate
—
8
60
5
39
1.30
0.23
1.4
1.6
—
—
—
0
0
5
39
1.30
0.23
2.0
4.8
—
—
—
0
0
5
39
1.30
0.23
5.0
11.4
25.14
25.35
mmol/l
—
5
39
0
10
0.00
0.21
0.0
1.3
—
—
—
0
0
53
505
1.21
0.21
5.1
5.3
6.10
5.96
mmol/l
0.32
48
454
0
12
0.00
0.21
0.0
1.7
—
—
—
0
0
25
224
1.18
0.21
7.4
4.4
0.00
0.00
estimate
—
6
50
0
13
0.00
0.21
0.0
1.2
—
—
—
0
0
23
205
1.18
0.20
3.3
3.4
2.38
2.35
mmol/l
0.44
23
180
0
14
0.00
0.20
0.0
1.6
—
—
—
0
0
21
186
1.19
0.20
5.8
3.9
—
—
—
0
0
7
60
1.19
0.18
1.0
1.5
—
—
—
0
0
6
78
0.75
0.16
2.3
2.0
76.83
80.19
ug/g
—
6
60
10
118
0.82
0.15
12.2
5.9
—
—
—
0
0
33
308
1.14
0.15
6.7
4.4
0.00
0.00
estimate
—
10
57
18
196
0.89
0.10
7.3
5.7
—
—
—
0
0
5
43
1.18
0.10
2.2
2.8
—
—
—
0
0
18
165
1.12
0.10
4.7
4.2
6.46
15.43
mg/mmol
—
9
104
32
304
1.10
0.09
6.7
4.3
0.00
26.62
estimate
—
10
61
5
61
0.81
0.08
1.8
1.6
—
—
—
0
0
8
90
0.87
0.07
14.8
8.4
100.25
104.04
mmol/l
—
8
90
45
437
1.09
0.07
30.3
22.5
13.87
13.78
%
0.15
45
431
18
169
1.09
0.05
13.1
6.5
—
—
—
0
0
25
240
1.07
0.04
4.9
3.9
6.85
6.31
ph
1.11
13
126
17
175
0.96
0.00
7.5
3.9
0.00
0.00
estimate
—
8
51
0
9
0.00
0.00
0.0
1.6
—
—
—
0
0
0
9
0.00
0.00
0.0
1.8
—
1.88
—
0
9
0
9
0.00
0.00
0.0
1.6
—
11.59
—
0
9
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
0.00
0.0
1.3
—
—
—
0
0
0
9
0.00
0.00
0.0
2.4
—
—
—
0
0
0
9
0.00
0.00
0.0
1.6
—
—
—
0
0
5
51
0.98
-0.00
3.0
2.3
—
0.00
estimate
—
0
7
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
7
0.00
-0.00
0.0
2.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
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
5
0.00
-0.00
0.0
1.0
—
207.80
—
0
5
0
6
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
27.80
—
0
5
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
19.4
—
1595.80
—
0
5
0
5
0.00
-0.00
0.0
13.4
—
822.20
—
0
5
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
2.7
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
2.7
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
1.76
—
0
5

Mortality – FinRegistry

Association

Association between endpoint H8_HL_OTOTOX and mortality.

Females

Parameter HR [95% CI] p-value
H8_HL_OTOTOX 1.148 [0.87, 1.51] 0.324
Birth year 0.997 [0.99, 1.01] 0.517

During the follow-up period (1.1.1998 — 31.12.2019), 114 out of 265 females with H8_HL_OTOTOX died.

Males

Parameter HR [95% CI] p-value
H8_HL_OTOTOX 1.377 [0.94, 2.03] 0.104
Birth year 0.988 [0.98, 1.0] 0.013

During the follow-up period (1.1.1998 — 31.12.2019), 93 out of 204 males with H8_HL_OTOTOX died.

Mortality risk

Mortality risk for people of age

years, who have H8_HL_OTOTOX.

N-year risk Females Males
1 0.153% 0.281%
5 0.764% 1.75%
10 1.721% 4.524%
15 3.425% 8.169%
20 5.855% 13.591%

Relationships between endpoints

Index endpoint: H8_HL_OTOTOX – Ototoxic hearing loss

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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