Thromboangiitis obliterans

I9_THROMBANG

thromboangiitis obliterans: Buerger disease, also known as thromboangiitis obliterans (TAO), is a rare inflammatory non-necrotizing vascular disease affecting the small- and medium-sized arteries and veins of the upper and lower extremities characterized by endarteritis and vaso-occlusion due to occlusive thrombus development. The development and progression of the disease is consistently associated with exposure to tobacco.

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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 I73.1
  • Hospital discharge: ICD-9 4431A
  • Hospital discharge: ICD-8 44310
  • Cause of death: ICD-10 I73.1
  • Cause of death: ICD-9 4431A
  • Cause of death: ICD-8 44310

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

145

4. Check minimum number of events

None

145

5. Include endpoints

None

145

6. Filter based on genotype QC (FinnGen only)

135

Control definitions (FinnGen only)

Control exclude
I9_DOAAC

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
I73
Name in latin
Tromboangi(i)tis obliterans (Bürger)

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 1319 389 900
Only index persons 869 322 547
Unadjusted period prevalence (%)
Whole population 0.02 0.01 0.03
Only index persons 0.02 0.01 0.02
Median age at first event (years)
Whole population 52.80 53.06 52.44
Only index persons 51.00 51.70 50.59

-FinnGen-

Key figures

All Female Male
Number of individuals 135 49 86
Unadjusted period prevalence (%) 0.03 0.02 0.04
Median age at first event (years) 49.50 46.58 51.16

-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
136
Matched controls
1360
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
I73.1
ICD-10 Finland
Thromboangiitis obliterans [Buerger]
+∞
118.8
96
*
I70.2
ICD-10 Finland
Atherosclerosis of arteries of extremities
136.1
60.2
61
8
XPX99
NOMESCO Finland
Other diagnostic examination of periferal vessel
21.3
41.5
34
21
44310
ICD-8 Finland
Other peripheral vascular disease, Thrombo-angiitis obliterans (Buerger's disease)
+∞
36.1
33
*
C08CA05
ATC
nifedipine; systemic
10.0
27.8
37
49
4431A
ICD-9 Finland
Other peripheral vascular disease, Thromboangiitis obliterans [Buerger's disease]
+∞
24.7
23
*
4402A
ICD-9 Finland
Atherosclerosis, Of native arteries of the extremities
+∞
14.9
14
*
I71.4
ICD-10 Finland
Abdominal aortic aneurysm, without mention of rupture
130.6
11.6
12
*
I73.0
ICD-10 Finland
Raynaud syndrome
47.5
11.1
13
*
2424
FHL
Sympatectomy, lumbar
+∞
10.5
10
*
C08CA02
ATC
felodipine; oral
4.4
10.1
29
79
PD4BC
NOMESCO Finland
Extensive arterigography of lower extremity with X-ray
+∞
9.5
9
*
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
10.6
9.1
17
18
I73.9
ICD-10 Finland
Peripheral vascular disease, unspecified
53.5
8.8
10
*
PD4AC
NOMESCO Finland
Arterigography of lower extremity with X-ray
53.5
8.8
10
*
I71.3
ICD-10 Finland
Abdominal aortic aneurysm, ruptured
+∞
8.4
8
*
I73.8
ICD-10 Finland
Other specified peripheral vascular diseases
+∞
8.4
8
*
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
12.8
8.3
14
12
I70.9
ICD-10 Finland
Generalized and unspecified atherosclerosis
84.5
7.5
8
*
J01FF01
ATC
clindamycin; systemic
2.8
7.4
50
232
PE1AT
NOMESCO Finland
Femoral artery PTA
+∞
7.4
7
*
9571
FHL
Amputation of toe or toes
+∞
7.4
7
*
M34.9
ICD-10 Finland
Systemic sclerosis, unspecified
+∞
7.4
7
*
2423
FHL
Sympatectomy, thoracic
+∞
7.4
7
*
PD4AD
NOMESCO Finland
CT of lower extremity arteries
+∞
6.3
6
*
PEH57
NOMESCO Finland
Bypass from femoral artery to popliteal artery below knee
+∞
6.3
6
*
9573
FHL
Leg amputation
+∞
6.3
6
*
PD3YT
NOMESCO Finland
Pelvic artery PTA with stent
+∞
6.3
6
*

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
32
149
2.50
4.48
2.3
2.1
—
—
—
0
0
55
329
2.13
4.26
4.7
4.1
—
—
—
0
0
36
204
2.04
3.10
5.9
3.6
314.96
85.07
ng/l
0.47
27
167
75
549
1.82
2.92
23.8
16.3
1.41
1.32
inr
0.62
67
452
56
377
1.83
2.86
12.2
5.0
—
—
—
0
0
52
346
1.81
2.74
3.5
2.3
—
—
—
0
0
65
470
1.73
2.54
3.8
2.9
—
—
estimate
—
0
0
21
108
2.12
2.31
3.2
1.6
—
—
—
0
0
75
576
1.67
2.26
8.1
7.2
1.20
1.20
mmol/l
0.09
63
493
5
9
5.72
2.23
1.6
1.1
—
—
—
0
0
5
10
5.14
2.09
2.8
2.1
—
—
—
0
0
44
299
1.70
2.08
2.7
2.1
5.50
2.87
mg/l
1.65
39
252
52
370
1.66
2.06
4.8
3.1
49.76
252.47
e6/l
0.58
43
277
6
15
4.13
2.06
1.2
1.1
—
—
—
0
0
24
136
1.93
2.04
1.7
1.3
1520.00
381.71
titre
—
10
35
47
328
1.66
2.00
4.1
3.7
0.00
0.00
estimate
-0.00
18
106
18
93
2.08
1.96
8.6
8.1
—
—
—
0
0
5
11
4.67
1.96
1.6
1.1
—
—
—
0
0
5
11
4.67
1.96
1.6
1.2
—
—
—
0
0
57
421
1.61
1.93
6.1
3.7
839.31
82.62
e6/l
0.48
44
297
20
110
1.96
1.85
3.1
3.8
2.95
2.13
mmol/l
0.30
15
89
5
12
4.28
1.84
1.6
1.4
—
—
—
0
0
6
18
3.44
1.76
2.2
1.5
21.08
15.62
ug/l
—
6
18
20
112
1.92
1.76
3.3
4.0
7.37
7.39
ph
0.70
14
67
18
98
1.96
1.71
1.6
3.0
64.48
66.87
g/l
0.63
18
88
20
115
1.87
1.63
3.3
3.8
5.93
5.70
kpa
0.27
20
108
5
14
3.66
1.63
1.8
1.4
1.82
1.39
mmol/l
—
5
14
18
100
1.92
1.62
5.9
4.0
1.00
0.86
%
—
9
35
71
568
1.52
1.62
4.5
3.8
0.00
0.00
estimate
-0.00
20
120
17
93
1.95
1.60
6.5
3.9
0.50
0.38
%
—
8
29
71
570
1.51
1.58
10.8
5.5
1.59
1.81
e9/l
1.21
64
502
60
465
1.52
1.58
3.8
3.5
6.03
6.20
ph
0.90
38
264
72
580
1.51
1.58
4.7
3.8
0.00
2.69
estimate
0.50
19
113
43
312
1.55
1.51
4.8
3.0
1.11
0.32
e6/l
0.37
34
225
12
59
2.13
1.48
5.5
2.9
—
—
—
0
0
71
576
1.49
1.47
4.7
3.8
0.00
0.00
estimate
-0.00
19
124
32
219
1.60
1.44
4.5
2.9
504.52
534.74
mosm/kgh2o
0.35
32
188
24
153
1.69
1.41
9.1
9.1
10.26
11.79
kpa
1.21
24
147
24
153
1.69
1.41
9.1
9.0
5.15
5.20
kpa
0.07
24
147
81
933
0.67
1.40
5.2
5.2
2.01
1.94
mu/l
0.14
73
843
44
327
1.51
1.38
4.4
3.4
0.00
0.33
estimate
0.65
15
93
5
17
3.01
1.37
1.4
1.8
—
—
—
0
0
30
419
0.64
1.37
2.2
1.9
1.22
1.31
mmol/l
0.44
24
337
46
346
1.50
1.36
4.8
4.1
7.40
7.40
ph
0.04
37
245
19
116
1.74
1.30
2.5
2.7
77.87
64.90
e9/l
0.86
13
86
22
141
1.67
1.27
7.8
6.1
1.03
1.03
mmol/l
0.00
22
130
70
578
1.43
1.26
8.5
6.8
10.60
12.37
umol/l
1.05
70
553
68
561
1.42
1.22
10.9
5.4
0.66
0.61
e9/l
0.69
61
479
86
970
0.69
1.22
7.0
6.6
40.25
39.39
mmol/mol
0.42
79
899
44
335
1.46
1.21
3.4
3.0
—
—
—
0
0
16
95
1.78
1.20
6.5
4.1
0.00
0.13
%
—
7
30
13
72
1.89
1.20
10.0
6.5
24.42
24.89
mmol/l
0.12
13
72
25
169
1.59
1.18
4.7
2.9
1.27
1.47
e6/l
0.11
15
86
68
564
1.41
1.17
11.4
5.4
0.05
0.04
e9/l
0.98
61
482
15
88
1.79
1.17
5.8
9.1
—
—
—
0
0
5
20
2.55
1.16
3.2
2.5
4.90
4.79
kpa
—
5
20
5
20
2.55
1.16
3.2
2.5
9.68
8.29
kpa
—
5
20
23
153
1.61
1.16
9.4
9.1
7.41
7.42
ph
0.05
14
98
5
21
2.43
1.10
4.6
3.2
—
—
—
0
0
22
147
1.59
1.09
1.2
1.3
—
—
—
0
0
14
83
1.77
1.06
5.7
3.3
—
—
—
0
0
90
998
0.71
1.05
5.0
5.5
5.95
5.93
mmol/l
0.07
82
909
69
585
1.36
1.00
12.3
5.8
0.18
0.20
e9/l
0.37
61
502
14
87
1.68
0.91
4.3
2.0
8.97
10.55
g/l
0.82
14
80
15
96
1.63
0.89
7.6
4.3
0.17
0.31
%
—
6
29
15
96
1.63
0.89
1.5
1.5
—
—
—
0
0
32
244
1.41
0.86
6.3
4.5
—
—
—
0
0
13
81
1.67
0.85
1.2
2.9
—
—
—
0
0
6
32
1.91
0.83
1.0
1.1
—
—
—
0
0
8
47
1.75
0.82
2.5
3.1
—
—
—
0
0
0
24
0.00
0.80
0.0
1.1
—
—
—
0
0
57
483
1.31
0.78
5.7
4.0
40.53
47.68
ng/l
0.23
47
378
11
67
1.70
0.78
2.4
2.6
1.46
1.29
%
0.30
11
67
5
23
2.22
0.77
1.6
1.7
31.80
32.43
pg
—
5
23
37
295
1.35
0.77
9.4
6.2
—
—
—
0
0
72
633
1.29
0.74
13.6
9.7
5.28
4.19
e9/l
1.82
65
548
33
261
1.35
0.72
6.3
3.7
83.82
85.98
%
0.15
33
256
5
91
0.53
0.70
1.0
1.6
—
—
—
0
0
26
199
1.38
0.69
4.0
3.3
0.77
0.81
mmol/l
1.12
26
190
5
27
1.88
0.69
3.2
2.7
7.36
7.42
ph
—
5
27
32
255
1.33
0.66
1.5
1.3
—
—
—
0
0
53
454
1.27
0.65
19.9
11.8
0.00
0.01
e9/l
0.26
45
368
60
523
1.26
0.64
7.7
6.5
1.20
1.21
mmol/l
0.75
55
474
5
30
1.69
0.62
1.2
1.2
—
—
—
0
0
6
35
1.75
0.58
1.0
1.2
—
—
—
0
0
30
242
1.31
0.58
1.8
1.9
388.50
460.30
pmol/l
0.50
22
204
12
82
1.51
0.56
11.0
8.1
93.01
94.20
%
0.42
12
82
10
66
1.56
0.54
2.0
2.6
0.64
0.63
%
—
10
66
70
769
0.82
0.53
3.7
4.2
15.46
14.95
pmol/l
0.80
62
695
19
145
1.36
0.52
2.1
4.9
2.98
40.06
ug/l
0.72
19
124
51
446
1.23
0.51
4.7
3.8
0.00
0.05
estimate
0.78
18
100
17
128
1.38
0.50
2.2
1.6
—
—
—
0
0
7
46
1.55
0.49
4.7
14.6
0.64
0.88
%
—
7
41
96
1018
0.81
0.49
5.7
6.0
2.42
2.58
mmol/l
0.85
89
930
97
1026
0.81
0.47
27.9
15.4
—
—
—
0
0
8
56
1.45
0.43
3.6
12.2
1.38
1.60
%
—
8
51
13
96
1.39
0.43
1.8
1.4
—
—
—
0
0
94
993
0.83
0.42
5.4
5.3
4.23
4.47
mmol/l
1.32
87
910
0
16
0.00
0.41
0.0
1.3
—
—
—
0
0
0
16
0.00
0.41
0.0
1.1
—
0.18
—
0
8
0
17
0.00
0.41
0.0
1.1
—
5.60
—
0
11
54
487
1.18
0.38
3.8
2.9
109.72
123.77
ug/l
0.21
49
447
6
43
1.41
0.35
1.2
1.2
—
—
—
0
0
39
344
1.19
0.35
2.3
1.8
16.54
21.37
nmol/l
1.04
30
282
94
987
0.85
0.35
5.2
5.3
1.35
1.45
mmol/l
1.35
86
898
25
213
1.21
0.32
2.0
1.8
1086.08
1202.11
nmol/l
0.29
19
162
20
233
0.83
0.26
1.3
1.2
0.30
2.07
u/ml
—
5
60
40
439
0.87
0.25
2.1
2.2
—
—
—
0
0
33
367
0.87
0.25
3.6
3.4
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
2.64
—
0
5
0
10
0.00
0.21
0.0
1.0
—
2.38
—
0
5
0
12
0.00
0.21
0.0
1.3
—
—
—
0
0
41
377
1.13
0.21
4.6
3.8
16.39
7.33
mg/mmol
0.63
28
231
0
13
0.00
0.21
0.0
1.0
—
2.24
—
0
8
92
953
0.89
0.20
4.6
4.5
1.26
1.22
mmol/l
0.23
85
863
19
217
0.86
0.20
1.5
1.4
1.91
2.54
g/l
1.09
14
117
0
14
0.00
0.20
0.0
1.2
—
—
—
0
0
5
70
0.70
0.17
1.2
1.4
—
—
—
0
0
8
68
1.19
0.17
1.1
1.3
—
—
—
0
0
18
159
1.15
0.16
1.6
1.6
—
—
—
0
0
6
79
0.75
0.16
1.2
1.2
—
—
—
0
0
13
112
1.18
0.15
1.3
1.4
—
—
—
0
0
7
90
0.77
0.15
3.3
1.9
5.50
6.15
ph
—
7
57
39
414
0.92
0.13
7.2
3.8
—
—
—
0
0
46
482
0.93
0.11
4.4
5.6
2.52
3.15
ug/l
0.29
40
420
6
58
1.04
0.08
1.0
1.2
—
—
—
0
0
14
127
1.11
0.08
1.4
1.4
—
—
—
0
0
48
496
0.95
0.07
2.7
2.2
96.79
96.90
pmol/l
0.00
34
255
12
110
1.10
0.05
1.2
1.5
—
—
—
0
0
81
797
1.04
0.05
36.4
21.8
14.82
13.81
%
3.22
81
789
37
359
1.04
0.04
4.1
3.2
41.66
47.72
mg/l
0.17
24
231
16
156
1.03
0.00
1.4
1.3
—
—
—
0
0
18
181
0.99
0.00
1.3
1.3
15.98
35.15
iu/ml
—
5
55
28
279
1.00
0.00
2.5
3.3
0.93
0.81
ug/l
0.21
18
198
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
261.00
—
0
8
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
29.67
—
0
6
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
0.00
0.0
1.5
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
5
56
0.89
0.00
1.2
1.5
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
1800.00
—
0
5
0
7
0.00
-0.00
0.0
1.1
—
43.71
—
0
7
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
7
0.00
-0.00
0.0
1.7
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
1880.20
—
0
5
16
160
1.00
-0.00
1.3
1.4
25.78
6.10
u/ml
—
6
49
0
5
0.00
-0.00
0.0
1.4
—
197.96
—
0
5
6
62
0.97
-0.00
4.7
3.7
37.00
36.87
°c
—
6
62
0
5
0.00
-0.00
0.0
2.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.0
—
1.36
—
0
5

Mortality – FinRegistry

Association

Association between endpoint I9_THROMBANG and mortality.

Females

Parameter HR [95% CI] p-value
I9_THROMBANG 2.288 [1.72, 3.04] < 0.001
Birth year 0.996 [0.99, 1.0] 0.357

During the follow-up period (1.1.1998 — 31.12.2019), 81 out of 256 females with I9_THROMBANG died.

Males

Parameter HR [95% CI] p-value
I9_THROMBANG 1.982 [1.58, 2.48] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 146 out of 390 males with I9_THROMBANG died.

Mortality risk

Mortality risk for people of age

years, who have I9_THROMBANG.

N-year risk Females Males
1 0.265% 0.289%
5 1.479% 2.21%
10 3.389% 5.427%
15 6.828% 9.841%
20 11.912% 16.326%

Relationships between endpoints

Index endpoint: I9_THROMBANG – Thromboangiitis obliterans

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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