Paget disease

M13_PAGET

osteitis deformans: A disease of bone that initially results in the excessive resorption of bone (by osteoclasts) followed by the replacement of normal bone marrow with vascular and fibrous tissue.

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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 M88
  • Hospital discharge: ICD-9 7310
  • Hospital discharge: ICD-8 72199
  • Cause of death: ICD-10 M88
  • Cause of death: ICD-9 7310
  • Cause of death: ICD-8 72199

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

190

4. Check minimum number of events

None

190

5. Include endpoints

None

190

6. Filter based on genotype QC (FinnGen only)

176

Control definitions (FinnGen only)

Control exclude
M13_OSTEOCHONDRO

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
M86-M90
Name in latin
Osteitis deformans Paget

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 1125 513 598
Only index persons 891 427 464
Unadjusted period prevalence (%)
Whole population 0.02 0.01 0.02
Only index persons 0.02 0.02 0.02
Median age at first event (years)
Whole population 66.25 66.30 66.15
Only index persons 64.97 63.99 65.87

-FinnGen-

Key figures

All Female Male
Number of individuals 176 77 99
Unadjusted period prevalence (%) 0.04 0.03 0.05
Median age at first event (years) 66.05 65.13 66.77

-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
183
Matched controls
1830
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M88.9
ICD-10 Finland
Paget disease of bone, unspecified
+∞
133.1
111
*
M88.88
ICD-10 Finland
Paget disease of other bones, other
+∞
99.2
86
*
M88.0
ICD-10 Finland
Paget disease of skull
+∞
25.6
24
*
M88
ICD-10 Finland
Paget disease of bone [osteitis deformans]
+∞
18.0
17
*
D48.0
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Bone and articular cartilage
18.6
15.2
23
14
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.3
14.0
97
471
7310A
ICD-9 Finland
Osteitis deformans and osteopathies associated with other disorders classified elsewhere, Osteitis deformans without mention of bone tumour
+∞
12.6
12
*
ZX120
NOMESCO Finland
Intravenous
4.1
12.4
39
113
NA3AA
NOMESCO Finland
Lumbar spine X-ray examination without contrast
3.9
11.0
36
107
NK6AN
NOMESCO Finland
Total body bone isotope imaging
9.2
9.9
20
24
NK6BN
NOMESCO Finland
Bone dynamic isotope examination
94.2
8.5
9
*
NF1AA
NOMESCO Finland
Hip X-ray examination
3.3
7.8
33
115
72199
ICD-8 Finland
Osteitis deformans
+∞
7.3
7
*
M79.0
ICD-10 Finland
Rheumatism, unspecified
8.5
7.3
15
19
NE1AA
NOMESCO Finland
Pelvis X-ray examination
3.3
7.3
30
103
Q78.1
ICD-10 Finland
Polyostotic fibrous dysplasia
+∞
6.3
6
*
TPH04
NOMESCO Finland
Cathetrisation of vein
2.4
6.2
54
273
N02AX02
ATC
tramadol; systemic, rectal
2.2
6.2
94
600

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
86
215
6.66
35.89
4.8
5.7
0.99
1.05
mmol/l
1.16
81
202
54
122
5.86
24.12
2.8
4.1
72.21
88.11
ng/l
0.89
47
105
147
863
4.58
16.64
10.1
6.5
1.22
1.21
mmol/l
1.92
131
751
46
136
4.18
14.30
2.0
2.2
—
—
—
0
0
105
535
3.26
13.91
6.9
4.1
7.40
7.39
ph
0.56
83
376
118
729
2.74
9.70
6.6
4.4
35.74
34.75
g/l
1.12
110
678
130
889
2.60
7.96
10.8
9.8
3.98
4.10
e9/l
0.26
111
766
124
835
2.50
7.76
7.5
6.0
0.17
0.19
e9/l
1.15
107
712
91
536
2.39
7.69
7.0
5.4
—
—
—
0
0
18
29
6.76
7.46
3.7
3.3
7.15
13.19
pmol/l
0.98
18
29
121
817
2.42
7.36
7.1
5.8
0.04
0.04
e9/l
0.13
105
687
122
827
2.43
7.35
7.3
5.9
1.69
1.86
e9/l
0.95
108
714
120
812
2.39
7.19
7.2
5.8
0.60
0.61
e9/l
0.18
104
683
92
561
2.29
6.99
4.5
3.3
2.35
2.35
mmol/l
0.21
84
505
79
464
2.24
6.45
2.5
2.1
2.92
2.75
mg/l
0.30
70
411
144
1102
2.44
5.86
4.9
4.1
15.23
15.01
pmol/l
0.58
138
983
93
605
2.09
5.65
4.6
3.4
6.61
7.60
mmol/l
1.95
83
504
122
879
2.16
5.65
7.3
6.5
10.49
11.87
umol/l
1.17
114
828
19
63
3.25
4.83
2.5
3.4
9.42
3.31
ratio
0.32
11
26
20
69
3.13
4.77
2.6
3.9
73.13
138.64
mg/l
0.31
15
58
20
69
3.13
4.77
2.6
3.9
34.10
34.45
mg/l
0.01
15
59
10
15
6.98
4.53
1.0
1.0
—
—
—
0
0
79
517
1.93
4.44
2.7
2.4
—
—
—
0
0
12
24
5.27
4.40
1.3
1.1
—
—
—
0
0
69
434
1.95
4.34
3.3
3.0
379.63
357.24
umol/l
0.81
62
373
9
13
7.22
4.21
1.2
1.4
21.38
46.20
ng/l
—
9
13
15
47
3.39
4.16
1.3
1.2
—
—
—
0
0
100
720
1.86
4.08
3.1
2.7
—
—
estimate
—
0
0
12
29
4.35
3.78
1.3
1.3
—
—
—
0
0
19
73
2.79
3.78
2.3
1.9
0.00
0.00
estimate
—
6
21
90
640
1.80
3.72
2.6
2.2
—
—
—
0
0
113
865
1.80
3.60
21.4
15.9
1.33
1.32
inr
0.05
94
720
18
70
2.74
3.50
2.3
1.7
—
—
—
0
0
30
150
2.20
3.45
3.1
2.4
0.27
0.52
e6/l
0.39
30
143
167
1469
2.56
3.38
25.8
17.4
22.75
26.67
mg/l
0.97
150
1236
14
48
3.08
3.38
2.7
2.1
1.88
1.71
mg/l
0.33
14
40
10
23
4.54
3.36
1.2
1.1
—
—
—
0
0
57
363
1.83
3.32
4.9
3.1
2.44
2.46
mmol/l
0.71
50
323
96
713
1.73
3.29
16.3
11.8
0.00
0.00
e9/l
0.32
79
578
30
153
2.15
3.28
1.5
1.3
—
—
—
0
0
27
132
2.23
3.27
1.9
1.5
—
—
—
0
0
14
49
3.01
3.27
1.2
1.1
—
—
—
0
0
90
660
1.72
3.20
4.5
3.6
6.28
6.20
ph
0.28
51
360
171
1529
2.81
3.19
30.6
21.5
139.78
139.66
mmol/l
0.26
171
1496
171
1532
2.77
3.12
30.9
21.7
4.00
4.01
mmol/l
0.29
171
1500
27
136
2.16
3.05
3.6
5.4
0.25
0.09
%
—
8
44
37
210
1.95
3.04
1.4
1.3
266.67
467.69
titre
—
9
52
29
151
2.09
3.01
2.4
1.9
0.00
0.00
estimate
—
7
31
132
1086
1.77
3.01
6.3
4.6
—
1.61
—
0
5
170
1528
2.58
2.91
17.9
12.6
23.77
24.86
u/l
0.55
165
1476
12
39
3.22
2.83
1.1
1.1
—
—
—
0
0
171
1546
2.62
2.79
36.9
24.0
90.13
84.13
umol/l
0.65
171
1526
27
142
2.06
2.73
3.6
5.3
1.37
0.87
%
—
8
50
14
55
2.67
2.68
3.1
3.8
121.67
138.65
mg/l
—
6
20
92
701
1.63
2.68
4.4
4.2
25.61
41.22
ng/l
1.89
75
567
47
300
1.76
2.67
3.6
3.2
2.81
1.78
e6/l
0.30
28
157
71
510
1.64
2.61
4.6
4.2
—
—
—
0
0
30
168
1.94
2.56
1.9
1.5
—
—
—
0
0
107
853
1.61
2.55
5.4
4.0
0.00
0.00
estimate
-0.00
25
188
79
587
1.61
2.51
4.8
3.4
17.18
149.17
e6/l
0.65
64
456
155
1364
1.89
2.51
7.2
5.2
1.82
2.00
mu/l
1.19
148
1225
171
1560
2.47
2.48
40.5
26.8
91.75
91.80
fl
0.06
171
1541
171
1560
2.47
2.48
41.0
27.4
40.18
39.76
%
0.62
171
1541
171
1560
2.47
2.48
40.5
26.7
30.30
30.47
pg
0.61
171
1541
171
1561
2.46
2.45
40.9
27.0
132.32
133.53
g/l
0.49
171
1541
9
27
3.45
2.43
1.2
1.1
—
—
—
0
0
162
1452
2.01
2.39
6.7
6.4
2.61
2.54
mmol/l
0.35
151
1334
105
842
1.58
2.37
5.4
4.0
0.00
0.00
estimate
-0.00
25
187
69
503
1.60
2.34
2.9
2.4
63.36
74.55
u/l
0.39
64
456
12
47
2.66
2.32
6.1
2.5
7.40
7.42
ph
0.60
12
47
49
329
1.67
2.30
3.6
5.8
—
—
—
0
0
72
534
1.57
2.26
4.3
3.2
—
—
—
0
0
24
133
1.93
2.12
2.9
5.2
1.60
0.39
%
—
5
44
7
20
3.60
2.07
1.7
3.2
—
—
—
0
0
24
134
1.91
2.07
4.0
6.0
0.00
0.26
%
—
5
39
83
645
1.52
2.07
5.7
4.1
42.89
68.11
e6/l
0.38
65
475
105
858
1.53
2.07
5.5
4.0
0.00
0.02
estimate
0.50
21
172
40
262
1.67
2.05
1.4
1.3
23.29
35.60
iu/ml
0.57
11
88
11
45
2.54
1.97
1.4
1.2
—
—
—
0
0
55
394
1.57
1.97
1.4
1.3
—
—
—
0
0
67
504
1.52
1.92
4.4
3.4
0.43
0.33
e6/l
0.15
53
373
163
1488
1.87
1.91
23.2
15.4
—
—
—
0
0
5
12
4.25
1.83
1.0
1.0
—
—
—
0
0
29
180
1.73
1.80
1.8
1.5
—
—
—
0
0
158
1437
1.73
1.77
6.2
5.7
6.07
6.12
mmol/l
0.21
143
1313
6
18
3.41
1.76
8.2
3.9
243.50
1208.00
mg
—
6
18
16
82
2.04
1.76
3.4
3.0
—
—
—
0
0
35
233
1.62
1.68
3.0
1.8
—
—
—
0
0
22
129
1.80
1.65
4.2
3.0
—
—
—
0
0
86
697
1.44
1.64
6.6
6.0
2.29
2.64
ug/l
0.30
74
623
17
92
1.93
1.62
1.5
1.3
—
—
—
0
0
43
304
1.54
1.61
2.7
1.4
2.69
2.78
g/l
0.08
27
171
33
219
1.62
1.61
1.4
1.3
—
—
—
0
0
62
476
1.46
1.56
10.8
6.0
—
—
—
0
0
155
1415
1.62
1.56
5.9
5.5
4.53
4.41
mmol/l
0.63
143
1303
28
180
1.66
1.54
3.3
3.9
5.88
5.70
kpa
0.44
28
172
28
181
1.65
1.51
3.1
3.9
7.38
7.39
ph
0.30
17
107
150
1362
1.56
1.51
5.0
4.6
1.38
1.27
mmol/l
1.25
134
1238
62
479
1.45
1.51
5.5
3.9
0.00
0.00
estimate
-0.00
23
164
31
206
1.61
1.51
1.2
1.3
—
—
—
0
0
29
190
1.63
1.49
1.8
2.8
71.72
67.50
e9/l
0.27
22
136
17
95
1.87
1.49
1.4
1.2
—
—
—
0
0
6
22
2.78
1.44
1.5
1.4
—
—
—
0
0
153
1406
1.54
1.34
5.9
5.4
1.41
1.43
mmol/l
0.29
140
1284
68
545
1.39
1.32
2.0
1.7
20.56
20.12
nmol/l
0.07
59
450
54
417
1.42
1.30
4.3
3.4
0.74
0.79
ug/l
0.25
44
293
5
18
2.83
1.29
7.4
2.9
5.78
12.16
nmol/l
—
5
18
34
240
1.51
1.28
1.5
1.3
22.92
15.77
u/ml
0.14
13
90
8
36
2.28
1.26
7.5
2.6
—
—
—
0
0
26
174
1.58
1.24
2.3
1.6
—
—
—
0
0
48
368
1.41
1.20
1.9
1.9
394.85
453.66
pmol/l
1.14
40
306
6
26
2.35
1.19
1.2
1.2
—
—
—
0
0
56
442
1.38
1.18
4.2
3.3
—
0.11
—
0
19
90
766
1.34
1.17
2.5
2.2
100.65
96.51
pmol/l
0.27
49
390
12
65
1.91
1.16
2.7
4.0
0.77
0.83
%
0.17
12
59
0
36
0.00
1.15
0.0
1.2
—
551.89
—
0
36
23
156
1.54
1.05
6.0
9.6
—
—
—
0
0
5
22
2.31
1.04
3.2
2.4
4.28
5.41
e9/l
—
5
22
72
602
1.32
1.03
4.3
3.4
32.23
54.86
mg/l
1.07
47
403
75
632
1.32
1.01
5.8
4.1
0.00
0.02
estimate
0.50
17
160
18
116
1.61
1.01
4.7
4.1
—
—
—
0
0
14
84
1.72
1.01
3.8
3.2
—
—
—
0
0
129
1174
1.33
0.99
34.7
22.6
14.01
13.86
%
0.65
129
1163
0
31
0.00
0.97
0.0
1.1
—
33.96
—
0
23
0
31
0.00
0.97
0.0
1.3
—
96.48
—
0
23
151
1409
1.41
0.97
8.2
7.2
40.19
40.63
mmol/mol
0.28
144
1316
7
37
1.93
0.95
8.3
2.3
5.23
4.94
kpa
—
7
37
7
37
1.93
0.95
8.3
2.3
8.51
8.27
kpa
—
7
37
14
89
1.62
0.84
2.1
2.6
—
—
—
0
0
43
344
1.33
0.82
1.8
1.7
1163.31
1165.18
nmol/l
0.00
34
266
72
619
1.27
0.81
5.2
4.1
5.09
10.24
mg/mmol
1.38
47
398
41
327
1.33
0.80
1.6
1.2
2.61
1.43
u/ml
—
9
94
0
24
0.00
0.80
0.0
1.2
—
—
—
0
0
45
366
1.30
0.77
5.6
4.1
1.02
1.02
kg/l
0.12
31
247
48
399
1.28
0.70
5.1
3.6
—
0.00
—
0
8
15
102
1.51
0.70
5.4
3.8
1.01
1.02
ratio
1.90
15
95
20
145
1.43
0.69
2.6
2.1
91.47
114.05
ug/g
0.29
15
114
5
27
1.87
0.69
2.8
3.2
1.22
1.20
mmol/l
—
5
27
5
27
1.87
0.69
2.8
3.2
104.40
106.22
mmol/l
—
5
27
5
27
1.87
0.69
2.8
3.2
4.10
4.06
mmol/l
—
5
27
12
78
1.58
0.67
2.7
3.6
1.26
1.58
%
0.98
12
72
54
458
1.25
0.67
5.1
3.7
0.00
0.01
estimate
0.50
16
152
12
79
1.56
0.64
2.0
1.7
0.19
4.49
ug/l
0.67
12
71
10
65
1.57
0.56
1.5
1.2
146.16
127.51
u/ml
—
5
20
9
65
1.40
0.51
1.1
1.5
—
—
—
0
0
14
101
1.42
0.51
2.6
2.7
0.54
0.61
%
0.37
14
101
16
119
1.38
0.50
6.0
7.9
25.41
24.62
mmol/l
0.37
16
119
14
102
1.40
0.49
2.7
2.7
1.55
1.10
%
0.34
14
102
7
46
1.54
0.49
3.1
2.4
70.51
62.49
%
—
7
46
26
213
1.26
0.44
4.2
7.5
5.06
5.05
kpa
0.02
26
208
26
213
1.26
0.44
4.2
7.5
11.63
11.67
kpa
0.01
26
208
5
31
1.63
0.43
1.6
1.3
1.46
1.62
mmol/l
—
5
31
8
57
1.42
0.42
8.0
4.9
—
—
—
0
0
5
33
1.53
0.41
1.4
1.8
28.40
31.43
umol/l
—
5
28
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
16
0.00
0.41
0.0
3.1
—
—
—
0
0
0
16
0.00
0.41
0.0
1.5
—
—
—
0
0
0
17
0.00
0.41
0.0
1.5
—
—
—
0
0
13
97
1.37
0.40
1.2
1.3
—
—
—
0
0
5
34
1.48
0.40
3.2
2.8
60.20
61.04
%
—
5
34
0
18
0.00
0.40
0.0
1.4
—
—
—
0
0
0
18
0.00
0.40
0.0
1.4
—
—
—
0
0
0
19
0.00
0.39
0.0
1.2
—
—
—
0
0
0
19
0.00
0.39
0.0
1.4
—
—
—
0
0
0
19
0.00
0.39
0.0
1.0
—
320.60
—
0
10
15
118
1.30
0.34
5.3
9.8
24.41
24.48
mmol/l
0.03
15
118
52
468
1.16
0.34
3.8
3.8
—
—
—
0
0
25
212
1.21
0.32
4.3
7.6
7.42
7.41
ph
0.07
13
117
15
120
1.27
0.31
1.5
1.5
—
—
—
0
0
7
57
1.24
0.29
7.4
11.5
—
—
—
0
0
22
188
1.19
0.27
1.5
1.3
—
—
—
0
0
25
286
0.85
0.26
2.0
1.9
29.02
29.36
s
0.14
25
278
9
73
1.24
0.26
1.1
1.3
—
—
—
0
0
9
73
1.24
0.26
1.3
1.3
—
—
—
0
0
8
103
0.77
0.21
3.4
6.3
26.22
24.08
mmol/l
—
8
98
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
10
0.00
0.21
0.0
2.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
232.00
—
0
10
0
12
0.00
0.21
0.0
1.1
—
—
—
0
0
5
43
1.17
0.21
1.0
1.1
—
—
—
0
0
0
14
0.00
0.20
0.0
2.7
—
0.71
—
0
14
11
90
1.24
0.19
1.0
1.3
—
71.38
—
0
8
6
79
0.75
0.16
1.0
1.3
—
—
—
0
0
12
102
1.19
0.15
2.0
2.5
—
24.99
—
0
8
11
129
0.84
0.15
1.1
1.6
—
—
—
0
0
10
84
1.20
0.14
4.3
4.2
37.00
36.91
°c
—
10
84
63
602
1.07
0.13
1.8
2.0
1.51
1.31
mmol/l
0.50
54
488
38
358
1.08
0.11
3.5
3.8
380.93
356.40
ng/l
0.03
30
295
12
105
1.15
0.11
3.1
3.8
—
—
—
0
0
17
187
0.90
0.10
1.4
1.5
—
—
—
0
0
7
81
0.86
0.07
1.3
1.2
85.33
430.35
u/ml
—
7
76
12
127
0.94
0.01
6.4
9.9
95.90
93.90
%
2.01
12
127
0
9
0.00
-0.00
0.0
1.0
—
1.81
—
0
9
0
7
0.00
-0.00
0.0
1.9
—
—
—
0
0
6
69
0.87
-0.00
1.0
1.3
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
161.53
—
0
5
6
61
0.98
-0.00
1.2
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
10.14
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
140.20
—
0
5
0
9
0.00
-0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
11.93
—
0
6
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
4.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.1
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint M13_PAGET and mortality.

Females

Parameter HR [95% CI] p-value
M13_PAGET 1.012 [0.76, 1.35] 0.938
Birth year 0.999 [0.99, 1.01] 0.783

During the follow-up period (1.1.1998 — 31.12.2019), 86 out of 317 females with M13_PAGET died.

Males

Parameter HR [95% CI] p-value
M13_PAGET 1.119 [0.88, 1.43] 0.362
Birth year 0.99 [0.98, 1.0] 0.027

During the follow-up period (1.1.1998 — 31.12.2019), 132 out of 382 males with M13_PAGET died.

Mortality risk

Mortality risk for people of age

years, who have M13_PAGET.

N-year risk Females Males
1 0.097% 0.261%
5 0.632% 1.405%
10 1.7% 3.576%
15 3.327% 6.476%
20 6.058% 11.352%

Relationships between endpoints

Index endpoint: M13_PAGET – Paget disease

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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