Hyperparathyroidism

E4_HYPERPARA

hyperparathyroidism: Hyperfunction of the parathyroid glands resulting in the overproduction of parathyroid hormone. It may be primary or secondary; primary hyperparathyroidism is caused by parathyroid adenoma, parathyroid hyperplasia, parathyroid carcinoma, and multiple endocrine neoplasia. It is associated with hypercalcemia and hypophosphatemia. Signs and symptoms include weakness, fatigue, nausea, vomiting, constipation, depression, bone pain, osteoporosis, cystic bone lesions, and kidney stones. Secondary hyperparathyroidism is caused by the chronic stimulation of the parathyroid glands in patients with chronic renal failure, rickets, and malabsorption syndromes.

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

473681

1. Apply sex-specific rule

None

473681

2. Check conditions

None

473681

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E21.09, E21.1, E21.2, E21.3
  • Hospital discharge: ICD-9 2520
  • Hospital discharge: ICD-8 2520
  • Cause of death: ICD-10 E21.09, E21.1, E21.2, E21.3
  • Cause of death: ICD-9 2520
  • Cause of death: ICD-8 2520
  • Medicine purchases: ATC H05B

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

6931

4. Check minimum number of events

Min. number of events 3
6931

5. Include endpoints

None

6931

6. Filter based on genotype QC (FinnGen only)

6684

Control definitions (FinnGen only)

Control exclude E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy 4
First used in FinnGen datafreeze DF2

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 72939 59029 13215
Only index persons 55193 45073 10120
Unadjusted period prevalence (%)
Whole population 1.44 1.69 0.37
Only index persons 1.42 1.66 0.39
Median age at first event (years)
Whole population 72.51 73.24 69.20
Only index persons 70.78 71.59 67.15

-FinnGen-

Key figures

All Female Male
Number of individuals 6684 4896 1788
Unadjusted period prevalence (%) 1.65 1.92 0.90
Median age at first event (years) 64.89 64.26 66.60

-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

Mortality – FinRegistry

Association

Association between endpoint E4_HYPERPARA and mortality.

Females

Parameter HR [95% CI] p-value
E4_HYPERPARA 1.394 [1.3, 1.49] < 0.001
Birth year 0.997 [0.99, 1.0] 0.451

During the follow-up period (1.1.1998 — 31.12.2019), 23668 out of 43589 females with E4_HYPERPARA died.

Males

Parameter HR [95% CI] p-value
E4_HYPERPARA 1.775 [1.62, 1.95] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 5631 out of 10464 males with E4_HYPERPARA died.

Mortality risk

Mortality risk for people of age

years, who have E4_HYPERPARA.

N-year risk Females Males
1 0.159% 0.343%
5 0.985% 1.938%
10 2.335% 4.821%
15 4.28% 9.124%
20 7.325% 15.31%

Relationships between endpoints

Index endpoint: E4_HYPERPARA – Hyperparathyroidism

GWS hits: 9

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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