Hypoparathyroidism

E4_HYPOPARA

hypoparathyroidism: Hypoparathyroidism is is an endocrine disorder in which the parathyroid glands in the neck do not produce enough parathyroid hormone (PTH). Common signs and symptoms includeabdominal pain, brittle nails, cataracts, dry hair and skin,muscle cramps,tetany, pain in the face, legs, and feet, seizures, tingling sensation,and weakened tooth enamel (in children). It may be caused byinjury to the parathyroid glands (e.g., during surgery). Other causes, include low blood magnesium levels, a side effect of radioactive iodine treatment for hyperthyroidism , metabolic alkalosis , DiGeorge syndrome , and type I polyglandular autoimmune syndrome . The goal of treatment is to restore the calcium and mineral balance in the body.

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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 E20
  • Hospital discharge: ICD-9 2521
  • Hospital discharge: ICD-8 2521
  • Cause of death: ICD-10 E20
  • Cause of death: ICD-9 2521
  • Cause of death: ICD-8 2521
  • KELA reimbursements: KELA codes 106
  • Medicine purchases: ATC H05AA

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

1118

4. Check minimum number of events

Min. number of events 3
1118

5. Include endpoints

None

1118

6. Filter based on genotype QC (FinnGen only)

1092

Control definitions (FinnGen only)

Control exclude E4_ENDOGLAND

Extra metadata

Level in the ICD hierarchy 4
First used in FinnGen datafreeze DF2
Parent code in ICD-10 E20-E35
Name in latin Hypoparathyreoidismus

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 8240 6591 1583
Only index persons 6794 5561 1233
Unadjusted period prevalence (%)
Whole population 0.16 0.19 0.04
Only index persons 0.18 0.20 0.05
Median age at first event (years)
Whole population 60.83 61.53 57.93
Only index persons 60.57 61.51 56.35

-FinnGen-

Key figures

All Female Male
Number of individuals 1092 871 221
Unadjusted period prevalence (%) 0.30 0.34 0.11
Median age at first event (years) 58.83 58.97 58.26

-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_HYPOPARA and mortality.

Females

Parameter HR [95% CI] p-value
E4_HYPOPARA 1.606 [1.43, 1.81] < 0.001
Birth year 0.996 [0.99, 1.0] 0.323

During the follow-up period (1.1.1998 — 31.12.2019), 1113 out of 4177 females with E4_HYPOPARA died.

Males

Parameter HR [95% CI] p-value
E4_HYPOPARA 2.355 [1.88, 2.95] < 0.001
Birth year 0.989 [0.98, 1.0] 0.022

During the follow-up period (1.1.1998 — 31.12.2019), 395 out of 1066 males with E4_HYPOPARA died.

Mortality risk

Mortality risk for people of age

years, who have E4_HYPOPARA.

N-year risk Females Males
1 0.192% 0.59%
5 1.074% 2.882%
10 2.494% 7.055%
15 4.443% 13.555%
20 7.481% 22.969%

Relationships between endpoints

Index endpoint: E4_HYPOPARA – Hypoparathyroidism

GWS hits: 1

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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