Cauda equina syndrome

G6_CAUDA

Cauda equina syndrome: Cauda equina syndrome refers to a group of symptoms that occur when some of the nerves in the cauda equina (the bundle of nerves that spread out from the bottom of the spinal cord) become compressed and/or damaged. Signs and symptoms of this condition include pain, numbness, or tingling in the lower back and/or legs; ' foot drop '; problems with bowel and/or bladder control; and sexual dysfunction. Cauda equina syndrome may be caused by a herniated disk , tumor , infection, fracture, or spinal stenosis . Treatment usually targets the underlying cause of the condition and often includes surgery to remove the material that is pressing on the nerves. Physical therapy , occupational therapy , and/or other services may be required if symptoms persist following surgery.

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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 G83.4
  • Hospital discharge: ICD-9 3534B
  • Cause of death: ICD-10 G83.4
  • Cause of death: ICD-9 3534B

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

395

4. Check minimum number of events

None

395

5. Include endpoints

None

395

6. Filter based on genotype QC (FinnGen only)

374

Control definitions (FinnGen only)

Control exclude G6_CPETAL

Extra metadata

Level in the ICD hierarchy 3
First used in FinnGen datafreeze DF2
Parent code in ICD-10 G83
Name in latin Syndroma caudae equinae

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 3048 1653 1377
Only index persons 2805 1572 1233
Unadjusted period prevalence (%)
Whole population 0.04 0.05 0.04
Only index persons 0.05 0.06 0.05
Median age at first event (years)
Whole population 54.69 54.54 54.67
Only index persons 53.39 53.76 52.91

-FinnGen-

Key figures

All Female Male
Number of individuals 374 235 139
Unadjusted period prevalence (%) 0.08 0.09 0.07
Median age at first event (years) 51.68 48.66 56.78

-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

Mortality – FinRegistry

Association

Association between endpoint G6_CAUDA and mortality.

Females

Parameter HR [95% CI] p-value
G6_CAUDA 1.674 [1.35, 2.08] < 0.001
Birth year 0.996 [0.99, 1.0] 0.302

During the follow-up period (1.1.1998 — 31.12.2019), 270 out of 1360 females with G6_CAUDA died.

Males

Parameter HR [95% CI] p-value
G6_CAUDA 2.282 [1.82, 2.85] < 0.001
Birth year 0.988 [0.98, 1.0] 0.01

During the follow-up period (1.1.1998 — 31.12.2019), 296 out of 1078 males with G6_CAUDA died.

Mortality risk

Mortality risk for people of age

years, who have G6_CAUDA.

N-year risk Females Males
1 0.116% 0.472%
5 0.849% 2.728%
10 2.433% 6.745%
15 5.003% 13.023%
20 8.671% 21.312%

Relationships between endpoints

Index endpoint: G6_CAUDA – Cauda equina syndrome

GWS hits: -

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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