Coeliac disease

K11_COELIAC

celiac disease: An autoimmune genetic disorder with an unknown pattern of inheritance that primarily affects the digestive tract. It is caused by intolerance to dietary gluten. Consumption of gluten protein triggers an immune response which damages small intestinal villi and prevents adequate absorption of nutrients. Clinical signs include abdominal cramping, diarrhea or constipation and weight loss. If untreated, the clinical course may progress to malnutrition, anemia, osteoporosis and an increased risk of intestinal malignancies. However, the prognosis is favorable with successful avoidance of gluten in the diet.

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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 K90.0
  • Hospital discharge: ICD-9 5790A
  • Cause of death: ICD-10 K90.0
  • Cause of death: ICD-9 5790A

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

4690

4. Check minimum number of events

None

4690

5. Include endpoints

None

4690

6. Filter based on genotype QC (FinnGen only)

4568

Control definitions (FinnGen only)

Control exclude K11_OTHDIG

Extra metadata

Level in the ICD hierarchy 3
First used in FinnGen datafreeze DF2
Parent code in ICD-10 K90
Name in latin Coeliacia

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 41288 26294 14867
Only index persons 37624 24175 13449
Unadjusted period prevalence (%)
Whole population 0.63 0.75 0.42
Only index persons 0.75 0.89 0.51
Median age at first event (years)
Whole population 43.74 42.38 46.02
Only index persons 44.13 43.05 46.07

-FinnGen-

Key figures

All Female Male
Number of individuals 4568 3069 1499
Unadjusted period prevalence (%) 1.06 1.21 0.75
Median age at first event (years) 48.67 45.64 54.87

-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 K11_COELIAC and mortality.

Females

Parameter HR [95% CI] p-value
K11_COELIAC 1.175 [1.06, 1.3] 0.002
Birth year 0.997 [0.99, 1.0] 0.431

During the follow-up period (1.1.1998 — 31.12.2019), 2214 out of 22892 females with K11_COELIAC died.

Males

Parameter HR [95% CI] p-value
K11_COELIAC 1.249 [1.13, 1.38] < 0.001
Birth year 0.987 [0.98, 1.0] 0.008

During the follow-up period (1.1.1998 — 31.12.2019), 1834 out of 12791 males with K11_COELIAC died.

Mortality risk

Mortality risk for people of age

years, who have K11_COELIAC.

N-year risk Females Males
1 0.126% 0.224%
5 0.726% 1.342%
10 1.777% 3.557%
15 3.509% 6.731%
20 6.402% 11.434%

Relationships between endpoints

Index endpoint: K11_COELIAC – Coeliac disease

GWS hits: 23

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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