Autoimmune thyroiditis

E4_THYROIDITAUTOIM

autoimmune thyroid disease: Inflammatory disease of the thyroid gland due to autoimmune responses leading to lymphocytic infiltration of the gland. It is characterized by the presence of circulating thyroid antigen-specific T-cells and thyroid autoantibodies. The clinical signs can range from hypothyroidism to thyrotoxicosis depending on the type of autoimmune thyroiditis.

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

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

Registry filters:

  • Hospital discharge: ICD-10 E06.3
  • Hospital discharge: ICD-9 2452
  • Cause of death: ICD-10 E06.3
  • Cause of death: ICD-9 2452

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

706

4. Check minimum number of events

None

706

5. Include endpoints

None

706

6. Filter based on genotype QC (FinnGen only)

706

Control definitions (FinnGen only)

Control exclude
E4_THYROID

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E06
Name in latin
Thyreoiditis autoimmunis

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 5469 4605 837
Only index persons 5134 4357 777
Unadjusted period prevalence (%)
Whole population 0.11 0.13 0.02
Only index persons 0.14 0.16 0.03
Median age at first event (years)
Whole population 38.53 38.87 36.49
Only index persons 38.30 38.64 36.40

-FinnGen-

Key figures

All Female Male
Number of individuals 706 614 92
Unadjusted period prevalence (%) 0.19 0.21 0.04
Median age at first event (years) 44.37 43.56 49.82

-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

CodeWAS (R11)

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
626
Matched controls
6259
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E06.3
ICD-10 Finland
Autoimmune thyroiditis
16384.0
323.0
581
*
H03AA01
ATC
levothyroxine sodium; systemic
351.6
323.0
495
66
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
800.3
270.0
247
5
104
Kela drug reimbursment
Thyroid insufficiency
2964.5
211.9
193
*
E03.80
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
937.3
154.2
145
*
H03BB01
ATC
carbimazole; oral
151.9
98.3
102
8
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
+∞
93.1
87
*
E03
ICD-10 Finland
Other hypothyroidism
95.5
89.0
97
12
E03.89
ICD-10 Finland
Other specified hypothyroidism
771.5
71.6
69
*
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
199.7
69.6
71
*
BAA60
NOMESCO Finland
Total thyroidectomy
+∞
58.2
55
*
T86
ICPC
Hypothyroidism/myxoedema
91.2
52.9
58
7
2452A
ICD-9 Finland
Thyroiditis, Chronic lymphocytic thyroiditis
+∞
50.7
48
*
E04.2
ICD-10 Finland
Nontoxic multinodular goitre
82.7
47.8
53
7
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
+∞
39.0
37
*
BAA40
NOMESCO Finland
Unilateral lobectomy of thyroid gland
340.0
32.2
32
*
BA1AE
NOMESCO Finland
Thyroiid ultrasound examination
24.4
27.7
39
17
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
75.7
26.0
29
*
E06.9
ICD-10 Finland
Thyroiditis, unspecified
86.7
22.8
25
*
E04.1
ICD-10 Finland
Nontoxic single thyroid nodule
54.1
22.2
26
5
EP1AE
NOMESCO Finland
Neck ultrasound examination
5.5
21.4
65
128
O99.2
ICD-10 Finland
Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
15.3
19.6
32
22
E06.1
ICD-10 Finland
Subacute thyroiditis
+∞
18.8
18
*
E04.0
ICD-10 Finland
Nontoxic diffuse goitre
68.6
17.8
20
*
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
+∞
17.8
17
*
H02AB06
ATC
prednisolone; systemic
2.1
17.7
301
1903
E04.9
ICD-10 Finland
Nontoxic goitre, unspecified
19.1
16.1
24
13
E03.8
ICD-10 Finland
Other specified hypothyroidism
+∞
14.6
14
*
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
2.2
13.9
174
941
C07AB07
ATC
bisoprolol; oral
2.0
13.4
232
1432
E10.9
ICD-10 Finland
Type 1 diabetes mellitus, Without complications
4.6
13.1
45
103
BA3AT
NOMESCO Finland
Cytology of thyroid with ultrasound quidance
17.2
13.1
20
12
A02BC02
ATC
pantoprazole; systemic
1.9
13.0
383
2853
E05.2
ICD-10 Finland
Thyrotoxicosis with toxic multinodular goitre
+∞
12.5
12
*
D44.0
ICD-10 Finland
Neoplasm of uncertain or unknown behaviour: Thyroid gland
21.8
12.1
17
8
R10.4
ICD-10 Finland
Other and unspecified abdominal pain
1.9
11.5
247
1624
XX7CT
NOMESCO Finland
Radioiodine therapy of thydoid tissue
+∞
11.5
11
*
C07AA05
ATC
propranolol; systemic
2.1
11.3
142
763
UDQ12
NOMESCO Finland
Flexible laryngoscopy
3.8
11.0
47
132
E05.80
ICD-10 Finland
Subacute thyrotoxicosis
44.1
11.0
13
*
C73.91
ICD-10 Finland
Papillary carcinoma of the thyroid gland (thyroid gland)
61.0
10.7
12
*
2500B
ICD-9 Finland
Diabetes mellitus without mention of complication[DIABETES MELLITUS SINE COMPLICATIONE ,TYYPPI I]
6.6
10.1
25
39
Z03.80
ICD-10 Finland
Observation for other suspected diseases and conditions
4.7
9.7
32
71
A10AB04
ATC
insulin lispro; parenteral (insulins and analog. for injection, fast-acting)
4.6
9.6
32
72
E10.3
ICD-10 Finland
Type 1 diabetes mellitus, With ophthalmic complications
4.6
9.5
32
73
8260/3-C73.9
ICD-O-3
Papillary adenocarcinoma, NOS, of thyroid gland
101.5
9.4
10
*
E03.0
ICD-10 Finland
Congenital hypothyroidism with diffuse goitre
+∞
9.4
9
*
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
9.4
9
*
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
3.1
9.1
51
175
D34
ICD-10 Finland
Benign neoplasm of thyroid gland
37.2
9.0
11
*
E10
ICD-10 Finland
Type 1 diabetes mellitus
5.5
8.8
25
47
H04AA01
ATC
glucagon; nasal, parenteral
4.8
8.8
28
60
R00.2
ICD-10 Finland
Palpitations
2.8
8.8
55
206
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
3.0
8.4
49
175
2505
FHL
Bilateral resection (also used if total removal has been performed on the other side)
91.2
8.4
9
*
E06.2
ICD-10 Finland
Chronic thyroiditis with transient thyrotoxicosis
+∞
8.3
8
*
E06.5
ICD-10 Finland
Other chronic thyroiditis
+∞
8.3
8
*
A10AE05
ATC
insulin detemir; parenteral
3.3
8.2
41
132
B03BA03
ATC
hydroxocobalamin; parenteral
3.9
8.2
32
85
N06AX21
ATC
duloxetine; oral
2.3
8.0
74
342
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
2.0
8.0
107
583
DM1QA
NOMESCO Finland
Paranasal sinuses X-ray examination in one projection
3.4
7.9
36
109
H02AB09
ATC
hydrocortisone; systemic
6.0
7.7
20
34
R06.0
ICD-10 Finland
Dyspnoea
1.9
7.7
133
796
A10AB01
ATC
insulin (human); parenteral (insulins and analog. for injection, fast-acting)
3.8
7.7
31
85
2504
FHL
Unilateral resection or enucleation
81.0
7.4
8
*
E03.82
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
+∞
7.3
7
*
R10.3
ICD-10 Finland
Pain localized to other parts of lower abdomen
1.7
7.1
164
1075
K90.0
ICD-10 Finland
Coeliac disease
3.8
7.0
28
76
A10AA01
ATC
NA
4.2
6.8
24
59
A02BC03
ATC
lansoprazole; oral
1.7
6.7
160
1057
I49.9
ICD-10 Finland
Cardiac arrhythmia, unspecified
2.1
6.6
74
374
TEA00
NOMESCO Finland
Biopsy of lip
10.2
6.6
12
12
N03AX12
ATC
gabapentin; oral
2.0
6.5
89
490
R03AC02
ATC
salbutamol; inhalant
1.5
6.5
327
2599
E06.0
ICD-10 Finland
Acute thyroiditis
70.5
6.4
7
*
107
Kela drug reimbursment
Pernicious anaemia
8.3
6.4
13
16
T89
ICPC
Diabetes insulin dependent
3.3
6.3
30
95
2448A
ICD-9 Finland
Acquired hypothyroidism, Other specified acquired hypothyroidism[HYPOTHYREOSIS POST THYREOIDITIDEM]
+∞
6.3
6
*
E03.3
ICD-10 Finland
Postinfectious hypothyroidism
+∞
6.3
6
*
E89.2
ICD-10 Finland
Postprocedural hypoparathyroidism
+∞
6.3
6
*
M79.1
ICD-10 Finland
Myalgia
1.9
6.2
89
497
NA3BG
NOMESCO Finland
Lumbar spine MRI examination with high intensity magnet
2.3
6.2
58
271
N03AX16
ATC
pregabalin; oral
1.7
6.2
126
793
A10AA02
ATC
NA
3.8
6.1
24
65
TPH04
NOMESCO Finland
Cathetrisation of vein
1.8
6.1
110
663

Mortality – FinRegistry

Association

Association between endpoint E4_THYROIDITAUTOIM and mortality.

Females

Parameter HR [95% CI] p-value
E4_THYROIDITAUTOIM 1.029 [0.88, 1.2] 0.713
Birth year 0.996 [0.99, 1.0] 0.367

During the follow-up period (1.1.1998 — 31.12.2019), 206 out of 3629 females with E4_THYROIDITAUTOIM died.

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_THYROIDITAUTOIM.

N-year risk Females Males
1 0.083% No data
5 0.497% No data
10 1.444% No data
15 2.964% No data
20 5.351% No data

Relationships between endpoints

Index endpoint: E4_THYROIDITAUTOIM – Autoimmune thyroiditis

GWS hits: 2

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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