Frontotemporal dementia

FTD

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 F020&G310
  • Cause of death: ICD-10 F020&G310

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

180

4. Check minimum number of events

None

180

5. Include endpoints

None

180

6. Filter based on genotype QC (FinnGen only)

180

Control definitions (FinnGen only)

Control exclude
F5_DEMENTIA, G6_ALZHEIMER, G6_AD_WIDE

Extra metadata

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 2112 1189 909
Only index persons 1877 1084 793
Unadjusted period prevalence (%)
Whole population 0.03 0.03 0.03
Only index persons 0.04 0.04 0.03
Median age at first event (years)
Whole population 71.43 72.17 70.41
Only index persons 71.37 72.13 70.33

-FinnGen-

Key figures

All Female Male
Number of individuals 180 79 101
Unadjusted period prevalence (%) 0.04 0.03 0.04
Median age at first event (years) 69.65 70.57 68.94

-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

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
148
Matched controls
1480
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
F02.09*G31.0
ICD-10 Finland
Dementia in Pick's disease without information on additional symptoms
+∞
141.1
112
*
G31.0
ICD-10 Finland
Circumscribed brain atrophy
619.6
74.8
68
*
F03
ICD-10 Finland
Unspecified dementia
94.0
43.0
46
7
N05AX08
ATC
risperidone; systemic
28.2
40.3
56
31
N05AH04
ATC
quetiapine; oral
17.0
39.8
69
72
N05AH03
ATC
olanzapine; systemic
28.8
28.8
39
18
AA1BG
NOMESCO Finland
Standard MRI examination of brain with high intensity magnet
12.3
27.3
53
64
R41.8
ICD-10 Finland
Other and unspecified symptoms and signs involving cognitive functions and awareness
10.9
27.2
57
80
N03AG01
ATC
valproic acid; systemic, rectal
17.3
26.5
43
34
F02.09
ICD-10 Finland
Dementia in Pick's disease without information on additional symptoms
+∞
25.8
24
*
TAB00
NOMESCO Finland
Lumbar puncture
17.8
25.1
40
30
Z2445
NOMESCO Finland
Psychologist
33.5
24.8
32
12
N06DA02
ATC
donepezil; oral
283.5
24.4
24
*
P70
ICPC
Dementia
148.9
24.4
25
*
Z03.3
ICD-10 Finland
Observation for suspected nervous system disorder
15.1
22.4
38
33
N06DX01
ATC
memantine; oral
255.8
22.2
22
*
XA800
NOMESCO Finland
Neuropsychological investigation
21.1
21.7
32
19
112
Kela drug reimbursment
Severe psychotic and other severe mental disorders
14.9
20.6
35
30
N05BA06
ATC
lorazepam; systemic, sublingual
18.2
20.5
32
22
ZY010
NOMESCO Finland
Hospital outpatient
20.3
18.2
27
16
F0203, G310
ICD-10 Finland
NA
+∞
18.1
17
*
IBZ01
NOMESCO Finland
Profession-specific psychiatric evaluation
101.6
16.9
18
*
F06.7
ICD-10 Finland
Mild cognitive disorder
24.4
16.6
23
11
P20
ICPC
Memory disturbance
5.9
15.9
50
118
A28
ICPC
Limited function/disability NOS
5.1
15.6
59
171
F0204, G310
ICD-10 Finland
NA
+∞
14.8
14
*
F0200, G310
ICD-10 Finland
NA
+∞
13.7
13
*
N06DA03
ATC
rivastigmine; oral, transdermal
153.2
13.7
14
*
ZXE15
NOMESCO Finland
Procedure duration 120 to 149 minutes
31.6
13.3
17
6
N06AX11
ATC
mirtazapine; oral
4.0
13.0
68
261
ZXY51
NOMESCO Finland
2-person team, doctor-nurse
76.5
12.8
14
*
ZXE13
NOMESCO Finland
Procedure duration 90 to 119 minutes
16.3
12.7
20
14
307
Kela drug reimbursment
Tacrine, donepezil, rivastigmine, galantamine and other major and expensive drugs used to treat Alzheimer's disease
+∞
12.7
12
*
IGY02
NOMESCO Finland
Psychiatric monitoring contact
51.1
12.1
14
*
ZXE11
NOMESCO Finland
Procedure duration 60 to 89 minutes
12.0
11.7
21
20
G30.9
ICD-10 Finland
Alzheimer disease, unspecified
+∞
11.6
11
*
ZXE17
NOMESCO Finland
Procedure duration 150 to 179 minutes
+∞
11.6
11
*
ZY000
NOMESCO Finland
Hospital inpatient
129.4
11.6
12
*
N05BA04
ATC
oxazepam; oral
3.8
11.0
56
204
ZXE06
NOMESCO Finland
Procedure duration 50 to 59 minutes
9.7
11.0
22
26
Z00.4
ICD-10 Finland
General psychiatric examination, not elsewhere classified
8.9
10.9
23
30
IAB14
NOMESCO Finland
Geriatric psychiatry consultation
117.8
10.6
11
*
IEY05
NOMESCO Finland
Dedicated profession-specific psychiatric intervention, individual
25.5
10.4
14
6
N06AB10
ATC
escitalopram; oral
4.4
10.0
39
111
IGY99
NOMESCO Finland
Other psychiatric treatment contact
58.8
9.8
11
*
RT250
NOMESCO Finland
NA
106.3
9.5
10
*
F0202, G310
ICD-10 Finland
NA
+∞
9.5
9
*
IBZ07
NOMESCO Finland
Neurological assessment in psychiatry
+∞
9.5
9
*
N06AX16
ATC
venlafaxine; oral
4.8
9.3
32
80
ICB03
NOMESCO Finland
Psychiatric treatment plan, monitoring
39.2
9.1
11
*
R41.0
ICD-10 Finland
Disorientation, unspecified
9.6
9.1
18
21
G30.1
ICD-10 Finland
Alzheimer disease with late onset
25.9
9.1
12
5
F32.9
ICD-10 Finland
Depressive episode, unspecified
5.7
9.0
26
53
WYA30
NOMESCO Finland
Preparations for expected poor cooperation
5.9
9.0
25
49
F32.2
ICD-10 Finland
Severe depressive episode without psychotic symptoms
8.5
9.0
19
25
F00.10*G30.1
ICD-10 Finland
Primary degenerative dementia of the Alzheimer's type, senile onset without additional symptoms
53.1
8.8
10
*
P99
ICPC
Psychological disorders other
29.4
8.6
11
*
F06.4
ICD-10 Finland
Organic anxiety disorder
95.1
8.5
9
*
RT150
NOMESCO Finland
NA
95.1
8.5
9
*
F0201, G310
ICD-10 Finland
NA
+∞
8.4
8
*
ZXE05
NOMESCO Finland
Procedure duration 40 to 49 minutes
7.3
8.2
19
29
Z2446
NOMESCO Finland
Social worker
5.7
8.1
23
46
N05AD01
ATC
haloperidol; systemic
10.3
8.0
15
16
SPAT1217
SPAT
Assessment of need for services (elderly/care support)
4.5
7.8
28
73
G31.8
ICD-10 Finland
Other specified degenerative diseases of nervous system
47.4
7.8
9
*
G31.9
ICD-10 Finland
Degenerative disease of nervous system, unspecified
47.4
7.8
9
*
F05.9
ICD-10 Finland
Delirium, unspecified
10.9
7.7
14
14
N05AX12
ATC
aripiprazole; systemic
26.5
7.7
10
*
FM1EE
NOMESCO Finland
Extensive structural and functional ultrasound examination of heart
0.1
7.5
*
271
G30.8
ICD-10 Finland
Other Alzheimer disease
84.0
7.5
8
*
R41.3
ICD-10 Finland
Other amnesia
10.2
7.5
14
15
G30.0
ICD-10 Finland
Alzheimer disease with early onset
+∞
7.3
7
*
ZXY01
NOMESCO Finland
Chief Physician, Head of Department or Deputy Chief Physician
+∞
7.3
7
*
F064, G310
ICD-10 Finland
NA
+∞
7.3
7
*
F22.0
ICD-10 Finland
Delusional disorder
16.8
7.3
11
7
SPAT1234
SPAT
Support of social functional capacity
5.5
7.3
21
43
F32.3
ICD-10 Finland
Severe depressive episode with psychotic symptoms
21.2
7.2
10
5
ICB01
NOMESCO Finland
Psychiatric treatment plan, standard
31.6
7.2
9
*
Z03.2
ICD-10 Finland
Observation for suspected mental and behavioural disorders
41.9
6.8
8
*
F33.2
ICD-10 Finland
Recurrent depressive disorder, current episode severe without psychotic symptoms
8.4
6.8
14
18
AA1AD
NOMESCO Finland
CT of head and brain
2.6
6.6
60
304
N06AB04
ATC
citalopram; systemic
3.0
6.6
42
171
IGY01
NOMESCO Finland
Accelerated psychiatric treatment contact
72.7
6.5
7
*
SPAT1245
SPAT
Provision of support and information to patient’s family members
5.4
6.3
18
37
P72
ICPC
Schizophrenia
27.9
6.3
8
*
G12.2
ICD-10 Finland
Motor neuron disease
+∞
6.3
6
*
F060, G310
ICD-10 Finland
NA
+∞
6.3
6
*
F020, G310
ICD-10 Finland
NA
+∞
6.3
6
*
F02.00
ICD-10 Finland
Dementia in Pick's disease without additional symptoms
+∞
6.3
6
*
N05AH02
ATC
clozapine; systemic
+∞
6.3
6
*
N03AX09
ATC
lamotrigine; oral
8.2
6.3
13
17
R53
ICD-10 Finland
Malaise and fatigue
2.8
6.3
44
193
ZXE03
NOMESCO Finland
Procedure duration 20 to 29 minutes
5.0
6.2
19
42
F29
ICD-10 Finland
Unspecified nonorganic psychosis
13.3
6.2
10
8
A04
ICPC
Weakness/tiredness general
3.3
6.2
33
119
P76
ICPC
Depressive disorder
10.7
6.1
11
11
SPAT1216
SPAT
Assessment of functional ability
2.8
6.0
43
190

Mortality – FinRegistry

Association

Association between endpoint FTD and mortality.

Females

Parameter HR [95% CI] p-value
FTD 3.562 [2.87, 4.42] < 0.001
Birth year 0.995 [0.99, 1.0] 0.253

During the follow-up period (1.1.1998 — 31.12.2019), 577 out of 1114 females with FTD died.

Males

Parameter HR [95% CI] p-value
FTD 4.074 [3.11, 5.33] < 0.001
Birth year 0.988 [0.98, 1.0] 0.017

During the follow-up period (1.1.1998 — 31.12.2019), 493 out of 822 males with FTD died.

Mortality risk

Mortality risk for people of age

years, who have FTD.

N-year risk Females Males
1 0.343% 0.872%
5 2.068% 5.012%
10 5.094% 12.523%
15 9.351% 21.829%
20 15.906% 34.13%

Relationships between endpoints

Index endpoint: FTD – Frontotemporal dementia

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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