Other conditions related to polyarteritis nodosa

M13_POYARTOTH

Polyarteritis Nodosa: ['A necrotizing vasculitis that affects medium-sized arteries, it is usually idiopathic, and may be triggered by viral infections (Hepatitis B, also others). A multisystem disease, it most commonly affects skin (nodules, livedo reticularis) and peripheral nerves; higher morbidity is associated with gastrointestinal, central nervous system, cardiac, and/or other organ involvement. Anti-neutrophil cytoplasmic antibodies (ANCA) are typically negative. [ NCI ]']

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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 M30.8
  • Hospital discharge: ICD-9 4460C
  • Cause of death: ICD-10 M30.8
  • Cause of death: ICD-9 4460C

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

87

4. Check minimum number of events

None

87

5. Include endpoints

None

87

6. Filter based on genotype QC (FinnGen only)

87

Control definitions (FinnGen only)

Control exclude
M13_SYSTCONNECT

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
M30
Name in latin
Aliae condiciones polyarteritidi nodosae cognatae

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 581 336 240
Only index persons 484 287 197
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.01
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 64.23 64.19 64.15
Only index persons 62.10 63.01 60.78

-FinnGen-

Key figures

All Female Male
Number of individuals 87 54 33
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 57.75 54.01 63.87

-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

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
82
Matched controls
821
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
M30.8
ICD-10 Finland
Other conditions related to polyarteritis nodosa
+∞
112.5
80
*
H02AB06
ATC
prednisolone; systemic
21.3
24.9
75
274
L04AX01
ATC
azathioprine; systemic
33.8
20.2
26
11
M30.0
ICD-10 Finland
Polyarteritis nodosa
+∞
18.4
17
*
202
Kela drug reimbursment
Connective tissue diseases, rheumatoid arthritis and comparable disease
12.1
16.1
31
39
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
6.8
14.9
54
180
NK4XE
NOMESCO Finland
Joint ultrasound examination not elsewhere classified
12.5
10.1
18
18
L04AX03
ATC
methotrexate; systemic (immunosuppressants)
7.8
10.1
24
41
GD1AA
NOMESCO Finland
Thorax X-ray examination
4.6
9.9
54
241
M05BA04
ATC
alendronic acid; oral
8.7
9.6
21
31
NK6QA
NOMESCO Finland
Measurement of bone density from tow or more locations with X-ray
12.9
9.3
16
15
H02AB07
ATC
prednisone; oral
6.0
8.6
25
56
M30.1
ICD-10 Finland
Polyarteritis with lung involvement [Churg-Strauss]
+∞
8.5
8
*
M31.7
ICD-10 Finland
Microscopic polyangiitis
+∞
8.5
8
*
M31.9
ICD-10 Finland
Necrotizing vasculopathy, unspecified
+∞
8.5
8
*
PAW37
NOMESCO Finland
Biopsy of temporal artery
+∞
8.5
8
*
J18.9
ICD-10 Finland
Pneumonia, unspecified
4.5
8.4
35
116
H02AB09
ATC
hydrocortisone; systemic
25.1
8.3
11
5
A49.9
ICD-10 Finland
Bacterial infection, unspecified
6.1
7.3
20
41
N03AX16
ATC
pregabalin; oral
4.0
7.3
34
123
TNX10
NOMESCO Finland
Arthrocentesis, unspecified region, unspecified region
8.1
6.9
15
22
GD1DD
NOMESCO Finland
High resolution CT examination of lungs
10.1
6.9
13
15
TAB00
NOMESCO Finland
Lumbar puncture
10.6
6.5
12
13
UDH02
NOMESCO Finland
Rhinopharyngoscopy
7.4
6.5
15
24
R50.9
ICD-10 Finland
Fever, unspecified
5.1
6.5
21
52
ZX120
NOMESCO Finland
Intravenous
5.1
6.5
21
52
D69.0
ICD-10 Finland
Allergic purpura
29.2
6.4
8
*
E27.3
ICD-10 Finland
Drug-induced adrenocortical insufficiency
+∞
6.3
6
*
M35.0
ICD-10 Finland
Sicca syndrome [Sjögren]
+∞
6.3
6
*
L95.9
ICD-10 Finland
Vasculitis limited to skin, unspecified
+∞
6.3
6
*
DM1AA
NOMESCO Finland
Paranasal sinuses X-ray examination without contrast
16.6
6.1
9
6

Mortality – FinRegistry

Association

Association between endpoint M13_POYARTOTH and mortality.

Females

Parameter HR [95% CI] p-value
M13_POYARTOTH 2.789 [2.0, 3.89] < 0.001
Birth year 0.993 [0.98, 1.0] 0.129

During the follow-up period (1.1.1998 — 31.12.2019), 103 out of 272 females with M13_POYARTOTH died.

Males

Parameter HR [95% CI] p-value
M13_POYARTOTH 2.272 [1.53, 3.36] < 0.001
Birth year 0.986 [0.97, 1.0] 0.026

During the follow-up period (1.1.1998 — 31.12.2019), 72 out of 194 males with M13_POYARTOTH died.

Mortality risk

Mortality risk for people of age

years, who have M13_POYARTOTH.

N-year risk Females Males
1 0.244% 0.365%
5 1.567% 2.344%
10 4.319% 5.549%
15 7.846% 11.556%
20 13.131% 19.031%

Relationships between endpoints

Index endpoint: M13_POYARTOTH – Other conditions related to polyarteritis nodosa

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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