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Physician-Confirmed and Administrative Definitions of Stroke in UK Biobank Reflect the Same Underlying Genetic Trait.


ABSTRACT:

Background

Stroke in UK Biobank (UKB) is ascertained via linkages to coded administrative datasets and self-report. We studied the accuracy of these codes using genetic validation.

Methods

We compiled stroke-specific and broad cerebrovascular disease (CVD) code lists (Read V2/V3, ICD-9/-10) for medical settings (hospital, death record, primary care) and self-report. Among 408,210 UKB participants, we identified all with a relevant code, creating 12 stroke definitions based on the code type and source. We performed genome-wide association studies (GWASs) for each definition, comparing summary results against the largest published stroke GWAS (MEGASTROKE), assessing genetic correlations, and replicating 32 stroke-associated loci.

Results

The stroke case numbers identified varied widely from 3,976 (primary care stroke-specific codes) to 19,449 (all codes, all sources). All 12 UKB stroke definitions were significantly correlated with the MEGASTROKE summary GWAS results (rg.81-1) and each other (rg.4-1). However, Bonferroni-corrected confidence intervals were wide, suggesting limited precision of some results. Six previously reported stroke-associated loci were replicated using ≥1 UKB stroke definition.

Conclusions

Stroke case numbers in UKB depend on the code source and type used, with a 5-fold difference in the maximum case-sample size. All stroke definitions are significantly genetically correlated with the largest stroke GWAS to date.

SUBMITTER: Rannikmae K 

PROVIDER: S-EPMC8847736 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Physician-Confirmed and Administrative Definitions of Stroke in UK Biobank Reflect the Same Underlying Genetic Trait.

Rannikmäe Kristiina K   Rawlik Konrad K   Ferguson Amy C AC   Avramidis Nikos N   Jiang Muchen M   Pirastu Nicola N   Shen Xia X   Davidson Emma E   Woodfield Rebecca R   Malik Rainer R   Dichgans Martin M   Tenesa Albert A   Sudlow Cathie C  

Frontiers in neurology 20220202


<h4>Background</h4>Stroke in UK Biobank (UKB) is ascertained <i>via</i> linkages to coded administrative datasets and self-report. We studied the accuracy of these codes using genetic validation.<h4>Methods</h4>We compiled stroke-specific and broad cerebrovascular disease (CVD) code lists (Read V2/V3, ICD-9/-10) for medical settings (hospital, death record, primary care) and self-report. Among 408,210 UKB participants, we identified all with a relevant code, creating 12 stroke definitions based  ...[more]

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