Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019

Introduction To examine the burden of rheumatoid arthritis (RA) at the global, regional, and national levels in terms of sex, age, geographic distribution, and the Socio-demographic Index (SDI). Material and methods Using Global Burden of Disease study data, the global incidence, disability-adjuste...

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Main Authors: Wei Zou, Yefei Fang, Dan Xu, Yingjun Zhu
Format: Article
Language:English
Published: Termedia Publishing House 2023-04-01
Series:Archives of Medical Science
Subjects:
Online Access:https://www.archivesofmedicalscience.com/Increasing-global-burden-of-rheumatoid-arthritis-an-epidemiological-analysis-from,162629,0,2.html
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author Wei Zou
Yefei Fang
Dan Xu
Yingjun Zhu
author_facet Wei Zou
Yefei Fang
Dan Xu
Yingjun Zhu
author_sort Wei Zou
collection DOAJ
description Introduction To examine the burden of rheumatoid arthritis (RA) at the global, regional, and national levels in terms of sex, age, geographic distribution, and the Socio-demographic Index (SDI). Material and methods Using Global Burden of Disease study data, the global incidence, disability-adjusted life years (DALYs), and estimated annual percentage change (EAPC) of RA from 1990 to 2019 were analysed. Results From 1990 to 2019, the global RA incidence and DALYs increased by 6.47% and 1.15%, respectively. Moreover, both the global age-standardized incidence rate (EAPC = 0.30; 95% confidence interval (CI): 0.25–0.34) and DALYs (EAPC = 0.12; 95% CI: 0.08–0.17) increased. The age-standardized RA incidence was substantially higher in the high-SDI regions than in the other regions. By geographical region, the largest increases in the age-standardized RA incidence and DALYs were observed in Andean Latin America. By country, the largest increase in RA incidence was observed in Equatorial Guinea (EAPC = 1.78), followed by Bhutan (EAPC = 1.54) and Peru (EAPC = 1.53). The age-standardized RA incidence was lower in men than in women. Positive correlations were found between the EAPC of the age-standardized RA incidence and the SDI. Conclusions Increasing trends in the age-standardized RA incidence and DALYs worldwide were shown. Future strategies for RA prevention should focus on women and older adults, as well as individuals from Andean Latin America, southern Latin America, central Asia, western sub-Saharan Africa, and other high-risk regions.
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spelling doaj.art-0a72de741f104e1daddecead840a00472023-12-01T09:50:30ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512023-04-011941037104810.5114/aoms/162629162629Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019Wei Zou0Yefei Fang1Dan Xu2Yingjun Zhu3Department of Rheumatology, Yuyao People’s Hospital, Ningbo, Zhejiang, ChinaDepartment of Geriatrics, Yuyao People’s Hospital, Ningbo, Zhejiang, ChinaDepartment of Geriatrics, Yuyao People’s Hospital, Ningbo, Zhejiang, ChinaDepartment of Rheumatology, Yuyao People’s Hospital, Ningbo, Zhejiang, ChinaIntroduction To examine the burden of rheumatoid arthritis (RA) at the global, regional, and national levels in terms of sex, age, geographic distribution, and the Socio-demographic Index (SDI). Material and methods Using Global Burden of Disease study data, the global incidence, disability-adjusted life years (DALYs), and estimated annual percentage change (EAPC) of RA from 1990 to 2019 were analysed. Results From 1990 to 2019, the global RA incidence and DALYs increased by 6.47% and 1.15%, respectively. Moreover, both the global age-standardized incidence rate (EAPC = 0.30; 95% confidence interval (CI): 0.25–0.34) and DALYs (EAPC = 0.12; 95% CI: 0.08–0.17) increased. The age-standardized RA incidence was substantially higher in the high-SDI regions than in the other regions. By geographical region, the largest increases in the age-standardized RA incidence and DALYs were observed in Andean Latin America. By country, the largest increase in RA incidence was observed in Equatorial Guinea (EAPC = 1.78), followed by Bhutan (EAPC = 1.54) and Peru (EAPC = 1.53). The age-standardized RA incidence was lower in men than in women. Positive correlations were found between the EAPC of the age-standardized RA incidence and the SDI. Conclusions Increasing trends in the age-standardized RA incidence and DALYs worldwide were shown. Future strategies for RA prevention should focus on women and older adults, as well as individuals from Andean Latin America, southern Latin America, central Asia, western sub-Saharan Africa, and other high-risk regions.https://www.archivesofmedicalscience.com/Increasing-global-burden-of-rheumatoid-arthritis-an-epidemiological-analysis-from,162629,0,2.htmlrheumatoid arthritisglobal burden of diseaseincidencedisability-adjusted life-yearsestimated annual percentage change
spellingShingle Wei Zou
Yefei Fang
Dan Xu
Yingjun Zhu
Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
Archives of Medical Science
rheumatoid arthritis
global burden of disease
incidence
disability-adjusted life-years
estimated annual percentage change
title Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
title_full Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
title_fullStr Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
title_full_unstemmed Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
title_short Increasing global burden of rheumatoid arthritis: an epidemiological analysis from 1990 to 2019
title_sort increasing global burden of rheumatoid arthritis an epidemiological analysis from 1990 to 2019
topic rheumatoid arthritis
global burden of disease
incidence
disability-adjusted life-years
estimated annual percentage change
url https://www.archivesofmedicalscience.com/Increasing-global-burden-of-rheumatoid-arthritis-an-epidemiological-analysis-from,162629,0,2.html
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