Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021

Abstract Background To provide insights into rheumatoid arthritis (RA) epidemiological trends, including prevalence, incidence, disability-adjusted life years (DALYs), corresponding average annual percentage change (AAPC), gender disparities, regional variations, age-specific rates, socio-economic c...

Full description

Saved in:
Bibliographic Details
Main Authors: Yingnan Ma, Haiyan Chen, Wenhua Lv, Siyu Wei, Yuping Zou, Ruilin Li, Jiacheng Wang, Wei She, Linna Yuan, Junxian Tao, Xuying Guo, Shuo Bi, Hongsheng Tian, Ye Ma, Hongmei Sun, Chen Sun, Jing Xu, Yu Dong, Jingxuan Kang, Hongchao Lv, Mingming Zhang, Yongshuai Jiang
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Biomarker Research
Subjects:
Online Access:https://doi.org/10.1186/s40364-025-00760-8
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849391004268888064
author Yingnan Ma
Haiyan Chen
Wenhua Lv
Siyu Wei
Yuping Zou
Ruilin Li
Jiacheng Wang
Wei She
Linna Yuan
Junxian Tao
Xuying Guo
Shuo Bi
Hongsheng Tian
Ye Ma
Hongmei Sun
Chen Sun
Jing Xu
Yu Dong
Jingxuan Kang
Hongchao Lv
Mingming Zhang
Yongshuai Jiang
author_facet Yingnan Ma
Haiyan Chen
Wenhua Lv
Siyu Wei
Yuping Zou
Ruilin Li
Jiacheng Wang
Wei She
Linna Yuan
Junxian Tao
Xuying Guo
Shuo Bi
Hongsheng Tian
Ye Ma
Hongmei Sun
Chen Sun
Jing Xu
Yu Dong
Jingxuan Kang
Hongchao Lv
Mingming Zhang
Yongshuai Jiang
author_sort Yingnan Ma
collection DOAJ
description Abstract Background To provide insights into rheumatoid arthritis (RA) epidemiological trends, including prevalence, incidence, disability-adjusted life years (DALYs), corresponding average annual percentage change (AAPC), gender disparities, regional variations, age-specific rates, socio-economic correlations, risk factors, and future projections. Methods Data were extracted from the Global Burden of Disease Study (GBD) 2021. AAPC was calculated by joinpoint regression and two-sample Mendelian randomization (MR) analysis was performed to verify the causal relationship between the smoking factor and RA. The future incidence trend was predicted by the Bayesian age-period-cohort (BAPC) model. Results Global age-standardized prevalence rate (ASPR) and age-standardized incidence rate (ASIR) increased significantly while age-standardized DALYs rate (ASDR) decreased from 1990 to 2021. Regional variations were pronounced, with Andean Latin America reporting the highest burden. Females consistently exhibited higher age-standardized rate (ASR) across all metrics. Age-specific prevalence, incidence, and DALYs rates peaked at different age groups, highlighting complex demographic dynamics. Socio-demographic index (SDI) analysis demonstrated a positive correlation between RA burden and socio-economic development. The two-sample MR analysis confirmed a causal effect between smoking and RA. From 2022 to 2050, the ASIR will increase moderately. Conclusions The study underscores the escalating burden of RA globally, emphasizing the need for healthcare providers to be aware of the effects of aging populations and other societal factors on the risk of developing RA, and to develop targeted interventions, including smoking cessation programs, age- and gender-appropriate healthcare, and early diagnosis strategies.
format Article
id doaj-art-2e6b1efd7f9d4cf38eb6db7c4d4a7dee
institution Kabale University
issn 2050-7771
language English
publishDate 2025-03-01
publisher BMC
record_format Article
series Biomarker Research
spelling doaj-art-2e6b1efd7f9d4cf38eb6db7c4d4a7dee2025-08-20T03:41:14ZengBMCBiomarker Research2050-77712025-03-0113111210.1186/s40364-025-00760-8Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021Yingnan Ma0Haiyan Chen1Wenhua Lv2Siyu Wei3Yuping Zou4Ruilin Li5Jiacheng Wang6Wei She7Linna Yuan8Junxian Tao9Xuying Guo10Shuo Bi11Hongsheng Tian12Ye Ma13Hongmei Sun14Chen Sun15Jing Xu16Yu Dong17Jingxuan Kang18Hongchao Lv19Mingming Zhang20Yongshuai Jiang21College of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityFaculty of Information Engineering and Automation, Kunming University of Science and TechnologyCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityCollege of Bioinformatics Science and Technology, Harbin Medical UniversityAbstract Background To provide insights into rheumatoid arthritis (RA) epidemiological trends, including prevalence, incidence, disability-adjusted life years (DALYs), corresponding average annual percentage change (AAPC), gender disparities, regional variations, age-specific rates, socio-economic correlations, risk factors, and future projections. Methods Data were extracted from the Global Burden of Disease Study (GBD) 2021. AAPC was calculated by joinpoint regression and two-sample Mendelian randomization (MR) analysis was performed to verify the causal relationship between the smoking factor and RA. The future incidence trend was predicted by the Bayesian age-period-cohort (BAPC) model. Results Global age-standardized prevalence rate (ASPR) and age-standardized incidence rate (ASIR) increased significantly while age-standardized DALYs rate (ASDR) decreased from 1990 to 2021. Regional variations were pronounced, with Andean Latin America reporting the highest burden. Females consistently exhibited higher age-standardized rate (ASR) across all metrics. Age-specific prevalence, incidence, and DALYs rates peaked at different age groups, highlighting complex demographic dynamics. Socio-demographic index (SDI) analysis demonstrated a positive correlation between RA burden and socio-economic development. The two-sample MR analysis confirmed a causal effect between smoking and RA. From 2022 to 2050, the ASIR will increase moderately. Conclusions The study underscores the escalating burden of RA globally, emphasizing the need for healthcare providers to be aware of the effects of aging populations and other societal factors on the risk of developing RA, and to develop targeted interventions, including smoking cessation programs, age- and gender-appropriate healthcare, and early diagnosis strategies.https://doi.org/10.1186/s40364-025-00760-8Rheumatoid arthritisGlobal burden of diseaseAutoimmune diseasePublic health
spellingShingle Yingnan Ma
Haiyan Chen
Wenhua Lv
Siyu Wei
Yuping Zou
Ruilin Li
Jiacheng Wang
Wei She
Linna Yuan
Junxian Tao
Xuying Guo
Shuo Bi
Hongsheng Tian
Ye Ma
Hongmei Sun
Chen Sun
Jing Xu
Yu Dong
Jingxuan Kang
Hongchao Lv
Mingming Zhang
Yongshuai Jiang
Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
Biomarker Research
Rheumatoid arthritis
Global burden of disease
Autoimmune disease
Public health
title Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
title_full Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
title_fullStr Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
title_full_unstemmed Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
title_short Global, regional and national burden of rheumatoid arthritis from 1990 to 2021, with projections of incidence to 2050: a systematic and comprehensive analysis of the Global Burden of Disease study 2021
title_sort global regional and national burden of rheumatoid arthritis from 1990 to 2021 with projections of incidence to 2050 a systematic and comprehensive analysis of the global burden of disease study 2021
topic Rheumatoid arthritis
Global burden of disease
Autoimmune disease
Public health
url https://doi.org/10.1186/s40364-025-00760-8
work_keys_str_mv AT yingnanma globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT haiyanchen globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT wenhualv globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT siyuwei globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT yupingzou globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT ruilinli globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT jiachengwang globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT weishe globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT linnayuan globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT junxiantao globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT xuyingguo globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT shuobi globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT hongshengtian globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT yema globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT hongmeisun globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT chensun globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT jingxu globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT yudong globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT jingxuankang globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT hongchaolv globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT mingmingzhang globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021
AT yongshuaijiang globalregionalandnationalburdenofrheumatoidarthritisfrom1990to2021withprojectionsofincidenceto2050asystematicandcomprehensiveanalysisoftheglobalburdenofdiseasestudy2021