From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios

Abstract Background The epidemiology of inflammatory bowel disease (IBD) has changed dramatically worldwide. This survey analyzed patterns and trends in the burden of IBD to aid future decision making. Methods The incidence, prevalence, mortality, and disability-adjusted life year data for IBD were...

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Main Authors: Kaiqi Yang, Changhao Zhang, Rui Gong, Wei Jiang, Yuchen Ding, Yang Yu, Jinlong Chen, Min Zhu, Jiaxuan Zuo, Xueping Huang, Lumei Wang, Peng Li, Xiujing Sun
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-24009-z
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author Kaiqi Yang
Changhao Zhang
Rui Gong
Wei Jiang
Yuchen Ding
Yang Yu
Jinlong Chen
Min Zhu
Jiaxuan Zuo
Xueping Huang
Lumei Wang
Peng Li
Xiujing Sun
author_facet Kaiqi Yang
Changhao Zhang
Rui Gong
Wei Jiang
Yuchen Ding
Yang Yu
Jinlong Chen
Min Zhu
Jiaxuan Zuo
Xueping Huang
Lumei Wang
Peng Li
Xiujing Sun
author_sort Kaiqi Yang
collection DOAJ
description Abstract Background The epidemiology of inflammatory bowel disease (IBD) has changed dramatically worldwide. This survey analyzed patterns and trends in the burden of IBD to aid future decision making. Methods The incidence, prevalence, mortality, and disability-adjusted life year data for IBD were derived from the GBD (Global Burden of Disease) study. Results In 2021, there were 3,830,119 cases of IBD worldwide, including 375,140 new cases, 42,423 IBD-related deaths, and 1,510,784-year healthy life loss due to IBD. The burden of IBD is usually concentrated in regions and countries with high sociodemographic indices(SDI). In 2021, the number of cases (2,000,478) and deaths (22,968) in women were higher than those in men, but the number of new cases in men was higher (188,005 cases). At the global, regional, and national levels, the number of IBD-related illnesses and deaths is still slowly increasing, but the age-standardized rate(ASR) is on a downward trend. The decomposition analysis showed that the change in the burden of IBD was mainly due to the growth of the global population. Frontier analysis showed that age-standardized incidence rate(ASIR) were positively correlated with sociodemographic indexes. As SDI declines, IBD ASIR’s effective difference (EF) for a particular SDI is smaller. Conclusion As a major global public health issue, there are significant regional differences in the burden of IBD. There data are crucial for healthcare professionals, policymakers, and researchers to refine and enhance management strategies, aiming to further mitigate IBD ‘s global impact.
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spelling doaj-art-4ba4702f974d451cb2c537f5cf49c36e2025-08-20T03:06:28ZengBMCBMC Public Health1471-24582025-08-0125111310.1186/s12889-025-24009-zFrom west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenariosKaiqi Yang0Changhao Zhang1Rui Gong2Wei Jiang3Yuchen Ding4Yang Yu5Jinlong Chen6Min Zhu7Jiaxuan Zuo8Xueping Huang9Lumei Wang10Peng Li11Xiujing Sun12Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesDepartment of Gastroenterology, Beijing Friendship Hospital, Capital Medical University; National Clinical Research Center for Digestive Diseases; State Key Laboratory of Digestive Health; Beijing Digestive Disease Center; Beijing Key Laboratory for Precancerous Lesion of Digestive DiseasesAbstract Background The epidemiology of inflammatory bowel disease (IBD) has changed dramatically worldwide. This survey analyzed patterns and trends in the burden of IBD to aid future decision making. Methods The incidence, prevalence, mortality, and disability-adjusted life year data for IBD were derived from the GBD (Global Burden of Disease) study. Results In 2021, there were 3,830,119 cases of IBD worldwide, including 375,140 new cases, 42,423 IBD-related deaths, and 1,510,784-year healthy life loss due to IBD. The burden of IBD is usually concentrated in regions and countries with high sociodemographic indices(SDI). In 2021, the number of cases (2,000,478) and deaths (22,968) in women were higher than those in men, but the number of new cases in men was higher (188,005 cases). At the global, regional, and national levels, the number of IBD-related illnesses and deaths is still slowly increasing, but the age-standardized rate(ASR) is on a downward trend. The decomposition analysis showed that the change in the burden of IBD was mainly due to the growth of the global population. Frontier analysis showed that age-standardized incidence rate(ASIR) were positively correlated with sociodemographic indexes. As SDI declines, IBD ASIR’s effective difference (EF) for a particular SDI is smaller. Conclusion As a major global public health issue, there are significant regional differences in the burden of IBD. There data are crucial for healthcare professionals, policymakers, and researchers to refine and enhance management strategies, aiming to further mitigate IBD ‘s global impact.https://doi.org/10.1186/s12889-025-24009-zInflammatory bowel diseaseGlobal burden of diseaseIncidenceDisability-adjusted life yearsEpidemiology
spellingShingle Kaiqi Yang
Changhao Zhang
Rui Gong
Wei Jiang
Yuchen Ding
Yang Yu
Jinlong Chen
Min Zhu
Jiaxuan Zuo
Xueping Huang
Lumei Wang
Peng Li
Xiujing Sun
From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
BMC Public Health
Inflammatory bowel disease
Global burden of disease
Incidence
Disability-adjusted life years
Epidemiology
title From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
title_full From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
title_fullStr From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
title_full_unstemmed From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
title_short From west to east: dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
title_sort from west to east dissecting the global shift in inflammatory bowel disease burden and projecting future scenarios
topic Inflammatory bowel disease
Global burden of disease
Incidence
Disability-adjusted life years
Epidemiology
url https://doi.org/10.1186/s12889-025-24009-z
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