Evidence map›Paper›PMID 38216285›Full record

ArticleRMD open2024

National burden of rheumatoid arthritis in Canada, 1990-2019: findings from the Global Burden of Disease Study 2019 - a GBD collaborator-led study.

Nejat Hassen, Diane Lacaille, Alice Xu, Amani Alandejani, Sophia Sidi, Marjan Mansourian, Zahid A Butt, Leah E Cahill, Ihoghosa Osamuyi Iyamu, Justin J Lang and 5 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Association ofRheumatology and immunology research · 2025
    Article
  8. Association ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  9. Review
  10. Article
  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 10 countries.

Nejat HassenArthritis Research Canada, Vancouver, British Columbia, Canada nejathassen@gmail.com.ORCID 0000-0001-7981-1647
Diane LacailleArthritis Research Canada, Vancouver, British Columbia, Canada.
Alice XuSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Amani AlandejaniSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Sophia SidiSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Marjan MansourianPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Zahid A ButtSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Leah E CahillDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Ihoghosa Osamuyi IyamuSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Justin J LangCentre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Juwel RanaDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Ranjani SomayajiDepartment of Family Medicine, University of Calgary, Calgary, Alberta, Canada.
Nizal SarrafzadeganSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Jacek A KopecArthritis Research Canada, Vancouver, British Columbia, Canada.
GBD RA Collaborator Group
University of British Columbia · CADalhousie University · CAIsfahan University of Medical Sciences · IRAga Khan University · PKPublic Health Agency of Canada · CAUniversity of New Brunswick · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objectives of this study were: (1) to describe burden of rheumatoid arthritis (RA) and trends from 1990 to 2019 using the Global Burden of Diseases, Injuries and Risk Factors Study (GBD) data, (2) to describe age and sex differences in RA and (3) to compare Canada's RA burden to that of other countries.

methodsDisease burden indicators included prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life-years (DALYs). GBD estimated fatal and non-fatal outcomes using published literature, survey data and health insurance claims. Data were analysed by Bayesian meta-regression, cause of death ensemble model and other statistical methods. DALYs for Canada were compared with DALYs of countries with similarly high Socio-Demographic Index values.

resultsIn Canada, the RA prevalence rate increased by 27% between 1990 and 2019, mortality rate decreased by 27%, YLL rate decreased by 30%, YLD increased by 27% and DALY rate increased by 13%, all age standardised. The decline in RA mortality and YLL rates was especially pronounced after 2002. The disease burden was higher in females for all indicators, and DALY rates were higher among older age groups, peaking at age 75-79 years. Prevalence and DALYs were higher in Canada compared with global rates.

conclusionTrends in RA burden indicators over time and differences by age and sex have important implications for Canadian policy-makers, researchers and care providers. Early identification and management of RA in women may help reduce the overall burden of RA in Canada.

Indexed as

Arthritis, RheumatoidGlobal Burden of DiseaseAgedBayes TheoremCanadaFemaleHumansMaleQuality-Adjusted Life YearsArthritisArthritis, RheumatoidEpidemiology

Identifiers

PMID38216285
PMCPMC10806499
OpenAlexW4390816912

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.