Evidence map›Paper›PMID 40155668›Full record

ArticleScientific reports2025

Global, regional, and national epidemiology of rheumatoid arthritis among people aged 20-54 years from 1990 to 2021.

Ziyi Zhang, Xiaopeng Gao, Shiwei Liu, Qingshuai Wang, Yingjie Wang, Shuai Hou, Jun Wang, Yimin Zhang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  12. Bone Health in Rheumatoid Arthritis: An Update.Current rheumatology reports · 2026
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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

8 authors.

Ziyi Zhang *Department of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China.
Xiaopeng Gao *Department of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China.
Shiwei LiuDepartment of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China.
Qingshuai WangDepartment of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China.
Yingjie WangDepartment of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China.
Shuai HouEmergency Department, Affiliated Hospital of Shandong Second Medical University, Weifang, Shandong, China.
Jun WangDepartment of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China. gjwkwj@sina.com.
Yimin ZhangDepartment of Joint Surgery, Weifang People's Hospital, Shandong Second Medical University, Kuiwen District, Weifang, 261000, Shandong, China. ymzh69@hotmail.com.

Funding

China University Industry-University-Research Innovation Fund 2024GR050Shandong Natural Science Foundation General Project ZR2020MH094
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a global epidemic. We conducted a cross-sectional study using the Global Burden of Disease (GBD) 2021 dataset to examine RA trends in patients aged 20-54 years worldwide. Key outcomes included incidence, mortality, and disability-adjusted life years (DALYs), as well as trends over time, stratifying by region, country, age, sex, and Sociodemographic Index (SDI). We also assessed the contribution of smoking to RA-related mortality and DALYs. Over the past 32 years, the global RA-related incidence rate increased from 11.66 (95% UI 9.60-13.94) to 13.48 (95% UI 11.08-16.06) per 100,000 population. RA-related DALYs rate increased from 26.37 (95% UI 18.43-36.99) to 30.71 (95% UI 20.82-44.08) per 100,000 population, with females bearing a higher burden. And the RA-related mortality rate decreased from 0.09 (95% UI 0.08-0.1) to 0.06 (95% UI 0.05-0.07) per 100,000 population. Regional disparities were evident, with lower SDI regions experiencing the larger change. Smoking remained a significant risk factor, accounting for 9.01% of RA-related mortality in 2021. Overall, we highlighted the rising global burden of RA, particularly among females and in lower SDI regions, emphasizing disparities in healthcare resources, prevention, and early diagnosis.

Indexed as

Arthritis, RheumatoidAdultCross-Sectional StudiesDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseGlobal HealthHumansIncidenceMaleMiddle AgedRisk FactorsYoung AdultEpidemiologyGlobal burden of diseasesRheumatoid arthritis

Identifiers

PMID40155668
PMCPMC11953469

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Registered trials

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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.