Evidence map›Paper›PMID 40376198›Full record

ArticleTobacco induced diseases2025

Global, regional, and national trends in tobacco-induced cardiovascular disease burden for 1990-2021 with projections to 2045: A comprehensive analysis based on the Global Burden of Disease Study 2021.

Xiaoqiang Zhu, Lei Chen, Xinyue Yang, Yanyan Du, Yangyu Zhao, Tenglong Hu, Na Sun, Qiang Sun, Wenyan Liang, Xiqing Wei and 1 more

Abstract read
In one paragraph

Article in Tobacco induced diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

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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

8 citing papers in PubMed.

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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

11 authors.

Xiaoqiang ZhuDepartment of Cardiology, The Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, China.
Lei Chen *Department of Cardiology, Fujian Medical University Union Hospital, Fuzhou, China.
Xinyue Yang *Graduate School of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Yanyan DuDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Yangyu ZhaoDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Tenglong HuDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Na SunDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Qiang SunDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Wenyan LiangDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Xiqing WeiDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, China.
Zhiqiang ZhangGraduate School of Tianjin Medical University, Tianjin Medical University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTobacco use is a major risk factor for cardiovascular disease (CVD), and its global disease burden trends require further clarification. This study aims to analyze trends in global CVD burden attributable to tobacco in 1990-2021 and project mortality rates and disease burden through 2045.

methodsUsing Global Burden of Disease Study (GBD) 2021 data, we analyzed temporal trends using age-period-cohort models, evaluated change points with Joinpoint regression, and conducted forecasting using Bayesian age-period-cohort (BAPC) models.

resultsIn 2021, tobacco-attributable CVD deaths reached 2.147 million globally (71.3% increase from 1990), although age-standardized mortality rates decreased to 25.36 per 100000 (83.3% reduction). Mortality rates were lowest in high SDI regions (326.71 per 100000) and highest in low-middle sociodemographic index (SDI) regions (788.05 per 100000). The proportion of deaths among those aged ≥80 years increased from 19.2% to 26.2%. Global mortality rates decreased by 1.8% annually, with a greater decline in females (-2.6%) than males (-1.6%). Projections suggest that by 2045, global CVD deaths may reach approximately 3.267 million (52.1% potential increase), although age-standardized mortality rates are expected to decrease to around 38.6 per 100000 (15.9% estimated reduction). Disability-adjusted life years (DALYs) are projected to potentially increase to 75.755 million (39.9% estimated increase), while age-standardized DALY rates could decline to approximately 1008.02 per 100000.

conclusionsBetween 1990 and 2021, global tobacco-attributable CVD mortality rates showed a declining trend, with notable regional, sex, and age disparities. Projections indicate that while age-standardized rates will continue to decrease, absolute numbers of deaths and disease burden will increase. The findings emphasize the need to strengthen tobacco control and CVD prevention in low-middle SDI regions.

Indexed as

Global Disease Burden Studyhealth projectionssociodemographic disparitiestobacco-attributable cardiovascular disease

Identifiers

PMID40376198
PMCPMC12080230

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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.