Evidence map›Paper›PMID 40627457›Full record

ArticleAnnals of medicine2025

Global, regional, and national burden of chronic respiratory diseases,1990-2021 and predictions to 2035: analysis of data from the global burden of disease study 2021.

Ying Zhai, Chuanmiao Zhu, Tengxiao Zhu, Wenjing Song, Yu Tang, Luqing Jiang, Fengxia Ruan, Zichen Xu, Lei Li, Xia Fu and 3 more

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. The triple-hit hypothesis: exploring pulmonary e-cigarette, PMEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  8. International journal of molecular sciences · 2026
    Article
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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

13 authors.

Ying ZhaiDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Chuanmiao ZhuDepartment of Rheumatology, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Tengxiao ZhuDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Wenjing SongDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Yu TangDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Luqing JiangDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Fengxia RuanDepartment of Laboratory, The Second People's Hospital of Wuhu, Wuhu, Anhui, China.
Zichen XuDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Lei LiDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Xia FuDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Daoqin LiuDepartment of Nephrology, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.
Aidong ChenThe Key Laboratory of Targeted Intervention of Cardiovascular Disease, Collaborative Innovation Center for Cardiovascular Disease Translational Medicine, and Department of Physiology, Nanjing Medical University, Nanjing, Jiangsu, China.
Qiwen WuDepartment of Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic respiratory diseases (CRDs) have undergone significant epidemiological shifts in recent decades. This study comprehensively analyses the evolving global and regional burden of CRDs over the past 30 years and their attributable risk factors, aiming to identify key trends and inform effective prevention and control strategies.

methodsUsing data from the Global Burden of Disease (GBD) 2021 database, this study examines trends in age-standardized incidence rate (ASIR), age-standardized mortality rate (ASMR), and age-standardized disability-adjusted life years rate (ASDR) for CRDs from 1990 to 2021, across global, regional, and national levels. Estimated annual percentage change (EAPC) was employed to quantify ASR trends over specified intervals. Additionally, Bayesian age-period-cohort (BAPC) modeling was utilized to depict and project CRD trends through 2035.

resultsIn 2021, the global incidence of CRDs was 55.21 million (95% UI 48.68-64.56), predominantly comprising asthma (37.86 million; 95% UI 31.38-46.92) and chronic obstructive pulmonary disease (COPD) (16.90 million; 95% UI 15.47-18.34),  followed by interstitial lung disease (ILD) and pulmonary sarcoidosis (0.39 million; 95% UI 0.35-0.43) and pneumoconiosis (0.06 million; 95% UI 0.05-0.07). Since 1990, the age-standardized prevalence (ASPR) of CRDs has generally declined, except for ILD and pulmonary sarcoidosis, which increased by 8.74%. The global ASIR of CRDs is projected to continue declining, reaching 517.25 per 100,000 population by 2035, with ASMR of 39.21 per 100,000. Risk factor studies have shown that solid fuels burden remained higher among females in low-middle sociodemographic index (SDI) areas, while smoking-attributable burden predominated among males.

conclusionThis study characterizes the CRD burden across regions, ages, and sexes, identifying key risk factors to inform burden-reduction policies.

Indexed as

AsthmaGlobal Burden of DiseasePulmonary Disease, Chronic ObstructiveAdolescentAdultAgedBayes TheoremChronic DiseaseDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidenceMaleMiddle AgedRisk FactorsChronic respiratory diseasesglobal burden of diseasesociodemographic index

Identifiers

PMID40627457
PMCPMC12239243

What OpenQuestion holds

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LicenceCC BY-NC
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.