Evidence map›Paper›PMID 41068672›Full record

ArticleBMC gastroenterology2025

The burden of inflammatory bowel disease in five East Asian countries an analysis based on the global burden of disease study 1990-2021.

Ya-Lin Liu, Hai-Rui Shang, Liang-Bi Xu, Xiao-Wen Xu, Yuan-Xue Ji, Yi-Yang He, Ye Wang, Pai-Lan Peng

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Trial
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.

Ya-Lin Liu *School of Clinical Medicine, Guizhou Medical University, Guiyang, China.
Hai-Rui Shang *Regulations section of the medical department, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Liang-Bi XuDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Xiao-Wen XuDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Yuan-Xue JiDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Yi-Yang HeDepartment of the Digestive Endoscopy, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Ye WangSchool of Nursing, GuiYang Healthcare Vocational University, Guiyang, China. skinwy@163.com.ORCID http://orcid.org/0009-0006-5372-0070
Pai-Lan PengSchool of Clinical Medicine, Guizhou Medical University, Guiyang, China. pengpailan@gmc.edu.cn.ORCID http://orcid.org/0000-0003-3337-866X

Funding

Guizhou Provincial Science and Technology Department Qian-KH-LC-[2025]-136
6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a chronic and relapsing gastrointestinal disorder whose global disease burden continues to rise, making it a significant public health issue. In recent years, rapid socioeconomic development in East Asia has led to notable changes in lifestyle and dietary patterns, accompanied by dynamic shifts in the epidemiological characteristics of IBD. However, there remains a lack of systematic comparison and analysis of the long-term disease burden and evolutionary trends of IBD across five East Asian countries and regions: China, Japan, South Korea, North Korea, and Mongolia. Based on data from The Global Burden of Disease Study 2021 (GBD 2021), this study aims to comprehensively describe the trends in incidence, prevalence, mortality, and disability-adjusted life years (DALYs) of IBD in The region from 1990 to 2021, thereby providing a basis for differentiated prevention and control strategies.

methodsDescriptive analysis, Joinpoint regression, and age-period-cohort (APC) modeling were employed to examine epidemiological patterns and trends.

resultsSignificant variations in IBD burden were observed across the region. China and South Korea experienced the most rapid increases in incidence and prevalence, exhibiting a profile of "high morbidity and low disability." Japan demonstrated a stabilizing disease burden alongside a continuing decline in standardized mortality rates, reflecting its advanced healthcare system. North Korea and Mongolia currently have a relatively low overall burden; however, a notable rise in incidence among young Mongolians suggests an emerging risk of early-onset IBD. APC analysis further indicated complex influences from environmental factors, healthcare resource allocation, and lifestyle changes such as Westernized diets. The study proposes tailored prevention strategies: high-SDI countries should optimize geriatric care systems, medium-SDI countries should enhance preventive interventions for adolescents, and low-SDI countries should prioritize the establishment of primary screening networks.

conclusionThese findings provide a scientific basis for differentiated IBD prevention and control in East Asia and contribute to a deeper understanding of the epidemiological transition of chronic diseases.

Indexed as

Inflammatory Bowel DiseasesAdolescentAdultAgedAsia, EasternCost of IllnessDisability-Adjusted Life YearsEast Asian PeopleFemaleGlobal Burden of DiseaseHumansIncidenceJapanMaleMiddle AgedPrevalenceAge-Period-Cohort (APC) modelDisease burdenEpidemiological trendsGlobal burden of disease (GBD)Inflammatory bowel disease (IBD)

Identifiers

PMID41068672
PMCPMC12512382

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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.