Evidence map›Paper›PMID 41152781›Full record

ArticleBMC women's health2025

Global, regional, and national burden and trends of endometriosis, 1990-2021: an analysis of the global burden of disease study 2021 and forecast to 2050.

Zhenyu Wang, Yitong Ouyang, Zhiyun Xue, Jing Wang, Wen Gu, Chao Gu

Abstract read
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Endometriosis: From Genes to Global Burden.International journal of molecular sciences · 2025
    Article
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

6 authors.

Zhenyu Wang *Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China.
Yitong Ouyang *Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China.
Zhiyun XueDepartment of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China.
Jing WangDepartment of Gynecologic Oncology, the International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Wen GuDepartment of Gynecologic Oncology, the International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China. iampiaopiao0509@163.com.
Chao GuDepartment of Gynecologic Oncology, the International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China. drchaogu@126.com.

Funding

MOST 2022YFC3600901NSFC 82171633
6 · The paper itself

Abstract

backgroundEndometriosis is highly prevalent but remains under-researched. This study, using the latest data, aims to provide a comprehensive assessment of the burden of endometriosis on a global scale.

methodsBased on data from the Global Burden of Disease (GBD) 2021, we analyzed the disease burden of endometriosis in terms of incidence, prevalence, and disability-adjusted life years (DALYs), focusing regional distribution and associations with the Sociodemographic index (SDI), age distribution and temporal trends, and decomposition analysis.

resultsThe disease burden of endometriosis globally and across most of countries and territories was increasing from 1990 to 2021, though the age-standardized prevalence rates (ASPR), age-standardized incidence rates (ASIR) and age-standardized DALY rates (ASR-DALY) reduced. Decomposition analysis indicates that population growth was the dominant increasing factor, while disease frequency was the primary factor reducing the burden. At the SDI level, the burden of endometriosis decreased with increasing SDI. In 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54 age groups, the disease burden increased slightly from 1990 to 2021 and may continue to rise through 2050, despite declining age-specific rates of prevalence, incidence, and DALYs. The highest incidence rates were recorded in the 20-24 age group and the disease burden peaked in the 25-29 age group, highlighting its impact on women of reproductive age.

conclusionsDespite declining age-standardized rates, the global burden of endometriosis has risen due to demographic growth and is closely linked to social development. Targeted efforts -- including early detection, timely intervention, and resource investment -- are essential, particularly for younger women at highest risk.

Indexed as

EndometriosisGlobal Burden of DiseaseAdolescentAdultAge DistributionCost of IllnessDisability-Adjusted Life YearsFemaleForecastingGlobal HealthHumansIncidenceMiddle AgedPrevalenceYoung AdultDisability-adjusted life yearsEndometriosisGlobal burden of disease study 2021IncidencePrevalence

Identifiers

PMID41152781
PMCPMC12570807

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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.