Evidence map›Paper›PMID 41426674›Full record

ArticleFrontiers in public health2025

Comparative analysis of trends in the burden of pancreatitis in China and worldwide, 1990-2021.

Jianwang Cai, Zhengwu Jiang, Zhaoming Yang, Zhijian Zhao, Jian Wan, Xun Chen

Abstract readComparative Study
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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.

Jianwang Cai *Second Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.
Zhengwu Jiang *Second Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.
Zhaoming Yang *Second Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.
Zhijian ZhaoSecond Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.
Jian WanSecond Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.
Xun ChenSecond Department of Hepatobiliary Pancreatic and Splenic Surgery, Medical Center of Digestive Disease, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Amidst global demographic aging patterns, understanding divergent trajectories of pancreatitis burden is crucial for health equity. This study compares China's pancreatitis burden (1990-2021) against global aggregates, focusing on age-sex stratification within aging populations. Methods: Leveraging Global Burden of Disease 2021 datasets, we analyzed age-standardized rates (ASR) for incidence (ASIR), prevalence (ASPR), mortality (ASMR), and disability-adjusted life years (DALYs/ASDR). Joinpoint regression quantified temporal trends via average annual percentage changes (AAPC). Statistical significance was determined through 95% confidence intervals (CIs). GBD standardization protocols ensured comparability of sex-age stratified analyses. Results: From 1990 to 2021, China witnessed significant declines in pancreatitis burden. The age-standardized rates per 100,000 population fell as follows: incidence (ASIR) from 35.35 to 23.95; prevalence (ASPR) from 35.33 to 24.15; mortality (ASMR) from 0.98 to 0.64; and DALYs (ASDR) from 29.77 to 18.27. The corresponding average annual percentage changes (AAPCs: ASIR -1.34%; ASPR -1.25%; ASMR -1.40%; ASDR -1.57%) were substantially greater than the global averages (ASIR -0.44%; ASPR -0.99%; ASMR -0.47%; ASDR -0.53%). Age and sex disparities were clear, with males having higher rates below age 65, and females bearing a greater burden thereafter. Conclusion: This study highlights a marked decline in China's pancreatitis burden, linked to healthcare advances, despite persistent disparities in older populations. Moving beyond isolated descriptions of trends, our study introduces a direct comparative analysis that quantifies China's steeper decline in pancreatitis burden relative to the global average. This provides a nuanced, quantitative benchmark for evaluating the effectiveness of national health policies. These findings call for equitable policies and future work on region-specific risks and scalable interventions.

Indexed as

Cost of IllnessGlobal Burden of DiseaseGlobal HealthPancreatitisAdolescentAdultAgedAged, 80 and overChinaDisability-Adjusted Life YearsFemaleHumansIncidenceMaleMiddle AgedPrevalencedisability-adjusted life yearsincidencemortalitypancreatitisprevalencetrend

Identifiers

PMID41426674
PMCPMC12714637

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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.