Evidence map›Paper›PMID 42610235›Full record

ArticleStroke2026

Projection of Stroke Incidence and Costs in China: 2022 to 2050.

Yutong Jiang, Lizheng Xu, Xia Wang, Meiqiyang Xue, Mingsheng Chen, Lei Si

Abstract read
In one paragraph

Article in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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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3 · Its place in the literature

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4 · The record

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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.

Yutong Jiang *School of Health Policy and Management, Nanjing Medical University, China (Y.J., M.X., M.C.).ORCID 0009-0006-7093-8784
Lizheng Xu *Healthcare Big Data Research Institute, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P.R. China (L.X.).ORCID 0000-0002-2881-0473
Xia WangThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia (X.W.).ORCID 0000-0002-1684-7076
Meiqiyang XueSchool of Health Policy and Management, Nanjing Medical University, China (Y.J., M.X., M.C.).ORCID 0009-0007-8236-6055
Mingsheng ChenSchool of Health Policy and Management, Nanjing Medical University, China (Y.J., M.X., M.C.).ORCID 0000-0001-9741-0986
Lei SiSchool of Health Sciences, Faculty of Health, Western Sydney University, Campbelltown, New South Wales, Australia (L.S.).ORCID 0000-0002-3044-170X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke imposes a substantial and growing health and economic burden in China, yet forward-looking estimates of stroke-related costs remain scarce.

methodsAnnual age- and sex-specific incidence rates of ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage were projected from 2022 to 2050 using 2021 as the baseline year. Baseline incidence estimates were obtained from the Global Burden of Disease 2021 database, and future trends were projected using an exponential growth model parameterized by the average annual percent change estimated from 1990 to 2021 Global Burden of Disease data. Projected incidence rates were combined with China-specific population projections. A deterministic decision-tree model was used to estimate hospitalization costs, direct medical costs, and societal costs over a 12-month time horizon in China, using probabilities and unit costs from published literature. We used uncertainty intervals (UI) to quantify the plausible range of all projected outcomes. One-way sensitivity analyses were conducted to assess uncertainty in epidemiological and cost parameters.

resultsTotal incident strokes are projected to increase from 4.35 million (95% UI, 3.09-5.89 million) in 2022 to 9.59 million (95% UI, 6.81-13.01 million) in 2050. By 2050, ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage incidences are projected to reach 7.89, 1.59, and 0.11 million, respectively. Total annual stroke hospitalization costs are projected to rise from $46.1 billion (95% UI, 44.94-47.24 billion) in 2022 to $91.2 billion (95% UI, 89.28-93.13 billion) in 2050; direct medical costs and societal costs are projected to increase from $67.6 billion to $133.9 billion and from $145.6 billion to $288.4 billion, respectively. Costs will be increasingly concentrated among adults aged ≥65 years, especially those aged ≥85 years. In 2050, stroke costs among men are projected to be approximately 1.3 times those for women. In sensitivity analyses incorporating incidence uncertainty, total annual hospitalization costs ranged from $39.9-$62.3 billion in 2022 to $65.0-$123.6 billion in 2050.

conclusionsStroke incidence and costs in China are projected to increase through 2050, driven primarily by ischemic stroke and population aging, highlighting the need for targeted prevention, capacity planning for older adults, and long-term financing strategies.

Indexed as

Cost of IllnessHealth Care CostsStrokeAgedAged, 80 and overCerebral HemorrhageChinaFemaleHospitalizationHumansIncidenceMaleMiddle AgedSubarachnoid HemorrhageChinacost of illnessforecastinghealthcare costsincidenceischemic strokestroke

Identifiers

PMID42610235
PMCPMC13619140

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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.