EClinicalMedicine (Oct 2023)

Global, regional, and national incidence of six major immune-mediated inflammatory diseases: findings from the global burden of disease study 2019Research in context

  • Dongze Wu,
  • Yingzhao Jin,
  • Yuhan Xing,
  • Melsew Dagne Abate,
  • Mohammadreza Abbasian,
  • Mohsen Abbasi-Kangevari,
  • Zeinab Abbasi-Kangevari,
  • Foad Abd-Allah,
  • Michael Abdelmasseh,
  • Mohammad-Amin Abdollahifar,
  • Deldar Morad Abdulah,
  • Aidin Abedi,
  • Vida Abedi,
  • Hassan Abidi,
  • Richard Gyan Aboagye,
  • Hassan Abolhassani,
  • Katrina Abuabara,
  • Morteza Abyadeh,
  • Isaac Yeboah Addo,
  • Kayode Nelson Adeniji,
  • Abiola Victor Adepoju,
  • Miracle Ayomikun Adesina,
  • Qorinah Estiningtyas Sakilah Adnani,
  • Mohsen Afarideh,
  • Shahin Aghamiri,
  • Antonella Agodi,
  • Anurag Agrawal,
  • Constanza Elizabeth Aguilera Arriagada,
  • Aqeel Ahmad,
  • Danish Ahmad,
  • Sajjad Ahmad,
  • Sohail Ahmad,
  • Ali Ahmadi,
  • Ali Ahmed,
  • Ayman Ahmed,
  • Janardhana P. Aithala,
  • Abdullateef Abiodun Ajadi,
  • Marjan Ajami,
  • Mostafa Akbarzadeh-Khiavi,
  • Fares Alahdab,
  • Mohammad T. AlBataineh,
  • Sharifullah Alemi,
  • Adel Ali Saeed Al-Gheethi,
  • Liaqat Ali,
  • Sheikh Mohammad Alif,
  • Joseph Uy Almazan,
  • Sami Almustanyir,
  • Jaber S. Alqahtani,
  • Ibrahim Alqasmi,
  • Ihsan Ullah Khan Altaf,
  • Nelson Alvis-Guzman,
  • Nelson J. Alvis-Zakzuk,
  • Yaser Mohammed Al-Worafi,
  • Hany Aly,
  • Reza Amani,
  • Hubert Amu,
  • Ganiyu Adeniyi Amusa,
  • Catalina Liliana Andrei,
  • Adnan Ansar,
  • Hossein Ansariniya,
  • Anayochukwu Edward Anyasodor,
  • Jalal Arabloo,
  • Reza Arefnezhad,
  • Judie Arulappan,
  • Mohammad Asghari-Jafarabadi,
  • Tahira Ashraf,
  • Jamila Abdulhamid Atata,
  • Seyyed Shamsadin Athari,
  • Daniel Atlaw,
  • Maha Moh'd Wahbi Atout,
  • Avinash Aujayeb,
  • Asma Tahir Awan,
  • Haleh Ayatollahi,
  • Sina Azadnajafabad,
  • Ahmed Y. Azzam,
  • Alaa Badawi,
  • Ashish D. Badiye,
  • Sara Bagherieh,
  • Atif Amin Baig,
  • Berihun Bantie Bantie,
  • Martina Barchitta,
  • Mainak Bardhan,
  • Suzanne Lyn Barker-Collo,
  • Francesco Barone-Adesi,
  • Kavita Batra,
  • Nebiyou Simegnew Bayileyegn,
  • Amir Hossein Behnoush,
  • Uzma Iqbal Belgaumi,
  • Maryam Bemanalizadeh,
  • Isabela M. Bensenor,
  • Kebede A. Beyene,
  • Akshaya Srikanth Bhagavathula,
  • Pankaj Bhardwaj,
  • Sonu Bhaskar,
  • Ajay Nagesh Bhat,
  • Saeid Bitaraf,
  • Veera R. Bitra,
  • Archith Boloor,
  • Kaustubh Bora,
  • João Silva Botelho,
  • Rachelle Buchbinder,
  • Daniela Calina,
  • Luis Alberto Cámera,
  • Andre F. Carvalho,
  • Jeffrey Shi Kai Chan,
  • Vijay Kumar Chattu,
  • Endeshaw Chekol Abebe,
  • Fatemeh Chichagi,
  • Sungchul Choi,
  • Tzu-Chieh Chou,
  • Dinh-Toi Chu,
  • Kaleb Coberly,
  • Vera Marisa Costa,
  • Rosa A.S. Couto,
  • Natália Cruz-Martins,
  • Omid Dadras,
  • Xiaochen Dai,
  • Giovanni Damiani,
  • Ana Maria Dascalu,
  • Mohsen Dashti,
  • Sisay Abebe Debela,
  • Robert Paul Dellavalle,
  • Andreas K. Demetriades,
  • Alemayehu Anley Demlash,
  • Xinlei Deng,
  • Hardik Dineshbhai Desai,
  • Rupak Desai,
  • Syed Masudur Rahman Dewan,
  • Sourav Dey,
  • Samath Dhamminda Dharmaratne,
  • Daniel Diaz,
  • Mahmoud Dibas,
  • Ricardo Jorge Dinis-Oliveira,
  • Mengistie Diress,
  • Thanh Chi Do,
  • Duy Khanh Doan,
  • Masoud Dodangeh,
  • Milad Dodangeh,
  • Deepa Dongarwar,
  • John Dube,
  • Arkadiusz Marian Dziedzic,
  • Abdelaziz Ed-Dra,
  • Hisham Atan Edinur,
  • Negin Eissazade,
  • Michael Ekholuenetale,
  • Temitope Cyrus Ekundayo,
  • Noha Mousaad Elemam,
  • Muhammed Elhadi,
  • Ahmed O. Elmehrath,
  • Omar Abdelsadek Abdou Elmeligy,
  • Mehdi Emamverdi,
  • Theophilus I. Emeto,
  • Hawi Leul Esayas,
  • Habitu Birhan Eshetu,
  • Farshid Etaee,
  • Adeniyi Francis Fagbamigbe,
  • Shahriar Faghani,
  • Ildar Ravisovich Fakhradiyev,
  • Ali Fatehizadeh,
  • Mobina Fathi,
  • Alireza Feizkhah,
  • Ginenus Fekadu,
  • Mohammad Fereidouni,
  • Seyed-Mohammad Fereshtehnejad,
  • João C. Fernandes,
  • Pietro Ferrara,
  • Getahun Fetensa,
  • Irina Filip,
  • Florian Fischer,
  • Behzad Foroutan,
  • Masoud Foroutan,
  • Takeshi Fukumoto,
  • Balasankar Ganesan,
  • Belete Negese Belete Gemeda,
  • Seyyed-Hadi Ghamari,
  • MohammadReza Ghasemi,
  • Maryam Gholamalizadeh,
  • Tiffany K. Gill,
  • Richard F. Gillum,
  • Mohamad Goldust,
  • Mahaveer Golechha,
  • Pouya Goleij,
  • Davide Golinelli,
  • Houman Goudarzi,
  • Shi-Yang Guan,
  • Yang Guo,
  • Bhawna Gupta,
  • Veer Bala Gupta,
  • Vivek Kumar Gupta,
  • Rasool Haddadi,
  • Najah R. Hadi,
  • Rabih Halwani,
  • Shafiul Haque,
  • Ikramul Hasan,
  • Reza Hashempour,
  • Amr Hassan,
  • Treska S. Hassan,
  • Sara Hassanzadeh,
  • Mohammed Bheser Hassen,
  • Johannes Haubold,
  • Khezar Hayat,
  • Golnaz Heidari,
  • Mohammad Heidari,
  • Reza Heidari-Soureshjani,
  • Claudiu Herteliu,
  • Kamran Hessami,
  • Kamal Hezam,
  • Yuta Hiraike,
  • Ramesh Holla,
  • Mohammad-Salar Hosseini,
  • Hong-Han Huynh,
  • Bing-Fang Hwang,
  • Segun Emmanuel Ibitoye,
  • Irena M. Ilic,
  • Milena D. Ilic,
  • Arad Iranmehr,
  • Farideh Iravanpour,
  • Nahlah Elkudssiah Ismail,
  • Masao Iwagami,
  • Chidozie C.D. Iwu,
  • Louis Jacob,
  • Morteza Jafarinia,
  • Abdollah Jafarzadeh,
  • Kasra Jahankhani,
  • Haitham Jahrami,
  • Mihajlo Jakovljevic,
  • Elham Jamshidi,
  • Chinmay T. Jani,
  • Manthan Dilipkumar Janodia,
  • Sathish Kumar Jayapal,
  • Shubha Jayaram,
  • Jayakumar Jeganathan,
  • Jost B. Jonas,
  • Abel Joseph,
  • Nitin Joseph,
  • Charity Ehimwenma Joshua,
  • K. Vaishali,
  • Billingsley Kaambwa,
  • Ali Kabir,
  • Zubair Kabir,
  • Vidya Kadashetti,
  • Feroze Kaliyadan,
  • Fatemeh Kalroozi,
  • Vineet Kumar Kamal,
  • Amit Kandel,
  • Himal Kandel,
  • Srikanta Kanungo,
  • Jafar Karami,
  • Ibraheem M. Karaye,
  • Hanie Karimi,
  • Hengameh Kasraei,
  • Sina Kazemian,
  • Sewnet Adem Kebede,
  • Leila Keikavoosi-Arani,
  • Mohammad Keykhaei,
  • Yousef Saleh Khader,
  • Himanshu Khajuria,
  • Faham Khamesipour,
  • Ejaz Ahmad Khan,
  • Imteyaz A. Khan,
  • Maseer Khan,
  • Md Jobair Khan,
  • Moien A.B. Khan,
  • Muhammad Arslan Khan,
  • Haitham Khatatbeh,
  • Moawiah Mohammad Khatatbeh,
  • Sorour Khateri,
  • Hamid Reza Khayat Kashani,
  • Min Seo Kim,
  • Adnan Kisa,
  • Sezer Kisa,
  • Hyun Yong Koh,
  • Pavel Kolkhir,
  • Oleksii Korzh,
  • Ashwin Laxmikant Kotnis,
  • Parvaiz A. Koul,
  • Ai Koyanagi,
  • Kewal Krishan,
  • Mohammed Kuddus,
  • Vishnutheertha Vishnutheertha Kulkarni,
  • Narinder Kumar,
  • Satyajit Kundu,
  • Om P. Kurmi,
  • Carlo La Vecchia,
  • Chandrakant Lahariya,
  • Tri Laksono,
  • Judit Lám,
  • Kamaluddin Latief,
  • Paolo Lauriola,
  • Basira Kankia Lawal,
  • Thao Thi Thu Le,
  • Trang Thi Bich Le,
  • Munjae Lee,
  • Seung Won Lee,
  • Wei-Chen Lee,
  • Yo Han Lee,
  • Jacopo Lenzi,
  • Miriam Levi,
  • Wei Li,
  • Virendra S. Ligade,
  • Stephen S. Lim,
  • Gang Liu,
  • Xuefeng Liu,
  • Erand Llanaj,
  • Chun-Han Lo,
  • Vanessa Sintra Machado,
  • Azzam A. Maghazachi,
  • Mansour Adam Mahmoud,
  • Tuan A. Mai,
  • Azeem Majeed,
  • Pantea Majma Sanaye,
  • Omar Mohamed Makram,
  • Elaheh Malakan Rad,
  • Kashish Malhotra,
  • Ahmad Azam Malik,
  • Iram Malik,
  • Tauqeer Hussain Mallhi,
  • Deborah Carvalho Malta,
  • Mohammad Ali Mansournia,
  • Lorenzo Giovanni Mantovani,
  • Miquel Martorell,
  • Sahar Masoudi,
  • Seyedeh Zahra Masoumi,
  • Yasith Mathangasinghe,
  • Elezebeth Mathews,
  • Alexander G. Mathioudakis,
  • Andrea Maugeri,
  • Mahsa Mayeli,
  • John Robert Carabeo Medina,
  • Gebrekiros Gebremichael Meles,
  • José João Mendes,
  • Ritesh G. Menezes,
  • Tomislav Mestrovic,
  • Irmina Maria Michalek,
  • Ana Carolina Micheletti Gomide Nogueira de Sá,
  • Ephrem Tesfaye Mihretie,
  • Le Huu Nhat Minh,
  • Reza Mirfakhraie,
  • Erkin M. Mirrakhimov,
  • Awoke Misganaw,
  • Ashraf Mohamadkhani,
  • Nouh Saad Mohamed,
  • Faezeh Mohammadi,
  • Soheil Mohammadi,
  • Salahuddin Mohammed,
  • Shafiu Mohammed,
  • Syam Mohan,
  • Anita Mohseni,
  • Ali H. Mokdad,
  • Sara Momtazmanesh,
  • Lorenzo Monasta,
  • Mohammad Ali Moni,
  • Md Moniruzzaman,
  • Yousef Moradi,
  • Negar Morovatdar,
  • Ebrahim Mostafavi,
  • Parsa Mousavi,
  • George Duke Mukoro,
  • Admir Mulita,
  • Getaneh Baye Mulu,
  • Efrén Murillo-Zamora,
  • Fungai Musaigwa,
  • Ghulam Mustafa,
  • Sathish Muthu,
  • Firzan Nainu,
  • Vinay Nangia,
  • Sreenivas Narasimha Swamy,
  • Zuhair S. Natto,
  • Perumalsamy Navaraj,
  • Biswa Prakash Nayak,
  • Athare Nazri-Panjaki,
  • Hadush Negash,
  • Mohammad Hadi Nematollahi,
  • Dang H. Nguyen,
  • Hau Thi Hien Nguyen,
  • Hien Quang Nguyen,
  • Phat Tuan Nguyen,
  • Van Thanh Nguyen,
  • Robina Khan Niazi,
  • Taxiarchis Konstantinos Nikolouzakis,
  • Lawrence Achilles Nnyanzi,
  • Mamoona Noreen,
  • Chimezie Igwegbe Nzoputam,
  • Ogochukwu Janet Nzoputam,
  • Bogdan Oancea,
  • In-Hwan Oh,
  • Hassan Okati-Aliabad,
  • Osaretin Christabel Okonji,
  • Patrick Godwin Okwute,
  • Andrew T. Olagunju,
  • Matthew Idowu Olatubi,
  • Isaac Iyinoluwa Olufadewa,
  • Michal Ordak,
  • Nikita Otstavnov,
  • Mayowa O. Owolabi,
  • P.A. Mahesh,
  • Jagadish Rao Padubidri,
  • Anton Pak,
  • Reza Pakzad,
  • Raffaele Palladino,
  • Adrian Pana,
  • Ioannis Pantazopoulos,
  • Paraskevi Papadopoulou,
  • Shahina Pardhan,
  • Ashwaghosha Parthasarathi,
  • Ava Pashaei,
  • Jay Patel,
  • Aslam Ramjan Pathan,
  • Shankargouda Patil,
  • Uttam Paudel,
  • Shrikant Pawar,
  • Paolo Pedersini,
  • Umberto Pensato,
  • David M. Pereira,
  • Jeevan Pereira,
  • Maria Odete Pereira,
  • Renato B. Pereira,
  • Mario F.P. Peres,
  • Arokiasamy Perianayagam,
  • Simone Perna,
  • Ionela-Roxana Petcu,
  • Parmida Sadat Pezeshki,
  • Hoang Tran Pham,
  • Anil K. Philip,
  • Michael A. Piradov,
  • Indrashis Podder,
  • Vivek Podder,
  • Dimitri Poddighe,
  • Elton Junio Sady Prates,
  • Ibrahim Qattea,
  • Amir Radfar,
  • Pourya Raee,
  • Alireza Rafiei,
  • Alberto Raggi,
  • Fakher Rahim,
  • Mehran Rahimi,
  • Mahban Rahimifard,
  • Vafa Rahimi-Movaghar,
  • Md Obaidur Rahman,
  • Mohammad Hifz Ur Rahman,
  • Mosiur Rahman,
  • Muhammad Aziz Rahman,
  • Amir Masoud Rahmani,
  • Mohamed Rahmani,
  • Shayan Rahmani,
  • Vahid Rahmanian,
  • Premkumar Ramasubramani,
  • Nemanja Rancic,
  • Indu Ramachandra Rao,
  • Sina Rashedi,
  • Ahmed Mustafa Rashid,
  • Nakul Ravikumar,
  • Salman Rawaf,
  • Elrashdy Moustafa Mohamed Redwan,
  • Nazila Rezaei,
  • Negar Rezaei,
  • Nima Rezaei,
  • Mohsen Rezaeian,
  • Daniela Ribeiro,
  • Mónica Rodrigues,
  • Jefferson Antonio Buendia Rodriguez,
  • Leonardo Roever,
  • Esperanza Romero-Rodríguez,
  • Aly M.A. Saad,
  • Basema Saddik,
  • Saeid Sadeghian,
  • Umar Saeed,
  • Azam Safary,
  • Mahdi Safdarian,
  • Sher Zaman Safi,
  • Amene Saghazadeh,
  • Dominic Sagoe,
  • Fatemeh Saheb Sharif-Askari,
  • Narjes Saheb Sharif-Askari,
  • Amirhossein Sahebkar,
  • Harihar Sahoo,
  • Mohammad Ali Sahraian,
  • Mirza Rizwan Sajid,
  • Sateesh Sakhamuri,
  • Joseph W. Sakshaug,
  • Mohamed A. Saleh,
  • Leili Salehi,
  • Sana Salehi,
  • Amir Salek Farrokhi,
  • Sara Samadzadeh,
  • Saad Samargandy,
  • Noosha Samieefar,
  • Abdallah M. Samy,
  • Nima Sanadgol,
  • Rama Krishna Sanjeev,
  • Monika Sawhney,
  • Ganesh Kumar Saya,
  • Art Schuermans,
  • Subramanian Senthilkumaran,
  • Sadaf G. Sepanlou,
  • Yashendra Sethi,
  • Mahan Shafie,
  • Humaira Shah,
  • Izza Shahid,
  • Samiah Shahid,
  • Masood Ali Shaikh,
  • Sadaf Sharfaei,
  • Manoj Sharma,
  • Maryam Shayan,
  • Hatem Samir Shehata,
  • Aziz Sheikh,
  • Jeevan K. Shetty,
  • Jae Il Shin,
  • Reza Shirkoohi,
  • Nebiyu Aniley Shitaye,
  • K.M. Shivakumar,
  • Velizar Shivarov,
  • Parnian Shobeiri,
  • Soraya Siabani,
  • Migbar Mekonnen Sibhat,
  • Emmanuel Edwar Siddig,
  • Colin R. Simpson,
  • Ehsan Sinaei,
  • Harpreet Singh,
  • Inderbir Singh,
  • Jasvinder A. Singh,
  • Paramdeep Singh,
  • Surjit Singh,
  • Md Shahjahan Siraj,
  • Abdullah Al Mamun Sohag,
  • Ranjan Solanki,
  • Solikhah Solikhah,
  • Yonatan Solomon,
  • Mohammad Sadegh Soltani-Zangbar,
  • Jing Sun,
  • Mindy D. Szeto,
  • Rafael Tabarés-Seisdedos,
  • Seyyed Mohammad Tabatabaei,
  • Mohammad Tabish,
  • Ensiyeh Taheri,
  • Azin Tahvildari,
  • Iman M. Talaat,
  • Jacques J.L. Lukenze Tamuzi,
  • Ker-Kan Tan,
  • Nathan Y. Tat,
  • Razieh Tavakoli Oliaee,
  • Arian Tavasol,
  • Mohamad-Hani Temsah,
  • Pugazhenthan Thangaraju,
  • Samar Tharwat,
  • Nigusie Selomon Tibebu,
  • Jansje Henny Vera Ticoalu,
  • Tala Tillawi,
  • Tenaw Yimer Tiruye,
  • Amir Tiyuri,
  • Marcos Roberto Tovani-Palone,
  • Manjari Tripathi,
  • Guesh Mebrahtom Tsegay,
  • Abdul Rohim Tualeka,
  • Sree Sudha Ty,
  • Chukwudi S. Ubah,
  • Saif Ullah,
  • Sana Ullah,
  • Muhammad Umair,
  • Srikanth Umakanthan,
  • Era Upadhyay,
  • Seyed Mohammad Vahabi,
  • Asokan Govindaraj Vaithinathan,
  • Sahel Valadan Tahbaz,
  • Rohollah Valizadeh,
  • Shoban Babu Varthya,
  • Tommi Juhani Vasankari,
  • Narayanaswamy Venketasubramanian,
  • Georgios-Ioannis Verras,
  • Jorge Hugo Villafañe,
  • Vasily Vlassov,
  • Danh Cao Vo,
  • Yasir Waheed,
  • Abdul Waris,
  • Brhane Gebrehiwot Welegebrial,
  • Ronny Westerman,
  • Dakshitha Praneeth Wickramasinghe,
  • Nuwan Darshana Wickramasinghe,
  • Barbara Willekens,
  • Beshada Zerfu Woldegeorgis,
  • Melat Woldemariam,
  • Hong Xiao,
  • Dereje Y. Yada,
  • Galal Yahya,
  • Lin Yang,
  • Fereshteh Yazdanpanah,
  • Dong Keon Yon,
  • Naohiro Yonemoto,
  • Yuyi You,
  • Mazyar Zahir,
  • Syed Saoud Zaidi,
  • Moein Zangiabadian,
  • Iman Zare,
  • Mohammad A. Zeineddine,
  • Dawit T. Zemedikun,
  • Naod Gebrekrstos Zeru,
  • Chen Zhang,
  • Hanqing Zhao,
  • Chenwen Zhong,
  • Magdalena Zielińska,
  • Mohammad Zoladl,
  • Alimuddin Zumla,
  • Cui Guo,
  • Lai-shan Tam

Journal volume & issue
Vol. 64
p. 102193

Abstract

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Summary: Background: The causes for immune-mediated inflammatory diseases (IMIDs) are diverse and the incidence trends of IMIDs from specific causes are rarely studied. The study aims to investigate the pattern and trend of IMIDs from 1990 to 2019. Methods: We collected detailed information on six major causes of IMIDs, including asthma, inflammatory bowel disease, multiple sclerosis, rheumatoid arthritis, psoriasis, and atopic dermatitis, between 1990 and 2019, derived from the Global Burden of Disease study in 2019. The average annual percent change (AAPC) in number of incidents and age standardized incidence rate (ASR) on IMIDs, by sex, age, region, and causes, were calculated to quantify the temporal trends. Findings: In 2019, rheumatoid arthritis, atopic dermatitis, asthma, multiple sclerosis, psoriasis, inflammatory bowel disease accounted 1.59%, 36.17%, 54.71%, 0.09%, 6.84%, 0.60% of overall new IMIDs cases, respectively. The ASR of IMIDs showed substantial regional and global variation with the highest in High SDI region, High-income North America, and United States of America. Throughout human lifespan, the age distribution of incident cases from six IMIDs was quite different. Globally, incident cases of IMIDs increased with an AAPC of 0.68 and the ASR decreased with an AAPC of −0.34 from 1990 to 2019. The incident cases increased across six IMIDs, the ASR of rheumatoid arthritis increased (0.21, 95% CI 0.18, 0.25), while the ASR of asthma (AAPC = −0.41), inflammatory bowel disease (AAPC = −0.72), multiple sclerosis (AAPC = −0.26), psoriasis (AAPC = −0.77), and atopic dermatitis (AAPC = −0.15) decreased. The ASR of overall and six individual IMID increased with SDI at regional and global level. Countries with higher ASR in 1990 experienced a more rapid decrease in ASR. Interpretation: The incidence patterns of IMIDs varied considerably across the world. Innovative prevention and integrative management strategy are urgently needed to mitigate the increasing ASR of rheumatoid arthritis and upsurging new cases of other five IMIDs, respectively. Funding: The Global Burden of Disease Study is funded by the Bill and Melinda Gates Foundation. The project funded by Scientific Research Fund of Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital (2022QN38).

Keywords