Rheumatoid arthritis

Economic Burden of Rheumatoid Arthritis in Low‐ and Middle‐Income Countries: Systematic Review and Meta‐Analysis

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis

Authors' conclusion

RA poses a significant economic challenge in LMICs, where limited health care resources and high treatment costs make care unaffordable for many.

Study context

Population
Studies reporting rheumatoid arthritis (RA)-related costs in low- and middle-income countries (LMICs), published in English, 2007–2024
Participants
218,575 participants15 studies
Outcome
Economic impact of RA (costs) on households, health systems and society
Methodological detailsnarrative synthesis, Newcastle-Ottawa Scale quality appraisal
  • Narrative synthesis
  • Newcastle-Ottawa Scale quality appraisal

Pooled result

As reported in the abstract

Pooled average annual costs per patient

Pooled average annual outpatient costs (95% CI $3.35-$1,032.09)

US$517.72

Pooled average annual inpatient costs (95% CI US$499.51-US$588.24)

US$543.88

Pooled average annual medical costs (95% CI US$3,137.58-US$3,622.08)

US$3,379.83

Further pooled results

Average annual costs per patient (range across studies)

Direct costs
US$523 to US$2,837.90
Indirect costs
US$81.80 to US$2,463.40
  • Nine studies societal perspective, six health care perspective

Original publication

Economic Burden of Rheumatoid Arthritis in Low‐ and Middle‐Income Countries: Systematic Review and Meta‐Analysis. Arthritis Care Res (Hoboken). Published 22 November 2025. doi:10.1002/acr.25627

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