Osteoarthritis

Epidemiological trends of osteoarthritis at the global, regional, and national levels from 1990 to 2021 and projections to 2050

Arthritis Res TherPublished Systematic analysis of the Global Burden of Disease Study 2021

Authors' conclusion

As an ageing population and rising obesity rates, the burden of osteoarthritis will continue to rise, with females and the middle-aged and older age groups being the current populations of concern.

Study context

Population
Global, regional and national populations, 1990–2021, with projections to 2050
Outcome
Burden of OA (prevalence, incidence, DALYs) and trends
Follow-up
1990 to 2021
Methodological detailsglobal, regional and national, Bayesian age-period cohort projections to 2050
  • Global, regional and national
  • Bayesian age-period cohort projections to 2050

Main finding

As reported in the abstract

OA burden worldwide · 2021
Prevalent cases (million), 95% UI 538-671
607
New cases (million), 95% UI 41.1-51.6
46.6
DALYs (million), 95% UI 10.2-42.9
21.3
Age-standardised incidence rate per 100,000, 95% UI 472.38-591.97
535.00/100,000
Age-standardised prevalence rate per 100,000, 95% UI 6180.70-7686.06
6967.29/100,000
Age-standardised DALYs rate per 100,000, 95% UI 117.06-493.11
244.50/100,000
Share accounted for by knee OA
more than 56%

Observational data: associations, not effects.

Further findings

Age-standardised rates by sex

Higher in females than in males

Highest burdens by region and country

Regions: East Asia, South Asia, Western Europe; countries: China, India, United States

DALYs attributable to high BMI

DALYs (million), 95% UI −0.42-12.34
4.43
Increase
205.10%

Projected OA burden · 2021 to 2050

Would continue to rise
  • Bayesian age-period cohort projections

Original publication

Epidemiological trends of osteoarthritis at the global, regional, and national levels from 1990 to 2021 and projections to 2050. Arthritis Res Ther. Published 28 October 2025. doi:10.1186/s13075-025-03658-w

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