Osteoarthritis

Global burden of osteoarthritis in middle-aged adults (40–59 years): estimates from the Global Burden of Disease 2021 study

Rheumatology (Oxford)Published Secondary analysis of the Global Burden of Disease 2021 study

Authors' conclusion

This study underscores the growing burden of OA among middle-aged adults, a population that has been historically underrepresented in OA research.

Study context

Population
Middle-aged adults (40–59 years) with osteoarthritis (OA), worldwide
Primary endpoint
Incidence, prevalence and YLDs of OA in middle-aged adults
Follow-up
1990 to 2021
Methodological details1990–2021, forecast to 2050 (GBD Foresight Visualization tool), by sociodemographic index (SDI) and geographical region
  • 1990–2021
  • Forecast to 2050 (GBD Foresight Visualization tool)
  • By SDI and geographical region

Primary result

As reported in the abstract

OA burden in middle-aged adults
Incident cases, increase 1990 to 2021
123.7%
Incident cases, 1990
11.8 million
Incident cases, 2021
26.4 million
Share of incident cases occurring in middle-aged group
56.5%
Share of prevalent cases occurring in middle-aged group
37.9%
Higher incident cases vs elderly population (>60 years)
70%
Higher incident cases vs younger population (30-39 years)
331%

Further findings

Projected age-standardised incident rate of OA in middle-aged population · 2050

Projected increase
10.2%
Hand OA showing the largest rise

Original publication

Global burden of osteoarthritis in middle-aged adults (40–59 years): estimates from the Global Burden of Disease 2021 study. Rheumatology (Oxford). Published 9 September 2025. doi:10.1093/rheumatology/keaf475

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