Gout & crystal arthritis

Global, regional, and national burden of gout, 1990–2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021

Lancet RheumatolPublished Systematic analysis of the Global Burden of Disease Study 2021

An erratum to this article was published (Lancet Rheumatol, Nov 2024 ↗)

Authors' conclusion

Our forecasting model estimates that the number of individuals with gout will increase by more than 70% from 2020 to 2050, primarily due to population growth and ageing.

Study context

Population
Global, regional and national population, 1990–2020; population-based data from 35 countries and claims data from the USA and Taiwan (province of China)35 countries
Comparison
Males vs Females
Outcome
Gout prevalence and YLDs by sex, age and location, with prevalence forecast to 2050
Follow-up
2020
Methodological detailsnested Bayesian meta-regression models, mixed-effects forecasting model
  • Nested Bayesian meta-regression models
  • Mixed-effects forecasting model

Main finding

As reported in the abstract

Global gout prevalence
People with gout globally
55.8 million (95% UI 44.4-69.8)
Age-standardised prevalence per 100 000
659.3 (95% UI 525.4-822.3)
Increase in age-standardised prevalence since 1990
22.5% (95% UI 20.9-24.2)
Prevalence in males vs females, times higher (95% UI 3.11-3.39); increased with age
3.26
Global age-standardised YLD rate per 100 000
20.5 (95% UI 14.4-28.2)

Further findings

Forecast gout prevalence · 2050

Total prevalent cases (95% UI 81.1-116); population growth the largest contributor
95.8 million
Age-standardised prevalence per 100 000
667 (95% UI 531-830)

Risk factors: share of gout years lived with disability (YLDs) · 2020

High BMI
34.3% (95% UI 27.7-40.6)
Kidney dysfunction
11.8% (95% UI 9.3-14.2)

Original publication

Global, regional, and national burden of gout, 1990–2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. Published 9 July 2024. doi:10.1016/s2665-9913(24)00117-6

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