Gout & crystal arthritis

Global, regional, and national burden of gout in people aged 15–39 years from 1990 to 2021: Trends, cross-country inequalities and forecast to 2035

Joint Bone SpinePublished Secondary analysis of the Global Burden of Disease 2021 study

Authors' conclusion

The gout burden gout in people aged 15-39 years increased with notable inequalities. Despite projected ASRs decreases, overall numbers were likely to increase

Study context

Population
People aged 15–39 years, global, regional and national, 1990 to 2021, projections to 2035
Primary endpoint
Prevalence, incidence and YLDs of gout (ASRs)
Follow-up
1990 to 2021
Methodological detailsJoinpoint regression, Spearman correlation, slope index of inequality and concentration index, Bayesian age-period-cohort forecast
  • Joinpoint regression
  • Spearman correlation
  • Slope index of inequality and concentration index
  • Bayesian age-period-cohort forecast

Primary result

As reported in the abstract

Gout burden, 1990 to 2021
  • Burden of gout increased in global, demographic, Global Burden of Diseases (GBD) regional and sociodemographic index (SDI) level
  • Males, the 35-39 years subgroup and High-SDI regions had the highest burden
  • High-income North America had the highest age-standardized rates (ASRs); East Asia the largest numbers
  • Moderate positive correlation between gout burden and SDI for nations
  • Both absolute and relative inequalities increased

Further findings

Years lived with disability (YLDs) by risk factor

Males had higher YLDs due to high body mass index (BMI), females due to kidney dysfunction

Forecast to 2035 · 2020 to 2035

ASRs predicted to decrease, numbers predicted to rise

Original publication

Global, regional, and national burden of gout in people aged 15–39 years from 1990 to 2021: Trends, cross-country inequalities and forecast to 2035. Joint Bone Spine. Published 26 May 2025. doi:10.1016/j.jbspin.2025.105929

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