Rheumatoid arthritis

National burden of rheumatoid arthritis in Canada, 1990–2019: findings from the Global Burden of Disease Study 2019 – a GBD collaborator-led study

RMD OpenPublished Descriptive epidemiological study

Authors' conclusion

Trends in RA burden indicators over time and differences by age and sex have important implications for Canadian policy-makers, researchers and care providers.

Study context

Population
Rheumatoid arthritis (RA) burden in Canada, 1990–2019, GBD data
Comparison
Canada vs countries with similarly high Socio-Demographic Index values and global rates
Outcome
RA burden indicators: prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs) and DALYs, and their trends
Follow-up
1990 to 2019
Methodological detailsGlobal Burden of Disease Study 2019 analysis, Bayesian meta-regression, cause of death ensemble model, age standardised
  • Global Burden of Disease Study 2019 analysis
  • Bayesian meta-regression
  • Cause of death ensemble model
  • Age standardised

Main finding

As reported in the abstract

Change in age-standardised RA burden indicators in Canada · 1990–2019
Prevalence rate increase
27%
Mortality rate decrease
27%
YLL rate decrease
30%
YLD increase
27%
DALY rate increase
13%

Further findings

Timing of decline in mortality and YLL rates

Decline especially pronounced after 2002

Sex and age differences

Burden higher in females for all indicators
DALY rates higher among older age groups, peaking at age 75-79 years

Canada vs global

Prevalence and disability-adjusted life-years (DALYs) higher in Canada than global rates

Original publication

National burden of rheumatoid arthritis in Canada, 1990–2019: findings from the Global Burden of Disease Study 2019 – a GBD collaborator-led study. RMD Open. Published 12 January 2024. doi:10.1136/rmdopen-2023-003533

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