Across rheumatic diseases

The impact of population ageing on musculoskeletal disorders in 204 countries and territories, 1990-2021: global burden and healthcare costs

Ann Rheum DisPublished Decomposition analysis of Global Burden of Disease data

Authors' conclusion

Over the past 3 decades, the global burden of MSK disorders attributed to population ageing has consistently increased.

Study context

Population
204 countries and territories, 1990–2021, stratified by region, sociodemographic index (SDI), sex and major musculoskeletal (MSK) subcategories204 countries and territories
Outcome
Global burden (incident cases, prevalent cases, DALYs) and healthcare costs of MSK disorders attributed to population ageing
Follow-up
1990–2021
Methodological detailsextrapolation approach for healthcare costs, 204 countries and territories, 1990–2021
  • Extrapolation approach for healthcare costs
  • 204 countries and territories
  • 1990–2021

Main finding

As reported in the abstract

Countries where population ageing was the largest contributor to increases

Incident cases: share of countries and territories

33.3%

Prevalent cases: share of countries and territories

37.7%

Disability-adjusted life-years (DALYs): share of countries and territories

35.8%

Further findings

Sex differences

Males more affected by ageing globally, particularly in high and high-middle SDI countries; females more impacted in low-to-middle SDI countries

MSK subcategories

OA most influenced by ageing globally, followed by gout and RA

Global healthcare costs for MSK disorders attributed to population ageing · 2021

Cost contributed by population ageing
US$96.0 billion
Equivalent share of global gross domestic product
0.10%

Original publication

The impact of population ageing on musculoskeletal disorders in 204 countries and territories, 1990-2021: global burden and healthcare costs. Ann Rheum Dis. Published 16 September 2025. doi:10.1016/j.ard.2025.08.002

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