Trends and cross-country inequalities in the global burden of inguinal, femoral, and abdominal hernia from 1990 to 2021, with projections from 2022 to 2035: a cross-sectional study.
Xiaoli Liu, Bangzhen Ma, Qiuyue Ma, Fan Wang, Yingmo Shen
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引用次数: 0
Abstract
Background: The global burden of inguinal, femoral, and abdominal hernias remains significant, particularly in low- and middle-income countries, despite medical advancements. This study aims to examine trends and cross-country inequalities in the burden of these hernias from 1990 to 2021 and project future trends to 2035.
Methods: Utilizing Global Burden of Diseases (GBD) 2021 data, we analyzed prevalence, incidence, mortality, and disability-adjusted life years (DALYs) across 204 countries and territories. Development levels were quantified using the sociodemographic index (SDI). Analyses included descriptive statistics, joinpoint regression, Spearman correlation, frontier analysis, and a Bayesian age-period-cohort model for forecasting.
Results: From 1990 to 2021, global prevalence increased from 13.7 million to 16.4 million, while the age-standardized rate (ASR) decreased by 24.74%. Incident cases rose from 5.8 million to 7.2 million, with a 16% decline in ASR. Deaths increased from 42,118 to 48,012, but ASR fell by 45.16%. DALYs decreased from 2.6 million to 2.3 million, with a 42.31% drop in ASR. Projections to 2035 indicate continued growth in cases, with varying ASR trends. Inequality analyses revealed persistent disparities, disproportionately affecting populations with higher socioeconomic development.
Conclusions: Significant disparities persist in the global burden of hernias, with increasing cases despite declining ASRs. Continued growth and inequalities underscore the need for targeted interventions and policies.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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