Aortic & peripheral vascular disease

Global, regional, and national perspectives on aortic aneurysm burden from 1992 to 2021: temporal patterns and age-period-cohort analyses

Eur J Prev CardiolPublished Cross-sectional study

Authors' conclusion

There is a downward trend in the global burden of AA from 1992 to 2021, with significant disparities observed across genders, age groups, and SDI regions.

Study context

Population
Aortic aneurysm burden in 204 countries, 1992–2021204 countries
Outcome
Age-standardized mortality rate (ASMR) and DALY rate (ASDR) for aortic aneurysm
Follow-up
1992 to 2021
Methodological detailsGlobal Burden of Disease (GBD) 2021 data, Joinpoint regression, age-period-cohort modeling, 204 countries
  • GBD 2021 data
  • Joinpoint regression
  • Age-period-cohort modeling
  • 204 countries

Main finding

As reported in the abstract

Global ASMR for Aortic aneurysm (AA)

Age-standardized mortality rates (ASMR) in 1992

2.57 per 100,000

95% UI 2.37, 2.72

ASMR in 2021

1.86 per 100,000

95% UI 1.67, 2.00

EAPC

−1.36%

Observational data: associations, not effects.

Further findings

Age, period and cohort effects

Age-specific mortality rate sharply escalates with age; opposite trends in period and cohort effects

Burden by sex and Socio-demographic Index (SDI)

Consistently higher burden in males, with more pronounced reductions in high-SDI regions

Cross-country inequalities · over time

Absolute inequality (Slope Index of Inequality (SII)) widened
74.4 to 84.1
Relative inequality (Concentration Index) reduced
0.48 to 0.28

Original publication

Global, regional, and national perspectives on aortic aneurysm burden from 1992 to 2021: temporal patterns and age-period-cohort analyses. Eur J Prev Cardiol. Published 25 April 2025. doi:10.1093/eurjpc/zwaf266

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