Evidence map›Paper›PMID 37208621›Full record

ArticleBMC public health2023

Global, regional, and national time trends in incidence, prevalence, years lived with disability for uterine fibroids, 1990-2019: an age-period-cohort analysis for the global burden of disease 2019 study.

Zheng Lou, Yizhou Huang, Shuting Li, Zhou Luo, Chunming Li, Ketan Chu, Tao Zhang, Peige Song, Jianhong Zhou

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Caesarean myomectomy in pregnant women with uterine fibroids.The Cochrane database of systematic reviews · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zheng Lou *Department of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yizhou Huang *Department of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Shuting LiSchool of Public Health, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
Zhou LuoDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chunming LiDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Ketan ChuDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Tao ZhangDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Peige SongSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jianhong ZhouDepartment of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China. zhoujh1117@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine fibroids are the most common benign neoplasm of the uterus and a major source of morbidity for women. We report an overview of trends in uterine fibroids of incidence rate, prevalence rate, years lived with disability (YLDs) rate in 204 countries and territories over the past 30 years and associations with age, period, and birth cohort.

methodsThe incident case, incidence rate, age-standardized rate (ASR) for incidence, prevalent case, prevalence rate, ASR for prevalence, number of YLDs, YLD rate, and ASR for YLDs were derived from the Global Burden of Disease 2019 (GBD 2019) study. We utilized an age-period-cohort (APC) model to estimate overall annual percentage changes in the rate of incidence, prevalence, and YLDs (net drifts), annual percentage changes from 10 to 14 years to 65-69 years (local drifts), period and cohort relative risks (period/cohort effects) between 1990 and 2019.

resultsGlobally, the incident cases, prevalent cases, and the number of YLDs of uterine fibroids increased from 1990 to 2019 with the growth of 67.07%, 78.82% and 77.34%, respectively. High Socio-demographic Index (SDI) and high-middle SDI quintiles with decreasing trends (net drift < 0.0%), and increasing trends (net drift > 0.0%) were observed in middle SDI, low-middle SDI, and low SDI quintiles in annual percentage change of incidence rate, prevalence rate and YLDs rate over the past 30 years. There were 186 countries and territories that showed an increasing trend in incidence rate, 183 showed an increasing trend in prevalence rate and 174 showed an increasing trend in YLDs rate. Moreover, the effects of age on uterine fibroids increased with age and peaked at 35-44 years and then declined with advancing age. Both the period and cohort effects on uterine fibroids showed increasing trend in middle SDI, low-middle SDI and low SDI quintiles in recent 15 years and birth cohort later than 1965.

conclusionsThe global burden of uterine fibroids is becoming more serious in middle SDI, low-middle SDI and low SDI quintiles. Raising awareness of uterine fibroids, increasing medical investment and improving levels of medical care are necessary to reduce future burden.

Indexed as

Global Burden of DiseaseLeiomyomaCohort StudiesDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidencePrevalenceQuality-Adjusted Life YearsAge-period-cohort modelEpidemiologyGlobal burden healthIncidencePrevalenceUterine fibroidYears lived with disability

Identifiers

PMID37208621
PMCPMC10199532

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.