A Socioeconomic Analysis of the Worldwide Impact of Gastroesophageal Reflux Disease (1990–2021): Insights from the GBD 2021 Study - Report - MDSpire

A Socioeconomic Analysis of the Worldwide Impact of Gastroesophageal Reflux Disease (1990–2021): Insights from the GBD 2021 Study

  • By

  • Xiao Longwu

  • Xia Teng

  • November 10, 2025

  • 0 min

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Clinical Report: A Socioeconomic Analysis of the Worldwide Impact of GERD (1990–2021)

Overview

This report analyzes the global burden of gastroesophageal reflux disease (GERD) from 1990 to 2021, highlighting a significant increase in prevalence and associated disability-adjusted life years (DALYs). The findings underscore the socioeconomic disparities influencing GERD's impact across different regions.

Background

Gastroesophageal reflux disease (GERD) is a major public health issue with a global prevalence ranging from 5% to 25%. It is associated with serious complications that can severely affect patients' quality of life and impose a considerable economic burden on healthcare systems. Understanding the socioeconomic factors influencing GERD is crucial for developing effective prevention and treatment strategies.

Data Highlights

YearGlobal Cases (millions)DALYs (millions)
1990441.576.34
2019783.95N/A
20218266.34

Key Findings

  • Global GERD cases increased from 441.57 million in 1990 to 826 million in 2021.
  • Women exhibit a slightly higher burden of GERD compared to men.
  • Age-standardized prevalence rates are highest in low-middle SDI regions, particularly in Latin America and South Asia.
  • Persistent socioeconomic inequalities in GERD burden were noted, with little change in inequality metrics from 1990 to 2021.
  • Risk factors such as obesity and sedentary behavior are closely linked to geographic and socioeconomic trends in GERD prevalence.

Clinical Implications

Healthcare professionals should be aware of the rising prevalence of GERD and its socioeconomic determinants. Targeted prevention strategies should be developed, particularly in low-middle SDI regions, to address the growing burden of this disease. Clinicians should also consider the impact of lifestyle factors on GERD management.

Conclusion

The increasing global burden of GERD highlights the need for comprehensive strategies that address both clinical and socioeconomic factors. Continued research and policy development are essential to mitigate the impact of GERD worldwide.

References

  1. Global, regional and national burdens of gastroesophageal reflux disease from 1990 to 2021 and projections to 2050: a finding from the global burden of disease study 2021 | BMC Public Health | Springer Nature
  2. ASGE | American Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: summary and recommendations
  3. Gastric Cancer — Assessing the Global Impact of Early-Onset Gastric Cancer: A Systematic Analysis Based on the 2019 Global Burden of Disease Study
  4. Examining the Increasing Incidence of Inflammatory Bowel Disease in Young Populations Amid Global Changes: Findings from GBD 2021
  5. Enhancing dietary fiber consumption correlates with a reduction in early-onset colorectal cancer incidence: a comparative study spanning three decades in China and worldwide
  6. Journal of Gastrointestinal Surgery — The Relationship Between Obesity and Gastroesophageal Reflux: Analyzing Body Mass Index, Esophageal Acid Exposure, and Lower Esophageal Sphincter Function in a Large Cohort of Patients with Reflux Symptoms
  7. Global, regional and national burdens of gastroesophageal reflux disease from 1990 to 2021 and projections to 2050: a finding from the global burden of disease study 2021 | BMC Public Health | Springer Nature Link
  8. ASGE | American Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: summary and recommendations
  9. Frontiers | The impact of proton pump inhibitor exposure on pneumonia: an updated meta-analysis based on randomized controlled trials

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