Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019

Abstract. Background:. As an essential part of health services, rehabilitation is of great significance to improve the health and quality of life of the whole population. Accelerating aging calls for a significant expansion of rehabilitation services in China, but rehabilitation needs remain unclea...

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Main Authors: Tian Tian, Lin Zhu, Qingzhen Fu, Shiheng Tan, Yukun Cao, Ding Zhang, Mingxue Wang, Ting Zheng, Lijing Gao, Daria Volontovich, Yongchen Wang, Jinming Zhang, Zhimei Jiang, Hongbin Qiu, Fan Wang, Yashuang Zhao, Rongman Jia
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000003245
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author Tian Tian
Lin Zhu
Qingzhen Fu
Shiheng Tan
Yukun Cao
Ding Zhang
Mingxue Wang
Ting Zheng
Lijing Gao
Daria Volontovich
Yongchen Wang
Jinming Zhang
Zhimei Jiang
Hongbin Qiu
Fan Wang
Yashuang Zhao
Rongman Jia
author_facet Tian Tian
Lin Zhu
Qingzhen Fu
Shiheng Tan
Yukun Cao
Ding Zhang
Mingxue Wang
Ting Zheng
Lijing Gao
Daria Volontovich
Yongchen Wang
Jinming Zhang
Zhimei Jiang
Hongbin Qiu
Fan Wang
Yashuang Zhao
Rongman Jia
author_sort Tian Tian
collection DOAJ
description Abstract. Background:. As an essential part of health services, rehabilitation is of great significance to improve the health and quality of life of the whole population. Accelerating aging calls for a significant expansion of rehabilitation services in China, but rehabilitation needs remain unclear. We conducted the study to explore the rehabilitation needs in China and project the trend of rehabilitation needs from 2020 to 2034. Methods:. The data of health conditions that might potentially benefit from rehabilitation were obtained from Global Burden of Disease (GBD) study. Estimated annual percentage changes (EAPCs) were calculated to quantify the trends of the age-standardized rates. Projections of rehabilitation needs were made until 2034 using Bayesian age–period–cohort analysis (BAPC). Results:. Approximately 460 million persons (33.3% of the total population) need rehabilitation in China, contributing to 63 million years lived with disabilities (YLDs) in 2019. The number of prevalent cases that need rehabilitation increased from around 268 (95% uncertainty interval [UI]: 257–282) million in 1990 to almost 460 (95% UI: 443–479) million in 2019, representing an increase of 71.3%. The highest contribution to the need for rehabilitation was musculoskeletal disorders with about 322 (95% UI: 302–343) million persons in seven aggregate disease and injury categories, and hearing loss with over 95 (95% UI: 84–107) million people among 25 health conditions. Based on the projection results, there will be almost 636 million people (45% of the total population) needing rehabilitation services in China by 2034, representing an increase of 38.3%. The rehabilitation needs of neoplasms, cardiovascular diseases, and neurological disorders are expected to increase significantly from 2019 to 2034, with increases of 102.3%, 88.8% and 73.2%, respectively. Conclusions:. The need for rehabilitation in China substantially increased over the last 30 years. It is predicted that over two in five people will require rehabilitation by 2034, thus suggesting the need to develop rehabilitation services that meet individuals’ rehabilitation needs.
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spelling doaj-art-1853b8b7860d4fa2ac32bfd4af6a049e2025-01-10T01:10:37ZengWolters KluwerChinese Medical Journal0366-69992542-56412025-01-011381495910.1097/CM9.0000000000003245202501050-00007Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019Tian Tian0Lin Zhu1Qingzhen Fu2Shiheng Tan3Yukun Cao4Ding Zhang5Mingxue Wang6Ting Zheng7Lijing Gao8Daria Volontovich9Yongchen Wang10Jinming Zhang11Zhimei Jiang12Hongbin Qiu13Fan Wang14Yashuang Zhao15Rongman Jia1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China2 Department of General Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150081, China3 Department of Rehabilitation Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150007, China4 Heilongjiang Cerebral Palsy Treatment and Management Center, Jiamusi University, Jiamusi, Heilongjiang 154000, China5 Department of Epidemiology and Biostatistics, School of Public Health, Jiamusi University, Jiamusi, Heilongjiang 154007, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China1 Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, ChinaAbstract. Background:. As an essential part of health services, rehabilitation is of great significance to improve the health and quality of life of the whole population. Accelerating aging calls for a significant expansion of rehabilitation services in China, but rehabilitation needs remain unclear. We conducted the study to explore the rehabilitation needs in China and project the trend of rehabilitation needs from 2020 to 2034. Methods:. The data of health conditions that might potentially benefit from rehabilitation were obtained from Global Burden of Disease (GBD) study. Estimated annual percentage changes (EAPCs) were calculated to quantify the trends of the age-standardized rates. Projections of rehabilitation needs were made until 2034 using Bayesian age–period–cohort analysis (BAPC). Results:. Approximately 460 million persons (33.3% of the total population) need rehabilitation in China, contributing to 63 million years lived with disabilities (YLDs) in 2019. The number of prevalent cases that need rehabilitation increased from around 268 (95% uncertainty interval [UI]: 257–282) million in 1990 to almost 460 (95% UI: 443–479) million in 2019, representing an increase of 71.3%. The highest contribution to the need for rehabilitation was musculoskeletal disorders with about 322 (95% UI: 302–343) million persons in seven aggregate disease and injury categories, and hearing loss with over 95 (95% UI: 84–107) million people among 25 health conditions. Based on the projection results, there will be almost 636 million people (45% of the total population) needing rehabilitation services in China by 2034, representing an increase of 38.3%. The rehabilitation needs of neoplasms, cardiovascular diseases, and neurological disorders are expected to increase significantly from 2019 to 2034, with increases of 102.3%, 88.8% and 73.2%, respectively. Conclusions:. The need for rehabilitation in China substantially increased over the last 30 years. It is predicted that over two in five people will require rehabilitation by 2034, thus suggesting the need to develop rehabilitation services that meet individuals’ rehabilitation needs.http://journals.lww.com/10.1097/CM9.0000000000003245
spellingShingle Tian Tian
Lin Zhu
Qingzhen Fu
Shiheng Tan
Yukun Cao
Ding Zhang
Mingxue Wang
Ting Zheng
Lijing Gao
Daria Volontovich
Yongchen Wang
Jinming Zhang
Zhimei Jiang
Hongbin Qiu
Fan Wang
Yashuang Zhao
Rongman Jia
Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
Chinese Medical Journal
title Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
title_full Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
title_fullStr Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
title_full_unstemmed Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
title_short Needs for rehabilitation in China: Estimates based on the Global Burden of Disease Study 1990–2019
title_sort needs for rehabilitation in china estimates based on the global burden of disease study 1990 2019
url http://journals.lww.com/10.1097/CM9.0000000000003245
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