Analysis of the Epidemiological Burden of intestinal obstruction in China 1990- 2019 Based on the Big Data of Global Burden of Disease Study (GBD)

Abstract Background: A comprehensive assessment of the burden of intestinal obstruction was important in determining prevention strategies for the disease. We presented the trends in disease burden and its epidemiological features in China from 1990 to 2019 in order to provide a reference for the prevention of intestinal obstruction. Methods: The GBD 2019 database was searched to obtain relevant data. The data we use included the prevalent cases, prevalence, incident cases, incidence, DALYs, DALY rate, and SDI for global and China. We analyzed the epidemiological age-period-cohort trend of intestinal obstruction in China from 1990 to 2019, and explored the relationship between the incidence and DALY rate and SDI. Result: The incidence of intestinal obstruction in China increased in the last 30 years from 1990 to 2019, but the increase was not significant and remained stable in recent years. Among them, the incidence of 10-14 years youth group was the lowest, the incidence of 1-4 years infants’ group was higher, and the 85-89 years age group had the highest incidence, while the DALY rate decreased significantly with the obviously rise in SDI levels. Conclusion: The disease burden of intestinal obstruction in China decreased to some extent from 1990 to 2019, which was negatively correlated with the level of social development. However, the prevention of intestinal obstruction in the elderly, infants and children still needs to be stepped up.