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Int J Drug Res Clin. 2025;3: e8.
doi: 10.34172/ijdrc.2025.e8
  Abstract View: 20
  PDF Download: 18

Original Article

Global Burden of the Adverse Effects of Medical Treatment From 1990 to 2021

Hassan Soleimanpour 1 ORCID logo, Nahid Karamzad 2,3* ORCID logo, Mohammad Rahmanian 4, Reza Aletaha 4, Sarvin Sanaie 4, Mark J. M. Sullman 5,6, Kuljit Singh 7, Ali-Asghar Kolahi 8* ORCID logo, Saeid Safiri 9 ORCID logo

1 Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Persian Medicine, School of Traditional Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
3 Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
5 Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus
6 Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
7 Department of Cardiology, Gold Coast University Hospital, Gold Coast, Queensland, Australia
8 Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
9 Neurosciences Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Authors: Nahid Karamzad, Email: nahidkaramzad@gmail.com; Ali-Asghar Kolahi, Email: a.kolahi@sbmu.ac.ir

Abstract

Background: The adverse effects of medical treatment (AEMT) are unintentional injuries that occur during medical procedures and can cause significant harm, disability, and even death. AEMTs represent a global healthcare challenge with varying regional impacts. This study aimed to assess the global burden of AEMTs from 1990 to 2021 using data from the Global Burden of Disease (GBD) Study 2021.

Methods: Data from the GBD 2021 study were analyzed, and the results were reported as numbers and age-standardized rates (ASR).

Results: In 2021, the worldwide burden of AEMT was calculated to be 12.5 million incident cases (ASR: 150.4 per 100000), marking a 5.3% decrease since 1990. AEMT-related deaths in 2021 totaled 122,330 (ASR: 1.5 per 100000), reflecting a 36.1% reduction since 1990. The incidence rate was the highest in New Zealand (1,345.5 per 100000), while Indonesia had the lowest rate (12.9 per 100000). From 1990 to 2021, Brazil witnessed the highest increase in incidence (225.7%), while Israel experienced the largest decrease (50.3%). Incident cases peaked at 65–69 and 70–74 years of age for females and males, respectively, with higher rates in females aged 20–69. The burden of AEMT decreased as sociodemographic index levels rose from 1990 to 2021.

Conclusion: The global burden of AEMT remains a critical challenge characterized by regional disparities and age-related trends. While the absolute burden increased, ASRs decreased, indicating improvements in healthcare. This study highlights the need for age-specific guidelines, enhanced training, and improved reporting. Continued advancements in healthcare systems and technology are crucial for safer treatment outcomes globally.



Please cite this article as follows: Soleimanpour H, Karamzad N, Rahmanian M, Aletaha R, Sanaie S, Sullman MJM, et al. Global burden of the adverse effects of medical treatment from 1990 to 2021. Int J Drug Res Clin. 2025;3:e8. doi: 10.34172/ijdrc.2025.e8
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Submitted: 31 Dec 2024
Revision: 11 Jan 2025
Accepted: 12 Jan 2025
ePublished: 22 Apr 2025
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