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Bayesian Modeling to Project the National and Regional Burden of Rheumatic Heart Disease in Brazil Till 2050 Cover

Bayesian Modeling to Project the National and Regional Burden of Rheumatic Heart Disease in Brazil Till 2050

Open Access
|Dec 2025

Figures & Tables

gh-20-1-1504-g1.png
Figure 1

This panel of figures presents the observed (black dots) and projected (fan plot) age-standardized prevalence rate (per 100,000 residents) in Brazil. The overall rate is reported in Panel A, while Panels B and C represent the results for males and females, respectively. The line in the fan plot represents the median with the edges corresponding to the 25th and 75th percentile. The figure also presents the estimated annual percentage change (EAPC) (with 95% confidence interval) for the projected period (2022–2050).

Table 1

The age-standardized projected prevalence rates across Brazil.

YEAR AND LOCATIONAGE-STANDARDIZED PREVALENCE RATEEAPCAGE-STANDARDIZED PREVALENCE RATEEAPCAGE-STANDARDIZED PREVALENCE RATEEAPC
BRAZILOVERALLMALESFEMALES
20221495.5 (1487.4, 1503.7)–0.20 (–0.20, –0.19)1298.0 (1290.5, 1305.6)–0.04 (–0.04, –0.03)1692.1 (1682.7, 1701.5)–0.33 (–0.34, –0.32)
20501418.5 (1056.0, 1781.1)1287.0 (942.6, 1631.4)1545.7 (1144.5, 1946.8)
Central West
20221502.5 (1492.8, 1512.1)–0.22 (–0.23, –0.21)1294.9 (1285.4, 1304.3)–0.06 (–0.07, –0.05)1709.1 (1697.4, 1720.8)–0.34 (–0.36, –0.33)
20501415.4 (1025.6, 1805.1)1274.1 (897.9, 1650.4)1557.2 (1113.9, 2000.5)
North
20221398.3 (1388.8, 1407.9)–0.06 (–0.07, 0.05)1252.3 (1243.2, 1261.4)0.03 (0.03, 0.03)1580.7 (1569.2, 1592.2)–0.19 (–0.21, –0.18)
20501377.2 (985.6, 1768.9)1262.8 (889.5, 1636.2)1501.0 (1056.4, 1945.6)
Northeast
20221470.5 (1462.0, 1479.0)–0.14 (–0.14, –0.14)1270.8 (1262.8, 1278.9)0.09 (0.08, 0.09)1663.4 (1653.3, 1673.5)–0.33 (–0.33, –0.32)
20501414.2 (1040.7, 1787.6)1302.2 (940.1, 1664.4)1519.5 (1104.2, 1934.8)
South
20221529.2 (1520.1, 1538.4)–0.36 (–0.38, –0.34)1328.0 (1319.2, 1336.8)–0.18 (–0.19, –0.16)1727.1 (1716.2, 1737.9)–0.51 (–0.54, –0.48)
20501387.8 (1015.3, 1760.3)1268.9 (905.5, 1632.3)1503.8 (1093.1, 1914.6)
Southeast
20221521.8 (1513.1, 1530.4)–0.20 (–0.21, –0.19)1317.2 (1309.1, 1325.3)–0.09 (–0.09, –0.08)1721.5 (1711.5, 1731.5)–0.29 (–0.30, –0.28)
20501442.1 (1065.7, 1818.5)1288.7 (934.4, 1642.9)1591.6 (1170.1, 2013.1)

[i] This table presents the projected median (25th and 75th quartile) age-standardized prevalence rate for rheumatic heart disease in 2022 and 2050 (first and last years of the projected period) for Brazil and its five constituent regions. For each group, we have also reported the estimated annual percentage change (EAPC). Confidence intervals for EAPC were calculated using bootstrap.

Table 2

The age-standardized projected disability-adjusted life years (DALYs) across Brazil.

YEAR AND LOCATIONAGE-STANDARDIZED DALYS RATEEAPCAGE-STANDARDIZED DALYS RATEEAPCAGE-STANDARDIZED DALYS RATEEAPC
BRAZILOVERALLMALESFEMALES
2022103.1 (101.9, 104.2)–1.17 (–1.22, –1.11)87.3 (86.2, 88.4)–1.30 (–1.34, –1.25)118.4 (117.1, 119.8)–1.04 (–1.11, –0.97)
205074.6 (35.9, 113.3)61.0 (31.6, 90.3)88.9 (38.2, 139.5)
Central West
2022102.9 (101.7, 104.1)–1.09 (–1.10, –1.08)86.8 (85.6, 88.0)–1.09 (–1.09, –1.08)118.7 (117.0, 120.4)–1.08 (–1.10–1.07)
205075.8 (41.0, 110.5)63.9 (36.3, 91.5)87.5 (40.3, 134.8)
North
202291.1 (90.0, 92.2)–1.09 (–1.11, –1.07)80.3 (79.2, 81.4)–0.98 (–1.00, –0.96)102.1 (100.8, 103.4)–1.04 (–1.06, –1.03)
205067.3 (35.4, 99.1)61.1 (30.6, 91.7)76.3 (42.0, 110.6)
Northeast
2022101.8 (100.5, 103.2)–2.18 (–2.25, –2.10)87.6 (86.2, 89.1)–2.18 (–2.24, –2.12)115.9 (114.6, 117.3)–2.10 (–2.19, –2.00)
205055.5 (29.1, 81.9)47.7 (24.6, 70.8)64.7 (33.0, 96.4)
South
2022103.2 (101.9, 104.5)–0.53 (–0.57, –0.48)87.9 (86.7, 89.1)–0.66 (–0.69, –0.63)118.2 (116.6, 119.9)–0.27 (–0.31, –0.22)
205089.3 (36.0, 142.6)73.3 (34.5, 112.1)109.9 (41.0, 178.9)
Southeast
2022106.1 (104.9, 107.4)–0.46 (–0.51, –0.41)88.5 (87.3, 89.7)–0.73 (–0.76, –0.70)123.1 (121.5, 124.7)–0.25 (–0.31, –0.19)
205093.5 (37.9, 149.2)72.4 (34.9, 109.8)115.0 (36.8, 193.3)

[i] This table presents the projected median (25th and 75th quartile) age-standardized DALYs rate for rheumatic heart disease in 2022 and 2050 (first and last years of the projected period) for Brazil and its five constituent regions. For each group, we have also reported the estimated annual percentage change (EAPC). Confidence intervals for EAPC were calculated using bootstrap.

gh-20-1-1504-g2.png
Figure 2

This panel of figures presents the observed (black dots) and projected (fan plot) age-standardized disability-adjusted life years rate (per 100,000 residents) in Brazil. The overall rate is reported in Panel A, while Panels B and C represent the results for males and females, respectively. The line in the fan plot represents the median with the edges corresponding to the 25th and 75th percentile. The figure also presents the EAPC (with 95% confidence interval) calculated for the projected period (2022–2050).

Table 3

Projected prevalence rates of RHD in Brazil for each age bracket.

AGE GROUPYEAROVERALLEAPCMALEEAPCFEMALEEAPC
AGE-STANDARDIZED RATES PER 100,00 (95%CI)
5 to 14 years2022748.7 (741.1, 756.3)685.4 (678.0, 692.9)814.8 (806.3, 823.3)
2050703.6 (524.4, 943.9)–0.22 (–0.22, –0.22)676.1 (498.7, 916.7)–0.05 (–0.05, –0.05)733.6 (544.2, 988.8)–0.37 (–0.37, –0.37)
15 to 24 years20221842.5 (1827.1, 1858.0)1630.1 (1615.6, 1644.7)2062.6 (2045.1, 2080.3)
20501729.3 (1324.3, 2257.8)–0.22 (–0.22, –0.22)1604.4 (1216.3, 2116.0)–0.05 (–0.05, –0.05)1856.8 (1415.6, 2434.8)–0.37 (–0.37, –0.37)
25 to 34 years20222178.9 (2161.0, 2197.0)1879.4 (1862.9, 1896.0)2477.6 (2456.8, 2498.6)
20502050.0 (1602.5, 2621.3)–0.23 (–0.22, –0.23)1849.7 (1431.9, 2388.5)–0.06 (–0.05, –0.06)2243.4 (1746.4, 2880.4)0.37 (–0.37, –0.38)
35 to 44 years20221895.5 (1880.0, 1911.1)1615.2 (1601.2, 1629.4)2166.7 (2148.7, 2184.9)
20501812.5 (1437.0, 2285.0)–0.19 (–0.17, –0.21)1611.1 (1265.1, 2050.6)–0.04 (–0.06, –0.02)2001.7 (1580.6, 2533.3)–0.32 (–0.35, –0.28)
45 to 54 years20221353.3 (1342.2, 1364.4)1133.3 (1123.4, 1143.2)1561.1 (1548.2, 1574.2)
20501311.7 (1048.2, 1640.3)–0.12 (–0.16, 0.09)1144.1 (905.7, 1444.4)0.02 (–0.01, 0.04)1463.6 (1165.1, 1837.2)–0.24 (–0.27, –0.2)
55 to 64 years2022881.4 (874.1, 888.6)716.0 (709.7, 722.3)1030.3 (1021.7, 1039.0)
2050863.5 (692.2, 1076.4)–0.06 (–0.09, –0.03)729.3 (579.2, 917.7)0.08 (0.05, 0.11)978.2 (781.2, 1223.9)–0.18 (–0.19, –0.13)
65 to 74 years2022580.7 (576.0, 585.5)460.9 (456.9, 465.0)680.7 (675.0, 686.5)
2050573.9 (460.2, 715.2)0 (–0.03, 0.02)473.1 (375.9, 595.2)0.13 (0.11, 0.15)653.4 (521.9, 817.2)–0.11 (–0.13, –0.09)

[i] This table presents the projected median (25th and 75th quartile) prevalence rates for each studied age bracket for rheumatic heart disease in 2022 and 2050 (first and last years of the projected period) for Brazil. For each group, we have reported the estimated annual percentage change (EAPC). Confidence intervals for EAPC were calculated using bootstrap.

Table 4

The projected disability-adjusted life years (DALYs) in Brazil for each age bracket.

AGE GROUPYEAROVERALLEAPCMALEEAPCFEMALEEAPC
AGE-STANDARDIZED RATES PER 100,00 (95%CI)
5 to 14 years202243.7 (42.8, 44.6)40.4 (39.4, 41.4)47.3 (46.3, 48.3)
205029.0 (16.9, 49.7)–1.45 (–1.45, –1.45)26.6 (15.8, 44.7)–1.48 (–1.48, –1.48)31.8 (17.7, 57.0)–1.41 (–1.41, –1.41)
15 to 24 years2022104.4 (102.6, 106.2)95.7 (93.7, 97.8)113.2 (111.3, 115.2)
205069.5 (41.7, 115.6)–1.45 (–1.46, –1.45)63.1 (38.9, 102.3)–1.48 (–1.48, –1.48)76.4 (43.7, 133.2)–1.41 (–1.41, –1.4)
25 to 34 years2022127.3 (125.1, 129.4)110.0 (107.7, 112.3)144.4 (141.9, 146.8)
205088.4 (52.4, 144.4)–1.38 (–1.43, 1.31)74.5 (47.3, 117.3)–1.43 (–1.46, –1.39)102.9 (60.1, 175.9)–1.31 (–1.37, –1.23)
35 to 44 years2022131.8 (129.6, 134.1)107.0 (104.8, 109.3)155.7 (153.1, 158.3)
205097.3 (60.5, 156.3)–1.16 (–1.27, –1.04)76.1 (49.2, 117.4)–1.28 (–1.36, –1.2)119.1 (70.6, 200.8)–1.04 (–1.18, –0.9)
45 to 54 years2022124.2 (122.1, 126.3)95.2 (93.2, 97.2)150.8 (148.3, 153.4)
205097.0 (61.0, 153.5)–0.87 (–1, –0.74)70.8 (46.3, 108.0)–1.06 (–1.16, –0.96)123.7 (73.9, 207.0)–0.69 (–0.85, –0.54)
55 to 64 years2022102.3 (100.1, 104.5)96.3 (94.3, 98.3)147.2 (144.7, 149.7)
2050102.5 (64.5, 162.7)–0.58 (–0.69, –0.47)75.8 (49.8, 115.0)–0.82 (–0.92, –0.72)127.9 (76.6, 213.2)–0.38 (–0.5, –0.26)
65 to 74 years2022123.2 (121.1, 125.3)102.7 (100.5, 104.8)139.8 (137.5, 142.2)
2050106.9 (67.3, 169.7)–0.39 (–0.45, –0.34)84.6 (55.7, 128.3)–0.61 (–0.68, –0.55)126.6 (75.9, 211.1)–0.21 (–0.27, –0.16)

[i] This table presents the projected median (25th and 75th quartile) DALYs rates for each studied age bracket for rheumatic heart disease in 2022 and 2050 (first and last years of the projected period) for Brazil. For each group, we have reported the estimated annual percentage change (EAPC). Confidence intervals for EAPC were calculated using bootstrap.

asPRAge-standardized prevalence rate
asDALYAge-standardized disability-adjusted life years
EAPCEstimated annual percentage change
GBDGlobal burden of disease
RHDRheumatic heart disease
DOI: https://doi.org/10.5334/gh.1504 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jan 12, 2025
Accepted on: Nov 25, 2025
Published on: Dec 10, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Pedro Rafael Vieira de Oliveira Salerno, Antoinette Cotton, Zhou Chen, Vaibhav Shah, Gabriel Tensol Rodrigues Pereira, Sadeer Al-Kindi, Craig Sable, Antonio Luiz Pinho Ribeiro, Andrea Z. Beaton, Salil V. Deo, Bruno Ramos Nascimento, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.