Does decision tree analysis predict oral ulcer activity-related factors in patients with Behçet's syndrome?
Makaleler > Tam Makale · 2023
Yazarlar: Zehra Özge Çandereli, Tuncay Arslan, Özge Özdamar, Meral Yay, Ümit Karaçayli, Nur Şişman-Kitapçi, Adebowale Adesanya, Aysun Aksoy, Joice M.F.M. Belem, Mehmet Nedim Taş, Natália Borges Cardin, Sarah Sacoor, Bindi Gokani, Berkan Armağan, Alper Sari, Burçin Cansu Bozca, Emre Tekgöz, Pareen Desai, Duygu Temiz Karadağ, Suade Özlem Badak, Duygu Tecer, Azimoon Bibi, Alper Yildirim, Cemal Bes, Ali Şahin, Eren Erken, Ayse Cefle, Muhammet Çinar, Sedat Yilmaz, Erkan Alpsoy, Ayşe Boyvat, Soner Şenel, Şule Yaşar Bilge, Timuçin Kaşifoğlu, Ömer Karadağ, Kenan AKSU, Gökhan Keser, Fatma Alibaz-Öner, Nevsun Inanç, Tülin Ergun, Wafa Madanat, Alexandre Wagner Silva de Souza, Haner Direskeneli, Farida Fortune, Gonca Mumcu
Clinical and Experimental Rheumatology, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2023, cilt 41, ss 2078-2086
DOI: 10.55563/clinexprheumatol/5kr2b1
Özet
OBJECTIVES: The study aimed to identify the interactions among treatment protocols and oral ulcer activity related factors in patients with Behçet's syndrome (BS) using the Classification and Regression Tree (CART) algorithm. METHODS: In this cross-sectional study, 979 patients with BS were included from16 centres in Turkey, Jordan, Brazil and the United Kingdom. In the CART algorithm, activities of oral ulcer (active vs. inactive), genital ulcer (active vs. inactive), cutaneous involvement (active vs. inactive), musculoskeletal involvement (active vs. inactive), gender (male vs. female), disease severity (mucocutaneous and musculoskeletal involvement vs. major organ involvement), smoking habits (current smoker vs. non-smoker), tooth brushing habits (irregular vs. regular), were input variables. The treatment protocols regarding immunosuppressive (IS) or non-IS medications were the target variable used to split from parent nodes to purer child nodes in the study. RESULTS: In mucocutaneous and musculoskeletal involvement (n=538), the ratio of IS use was higher in patients with irregular toothbrushing (ITB) habits (27.1%) than in patients with regular toothbrushing (RTB) habits (14.2%) in oral ulcer activity. In major organ involvement (n=441), male patients with ITB habits were more likely treated with IS medications compared to those with RTB habits (91.6% vs. 77.6%, respectively). CONCLUSIONS: Male BS patients on IS who have major organ involvement and oral ulcer activity with mucocutaneous and musculoskeletal involvement have irregular toothbrushing habits. Improved oral hygiene practices should be considered to be an integral part for implementing patient empowerment strategies for BS.