Pharmacoscript
Vol. 9 No. 1 (2026): Pharmacoscript

EXPLORING MULTIMORBIDITY PATTERNS IN PATIENTS WITH OSTEOARTHRITIS USING MACHINE LEARNING

Sari Dewi Nirmala (Fakultas Farmasi, Universitas Ahmad Dahlan, Yogyakarta)
Darmawan Endang (Fakultas Farmasi, Universitas Ahmad Dahlan, Yogyakarta)
Surono Sugiyarto (Fakultas Sains dan Teknologi Terapan (FAST), Universitas Ahmad Dahlan, Yogyakarta)



Article Info

Publish Date
16 Apr 2026

Abstract

Osteoarthritis (OA) is a degenerative joint disease often accompanied by multimorbidity, particularly cardiometabolic diseases. OA is also associated with comorbidities, thus requiring an analytical approach capable of identifying patterns of relationships between diseases and rational therapies. This study aims to explore patterns of multimorbidity and treatment patterns in hospitalized patients with osteoarthritis using a machine learning (ML) approach. This study employed a retrospective design using medical records of hospitalized OA patients from January 2020 to January 2025 at Sultan Agung Islamic Hospital in Semarang. Analysis was performed using the Frequent Pattern Growth (FP-Growth) algorithm with support, confidence, and lift parameters. The minimum support value was set at 1% to identify a wider variety of patterns. A total of 25 patients were analyzed, with the majority being female (14 patients; 56%) and aged ≥59 years (14 patients;96%), with comorbidities predominantly obesity and hypertension. Association Rule Mining (ARM) results showed cardiometabolic multimorbidity patterns, with the strongest association in the combination OA+HTàDM (lift 1.93). Therapy pattern analysis indicated that disease combinations were associated with the use of therapies such as NSAIDs for OA and metformin for diabetes, as well as the addition of adjuvant therapies. Multimorbidity patterns in hospitalized OA patients are dominated by the cardiometabolic group, with complex therapeutic regimens. ML approaches are effective in identifying patterns of disease and therapy relationships, therapy supporting more rational clinical decision-making.

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Journal Info

Abbrev

PHARMACOSCRIPT

Publisher

Subject

Chemistry Medicine & Pharmacology Public Health

Description

Pharmacoscript merupakan jurnal penelitian yang dikelola oleh Prodi Farmasi dibawah Lembaga Penelitian dan Pengabdian Universitas Perjuangan Tasikmalaya (P-ISSN: 2622-4941 E-ISSN: 2685-1121) Jurnal ini merupakan media publikasi penelitian dan review artikel pada semua aspek ilmu farmasi yang ...