Research Article

Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients

Volume: 14 Number: 3 July 24, 2026
EN TR

Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients

Abstract

The aim of this study is to develop a diagnostic and predictive model for rheumatoid arthritis (RA) with machine learning and ensemble learning methods using data from patients who applied to the rheumatology outpatient clinic with complaints of pain in the hand joints and to review the demographic, clinical and laboratory results of these RA patients. This study was conducted on demographic properties, clinical findings, and laboratory test results of a total of 421 patients, 260 with RA and 161 non-RA. Machine learning and ensemble learning algorithms were used for prediction. In this study, ensemble learning algorithms showed better performance than machine learning algorithms. With the Random Forest Classifier model 88% accuracy (95% confidence interval (CI), 81% - 94% ), 94% sensitivity (95% CI, 88% - 99%), 78% specificity (95% CI, 69% - 86%), 87% positive predictive value (PPV) (95% CI, 79% - 94%), 90% F1 score (95% CI, 84% - 96%), and 0.92 AUC (area under the curve) results were obtained. All three developed ensemble learning models showed similar performance in statistical metrics. These developed models can be improved with new multicenter studies with more patients and can be used in daily practice.

Keywords

Rheumatoid arthritis, Machine learning, Ensemble learning, Logistic regression, Support vector machines

Supporting Institution

This research received no external funding.

Project Number

None

Ethical Statement

An ethical approval certificate was obtained from the local ethic commitee, Ankara Bilkent City Hospital, Clinical Research Ethics Committee No. 1, date : 16.08.2023, no : E1-23-3650. This study is a retrospective study and ethics committee approval was obtained.

Thanks

The authors do not wish to acknowledge any individual or institution.

References

  1. Abdelhafiz, D., Baker, T., Glascow, D., & Abdelhafiz, A. (2023). Biomarkers for the diagnosis and treatment of rheumatoid arthritis – a systematic review. Postgraduate Medicine, 135(3), 214–223. https://doi.org/10.1080/00325481.2022.2052626
  2. Ali, M. M., Paul, B. K., Ahmed, K., Bui, F. M., Quinn, J. M. W., & Moni, M. A. (2021). Heart disease prediction using supervised machine learning algorithms: Performance analysis and comparison. Computers in Biology and Medicine, 136, Article 104672. https://doi.org/10.1016/j.compbiomed.2021.104672
  3. Almutairi, K., Nossent, J., Preen, D., Keen, H., & Inderjeeth, C. (2021). The global prevalence of rheumatoid arthritis: A meta-analysis based on a systematic review. Rheumatology International, 41(5), 863–877. ttps://doi.org/10.1007/s00296-020-04731-0
  4. Azmi, S. S., & Baliga, S. (2020). An overview of boosting decision tree algorithms utilizing AdaBoost and XGBoost boosting strategies. International Research Journal of Engineering and Technology, 7(5), 6867–6870.
  5. Azur, M. J., Stuart, E. A., Frangakis, C., & Leaf, P. J. (2011). Multiple imputation by chained equations: What is it and how does it work? International Journal of Methods in Psychiatric Research, 20(1), 40–49. https://doi.org/10.1002/MPR.329
  6. Carvalho, D. V., Pereira, E. M., & Cardoso, J. S. (2019). Machine learning interpretability: A survey on methods and metrics. Electronics, 8(8), Article 832. https://doi.org/10.3390/electronics8080832
  7. Castiglioni, I., Rundo, L., Codari, M., Di Leo, G., Salvatore, C., Interlenghi, M., Gallivanone, F., Cozzi, A., D’Amico, N. C., & Sardanelli, F. (2021). AI applications to medical images: From machine learning to deep learning. Physica Medica, 83, 9–24. https://doi.org/10.1016/j.ejmp.2021.02.006
  8. Conigliaro, P., Chimenti, M. S., Triggianese, P., Sunzini, F., Novelli, L., Perricone, C., & Perricone, R. (2016). Autoantibodies in inflammatory arthritis. Autoimmunity Reviews, 15(7), 673–683. https://doi.org/10.1016/j.autrev.2016.03.003
  9. Conigliaro, P., D’Antonio, A., Pinto, S., Chimenti, M. S., Triggianese, P., Rotondi, M., & Perricone, R. (2020). Autoimmune thyroid disorders and rheumatoid arthritis: A bidirectional interplay. Autoimmunity Reviews, 19(6), Article 102529. https://doi.org/10.1016/j.autrev.2020.102529
  10. Dahir, A. M., & Thomsen, S. F. (2018). Comorbidities in vitiligo: Comprehensive review. International Journal of Dermatology, 57(10), 1157–1164. https://doi.org/10.1111/ijd.14055
APA
Üreten, K., Maraş, Y., Atalar, E., & Orhan, K. (2026). Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients. Duzce University Journal of Science and Technology, 14(3), 695-704. https://doi.org/10.29130/dubited.1768590
AMA
1.Üreten K, Maraş Y, Atalar E, Orhan K. Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients. DUBİTED. 2026;14(3):695-704. doi:10.29130/dubited.1768590
Chicago
Üreten, Kemal, Yüksel Maraş, Ebru Atalar, and Kevser Orhan. 2026. “Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients”. Duzce University Journal of Science and Technology 14 (3): 695-704. https://doi.org/10.29130/dubited.1768590.
EndNote
Üreten K, Maraş Y, Atalar E, Orhan K (July 1, 2026) Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients. Duzce University Journal of Science and Technology 14 3 695–704.
IEEE
[1]K. Üreten, Y. Maraş, E. Atalar, and K. Orhan, “Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients”, DUBİTED, vol. 14, no. 3, pp. 695–704, July 2026, doi: 10.29130/dubited.1768590.
ISNAD
Üreten, Kemal - Maraş, Yüksel - Atalar, Ebru - Orhan, Kevser. “Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients”. Duzce University Journal of Science and Technology 14/3 (July 1, 2026): 695-704. https://doi.org/10.29130/dubited.1768590.
JAMA
1.Üreten K, Maraş Y, Atalar E, Orhan K. Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients. DUBİTED. 2026;14:695–704.
MLA
Üreten, Kemal, et al. “Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients”. Duzce University Journal of Science and Technology, vol. 14, no. 3, July 2026, pp. 695-04, doi:10.29130/dubited.1768590.
Vancouver
1.Kemal Üreten, Yüksel Maraş, Ebru Atalar, Kevser Orhan. Study on Rheumatoid Arthritis Prediction Model With Machine Learning and Ensemble Learning Methods, and Demographic, Clinical, Laboratory Characteristics of These Patients. DUBİTED. 2026 Jul. 1;14(3):695-704. doi:10.29130/dubited.1768590