Klasifikasi Diagnosis HCV di Mesir Berbasis Biomarker Menggunakan Regresi Logistik Multinomial

Authors

  • Azmy Minanda Hermiadi Statistika, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Islam Bandung, Indonesia
  • Fauziah Roshafara Statistika, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas Islam Bandung, Indonesia

DOI:

https://doi.org/10.29313/bcss.v6i1.23395

Keywords:

Hepatitis C Virus, Biomarker Klinis, Regresi Logistik Multinomial

Abstract

Abstract. Hepatitis C Virus (HCV) infection is a major public health concern that can progress to liver fibrosis and cirrhosis if not properly managed. This study aims to identify the effects of clinical biomarkers and demographic factors on HCV diagnosis categories and to evaluate the performance of a statistical classification model. A quantitative approach was employed using secondary data from the UCI Machine Learning Repository, consisting of 615 patients as research subjects. The research procedures included data preprocessing, variable standardization, and multinomial logistic regression modeling. The results show distinct variations in biomarker distributions across diagnosis categories. Albumin and cholesterol levels tended to be higher in the blood donor group, while bilirubin and alkaline phosphatase levels were elevated among patients with fibrosis and cirrhosis. Age also played an important role in differentiating diagnoses. The model demonstrated satisfactory classification performance, although the suspect blood donor group exhibited higher rates of misclassification due to intermediate clinical characteristics. Overall, this study highlights the potential use of basic clinical laboratory data to support risk assessment and provides insights into the progression of HCV-related liver disease.

Abstrak. Infeksi Hepatitis C Virus (HCV) merupakan salah satu permasalahan kesehatan yang dapat berkembang menjadi fibrosis maupun sirosis hati apabila tidak ditangani secara tepat. Penelitian ini dilakukan untuk mengidentifikasi pengaruh biomarker klinis dan faktor demografis terhadap kategori diagnosis HCV, serta menilai kemampuan model statistik dalam mengklasifikasikan kondisi klinis pasien. Penelitian menggunakan pendekatan kuantitatif dengan data sekunder yang diperoleh dari UCI Machine Learning Repository, terdiri dari 615 pasien sebagai objek penelitian. Tahapan penelitian meliputi preprocessing data, standarisasi variabel numerik, dan pemodelan menggunakan regresi logistik multinomial. Hasil penelitian menunjukkan adanya perbedaan distribusi biomarker klinis antar kategori diagnosis, di mana Albumin dan Cholesterol cenderung lebih tinggi pada kelompok donor darah, sedangkan Bilirubin dan Alkaline Phosphatase meningkat pada kelompok fibrosis dan sirosis. Faktor usia juga berperan dalam membedakan diagnosis. Model dapat memprediksi kategori diagnosis dengan performa yang memadai, meskipun kelas suspect blood donor menunjukkan misklasifikasi yang lebih tinggi. Secara keseluruhan, penelitian ini mendukung pemanfaatan data klinis sederhana dalam membantu proses analisis risiko penyakit hati dan memberikan insight mengenai progresivitas HCV.

References

Altinel, K., Hashimoto, K., Wei, Y., Neuveut, C., Gupta, I., Suzuki, M., & Santos, D. (2016). Single-Nucleotide Resolution Mapping of Hepatitis B Virus Promoters in Infected Human Livers and Hepatocellular Carcinoma. Journal of Virology, Volume 90, 10811–10822. https://doi.org/10.1128/JVI.01625-16.Editor

El-Zanaty, F., & Way, A. (2015). Egypt Demographic and Health Survey 2014 (T. D. Program, Ed.). Ministry of Health and Population and ICF International.

Guerra, J., & Garenne, M. (2012). HCV burden of infection in Egypt : results from a nationwide survey. Journal of Viral Hepatitis, 19, 560–567. https://doi.org/10.1111/j.1365-2893.2011.01576.x

Guidance, P. (2020). Hepatitis C Guidance 2019 Update : American Association for the Study of Liver Diseases – Infectious Diseases Society of America Recommendations for Testing ,. Hepatology, 71(2), 686–721. https://doi.org/10.1002/hep.31060

Hassanin, A., Kamel, S., Waked, I., & Fort, M. (2021). Egypt ’ s Ambitious Strategy to Eliminate Hepatitis C Virus : Global Health: Science and Practice, 9(1), 187–200.

Kanaani, Z. Al, Mahmud, S., Silva, P., & Abu-raddad, L. J. (2018). The epidemiology of hepatitis C virus in Pakistan : systematic review and meta-analyses. ROYAL SOCIETY OPEN SCIENCE, 5: 180257, 1–21.

Kandeel, A., Genedy, M., El-refai, S., Funk, A. L., Fontanet, A., & Talaat, M. (2017). The prevalence of hepatitis C virus infection in Egypt 2015 : implications for future policy on prevention and treatment. Liver International, (January 2016), 45–53. https://doi.org/10.1111/liv.13186

Lehman, E. M., & Wilson, M. L. (2009). Epidemic hepatitis C virus infection in Egypt : estimates of past incidence and future morbidity and mortality. Journal of Viral Hepatitis, 16, 650–658. https://doi.org/10.1111/j.1365-2893.2009.01115.x

Lestari, T. S., & Sirodj, D. A. N. (2022). Klasifikasi Penipuan Transaksi Kartu Kredit Menggunakan Metode Random Forest. Jurnal Riset Statistika, 1(2), 160–167. https://doi.org/10.29313/jrs.v1i2.5jurnal

Mukhopadhya, A. (2008). Hepatitis C in India. Department of Gastrointestinal Sciences, 33(November), 465–473.

Nelson, P. K., Mathers, B. M., Cowie, B., Hagan, H., Jarlais, D. Des, Horyniak, D., & Degenhardt, L. (2010). Global epidemiology of hepatitis B and hepatitis C in people who inject drugs : results of systematic reviews. The Lancet, 378(9791), 571–583. https://doi.org/10.1016/S0140-6736(11)61097-0

Oktoriandi, D. (2022). Penerapan uji Q Cochran terhadap Atribut Produk Laptop Menggunakan Multiple Response Analysis (MRA). Jurnal Riset Statistika, 1(2), 127–134. https://doi.org/10.29313/jrs.v1i2.521

Seto, W., Hui, R. W. H., Mak, L., Fung, J., Cheung, K., Liu, K. S. H., Wong, D. K., Lai, C., & Yuen, M. (2017). Association Between Hepatic Steatosis, Measured by Controlled Attenuation Parameter, and Fibrosis Burden in Chronic Hepatitis B. Clinical Gastroenterology and Hepatology. https://doi.org/10.1016/j.cgh.2017.09.044

Strickland, G. T. (2006). Liver Disease in Egypt : Hepatitis C Superseded. Perspective In Clinical Hepatology, (May), 915–922. https://doi.org/10.1002/hep.21173

Waked, I., Esmat, G., Elsharkawy, A., Serafy, M. El, Tabakh, H. El, Sc, M., Emad, E., Sc, M., Gemeah, H., Sc, M., Hashem, A., Sc, M., Abdalla, M., Akel, W. El, Doss, W., Zaid, H., & Sc, M. (2020). Spe ci a l R e p or t Screening and Treatment Program to Eliminate Hepatitis C in Egypt. The New Engl and Journal of Medicine Special, n engl j m, 1166–1174.

Wang, H., Wang, Y., Huang, Y., & Id, M. J. (2024). All-cause and cause-specific mortality risk among men and women with hepatitis C virus infection. PLOS ONE, 1–12. https://doi.org/10.1371/journal.pone.0309819

Wei, B., Ji, F., Yeo, Y. H., Ogawa, E., Zou, B., Stave, C. D., Dang, S., Li, Z., Furusyo, N., Cheung, R. C., & Nguyen, M. H. (2018). Real-world effectiveness of sofosbuvir plus ribavirin for chronic hepatitis C genotype 2 in Asia : a systematic review and meta-analysis. BMJ Open Gastroenterology, 1–10. https://doi.org/10.1136/bmjgast-2018-000207

Zain, M. N. (2022). Algoritma Artificial Neural Network dalam Klasifikasi Chest X-Rays Pasien COVID-19. Jurnal Riset Statistika, 137–144. https://doi.org/10.29313/jrs.v2i2.1426

Downloads

Published

2026-02-05