Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods

Abstract Background Cardiovascular disease risk factors play a crucial role in determining individuals’ future health status and significantly affect health. This paper aimed to address cardiovascular disease risk factors in low- and middle-income countries using multi-criteria decision-making metho...

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Main Authors: Gizem Zevde Aydın, Barış Özkan
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-024-02769-9
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author Gizem Zevde Aydın
Barış Özkan
author_facet Gizem Zevde Aydın
Barış Özkan
author_sort Gizem Zevde Aydın
collection DOAJ
description Abstract Background Cardiovascular disease risk factors play a crucial role in determining individuals’ future health status and significantly affect health. This paper aimed to address cardiovascular disease risk factors in low- and middle-income countries using multi-criteria decision-making methods. Methods In line with this objective, 22 evaluation criteria were identified. Due to the unequal importance levels of the criteria, the interval-valued Pythagorean Fuzzy AHP (PF-AHP) method was employed for weighting. The TOPSIS method was utilized to rank the countries. Results The application of interval-valued PF-AHP revealed that metabolic, behavioral, and economic factors are more important in contributing to disease risk. Among adults, tobacco use prevalence was identified as the most significant risk factor. According to the TOPSIS method, Lebanon, Jordan, Solomon Islands, Serbia, and Bulgaria ranked highest, while Timor Leste, Benin, Ghana, Niger, and Ethiopia ranked lowest. Conclusions Identifying disease risk factors and preventing or reducing risks are crucial in combating cardiovascular diseases. Therefore, it is recommended that countries ranking higher take remedial actions to reduce disease risk.
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publishDate 2024-11-01
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spelling doaj-art-1d96d28b00c94f2aa831e93f867f9ba22025-08-20T02:51:15ZengBMCBMC Medical Informatics and Decision Making1472-69472024-11-0124112010.1186/s12911-024-02769-9Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methodsGizem Zevde Aydın0Barış Özkan1Department of Healthcare Management, Faculty of Health Sciences, Ondokuz Mayıs UniversityDepartment of Industrial Engineering, Faculty of Engineering, Ondokuz Mayıs UniversityAbstract Background Cardiovascular disease risk factors play a crucial role in determining individuals’ future health status and significantly affect health. This paper aimed to address cardiovascular disease risk factors in low- and middle-income countries using multi-criteria decision-making methods. Methods In line with this objective, 22 evaluation criteria were identified. Due to the unequal importance levels of the criteria, the interval-valued Pythagorean Fuzzy AHP (PF-AHP) method was employed for weighting. The TOPSIS method was utilized to rank the countries. Results The application of interval-valued PF-AHP revealed that metabolic, behavioral, and economic factors are more important in contributing to disease risk. Among adults, tobacco use prevalence was identified as the most significant risk factor. According to the TOPSIS method, Lebanon, Jordan, Solomon Islands, Serbia, and Bulgaria ranked highest, while Timor Leste, Benin, Ghana, Niger, and Ethiopia ranked lowest. Conclusions Identifying disease risk factors and preventing or reducing risks are crucial in combating cardiovascular diseases. Therefore, it is recommended that countries ranking higher take remedial actions to reduce disease risk.https://doi.org/10.1186/s12911-024-02769-9Pythagorean fuzzy setsAHPTOPSISCardiovascular diseaseMultiple criteria decision making
spellingShingle Gizem Zevde Aydın
Barış Özkan
Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
BMC Medical Informatics and Decision Making
Pythagorean fuzzy sets
AHP
TOPSIS
Cardiovascular disease
Multiple criteria decision making
title Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
title_full Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
title_fullStr Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
title_full_unstemmed Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
title_short Evaluation of low-and middle-income countries according to cardiovascular disease risk factors by using pythagorean fuzzy AHP and TOPSIS methods
title_sort evaluation of low and middle income countries according to cardiovascular disease risk factors by using pythagorean fuzzy ahp and topsis methods
topic Pythagorean fuzzy sets
AHP
TOPSIS
Cardiovascular disease
Multiple criteria decision making
url https://doi.org/10.1186/s12911-024-02769-9
work_keys_str_mv AT gizemzevdeaydın evaluationoflowandmiddleincomecountriesaccordingtocardiovasculardiseaseriskfactorsbyusingpythagoreanfuzzyahpandtopsismethods
AT barısozkan evaluationoflowandmiddleincomecountriesaccordingtocardiovasculardiseaseriskfactorsbyusingpythagoreanfuzzyahpandtopsismethods