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A gentle introduction to regression trees and RECPAM 
Bibliography 
Harvard Presentation
  Applications
An application to quality of care in diabetes
GISSI-Psychology Study (1997)
Risk Stratification in Diabetes (1998)
GISSI-2 Early Prediction in AMI (1999)
RECPAM/SAS Technical Report (with applications)
Psychometrics
in AMI (Italian)
  Software
Source Code
Usage Notes
Generalised regression trees
by RECursive Partitioning and AMalgamation
using statistical software

Regression trees have been used for a range of applications in different research areas for more than 30 years. 
In 1982, Prof. Antonio Ciampi introduced RECPAM, a flexible and general approach that in the years to come would have been showing high accuracy and interpretability in situations frequently occurring in biostatistics.
In 1994, A/Prof Fabrizio Carinci started the construction of a specialised package to support the exploration of growing health data-warehouses with RECPAM as a data mining engine.
An initial version was developed as part of his research fellowship at Consorzio Mario Negri Sud, 1994-1997. The product was later refined into RECPAM/SAS, after intense work done at Harvard School of Public Health and McGill University, 1997-1998.

In the last years, RECPAM/SAS has been successfully used for the analysis of epidemiological studies and very large health databases. Its application follows the general rules of decision trees, which have been used in medicine to reflect diagnostic and therapeutic strategies and emulate the human cognitive process. 
Further to this, RECPAM/SAS produces a prediction tree, a particular kind of decision tree. The "decision" is to make a specific prediction given certain clinical characteristics. 
This prediction is arrived at by a structured sequence of yes/no questions concerning the clinical characteristics.

RECPAM/SAS allows to integrate generalised linear models with survival analysis, merging the logic of clustering with the probabilistic vision of the dependence of a pre-specified outcome from a set of potential predictors. Details on the software,  examples of its application and the software itself may be examined following the links on the left.

Although the development of RECPAM/SAS as such stopped in early 1999, its foundations have been reused at Monash University where additional source code has been put together for an improved parallel, web-enabled version, under the banner of the REIGN project. 




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Copyright © Fabrizio Carinci 2004