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The designed hybrid method is used to predict the DPD in Iran by using data from 2013 to 2017. The high accurate results confirm that the proposed hybrid methods have the ability to improve the prediction of the demand for various products.Background and purpose - The increasing prevalence of total hip arthroplasty (THA) and total knee arthroplasty (TKA) within the growing elderly population is translating into a larger number of patients with neuromuscular conditions such as myasthenia gravis (MG) receiving arthroplasty. We compared