A Tutorial on Time-Dependent Cohort State-Transition Models in R using a Cost-Effectiveness Analysis Example

التفاصيل البيبلوغرافية
العنوان: A Tutorial on Time-Dependent Cohort State-Transition Models in R using a Cost-Effectiveness Analysis Example
المؤلفون: Alarid-Escudero, Fernando, Krijkamp, Eline M., Enns, Eva A., Yang, Alan, Hunink, M. G. Myriam, Pechlivanoglou, Petros, Jalal, Hawre
المصدر: Medical Decision Making, 2022
سنة النشر: 2021
المجموعة: Quantitative Biology
Quantitative Finance
Statistics
مصطلحات موضوعية: Statistics - Computation, Economics - General Economics, Quantitative Biology - Quantitative Methods, Statistics - Applications, 97M60 (Primary) 92D30 92B15, 60J10 (Secondary), G.3, I.6.5, J.3, J.4
الوصف: In an introductory tutorial, we illustrated building cohort state-transition models (cSTMs) in R, where the state transitions probabilities were constant over time. However, in practice, many cSTMs require transitions, rewards, or both to vary over time (time-dependent). This tutorial illustrates adding two types of time-dependency using a previously published cost-effectiveness analysis of multiple strategies as an example. The first is simulation-time dependence, which allows for the transition probabilities to vary as a function of time as measured since the start of the simulation (e.g., varying probability of death as the cohort ages). The second is state-residence time dependence, allowing for history by tracking the time spent in any particular health state using tunnel states. We use these time-dependent cSTMs to conduct cost-effectiveness and probabilistic sensitivity analyses. We also obtain various epidemiological outcomes of interest from the outputs generated from the cSTM, such as survival probability and disease prevalence, often used for model calibration and validation. We present the mathematical notation first, followed by the R code to execute the calculations. The full R code is provided in a public code repository for broader implementation.
Comment: 34 pages, 7 figures. arXiv admin note: text overlap with arXiv:2001.07824
نوع الوثيقة: Working Paper
DOI: 10.1177/0272989X221121747
URL الوصول: http://arxiv.org/abs/2108.13552
رقم الأكسشن: edsarx.2108.13552
قاعدة البيانات: arXiv
الوصف
DOI:10.1177/0272989X221121747