An Introductory Tutorial on Cohort State-Transition Models in R Using a Cost-Effectiveness Analysis Example.
Decision models can combine information from different sources to simulate the long-term consequences of alternative strategies in the presence of uncertainty. A cohort state-transition model (cSTM) is a decision model commonly used in medical decision making to simulate the transitions of a hypothe...
| Publicado en: | Medical Decision Making Vol. 43; no. 1; pp. 3 - 21 |
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| Autores principales: | , , , , , , |
| Formato: | computer program equations & formulas tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160709645&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160709645 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0272989X DKI jtl: Medical Decision Making issn: 0272989X maglogo: Y pubinfo: dt: Jan2023 vid: 43 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 160709645 157725933 160709645 160709645 10.1177/0272989X221103163 160709645 ppf: 3 ppct: 18 formats: tig: atl: An Introductory Tutorial on Cohort State-Transition Models in R Using a Cost-Effectiveness Analysis Example. aug: au: Alarid-Escudero, Fernando Krijkamp, Eline Enns, Eva A. Yang, Alan Hunink, M. G. Myriam Pechlivanoglou, Petros Jalal, Hawre affil: Division of Public Administration, Center for Research and Teaching in Economics (CIDE), Aguascalientes, Aguascalientes, Mexico sug: subj: Models, Statistical Economics Programming Languages Cost Effectiveness Analysis Decision Making, Clinical Decision Making, Computer Assisted Computer Simulation Transitional Care Probability Decision Support Techniques Software ab: Decision models can combine information from different sources to simulate the long-term consequences of alternative strategies in the presence of uncertainty. A cohort state-transition model (cSTM) is a decision model commonly used in medical decision making to simulate the transitions of a hypothetical cohort among various health states over time. This tutorial focuses on time-independent cSTM, in which transition probabilities among health states remain constant over time. We implement time-independent cSTM in R, an open-source mathematical and statistical programming language. We illustrate time-independent cSTMs using a previously published decision model, calculate costs and effectiveness outcomes, and conduct a cost-effectiveness analysis of multiple strategies, including a probabilistic sensitivity analysis. We provide open-source code in R to facilitate wider adoption. In a second, more advanced tutorial, we illustrate time-dependent cSTMs. pubtype: Academic Journal doctype: computer program equations & formulas tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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