In most of the heemod
vignettes models are defined
through R
code. But models with large numbers of states and
transition probabilities might be unwieldy to input at the keyboard, and
could be conveniently specified by file inputs.
This vignette demonstrates how to make and use files to input models
to heemod
. The files can then be used to run a suite of
analyses (including deterministic and probabilistic sensitivity
analyses, acceptability curve calculation, etc.) and optionally save
results to a folder.
The inputs for state definition, transition matrices, model options,
etc. (referenced as tabular inputs) must be provided via
csv
, xls
or xlsx
files.1 Columns
starting by .comment
are ignored, as well as blank
rows.
These inputs must be provided in separate files. The path to these
files is specified in a reference file, that acts as an
‘umbrella’ file atop of the other inputs. The reference file default
name is REFERENCE.csv
.
Warning for users of the xls
format:
The xls
files are read with the readxl
package. As of version 0.1.1 if a column contains strings and numeric
values the numeric values are rounded to 6 decimal places. We therefore
recommend to use solely the csv
or xlsx
format.
This file contains two mandatory columns data
and
file
, as well as optional columns with comments, which will
be ignored. The data
column must contain the following
keywords:
state
: file containing model states.tm
: file containing transition probabilities.parameters
: file containing model parameters.Optionally, the following rows can be provided:
options
: file specifying model options.demographics
: file describing of the population to run
the models on.data
: a directory containing additional tables
to be loaded; these can be .csv
, .xls
or
.xlsx
.output
: a directory to save the output
graphics.source
: a directory in which R
source files used in the analysis can be placed, and will be sourced
when the model is run. The global environment is not modified.data | file |
---|---|
state | THR_states.csv |
tm | THR_transition_probs.csv |
parameters | THR_parameters.csv |
demographics | THR_demographic_table.csv |
data | input_dataframes |
output | output |
options | THR_options.csv |
All the files and directories must be in the reference file
directory. Files or directories located elsewhere must be given by
absolute path and marked by a TRUE
value in an optional
absolute_path
column.
A state file contains 2 mandatory columns: .model
and
.state
, corresponding to strategy and state names
respectively. The other columns correspond to the state values.
Discounting rates can be specified in .discount.*
columns, where *
stands for the name of the value to
discount. Values are always discounted at the same rate in all states.2
Values specified for only one strategy will be carried over to others. Only values that differ from one strategy to another must be specified separately for each strategy.
.model | .state | cost | qaly | .discount.qaly |
---|---|---|---|---|
standard | PrimaryTHR | 0 | 0.00 | 0.015 |
standard | SuccessfulPrimary | 0 | 0.85 | |
standard | RevisionTHR | 5294 | 0.30 | |
standard | SuccessfulRevision | 0 | 0.75 | |
standard | Death | 0 | 0.00 | |
new | PrimaryTHR | 0 | 0.00 | 0.015 |
State values that do not change between models need only be specified
once (such as all states except PrimaryTHR
in the
new
model) and will automatically be repeated between
models.
A transition probabilities file contains 4 columns:
.model
: strategy name.from
: initial state.to
: end state.prob
: transition probability from initial state to end
state..model | from | to | prob |
---|---|---|---|
standard | PrimaryTHR | SuccessfulPrimary | C |
standard | PrimaryTHR | Death | 0.02 |
standard | SuccessfulPrimary | SuccessfulPrimary | C |
standard | SuccessfulPrimary | RevisionTHR | pHRFailStandard |
standard | SuccessfulPrimary | Death | mr |
standard | RevisionTHR | SuccessfulRevision | C |
standard | RevisionTHR | Death | 0.02+mr |
standard | SuccessfulRevision | SuccessfulRevision | C |
standard | SuccessfulRevision | RevisionTHR | 0.04 |
standard | SuccessfulRevision | Death | mr |
standard | Death | Death | 1 |
new | SuccessfulPrimary | RevisionTHR | pHRFailNew |
A probability can be defined by any expression: a number,
C
, a different parameter name (specified in the parameter
file), or a function call.
As with the state file above probabilities specified for only one strategy will be carried over to others. Only probabilities that differ from one strategy to another must be specified separately for each strategy. Unspecified transition probabilities are assumed to be 0.
A parameter file contains 2 mandatory columns: the parameter names
parameter
and the values value
.
Optional columns can be added to perform deterministic or
probabilistic sensitivity analysis (DSA and PSA). low
and
high
columns specify the lower and upper bounds of
parameter values for DSA, while psa
contains the parameter
distribution for PSA.
parameter | value | low | high | psa |
---|---|---|---|---|
lngamma | 0.3740968 | 0.2791966 | 0.468997 | normal(0.27, 0.001) |
gamma | exp(lngamma) | |||
constant | -5.490935 | -5.906719 | -5.075151 | |
agecoef | -0.0367022 | -0.0471246 | -0.0262798 | normal(-0.04, 0.001) |
malecoef | 0.768536 | 0.550404 | 0.986668 | |
np1 | -1.344474 | -2.109637 | -0.579311 | |
rr | exp(np1) | 0.121282 | 0.5602843 | binomial(0.12, 500) |
age_init | 60 | |||
age | age_init + model_time | |||
sex | 0 | |||
sex_str | ifelse(sex==1, “Males”, “Females”) | |||
mr | look_up(mr_table, age = age, sex = sex_str, bin = TRUE, value = “value”) | |||
lambdaStandard | exp(constant + agecoef * age_init + malecoef * sex) | |||
lambdaNew | exp(constant + agecoef * age_init + malecoef * sex) * rr | |||
pHRFailStandard | 1 - exp(lambdaStandard * ((model_time-1)^gamma - model_time^gamma)) | |||
pHRFailNew | 1 - exp(lambdaNew * ((model_time-1)^gamma - model_time^gamma)) |
A parameter can be specified as any expression: as a number, through a previously defined parameter, with a mathematical formula or a function call.
The look_up()
function can be used to look up parameter
values in external reference tables (see section User-defined
data), if a data
argument is given in the
reference file (as for the mr
parameter in the above
example).
Sometimes external data is required for an analysis
(e.g. age-specific mortality rates). A data
row in the
reference file specifies a subdirectory containing data frames to be
loaded (saved as csv
, xls
, or
xlsx
files). Multiple files can be placed here, and each
filename (without the extension) is used as the dataframe name.3
Models specified by tabular input will run with defaults options. The
following options can be specified in a non-mandatory
options
file:
cost
, effect
: values to be used as cost
and effect.init
comma separated starting values.method
: counting method.base
: name of base model.cycles
: run the model for how many cycles?n
: number of resample for PSA.num_core
: number of cluster cores.option | value |
---|---|
cost | cost |
effect | qaly |
method | beginning |
cycles | 50 |
n | 10 |
init | 1000, 0, 0, 0, 0 |
The entire set of analysis specified in the tabular files can be run
by the function run_model_from_tabular()
.
## Running DSA on strategy 'standard'...
## Running DSA on strategy 'new'...
## Resampling strategy 'standard'...
## Resampling strategy 'standard'...
## Resampling strategy 'new'...
## Resampling strategy 'new'...
## Updating strategy 'standard'...
## Updating strategy 'new'...
The results can then be interpreted as usual.
## 2 strategies run for 50 cycles.
##
## Initial state counts:
##
## PrimaryTHR = 1000
## SuccessfulPrimary = 0
## RevisionTHR = 0
## SuccessfulRevision = 0
## Death = 0
##
## Counting method: 'beginning'.
##
## Values:
##
## cost qaly
## standard 304266.73 14641.51
## new 80960.18 14685.77
##
## Efficiency frontier:
##
## new
##
## Differences:
##
## Cost Diff. Effect Diff. ICER Ref.
## new -223.3065 0.04426563 -5044.693 standard
## An analysis re-run on 8 parameter sets.
##
## * Weights distribution:
##
## Min. 1st Qu. Median Mean 3rd Qu. Max.
## 0.00219 0.01194 0.01482 0.01489 0.01994 0.02264
##
## Total weight: 0.1191407
##
## * Values distribution:
##
## Min. 1st Qu. Median Mean
## standard - Cost 3.892620e+01 4.392518e+01 993.2017848 708.5801137
## standard - Effect 4.098947e+00 4.403150e+00 13.1467098 10.0487221
## standard - Cost Diff. - - - -
## standard - Effect Diff. - - - -
## standard - Icer - - - -
## new - Cost 1.022389e+01 1.154223e+01 279.3495600 200.4971884
## new - Effect 4.103704e+00 4.408382e+00 13.2912790 10.1504406
## new - Cost Diff. -9.174158e+02 -8.167007e+02 -713.8522248 -508.0829253
## new - Effect Diff. 4.587073e-03 5.172165e-03 0.1418194 0.1017185
## new - Icer -6.263848e+03 -6.256979e+03 -5032.9834879 -5471.8546606
## 3rd Qu. Max.
## standard - Cost 1139.7822107 1284.1587856
## standard - Effect 13.8274561 14.4422790
## standard - Cost Diff. - -
## standard - Effect Diff. - -
## standard - Icer - -
## new - Cost 323.0815351 366.7429773
## new - Effect 13.9929427 14.6290526
## new - Cost Diff. -32.3829481 -28.7023186
## new - Effect Diff. 0.1643751 0.1867736
## new - Icer -4968.9381888 -4911.9130861
##
## * Combined result:
##
## 2 strategies run for 50 cycles.
##
## Initial state counts:
##
## PrimaryTHR = 1000
## SuccessfulPrimary = 0
## RevisionTHR = 0
## SuccessfulRevision = 0
## Death = 0
##
## Counting method: 'beginning'.
##
## Values:
##
## cost qaly
## standard 708580.1 10048.72
## new 200497.2 10150.44
##
## Efficiency frontier:
##
## new
##
## Differences:
##
## Cost Diff. Effect Diff. ICER Ref.
## new -508.0829 0.1017185 -4994.989 standard
French csv
(with ;
separator)
are not supported.↩︎
A single discount rate can be duplicated across states, or specified in one state and left blank elsewhere. Specifying two different discount rates for a single variable in different states will cause an error.↩︎
Having multiple files with the same base name but different extensions in the directory will cause an error.↩︎