Computing Expected Value of Partial Sample Information from Probabilistic Sensitivity Analysis Using Linear Regression Metamodeling

被引:38
|
作者
Jalal, Hawre [1 ,2 ]
Goldhaber-Fiebert, Jeremy D. [2 ]
Kuntz, Karen M. [3 ]
机构
[1] VA Palo Alto Hlth Care Syst, Ctr Innovat Implementat, Palo Alto, CA USA
[2] Stanford Univ, Sch Med, Ctr Hlth Policy, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
[3] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, Minneapolis, MN USA
关键词
value of information; probabilistic sensitivity analysis; Bayesian statistical methods; simulation methods; cost-benefit analysis; COST-EFFECTIVENESS ANALYSIS; NET HEALTH-BENEFITS; PARTIAL PERFECT INFORMATION; CLINICAL-TRIAL DESIGN; DECISION-MAKING; BAYESIAN-APPROACH; METAANALYSIS; HETEROGENEITY; FRAMEWORK; CARE;
D O I
10.1177/0272989X15578125
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Decision makers often desire both guidance on the most cost-effective interventions given current knowledge and also the value of collecting additional information to improve the decisions made (i.e., from value of information [VOI] analysis). Unfortunately, VOI analysis remains underused due to the conceptual, mathematical, and computational challenges of implementing Bayesian decision-theoretic approaches in models of sufficient complexity for real-world decision making. In this study, we propose a novel practical approach for conducting VOI analysis using a combination of probabilistic sensitivity analysis, linear regression metamodeling, and unit normal loss integral functiona parametric approach to VOI analysis. We adopt a linear approximation and leverage a fundamental assumption of VOI analysis, which requires that all sources of prior uncertainties be accurately specified. We provide examples of the approach and show that the assumptions we make do not induce substantial bias but greatly reduce the computational time needed to perform VOI analysis. Our approach avoids the need to analytically solve or approximate joint Bayesian updating, requires only one set of probabilistic sensitivity analysis simulations, and can be applied in models with correlated input parameters.
引用
收藏
页码:584 / 595
页数:12
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