Literature DB >> 19695002

Probabilistic sensitivity analysis: be a Bayesian.

Hendriek C Boshuizen1, Pieter H M van Baal.   

Abstract

OBJECTIVE: To give guidance in defining probability distributions for model inputs in probabilistic sensitivity analysis (PSA) from a full Bayesian perspective.
METHODS: A common approach to defining probability distributions for model inputs in PSA on the basis of input-related data is to use the likelihood of the data on an appropriate scale as the foundation for the distribution around the inputs. We will look at this approach from a Bayesian perspective, derive the implicit prior distributions in two examples (proportions and relative risks), and compare these to alternative prior distributions.
RESULTS: In cases where data are sparse (in which case sensitivity analysis is crucial), commonly used approaches can lead to unexpected results. Weshow that this is because of the prior distributions that are implicitly assumed, namely that these are not as "uninformative" or "vague" as believed. We propose priors that we believe are more sensible for two examples and which are just as easy to apply.
CONCLUSIONS: Input probability distributions should not be based on the likelihood of the data, but on the Bayesian posterior distribution calculated from this likelihood and an explicitly stated prior distribution.

Mesh:

Year:  2009        PMID: 19695002     DOI: 10.1111/j.1524-4733.2009.00590.x

Source DB:  PubMed          Journal:  Value Health        ISSN: 1098-3015            Impact factor:   5.725


  10 in total

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2.  The DYNAMO-HIA model: an efficient implementation of a risk factor/chronic disease Markov model for use in Health Impact Assessment (HIA).

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3.  Estimating and comparing incidence and prevalence of chronic diseases by combining GP registry data: the role of uncertainty.

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4.  Cost-effectiveness of opportunistic screening and minimal contact psychotherapy to prevent depression in primary care patients.

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6.  Temporal changes in diet quality and the associated economic burden in Canada.

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7.  Modelling the Economic Impact of Reducing Loneliness in Community Dwelling Older People in England.

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Review 8.  Principles of pharmacoeconomic analysis: the case of pharmacist-led interventions.

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9.  Cost-effectiveness of psychosocial assessment for individuals who present to hospital following self-harm in England: A model-based retrospective analysis.

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10.  Factors affecting the cost-effectiveness of on-farm culture prior to the treatment of clinical mastitis in dairy cows.

Authors:  P M Down; A J Bradley; J E Breen; M J Green
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  10 in total

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