Probabilistic sensitivity analysis methods for general decision models.

Probabilistic sensitivity analysis has previously been described for the special case of dichotomous decision trees. We now generalize these techniques for a wider range of decision problems. These methods of sensitivity analysis allow the analyst to evaluate the impact of the multivariate uncertainty in the data used in the decision model and to gain insight into the probabilistic contribution of each of the variables to the decision outcome. The techniques are illustrated using Monte Carlo simulation on a trichotomous decision tree. Application of these powerful tools permits the decision analyst to investigate the structure and limitations of more complex decision problems with inherent uncertainties in the data upon which the decisions are based. Probabilistic sensitivity measures can provide guidance into the allocation of resources to resolve uncertainty about critical components of medical decisions.