General-Purpose Methods for Simulating Survival Data for Expected Value of Sample Information Calculations.

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Medical Decision Making Pub Date : 2023-07-01 Epub Date: 2023-03-27 DOI:10.1177/0272989X231162069
Mathyn Vervaart, Eline Aas, Karl P Claxton, Mark Strong, Nicky J Welton, Torbjørn Wisløff, Anna Heath
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引用次数: 0

Abstract

Background: Expected value of sample information (EVSI) quantifies the expected value to a decision maker of reducing uncertainty by collecting additional data. EVSI calculations require simulating plausible data sets, typically achieved by evaluating quantile functions at random uniform numbers using standard inverse transform sampling (ITS). This is straightforward when closed-form expressions for the quantile function are available, such as for standard parametric survival models, but these are often unavailable when assuming treatment effect waning and for flexible survival models. In these circumstances, the standard ITS method could be implemented by numerically evaluating the quantile functions at each iteration in a probabilistic analysis, but this greatly increases the computational burden. Thus, our study aims to develop general-purpose methods that standardize and reduce the computational burden of the EVSI data-simulation step for survival data.

Methods: We developed a discrete sampling method and an interpolated ITS method for simulating survival data from a probabilistic sample of survival probabilities over discrete time units. We compared the general-purpose and standard ITS methods using an illustrative partitioned survival model with and without adjustment for treatment effect waning.

Results: The discrete sampling and interpolated ITS methods agree closely with the standard ITS method, with the added benefit of a greatly reduced computational cost in the scenario with adjustment for treatment effect waning.

Conclusions: We present general-purpose methods for simulating survival data from a probabilistic sample of survival probabilities that greatly reduce the computational burden of the EVSI data-simulation step when we assume treatment effect waning or use flexible survival models. The implementation of our data-simulation methods is identical across all possible survival models and can easily be automated from standard probabilistic decision analyses.

Highlights: Expected value of sample information (EVSI) quantifies the expected value to a decision maker of reducing uncertainty through a given data collection exercise, such as a randomized clinical trial. In this article, we address the problem of computing EVSI when we assume treatment effect waning or use flexible survival models, by developing general-purpose methods that standardize and reduce the computational burden of the EVSI data-generation step for survival data.We developed 2 methods for simulating survival data from a probabilistic sample of survival probabilities over discrete time units, a discrete sampling method and an interpolated inverse transform sampling method, which can be combined with a recently proposed nonparametric EVSI method to accurately estimate EVSI for collecting survival data.Our general-purpose data-simulation methods greatly reduce the computational burden of the EVSI data-simulation step when we assume treatment effect waning or use flexible survival models. The implementation of our data-simulation methods is identical across all possible survival models and can therefore easily be automated from standard probabilistic decision analyses.

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Abstract Image

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为计算样本信息的期望值而模拟生存数据的通用方法。
背景:样本信息的预期值(EVSI)量化了决策者通过收集额外数据减少不确定性的预期值。EVSI 计算需要模拟可信的数据集,通常是通过使用标准反变换采样(ITS)对随机均匀数的量化函数进行评估来实现。如果有量化函数的闭式表达式(如标准参数生存模型),这种方法就很简单,但如果假设治疗效果减弱或采用灵活的生存模型,则往往无法获得这些表达式。在这种情况下,标准的 ITS 方法可以通过在概率分析的每次迭代中对量化函数进行数值评估来实现,但这大大增加了计算负担。因此,我们的研究旨在开发通用方法,使生存数据的 EVSI 数据模拟步骤标准化并减轻计算负担:方法:我们开发了一种离散采样方法和一种内插 ITS 方法,用于模拟离散时间单位上生存概率概率样本的生存数据。我们使用一个说明性的分区生存模型,对通用 ITS 方法和标准 ITS 方法进行了比较:结果:离散采样和插值 ITS 方法与标准 ITS 方法非常接近,而且在调整治疗效果减弱的情况下,计算成本大大降低:我们提出了从生存概率概率样本模拟生存数据的通用方法,当我们假设治疗效果减弱或使用灵活的生存模型时,这些方法可大大减轻 EVSI 数据模拟步骤的计算负担。在所有可能的生存模型中,我们的数据模拟方法都是相同的,可以很容易地从标准概率决策分析中自动实现:样本信息的期望值(EVSI)量化了决策者通过特定数据收集活动(如随机临床试验)减少不确定性的期望值。在本文中,我们通过开发通用方法,将生存数据的 EVSI 数据生成步骤标准化并减轻计算负担,从而解决了在假设治疗效果减弱或使用灵活的生存模型时计算 EVSI 的问题。我们开发了两种从离散时间单位的生存概率概率样本中模拟生存数据的方法,一种是离散抽样方法,另一种是插值反变换抽样方法,这两种方法可以与最近提出的非参数 EVSI 方法相结合,准确估计收集生存数据的 EVSI。在所有可能的生存模型中,我们的数据模拟方法的实现都是相同的,因此可以很容易地从标准概率决策分析中实现自动化。
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来源期刊
Medical Decision Making
Medical Decision Making 医学-卫生保健
CiteScore
6.50
自引率
5.60%
发文量
146
审稿时长
6-12 weeks
期刊介绍: Medical Decision Making offers rigorous and systematic approaches to decision making that are designed to improve the health and clinical care of individuals and to assist with health care policy development. Using the fundamentals of decision analysis and theory, economic evaluation, and evidence based quality assessment, Medical Decision Making presents both theoretical and practical statistical and modeling techniques and methods from a variety of disciplines.
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