## ----echo=FALSE, include=FALSE------------------------------------------------ library(heemod) ## ----------------------------------------------------------------------------- par_mod <- define_parameters( rr = ifelse(model_time <= 2, .509, 1), cost_lami = ifelse(model_time <= 2, 2086.5, 0), cost_zido = 2278 ) mat_mono <- define_transition( 1251/1734, 350/1734, 116/1734, 17/1734, 0, 731/1258, 512/1258, 15/1258, 0, 0, 1312/1749, 437/1749, 0, 0, 0, 1.00 ) mat_comb <- define_transition( C, 350/1734*rr, 116/1734*rr, 17/1734*rr, 0, C, 512/1258*rr, 15/1258*rr, 0, 0, C, 437/1749*rr, 0, 0, 0, 1.00 ) A_mono <- define_state( cost_health = 2756, cost_drugs = cost_zido, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) B_mono <- define_state( cost_health = 3052, cost_drugs = cost_zido, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) C_mono <- define_state( cost_health = 9007, cost_drugs = cost_zido, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) D_mono <- define_state( cost_health = 0, cost_drugs = 0, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 0 ) A_comb <- define_state( cost_health = 2756, cost_drugs = cost_zido + cost_lami, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) B_comb <- define_state( cost_health = 3052, cost_drugs = cost_zido + cost_lami, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) C_comb <- define_state( cost_health = 9007, cost_drugs = cost_zido + cost_lami, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 1 ) D_comb <- define_state( cost_health = 0, cost_drugs = 0, cost_total = discount( cost_health + cost_drugs, .06, first = T), life_year = 0 ) mod_mono <- define_strategy( transition = mat_mono, A_mono, B_mono, C_mono, D_mono ) mod_comb <- define_strategy( transition = mat_comb, A_comb, B_comb, C_comb, D_comb ) res_mod <- run_model( mono = mod_mono, comb = mod_comb, parameters = par_mod, cycles = 20, cost = cost_total, effect = life_year, method = "end", init = c(1, 0, 0, 0) ) summary(res_mod) ## ----------------------------------------------------------------------------- # a function to return age-related mortality rate # given age and sex death_prob <- data.frame( age = rep(seq(35, 85, 10), each = 2), sex = rep(1:0, 6), value = c( 1.51e-3, .99e-3, 3.93e-3, 2.6e-3, 10.9e-3, 6.7e-3, 31.6e-3, 19.3e-3, 80.1e-3, 53.5e-3, 187.9e-3, 154.8e-3 ) ) death_prob param <- define_parameters( age_init = 60, sex = 0, # age increases with cycles age = age_init + model_time, # operative mortality rates omrPTHR = .02, omrRTHR = .02, # re-revision mortality rate rrr = .04, # parameters for calculating primary revision rate cons = -5.490935, ageC = -.0367022, maleC = .768536, lambda = exp(cons + ageC * age_init + maleC * sex), lngamma = 0.3740968, gamma = exp(lngamma), lnrrNP1 = -1.344474, rrNP1 = exp(lnrrNP1), # revision probability of primary procedure standardRR = 1 - exp(lambda * ((model_time - 1) ^ gamma - model_time ^ gamma)), np1RR = 1 - exp(lambda * rrNP1 * ((model_time - 1) ^ gamma - model_time ^ gamma)), # age-related mortality rate sex_cat = ifelse(sex == 0, "FMLE", "MLE"), mr = look_up(death_prob, age = age, sex = sex, bin = "age"), u_successP = .85, u_revisionTHR = .30, u_successR = .75, c_revisionTHR = 5294 ) mat_standard <- define_transition( state_names = c( "PrimaryTHR", "SuccessP", "RevisionTHR", "SuccessR", "Death" ), 0, C, 0, 0, omrPTHR, 0, C, standardRR, 0, mr, 0, 0, 0, C, omrRTHR+mr, 0, 0, rrr, C, mr, 0, 0, 0, 0, 1 ) mat_np1 <- define_transition( state_names = c( "PrimaryTHR", "SuccessP", "RevisionTHR", "SuccessR", "Death" ), 0, C, 0, 0, omrPTHR, 0, C, np1RR, 0, mr, 0, 0, 0, C, omrRTHR+mr, 0, 0, rrr, C, mr, 0, 0, 0, 0, 1 ) mod_standard <- define_strategy( transition = mat_standard, PrimaryTHR = define_state( utility = 0, cost = 394 ), SuccessP = define_state( utility = discount(u_successP, .015), cost = 0 ), RevisionTHR = define_state( utility = discount(u_revisionTHR, .015), cost = discount(c_revisionTHR, .06) ), SuccessR = define_state( utility = discount(u_successR, .015), cost = 0 ), Death = define_state( utility = 0, cost = 0 ) ) mod_np1 <- define_strategy( transition = mat_np1, PrimaryTHR = define_state( utility = 0, cost = 579 ), SuccessP = define_state( utility = discount(u_successP, .015), cost = 0 ), RevisionTHR = define_state( utility = discount(u_revisionTHR, .015), cost = discount(c_revisionTHR, .06) ), SuccessR = define_state( utility = discount(u_successR, .015), cost = 0 ), Death = define_state( utility = 0, cost = 0 ) ) res_mod <- run_model( standard = mod_standard, np1 = mod_np1, parameters = param, cycles = 60, cost = cost, effect = utility, method = "beginning", init = c(1, 0, 0, 0, 0) ) summary(res_mod)