tests/testthat/_snaps/hero.md

Simple PSM produces correct results.

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AP4=
Code
  exported
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value           
    <chr>        <chr>           
  1 disc_cost    0.03            
  2 disc_eff     0.03            
  3 cycle_length 30.4166666666667
  4 n_cycles     240

  $`Inputs - Strategies`
  # A tibble: 2 × 2
    name   desc            
    <chr>  <chr>           
  1 CHEMO  Chemotherapy    
  2 TARGET Targeted Therapy

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc              prob limit
    <chr> <chr>            <dbl> <dbl>
  1 PF    Progression-Free     1     0
  2 PP    Post-Progression     0     0
  3 DEAD  Dead                 0     0

  $`Inputs - Transitions`
  # A tibble: 4 × 4
    strategy endpoint cycle_length value     
    <chr>    <chr>           <dbl> <chr>     
  1 CHEMO    PFS                 1 pfs_chemo 
  2 TARGET   PFS                 1 pfs_target
  3 CHEMO    OS                  1 os_chemo  
  4 TARGET   OS                  1 os_target

  $`Inputs - Health Values`
  # A tibble: 4 × 5
    name     description                 strategy state value             
    <chr>    <chr>                       <chr>    <chr> <chr>             
  1 pf_ly    Progression-free life-years All      PF    cycle_length_years
  2 pp_ly    Post-progression life-years All      PP    cycle_length_years
  3 pf_qalys Progression-free QALYs      All      PF    pf_ly * pfs_util  
  4 pp_qalys Post-Progression QALYs      All      PP    pp_ly * pps_util

  $`Inputs - Econ Values`
  # A tibble: 4 × 5
    name         description                         strategy state value         
    <chr>        <chr>                               <chr>    <chr> <chr>         
  1 med_cost     Medication cost                     CHEMO    PF    chemo_cost * …
  2 pf_care_cost Routine care cost, pre-progression  All      PF    cycle_length_…
  3 med_cost     Label...                            TARGET   PF    target_cost *…
  4 pp_care_cost Routine care cost, post-progression All      PP    cycle_length_…

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description value       wtp
    <chr> <chr>       <chr>     <dbl>
  1 lys   Life-Years  pf_ly    100000
  2 lys   Life-Years  pp_ly    100000
  3 qalys QALYs       pf_qalys 150000
  4 qalys QALYs       pp_qalys 150000

  $`Inputs - Econ Summ`
  # A tibble: 3 × 3
    name    description             value       
    <chr>   <chr>                   <chr>       
  1 cost_hc Healthcare system costs med_cost    
  2 cost_hc Label...                pf_care_cost
  3 cost_hc Label...                pp_care_cost

  $`Inputs - Parameters`
  # A tibble: 12 × 6
     name          desc                       value low       high      psa       
     <chr>         <chr>                      <chr> <chr>     <chr>     <chr>     
   1 pfs_shape     PFS shape parameter, chemo 1.2   bc * 0.75 bc * 1.25 "lognorma…
   2 pfs_scale     PFS scale parameter, chemo 40.3  bc * 0.75 bc * 1.25 "lognorma…
   3 pfs_hr_target PFS HR, target             0.67  0.6       0.8       "lognorma…
   4 os_shape      OS shape parameter, chemo  1.1   0.95      1.34      "lognorma…
   5 os_scale      OS scale parameter, chemo  70.4  bc * 0.75 bc * 1.25 "lognorma…
   6 os_hr_target  OS HR, target              0.74  bc * 0.75 bc * 1.25 "lognorma…
   7 chemo_cost    Cost per month, chemo      2000  bc - 500  bc + 500  ""        
   8 target_cost   Cost per month, target     10000 bc - 3000 bc + 3000 ""        
   9 pfs_cost      Cost per month, PFS        1000  bc - 700  bc + 700  "normal(m…
  10 pps_cost      Cost per month, PPS        2000  0         10000     "normal(m…
  11 pfs_util      Utility value, PFS         0.82  bc - 0.05 bc + 0.05 "lognorma…
  12 pps_util      Utility value, PPS         0.68  bc - 0.1  bc + 0.1  "lognorma…

  $`Inputs - Surv Dists`
  # A tibble: 4 × 2
    name       value                                                      
    <chr>      <chr>                                                      
  1 pfs_chemo  "define_survival(dist = \"weibull\", pfs_shape, pfs_scale)"
  2 os_chemo   "define_survival(dist = \"weibull\", os_shape, os_scale)"  
  3 pfs_target "apply_hr(pfs_chemo, pfs_hr_target)"                       
  4 os_target  "apply_hr(os_chemo, os_hr_target)"

  $`Calc - Params`
  # A tibble: 480 × 31
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 CHEMO    All Patients          1     1          1              30.4
   2 CHEMO    All Patients          1     2          2              30.4
   3 CHEMO    All Patients          1     3          3              30.4
   4 CHEMO    All Patients          1     4          4              30.4
   5 CHEMO    All Patients          1     5          5              30.4
   6 CHEMO    All Patients          1     6          6              30.4
   7 CHEMO    All Patients          1     7          7              30.4
   8 CHEMO    All Patients          1     8          8              30.4
   9 CHEMO    All Patients          1     9          9              30.4
  10 CHEMO    All Patients          1    10         10              30.4
  # ℹ 470 more rows
  # ℹ 25 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   pfs_shape <dbl>, pfs_scale <dbl>, pfs_hr_target <dbl>, os_shape <dbl>,
  #   os_scale <dbl>, os_hr_target <dbl>, chemo_cost <dbl>, target_cost <dbl>, …

  $`Calc - Trans`
  # A tibble: 482 × 5
     strategy group        cycle   pfs    os
     <chr>    <chr>        <dbl> <dbl> <dbl>
   1 CHEMO    All Patients     0 1     1    
   2 CHEMO    All Patients     1 0.988 0.991
   3 CHEMO    All Patients     2 0.973 0.980
   4 CHEMO    All Patients     3 0.957 0.969
   5 CHEMO    All Patients     4 0.939 0.958
   6 CHEMO    All Patients     5 0.922 0.947
   7 CHEMO    All Patients     6 0.903 0.936
   8 CHEMO    All Patients     7 0.885 0.924
   9 CHEMO    All Patients     8 0.866 0.913
  10 CHEMO    All Patients     9 0.847 0.901
  # ℹ 472 more rows

  $`Calc - Unit Values`
  # A tibble: 1,440 × 24
     strategy group cycle state pf_ly pp_ly pf_qalys pp_qalys   lys qalys med_cost
     <chr>    <chr> <dbl> <chr> <dbl> <dbl>    <dbl>    <dbl> <dbl> <dbl>    <dbl>
   1 CHEMO    All …     1 DEAD      0     0        0        0     0     0        0
   2 CHEMO    All …     2 DEAD      0     0        0        0     0     0        0
   3 CHEMO    All …     3 DEAD      0     0        0        0     0     0        0
   4 CHEMO    All …     4 DEAD      0     0        0        0     0     0        0
   5 CHEMO    All …     5 DEAD      0     0        0        0     0     0        0
   6 CHEMO    All …     6 DEAD      0     0        0        0     0     0        0
   7 CHEMO    All …     7 DEAD      0     0        0        0     0     0        0
   8 CHEMO    All …     8 DEAD      0     0        0        0     0     0        0
   9 CHEMO    All …     9 DEAD      0     0        0        0     0     0        0
  10 CHEMO    All …    10 DEAD      0     0        0        0     0     0        0
  # ℹ 1,430 more rows
  # ℹ 13 more variables: pf_care_cost <dbl>, pp_care_cost <dbl>, cost_hc <dbl>,
  #   .disc_pf_ly <dbl>, .disc_pp_ly <dbl>, .disc_pf_qalys <dbl>,
  #   .disc_pp_qalys <dbl>, .disc_lys <dbl>, .disc_qalys <dbl>,
  #   .disc_med_cost <dbl>, .disc_pf_care_cost <dbl>, .disc_pp_care_cost <dbl>,
  #   .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 480 × 23
     strategy group  cycle  pf_ly   pp_ly pf_qalys pp_qalys    lys  qalys med_cost
     <chr>    <chr>  <dbl>  <dbl>   <dbl>    <dbl>    <dbl>  <dbl>  <dbl>    <dbl>
   1 CHEMO    All P…     1 0.0828 1.06e-4   0.0679  7.19e-5 0.0829 0.0680    1988.
   2 CHEMO    All P…     2 0.0817 4.04e-4   0.0670  2.75e-4 0.0821 0.0673    1961.
   3 CHEMO    All P…     3 0.0804 8.27e-4   0.0659  5.63e-4 0.0812 0.0665    1930.
   4 CHEMO    All P…     4 0.0790 1.32e-3   0.0648  8.94e-4 0.0803 0.0657    1896.
   5 CHEMO    All P…     5 0.0775 1.85e-3   0.0636  1.25e-3 0.0794 0.0648    1861.
   6 CHEMO    All P…     6 0.0760 2.40e-3   0.0623  1.63e-3 0.0784 0.0640    1825.
   7 CHEMO    All P…     7 0.0745 2.98e-3   0.0611  2.03e-3 0.0775 0.0631    1788.
   8 CHEMO    All P…     8 0.0730 3.57e-3   0.0598  2.43e-3 0.0765 0.0623    1751.
   9 CHEMO    All P…     9 0.0714 4.17e-3   0.0586  2.84e-3 0.0756 0.0614    1714.
  10 CHEMO    All P…    10 0.0698 4.77e-3   0.0573  3.25e-3 0.0746 0.0605    1676.
  # ℹ 470 more rows
  # ℹ 13 more variables: pf_care_cost <dbl>, pp_care_cost <dbl>, cost_hc <dbl>,
  #   .disc_pf_ly <dbl>, .disc_pp_ly <dbl>, .disc_pf_qalys <dbl>,
  #   .disc_pp_qalys <dbl>, .disc_lys <dbl>, .disc_qalys <dbl>,
  #   .disc_med_cost <dbl>, .disc_pf_care_cost <dbl>, .disc_pp_care_cost <dbl>,
  #   .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 482 × 8
     model_day model_week model_month model_year series    PF      PP    DEAD
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>   <dbl>   <dbl>
   1       0         0           0        0      CHEMO  1     0       0      
   2      30.4       4.35        1        0.0833 CHEMO  0.988 0.00254 0.00924
   3      60.8       8.69        2        0.167  CHEMO  0.973 0.00715 0.0197 
   4      91.3      13.0         3        0.25   CHEMO  0.957 0.0127  0.0306 
   5     122.       17.4         4        0.333  CHEMO  0.939 0.0189  0.0418 
   6     152.       21.7         5.00     0.417  CHEMO  0.922 0.0254  0.0531 
   7     182.       26.1         6.00     0.500  CHEMO  0.903 0.0323  0.0645 
   8     213.       30.4         7.00     0.583  CHEMO  0.885 0.0393  0.0759 
   9     243.       34.8         8.00     0.667  CHEMO  0.866 0.0464  0.0874 
  10     274.       39.1         9.00     0.750  CHEMO  0.847 0.0537  0.0988 
  # ℹ 472 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 480 × 8
     model_day model_week model_month model_year series    PF      PP    DEAD
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>   <dbl>   <dbl>
   1      30.4       4.35        1        0.0833 CHEMO  0.994 0.00127 0.00462
   2      60.8       8.69        2        0.167  CHEMO  0.981 0.00484 0.0145 
   3      91.3      13.0         3        0.25   CHEMO  0.965 0.00993 0.0252 
   4     122.       17.4         4        0.333  CHEMO  0.948 0.0158  0.0362 
   5     152.       21.7         5.00     0.417  CHEMO  0.930 0.0221  0.0474 
   6     182.       26.1         6.00     0.500  CHEMO  0.912 0.0288  0.0588 
   7     213.       30.4         7.00     0.583  CHEMO  0.894 0.0358  0.0702 
   8     243.       34.8         8.00     0.667  CHEMO  0.875 0.0429  0.0816 
   9     274.       39.1         9.00     0.750  CHEMO  0.857 0.0501  0.0931 
  10     304.       43.5        10        0.833  CHEMO  0.838 0.0573  0.105  
  # ℹ 470 more rows

  $`Results - Outcomes`
  # A tibble: 32 × 5
     outcome series           group    disc   value
     <chr>   <chr>            <chr>    <lgl>  <dbl>
   1 lys     CHEMO            pf_ly    TRUE   2.93 
   2 lys     TARGET           pf_ly    TRUE   3.97 
   3 lys     TARGET vs. CHEMO pf_ly    TRUE   1.04 
   4 lys     CHEMO vs. TARGET pf_ly    TRUE  -1.04 
   5 lys     CHEMO            pp_ly    TRUE   1.94 
   6 lys     TARGET           pp_ly    TRUE   2.06 
   7 lys     TARGET vs. CHEMO pp_ly    TRUE   0.125
   8 lys     CHEMO vs. TARGET pp_ly    TRUE  -0.125
   9 qalys   CHEMO            pf_qalys TRUE   2.40 
  10 qalys   TARGET           pf_qalys TRUE   3.25 
  # ℹ 22 more rows

  $`Results - Costs`
  # A tibble: 24 × 5
     outcome series           group        disc     value
     <chr>   <chr>            <chr>        <lgl>    <dbl>
   1 cost_hc CHEMO            med_cost     TRUE    70291.
   2 cost_hc TARGET           med_cost     TRUE   476060.
   3 cost_hc TARGET vs. CHEMO med_cost     TRUE   405769.
   4 cost_hc CHEMO vs. TARGET med_cost     TRUE  -405769.
   5 cost_hc CHEMO            pf_care_cost TRUE    35146.
   6 cost_hc TARGET           pf_care_cost TRUE    47606.
   7 cost_hc TARGET vs. CHEMO pf_care_cost TRUE    12460.
   8 cost_hc CHEMO vs. TARGET pf_care_cost TRUE   -12460.
   9 cost_hc CHEMO            pp_care_cost TRUE    46441.
  10 cost_hc TARGET           pp_care_cost TRUE    49448.
  # ℹ 14 more rows

  $`Results - CE`
  # A tibble: 4 × 11
    hsumm    esumm health_outcome econ_outcome series   cost   eff   dcost deffect
    <chr>    <chr> <chr>          <chr>        <chr>   <dbl> <dbl>   <dbl>   <dbl>
  1 .disc_l… .dis… .disc_lys      .disc_cost_… CHEMO  1.52e5  4.86     NA   NA    
  2 .disc_l… .dis… .disc_lys      .disc_cost_… TARGET 5.73e5  6.03 421236.   1.16 
  3 .disc_q… .dis… .disc_qalys    .disc_cost_… CHEMO  1.52e5  3.72     NA   NA    
  4 .disc_q… .dis… .disc_qalys    .disc_cost_… TARGET 5.73e5  4.65 421236.   0.937
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 14 × 6
     outcome series           group        disc  type        value
     <chr>   <chr>            <chr>        <lgl> <chr>       <dbl>
   1 lys     TARGET vs. CHEMO pf_ly        TRUE  health    103836.
   2 lys     CHEMO vs. TARGET pf_ly        TRUE  health   -103836.
   3 lys     TARGET vs. CHEMO pp_ly        TRUE  health     12530.
   4 lys     CHEMO vs. TARGET pp_ly        TRUE  health    -12530.
   5 qalys   TARGET vs. CHEMO pf_qalys     TRUE  health    127718.
   6 qalys   CHEMO vs. TARGET pf_qalys     TRUE  health   -127718.
   7 qalys   TARGET vs. CHEMO pp_qalys     TRUE  health     12781.
   8 qalys   CHEMO vs. TARGET pp_qalys     TRUE  health    -12781.
   9 cost_hc TARGET vs. CHEMO med_cost     TRUE  economic -405769.
  10 cost_hc CHEMO vs. TARGET med_cost     TRUE  economic  405769.
  11 cost_hc TARGET vs. CHEMO pf_care_cost TRUE  economic  -12460.
  12 cost_hc CHEMO vs. TARGET pf_care_cost TRUE  economic   12460.
  13 cost_hc TARGET vs. CHEMO pp_care_cost TRUE  economic   -3007.
  14 cost_hc CHEMO vs. TARGET pp_care_cost TRUE  economic    3007.
Code
  exported_limited
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value           
    <chr>        <chr>           
  1 disc_cost    0.03            
  2 disc_eff     0.03            
  3 cycle_length 30.4166666666667
  4 n_cycles     240

  $`Inputs - Strategies`
  # A tibble: 2 × 2
    name   desc            
    <chr>  <chr>           
  1 CHEMO  Chemotherapy    
  2 TARGET Targeted Therapy

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc              prob limit
    <chr> <chr>            <dbl> <dbl>
  1 PF    Progression-Free     1     0
  2 PP    Post-Progression     0     0
  3 DEAD  Dead                 0     0

  $`Inputs - Transitions`
  # A tibble: 4 × 4
    strategy endpoint cycle_length value     
    <chr>    <chr>           <dbl> <chr>     
  1 CHEMO    PFS                 1 pfs_chemo 
  2 TARGET   PFS                 1 pfs_target
  3 CHEMO    OS                  1 os_chemo  
  4 TARGET   OS                  1 os_target

  $`Inputs - Health Values`
  # A tibble: 4 × 5
    name     description                 strategy state value             
    <chr>    <chr>                       <chr>    <chr> <chr>             
  1 pf_ly    Progression-free life-years All      PF    cycle_length_years
  2 pp_ly    Post-progression life-years All      PP    cycle_length_years
  3 pf_qalys Progression-free QALYs      All      PF    pf_ly * pfs_util  
  4 pp_qalys Post-Progression QALYs      All      PP    pp_ly * pps_util

  $`Inputs - Econ Values`
  # A tibble: 4 × 5
    name         description                         strategy state value         
    <chr>        <chr>                               <chr>    <chr> <chr>         
  1 med_cost     Medication cost                     CHEMO    PF    chemo_cost * …
  2 pf_care_cost Routine care cost, pre-progression  All      PF    cycle_length_…
  3 med_cost     Label...                            TARGET   PF    target_cost *…
  4 pp_care_cost Routine care cost, post-progression All      PP    cycle_length_…

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description value       wtp
    <chr> <chr>       <chr>     <dbl>
  1 lys   Life-Years  pf_ly    100000
  2 lys   Life-Years  pp_ly    100000
  3 qalys QALYs       pf_qalys 150000
  4 qalys QALYs       pp_qalys 150000

  $`Inputs - Econ Summ`
  # A tibble: 3 × 3
    name    description             value       
    <chr>   <chr>                   <chr>       
  1 cost_hc Healthcare system costs med_cost    
  2 cost_hc Label...                pf_care_cost
  3 cost_hc Label...                pp_care_cost

  $`Inputs - Parameters`
  # A tibble: 12 × 6
     name          desc                       value low       high      psa       
     <chr>         <chr>                      <chr> <chr>     <chr>     <chr>     
   1 pfs_shape     PFS shape parameter, chemo 1.2   bc * 0.75 bc * 1.25 "lognorma…
   2 pfs_scale     PFS scale parameter, chemo 40.3  bc * 0.75 bc * 1.25 "lognorma…
   3 pfs_hr_target PFS HR, target             0.67  0.6       0.8       "lognorma…
   4 os_shape      OS shape parameter, chemo  1.1   0.95      1.34      "lognorma…
   5 os_scale      OS scale parameter, chemo  70.4  bc * 0.75 bc * 1.25 "lognorma…
   6 os_hr_target  OS HR, target              0.74  bc * 0.75 bc * 1.25 "lognorma…
   7 chemo_cost    Cost per month, chemo      2000  bc - 500  bc + 500  ""        
   8 target_cost   Cost per month, target     10000 bc - 3000 bc + 3000 ""        
   9 pfs_cost      Cost per month, PFS        1000  bc - 700  bc + 700  "normal(m…
  10 pps_cost      Cost per month, PPS        2000  0         10000     "normal(m…
  11 pfs_util      Utility value, PFS         0.82  bc - 0.05 bc + 0.05 "lognorma…
  12 pps_util      Utility value, PPS         0.68  bc - 0.1  bc + 0.1  "lognorma…

  $`Inputs - Surv Dists`
  # A tibble: 4 × 2
    name       value                                                      
    <chr>      <chr>                                                      
  1 pfs_chemo  "define_survival(dist = \"weibull\", pfs_shape, pfs_scale)"
  2 os_chemo   "define_survival(dist = \"weibull\", os_shape, os_scale)"  
  3 pfs_target "apply_hr(pfs_chemo, pfs_hr_target)"                       
  4 os_target  "apply_hr(os_chemo, os_hr_target)"

  $`Calc - Params`
  # A tibble: 20 × 31
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 CHEMO    All Patients          1     1          1              30.4
   2 CHEMO    All Patients          1     2          2              30.4
   3 CHEMO    All Patients          1     3          3              30.4
   4 CHEMO    All Patients          1     4          4              30.4
   5 CHEMO    All Patients          1     5          5              30.4
   6 CHEMO    All Patients          1     6          6              30.4
   7 CHEMO    All Patients          1     7          7              30.4
   8 CHEMO    All Patients          1     8          8              30.4
   9 CHEMO    All Patients          1   239        239              30.4
  10 CHEMO    All Patients          1   240        240              30.4
  11 TARGET   All Patients          1     1          1              30.4
  12 TARGET   All Patients          1     2          2              30.4
  13 TARGET   All Patients          1     3          3              30.4
  14 TARGET   All Patients          1     4          4              30.4
  15 TARGET   All Patients          1     5          5              30.4
  16 TARGET   All Patients          1     6          6              30.4
  17 TARGET   All Patients          1     7          7              30.4
  18 TARGET   All Patients          1     8          8              30.4
  19 TARGET   All Patients          1   239        239              30.4
  20 TARGET   All Patients          1   240        240              30.4
  # ℹ 25 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   pfs_shape <dbl>, pfs_scale <dbl>, pfs_hr_target <dbl>, os_shape <dbl>,
  #   os_scale <dbl>, os_hr_target <dbl>, chemo_cost <dbl>, target_cost <dbl>,
  #   pfs_cost <dbl>, pps_cost <dbl>, pfs_util <dbl>, pps_util <dbl>

  $`Calc - Trans`
  # A tibble: 20 × 5
     strategy group        cycle      pfs     os
     <chr>    <chr>        <dbl>    <dbl>  <dbl>
   1 CHEMO    All Patients     0 1        1     
   2 CHEMO    All Patients     1 0.988    0.991 
   3 CHEMO    All Patients     2 0.973    0.980 
   4 CHEMO    All Patients     3 0.957    0.969 
   5 CHEMO    All Patients     4 0.939    0.958 
   6 CHEMO    All Patients     5 0.922    0.947 
   7 CHEMO    All Patients     6 0.903    0.936 
   8 CHEMO    All Patients     7 0.885    0.924 
   9 CHEMO    All Patients   239 0.000210 0.0216
  10 CHEMO    All Patients   240 0.000202 0.0212
  11 TARGET   All Patients     0 1        1     
  12 TARGET   All Patients     1 0.992    0.993 
  13 TARGET   All Patients     2 0.982    0.985 
  14 TARGET   All Patients     3 0.971    0.977 
  15 TARGET   All Patients     4 0.959    0.969 
  16 TARGET   All Patients     5 0.947    0.960 
  17 TARGET   All Patients     6 0.934    0.952 
  18 TARGET   All Patients     7 0.921    0.943 
  19 TARGET   All Patients   239 0.00344  0.0585
  20 TARGET   All Patients   240 0.00334  0.0577

  $`Calc - Unit Values`
  # A tibble: 24 × 24
     strategy group      cycle state  pf_ly  pp_ly pf_qalys pp_qalys    lys  qalys
     <chr>    <chr>      <dbl> <chr>  <dbl>  <dbl>    <dbl>    <dbl>  <dbl>  <dbl>
   1 CHEMO    All Patie…     1 DEAD  0      0        0        0      0      0     
   2 CHEMO    All Patie…     1 PF    0.0833 0        0.0683   0      0.0833 0.0683
   3 CHEMO    All Patie…     1 PP    0      0.0833   0        0.0567 0.0833 0.0567
   4 CHEMO    All Patie…     2 DEAD  0      0        0        0      0      0     
   5 CHEMO    All Patie…     2 PF    0.0833 0        0.0683   0      0.0833 0.0683
   6 CHEMO    All Patie…     2 PP    0      0.0833   0        0.0567 0.0833 0.0567
   7 CHEMO    All Patie…     3 DEAD  0      0        0        0      0      0     
   8 CHEMO    All Patie…     3 PF    0.0833 0        0.0683   0      0.0833 0.0683
   9 CHEMO    All Patie…     3 PP    0      0.0833   0        0.0567 0.0833 0.0567
  10 CHEMO    All Patie…     4 DEAD  0      0        0        0      0      0     
  # ℹ 14 more rows
  # ℹ 14 more variables: med_cost <dbl>, pf_care_cost <dbl>, pp_care_cost <dbl>,
  #   cost_hc <dbl>, .disc_pf_ly <dbl>, .disc_pp_ly <dbl>, .disc_pf_qalys <dbl>,
  #   .disc_pp_qalys <dbl>, .disc_lys <dbl>, .disc_qalys <dbl>,
  #   .disc_med_cost <dbl>, .disc_pf_care_cost <dbl>, .disc_pp_care_cost <dbl>,
  #   .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 20 × 23
     strategy group        cycle   pf_ly   pp_ly pf_qalys pp_qalys     lys   qalys
     <chr>    <chr>        <dbl>   <dbl>   <dbl>    <dbl>    <dbl>   <dbl>   <dbl>
   1 CHEMO    All Patients     1 8.28e-2 1.06e-4  6.79e-2  7.19e-5 0.0829  0.0680 
   2 CHEMO    All Patients     2 8.17e-2 4.04e-4  6.70e-2  2.75e-4 0.0821  0.0673 
   3 CHEMO    All Patients     3 8.04e-2 8.27e-4  6.59e-2  5.63e-4 0.0812  0.0665 
   4 CHEMO    All Patients     4 7.90e-2 1.32e-3  6.48e-2  8.94e-4 0.0803  0.0657 
   5 CHEMO    All Patients     5 7.75e-2 1.85e-3  6.36e-2  1.25e-3 0.0794  0.0648 
   6 CHEMO    All Patients     6 7.60e-2 2.40e-3  6.23e-2  1.63e-3 0.0784  0.0640 
   7 CHEMO    All Patients     7 7.45e-2 2.98e-3  6.11e-2  2.03e-3 0.0775  0.0631 
   8 CHEMO    All Patients     8 7.30e-2 3.57e-3  5.98e-2  2.43e-3 0.0765  0.0623 
   9 CHEMO    All Patients   239 1.79e-5 1.80e-3  1.47e-5  1.22e-3 0.00181 0.00124
  10 CHEMO    All Patients   240 1.72e-5 1.76e-3  1.41e-5  1.20e-3 0.00178 0.00121
  11 TARGET   All Patients     1 8.30e-2 4.42e-5  6.81e-2  3.01e-5 0.0830  0.0681 
  12 TARGET   All Patients     2 8.23e-2 1.88e-4  6.74e-2  1.28e-4 0.0824  0.0676 
  13 TARGET   All Patients     3 8.14e-2 4.14e-4  6.67e-2  2.82e-4 0.0818  0.0670 
  14 TARGET   All Patients     4 8.04e-2 6.86e-4  6.59e-2  4.66e-4 0.0811  0.0664 
  15 TARGET   All Patients     5 7.94e-2 9.88e-4  6.51e-2  6.72e-4 0.0804  0.0658 
  16 TARGET   All Patients     6 7.84e-2 1.31e-3  6.43e-2  8.93e-4 0.0797  0.0652 
  17 TARGET   All Patients     7 7.73e-2 1.66e-3  6.34e-2  1.13e-3 0.0790  0.0645 
  18 TARGET   All Patients     8 7.62e-2 2.01e-3  6.25e-2  1.37e-3 0.0782  0.0639 
  19 TARGET   All Patients   239 2.91e-4 4.62e-3  2.38e-4  3.14e-3 0.00491 0.00338
  20 TARGET   All Patients   240 2.83e-4 4.56e-3  2.32e-4  3.10e-3 0.00484 0.00333
  # ℹ 14 more variables: med_cost <dbl>, pf_care_cost <dbl>, pp_care_cost <dbl>,
  #   cost_hc <dbl>, .disc_pf_ly <dbl>, .disc_pp_ly <dbl>, .disc_pf_qalys <dbl>,
  #   .disc_pp_qalys <dbl>, .disc_lys <dbl>, .disc_qalys <dbl>,
  #   .disc_med_cost <dbl>, .disc_pf_care_cost <dbl>, .disc_pp_care_cost <dbl>,
  #   .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 482 × 8
     model_day model_week model_month model_year series    PF      PP    DEAD
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>   <dbl>   <dbl>
   1       0         0           0        0      CHEMO  1     0       0      
   2      30.4       4.35        1        0.0833 CHEMO  0.988 0.00254 0.00924
   3      60.8       8.69        2        0.167  CHEMO  0.973 0.00715 0.0197 
   4      91.3      13.0         3        0.25   CHEMO  0.957 0.0127  0.0306 
   5     122.       17.4         4        0.333  CHEMO  0.939 0.0189  0.0418 
   6     152.       21.7         5.00     0.417  CHEMO  0.922 0.0254  0.0531 
   7     182.       26.1         6.00     0.500  CHEMO  0.903 0.0323  0.0645 
   8     213.       30.4         7.00     0.583  CHEMO  0.885 0.0393  0.0759 
   9     243.       34.8         8.00     0.667  CHEMO  0.866 0.0464  0.0874 
  10     274.       39.1         9.00     0.750  CHEMO  0.847 0.0537  0.0988 
  # ℹ 472 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 480 × 8
     model_day model_week model_month model_year series    PF      PP    DEAD
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>   <dbl>   <dbl>
   1      30.4       4.35        1        0.0833 CHEMO  0.994 0.00127 0.00462
   2      60.8       8.69        2        0.167  CHEMO  0.981 0.00484 0.0145 
   3      91.3      13.0         3        0.25   CHEMO  0.965 0.00993 0.0252 
   4     122.       17.4         4        0.333  CHEMO  0.948 0.0158  0.0362 
   5     152.       21.7         5.00     0.417  CHEMO  0.930 0.0221  0.0474 
   6     182.       26.1         6.00     0.500  CHEMO  0.912 0.0288  0.0588 
   7     213.       30.4         7.00     0.583  CHEMO  0.894 0.0358  0.0702 
   8     243.       34.8         8.00     0.667  CHEMO  0.875 0.0429  0.0816 
   9     274.       39.1         9.00     0.750  CHEMO  0.857 0.0501  0.0931 
  10     304.       43.5        10        0.833  CHEMO  0.838 0.0573  0.105  
  # ℹ 470 more rows

  $`Results - Outcomes`
  # A tibble: 32 × 5
     outcome series           group    disc   value
     <chr>   <chr>            <chr>    <lgl>  <dbl>
   1 lys     CHEMO            pf_ly    TRUE   2.93 
   2 lys     TARGET           pf_ly    TRUE   3.97 
   3 lys     TARGET vs. CHEMO pf_ly    TRUE   1.04 
   4 lys     CHEMO vs. TARGET pf_ly    TRUE  -1.04 
   5 lys     CHEMO            pp_ly    TRUE   1.94 
   6 lys     TARGET           pp_ly    TRUE   2.06 
   7 lys     TARGET vs. CHEMO pp_ly    TRUE   0.125
   8 lys     CHEMO vs. TARGET pp_ly    TRUE  -0.125
   9 qalys   CHEMO            pf_qalys TRUE   2.40 
  10 qalys   TARGET           pf_qalys TRUE   3.25 
  # ℹ 22 more rows

  $`Results - Costs`
  # A tibble: 24 × 5
     outcome series           group        disc     value
     <chr>   <chr>            <chr>        <lgl>    <dbl>
   1 cost_hc CHEMO            med_cost     TRUE    70291.
   2 cost_hc TARGET           med_cost     TRUE   476060.
   3 cost_hc TARGET vs. CHEMO med_cost     TRUE   405769.
   4 cost_hc CHEMO vs. TARGET med_cost     TRUE  -405769.
   5 cost_hc CHEMO            pf_care_cost TRUE    35146.
   6 cost_hc TARGET           pf_care_cost TRUE    47606.
   7 cost_hc TARGET vs. CHEMO pf_care_cost TRUE    12460.
   8 cost_hc CHEMO vs. TARGET pf_care_cost TRUE   -12460.
   9 cost_hc CHEMO            pp_care_cost TRUE    46441.
  10 cost_hc TARGET           pp_care_cost TRUE    49448.
  # ℹ 14 more rows

  $`Results - CE`
  # A tibble: 4 × 11
    hsumm    esumm health_outcome econ_outcome series   cost   eff   dcost deffect
    <chr>    <chr> <chr>          <chr>        <chr>   <dbl> <dbl>   <dbl>   <dbl>
  1 .disc_l… .dis… .disc_lys      .disc_cost_… CHEMO  1.52e5  4.86     NA   NA    
  2 .disc_l… .dis… .disc_lys      .disc_cost_… TARGET 5.73e5  6.03 421236.   1.16 
  3 .disc_q… .dis… .disc_qalys    .disc_cost_… CHEMO  1.52e5  3.72     NA   NA    
  4 .disc_q… .dis… .disc_qalys    .disc_cost_… TARGET 5.73e5  4.65 421236.   0.937
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 14 × 6
     outcome series           group        disc  type        value
     <chr>   <chr>            <chr>        <lgl> <chr>       <dbl>
   1 lys     TARGET vs. CHEMO pf_ly        TRUE  health    103836.
   2 lys     CHEMO vs. TARGET pf_ly        TRUE  health   -103836.
   3 lys     TARGET vs. CHEMO pp_ly        TRUE  health     12530.
   4 lys     CHEMO vs. TARGET pp_ly        TRUE  health    -12530.
   5 qalys   TARGET vs. CHEMO pf_qalys     TRUE  health    127718.
   6 qalys   CHEMO vs. TARGET pf_qalys     TRUE  health   -127718.
   7 qalys   TARGET vs. CHEMO pp_qalys     TRUE  health     12781.
   8 qalys   CHEMO vs. TARGET pp_qalys     TRUE  health    -12781.
   9 cost_hc TARGET vs. CHEMO med_cost     TRUE  economic -405769.
  10 cost_hc CHEMO vs. TARGET med_cost     TRUE  economic  405769.
  11 cost_hc TARGET vs. CHEMO pf_care_cost TRUE  economic  -12460.
  12 cost_hc CHEMO vs. TARGET pf_care_cost TRUE  economic   12460.
  13 cost_hc TARGET vs. CHEMO pp_care_cost TRUE  economic   -3007.
  14 cost_hc CHEMO vs. TARGET pp_care_cost TRUE  economic    3007.

Custom PSM produces correct results.

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Code
  exported
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value
    <chr>        <chr>
  1 disc_cost    0.035
  2 disc_eff     0.035
  3 cycle_length 365  
  4 n_cycles     20

  $`Inputs - Strategies`
  # A tibble: 4 × 2
    name  desc       
    <chr> <chr>      
  1 myfo  Myfosfamide
  2 chpl  Chemoplatin
  3 chck  Checkimab  
  4 rlps  Relapsinib

  $`Inputs - States`
  # A tibble: 4 × 4
    name  desc       prob                                                    limit
    <chr> <chr>      <chr>                                                   <dbl>
  1 RESP  Response   dispatch_strategy(myfo = rr_myfo, chpl = rr_chpl, chck…     0
  2 REL   Relapse    0                                                           0
  3 REF   Refractory C                                                           0
  4 DEAD  Dead       0                                                           0

  $`Inputs - Transitions`
  # A tibble: 4 × 5
    strategy state formula                                             id    value
    <chr>    <chr> <chr>                                               <chr> <chr>
  1 All      RESP  rr * surv_prob(rfs, model_month)                    6e50… rr *…
  2 All      REL   rr * (surv_prob(os_resp, model_month) - surv_prob(… aefc… rr *…
  3 All      REF   (1 - rr) * surv_prob(os_nresp, model_month)         d1f8… (1 -…
  4 All      DEAD  C                                                   8c1d… C

  $`Inputs - Health Values`
  # A tibble: 6 × 5
    name        description               strategy state value                    
    <chr>       <chr>                     <chr>    <chr> <chr>                    
  1 ly_resp     Life Years in Response    All      RESP  cycle_length_years       
  2 ly_nresp    Life Years in Nonresponse All      REL   cycle_length_years       
  3 qalys_resp  QALYs in Response         All      RESP  util_resp * cycle_length…
  4 qalys_nresp QALYs in Nonresponse      All      REL   util_rel * cycle_length_…
  5 ly_nresp    Label...                  All      REF   cycle_length_years       
  6 qalys_nresp Label...                  All      REF   util_ref * cycle_length_…

  $`Inputs - Econ Values`
  # A tibble: 7 × 5
    name       description               strategy state value                     
    <chr>      <chr>                     <chr>    <chr> <chr>                     
  1 cost_med   Medication cost           myfo     RESP  ucost_myfo * cycle_length…
  2 cost_resp  Routine care, response    All      All   ucost_resp * cycle_length…
  3 cost_nresp Routine care, nonresponse All      All   ucost_nresp * cycle_lengt…
  4 cost_trans Transplant                All      REF   rescale_prob(p_transplant…
  5 cost_med   Label...                  chpl     RESP  ucost_chpl * cycle_length…
  6 cost_med   Label...                  chck     RESP  ucost_chck * cycle_length…
  7 cost_med   Label...                  rlps     RESP  ucost_rlps * cycle_length…

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description                 value          wtp
    <chr> <chr>                       <chr>        <dbl>
  1 lys   Life-years                  ly_resp      20000
  2 lys   Life-years                  ly_nresp     20000
  3 qalys Quality-adjusted life-years qalys_resp   30000
  4 qalys Label...                    qalys_nresp 100000

  $`Inputs - Econ Summ`
  # A tibble: 4 × 3
    name    description             value     
    <chr>   <chr>                   <chr>     
  1 cost_hc Healthcare system costs cost_med  
  2 cost_hc Label...                cost_resp 
  3 cost_hc Label...                cost_nresp
  4 cost_hc Label...                cost_trans

  $`Inputs - Parameters`
  # A tibble: 21 × 6
     name            desc                       value            low   high  psa  
     <chr>           <chr>                      <chr>            <chr> <chr> <chr>
   1 rr_myfo         Response rate, myfosfamide 0.31             "bc … "bc … "bin…
   2 rr_chpl         Response rate, chemoplatin 0.35             "bc … "bc … "bin…
   3 rr_chck         Response rate, checkimab   0.51             "bc … "bc … "bin…
   4 rr_rlps         Response rate, relapsinib  0.543            "bc … "bc … "bin…
   5 rr              Relapse rate               dispatch_strate… ""    ""    ""   
   6 rfs_scale       Scale parameter, RFS       6                "5.4… "7.1" "log…
   7 rfs_shape       Shape parameter, RFS       0.89             "0.7… "1.0… "log…
   8 os_resp_meanlog log mean OS, responders    4                "3.4… "4.5… "nor…
   9 os_resp_sdlog   log SD OS, responders      0.71             "0.5… "0.9… "log…
  10 os_nresp_rate   Death rate, nonresponders  0.12             "0.0… "0.1… "log…
  # ℹ 11 more rows

  $`Inputs - Surv Dists`
  # A tibble: 3 × 2
    name     value                                                                
    <chr>    <chr>                                                                
  1 rfs      "define_survival(shape = rfs_shape, scale = rfs_scale, dist = \"weib…
  2 os_resp  "define_survival(meanlog = os_resp_meanlog, sdlog = os_resp_sdlog, d…
  3 os_nresp "define_survival(rate = os_nresp_rate, dist = \"exp\")"

  $`Calc - Params`
  # A tibble: 80 × 40
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 myfo     All Patients          1     1          1               365
   2 myfo     All Patients          1     2          2               365
   3 myfo     All Patients          1     3          3               365
   4 myfo     All Patients          1     4          4               365
   5 myfo     All Patients          1     5          5               365
   6 myfo     All Patients          1     6          6               365
   7 myfo     All Patients          1     7          7               365
   8 myfo     All Patients          1     8          8               365
   9 myfo     All Patients          1     9          9               365
  10 myfo     All Patients          1    10         10               365
  # ℹ 70 more rows
  # ℹ 34 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   rr_myfo <dbl>, rr_chpl <dbl>, rr_chck <dbl>, rr_rlps <dbl>, rr <dbl>,
  #   rfs_scale <dbl>, rfs_shape <dbl>, os_resp_meanlog <dbl>, …

  $`Calc - Trans`
  # A tibble: 84 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1         0        0             0          0 myfo   0.31        0      6.9 e-1
   2       365       52.1          12          1 myfo   0.0486      0.256  1.63e-1
   3       730      104.           24          2 myfo   0.0100      0.262  3.87e-2
   4      1095      156.           36          3 myfo   0.00225     0.221  9.18e-3
   5      1460      209.           48          4 myfo   0.000534    0.177  2.17e-3
   6      1825      261.           60          5 myfo   0.000132    0.138  5.15e-4
   7      2190      313.           72          6 myfo   0.0000336   0.108  1.22e-4
   8      2555      365            84          7 myfo   0.00000877  0.0843 2.89e-5
   9      2920      417.           96          8 myfo   0.00000234  0.0661 6.85e-6
  10      3285      469.          108          9 myfo   0.000000636 0.0522 1.62e-6
  # ℹ 74 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Calc - Unit Values`
  # A tibble: 320 × 26
     strategy group      cycle state ly_resp ly_nresp qalys_resp qalys_nresp   lys
     <chr>    <chr>      <dbl> <chr>   <dbl>    <dbl>      <dbl>       <dbl> <dbl>
   1 chck     All Patie…     1 DEAD        0        0          0           0     0
   2 chck     All Patie…     2 DEAD        0        0          0           0     0
   3 chck     All Patie…     3 DEAD        0        0          0           0     0
   4 chck     All Patie…     4 DEAD        0        0          0           0     0
   5 chck     All Patie…     5 DEAD        0        0          0           0     0
   6 chck     All Patie…     6 DEAD        0        0          0           0     0
   7 chck     All Patie…     7 DEAD        0        0          0           0     0
   8 chck     All Patie…     8 DEAD        0        0          0           0     0
   9 chck     All Patie…     9 DEAD        0        0          0           0     0
  10 chck     All Patie…    10 DEAD        0        0          0           0     0
  # ℹ 310 more rows
  # ℹ 17 more variables: qalys <dbl>, cost_med <dbl>, cost_resp <dbl>,
  #   cost_nresp <dbl>, cost_trans <dbl>, cost_hc <dbl>, .disc_ly_resp <dbl>,
  #   .disc_ly_nresp <dbl>, .disc_qalys_resp <dbl>, .disc_qalys_nresp <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_resp <dbl>, .disc_cost_nresp <dbl>, .disc_cost_trans <dbl>,
  #   .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 80 × 25
     strategy group    cycle ly_resp ly_nresp qalys_resp qalys_nresp    lys  qalys
     <chr>    <chr>    <dbl>   <dbl>    <dbl>      <dbl>       <dbl>  <dbl>  <dbl>
   1 chck     All Pat…     1 2.95e-1   0.514     2.39e-1      0.326  0.809  0.565 
   2 chck     All Pat…     2 4.82e-2   0.498     3.90e-2      0.329  0.546  0.368 
   3 chck     All Pat…     3 1.01e-2   0.414     8.16e-3      0.277  0.424  0.285 
   4 chck     All Pat…     4 2.29e-3   0.332     1.85e-3      0.222  0.334  0.224 
   5 chck     All Pat…     5 5.48e-4   0.260     4.44e-4      0.174  0.261  0.175 
   6 chck     All Pat…     6 1.36e-4   0.203     1.10e-4      0.136  0.203  0.136 
   7 chck     All Pat…     7 3.48e-5   0.158     2.82e-5      0.106  0.158  0.106 
   8 chck     All Pat…     8 9.14e-6   0.124     7.40e-6      0.0829 0.124  0.0829
   9 chck     All Pat…     9 2.45e-6   0.0973    1.98e-6      0.0652 0.0973 0.0652
  10 chck     All Pat…    10 6.67e-7   0.0770    5.40e-7      0.0516 0.0770 0.0516
  # ℹ 70 more rows
  # ℹ 16 more variables: cost_med <dbl>, cost_resp <dbl>, cost_nresp <dbl>,
  #   cost_trans <dbl>, cost_hc <dbl>, .disc_ly_resp <dbl>, .disc_ly_nresp <dbl>,
  #   .disc_qalys_resp <dbl>, .disc_qalys_nresp <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_cost_med <dbl>, .disc_cost_resp <dbl>,
  #   .disc_cost_nresp <dbl>, .disc_cost_trans <dbl>, .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 84 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1         0        0             0          0 myfo   0.31        0      6.9 e-1
   2       365       52.1          12          1 myfo   0.0486      0.256  1.63e-1
   3       730      104.           24          2 myfo   0.0100      0.262  3.87e-2
   4      1095      156.           36          3 myfo   0.00225     0.221  9.18e-3
   5      1460      209.           48          4 myfo   0.000534    0.177  2.17e-3
   6      1825      261.           60          5 myfo   0.000132    0.138  5.15e-4
   7      2190      313.           72          6 myfo   0.0000336   0.108  1.22e-4
   8      2555      365            84          7 myfo   0.00000877  0.0843 2.89e-5
   9      2920      417.           96          8 myfo   0.00000234  0.0661 6.85e-6
  10      3285      469.          108          9 myfo   0.000000636 0.0522 1.62e-6
  # ℹ 74 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Results - Trace (Corrected)`
  # A tibble: 80 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1       365       52.1          12          1 myfo   0.179       0.128  4.27e-1
   2       730      104.           24          2 myfo   0.0293      0.259  1.01e-1
   3      1095      156.           36          3 myfo   0.00612     0.242  2.40e-2
   4      1460      209.           48          4 myfo   0.00139     0.199  5.68e-3
   5      1825      261.           60          5 myfo   0.000333    0.158  1.34e-3
   6      2190      313.           72          6 myfo   0.0000827   0.123  3.19e-4
   7      2555      365            84          7 myfo   0.0000212   0.0961 7.55e-5
   8      2920      417.           96          8 myfo   0.00000556  0.0752 1.79e-5
   9      3285      469.          108          9 myfo   0.00000149  0.0592 4.24e-6
  10      3650      521.          120         10 myfo   0.000000405 0.0468 1.00e-6
  # ℹ 70 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Results - Outcomes`
  # A tibble: 128 × 5
     outcome series        group   disc    value
     <chr>   <chr>         <chr>   <lgl>   <dbl>
   1 lys     myfo          ly_resp TRUE   0.215 
   2 lys     chpl          ly_resp TRUE   0.243 
   3 lys     chck          ly_resp TRUE   0.354 
   4 lys     rlps          ly_resp TRUE   0.377 
   5 lys     chpl vs. myfo ly_resp TRUE   0.0277
   6 lys     chck vs. myfo ly_resp TRUE   0.139 
   7 lys     rlps vs. myfo ly_resp TRUE   0.162 
   8 lys     myfo vs. chpl ly_resp TRUE  -0.0277
   9 lys     chck vs. chpl ly_resp TRUE   0.111 
  10 lys     rlps vs. chpl ly_resp TRUE   0.134 
  # ℹ 118 more rows

  $`Results - Costs`
  # A tibble: 128 × 5
     outcome series        group    disc   value
     <chr>   <chr>         <chr>    <lgl>  <dbl>
   1 cost_hc myfo          cost_med TRUE   9141.
   2 cost_hc chpl          cost_med TRUE   9302.
   3 cost_hc chck          cost_med TRUE  44162.
   4 cost_hc rlps          cost_med TRUE  58753.
   5 cost_hc chpl vs. myfo cost_med TRUE    160.
   6 cost_hc chck vs. myfo cost_med TRUE  35021.
   7 cost_hc rlps vs. myfo cost_med TRUE  49612.
   8 cost_hc myfo vs. chpl cost_med TRUE   -160.
   9 cost_hc chck vs. chpl cost_med TRUE  34861.
  10 cost_hc rlps vs. chpl cost_med TRUE  49452.
  # ℹ 118 more rows

  $`Results - CE`
  # A tibble: 8 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_cost_… myfo   5.43e4  2.12    NA  NA     
  2 .disc_lys .dis… .disc_lys      .disc_cost_… chpl   5.44e4  2.29   103.  0.170 
  3 .disc_lys .dis… .disc_lys      .disc_cost_… chck   8.90e4  2.97 34630.  0.681 
  4 .disc_lys .dis… .disc_lys      .disc_cost_… rlps   1.04e5  3.11 14543.  0.140 
  5 .disc_qa… .dis… .disc_qalys    .disc_cost_… myfo   5.43e4  1.42    NA  NA     
  6 .disc_qa… .dis… .disc_qalys    .disc_cost_… chpl   5.44e4  1.54   103.  0.120 
  7 .disc_qa… .dis… .disc_qalys    .disc_cost_… chck   8.90e4  2.02 34630.  0.479 
  8 .disc_qa… .dis… .disc_qalys    .disc_cost_… rlps   1.04e5  2.12 14543.  0.0989
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 96 × 6
     outcome series        group   disc  type    value
     <chr>   <chr>         <chr>   <lgl> <chr>   <dbl>
   1 lys     chpl vs. myfo ly_resp TRUE  health   555.
   2 lys     chck vs. myfo ly_resp TRUE  health  2774.
   3 lys     rlps vs. myfo ly_resp TRUE  health  3231.
   4 lys     myfo vs. chpl ly_resp TRUE  health  -555.
   5 lys     chck vs. chpl ly_resp TRUE  health  2219.
   6 lys     rlps vs. chpl ly_resp TRUE  health  2676.
   7 lys     myfo vs. chck ly_resp TRUE  health -2774.
   8 lys     chpl vs. chck ly_resp TRUE  health -2219.
   9 lys     rlps vs. chck ly_resp TRUE  health   458.
  10 lys     myfo vs. rlps ly_resp TRUE  health -3231.
  # ℹ 86 more rows
Code
  exported_limited
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value
    <chr>        <chr>
  1 disc_cost    0.035
  2 disc_eff     0.035
  3 cycle_length 365  
  4 n_cycles     20

  $`Inputs - Strategies`
  # A tibble: 4 × 2
    name  desc       
    <chr> <chr>      
  1 myfo  Myfosfamide
  2 chpl  Chemoplatin
  3 chck  Checkimab  
  4 rlps  Relapsinib

  $`Inputs - States`
  # A tibble: 4 × 4
    name  desc       prob                                                    limit
    <chr> <chr>      <chr>                                                   <dbl>
  1 RESP  Response   dispatch_strategy(myfo = rr_myfo, chpl = rr_chpl, chck…     0
  2 REL   Relapse    0                                                           0
  3 REF   Refractory C                                                           0
  4 DEAD  Dead       0                                                           0

  $`Inputs - Transitions`
  # A tibble: 4 × 5
    strategy state formula                                             id    value
    <chr>    <chr> <chr>                                               <chr> <chr>
  1 All      RESP  rr * surv_prob(rfs, model_month)                    6e50… rr *…
  2 All      REL   rr * (surv_prob(os_resp, model_month) - surv_prob(… aefc… rr *…
  3 All      REF   (1 - rr) * surv_prob(os_nresp, model_month)         d1f8… (1 -…
  4 All      DEAD  C                                                   8c1d… C

  $`Inputs - Health Values`
  # A tibble: 6 × 5
    name        description               strategy state value                    
    <chr>       <chr>                     <chr>    <chr> <chr>                    
  1 ly_resp     Life Years in Response    All      RESP  cycle_length_years       
  2 ly_nresp    Life Years in Nonresponse All      REL   cycle_length_years       
  3 qalys_resp  QALYs in Response         All      RESP  util_resp * cycle_length…
  4 qalys_nresp QALYs in Nonresponse      All      REL   util_rel * cycle_length_…
  5 ly_nresp    Label...                  All      REF   cycle_length_years       
  6 qalys_nresp Label...                  All      REF   util_ref * cycle_length_…

  $`Inputs - Econ Values`
  # A tibble: 7 × 5
    name       description               strategy state value                     
    <chr>      <chr>                     <chr>    <chr> <chr>                     
  1 cost_med   Medication cost           myfo     RESP  ucost_myfo * cycle_length…
  2 cost_resp  Routine care, response    All      All   ucost_resp * cycle_length…
  3 cost_nresp Routine care, nonresponse All      All   ucost_nresp * cycle_lengt…
  4 cost_trans Transplant                All      REF   rescale_prob(p_transplant…
  5 cost_med   Label...                  chpl     RESP  ucost_chpl * cycle_length…
  6 cost_med   Label...                  chck     RESP  ucost_chck * cycle_length…
  7 cost_med   Label...                  rlps     RESP  ucost_rlps * cycle_length…

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description                 value          wtp
    <chr> <chr>                       <chr>        <dbl>
  1 lys   Life-years                  ly_resp      20000
  2 lys   Life-years                  ly_nresp     20000
  3 qalys Quality-adjusted life-years qalys_resp   30000
  4 qalys Label...                    qalys_nresp 100000

  $`Inputs - Econ Summ`
  # A tibble: 4 × 3
    name    description             value     
    <chr>   <chr>                   <chr>     
  1 cost_hc Healthcare system costs cost_med  
  2 cost_hc Label...                cost_resp 
  3 cost_hc Label...                cost_nresp
  4 cost_hc Label...                cost_trans

  $`Inputs - Parameters`
  # A tibble: 21 × 6
     name            desc                       value            low   high  psa  
     <chr>           <chr>                      <chr>            <chr> <chr> <chr>
   1 rr_myfo         Response rate, myfosfamide 0.31             "bc … "bc … "bin…
   2 rr_chpl         Response rate, chemoplatin 0.35             "bc … "bc … "bin…
   3 rr_chck         Response rate, checkimab   0.51             "bc … "bc … "bin…
   4 rr_rlps         Response rate, relapsinib  0.543            "bc … "bc … "bin…
   5 rr              Relapse rate               dispatch_strate… ""    ""    ""   
   6 rfs_scale       Scale parameter, RFS       6                "5.4… "7.1" "log…
   7 rfs_shape       Shape parameter, RFS       0.89             "0.7… "1.0… "log…
   8 os_resp_meanlog log mean OS, responders    4                "3.4… "4.5… "nor…
   9 os_resp_sdlog   log SD OS, responders      0.71             "0.5… "0.9… "log…
  10 os_nresp_rate   Death rate, nonresponders  0.12             "0.0… "0.1… "log…
  # ℹ 11 more rows

  $`Inputs - Surv Dists`
  # A tibble: 3 × 2
    name     value                                                                
    <chr>    <chr>                                                                
  1 rfs      "define_survival(shape = rfs_shape, scale = rfs_scale, dist = \"weib…
  2 os_resp  "define_survival(meanlog = os_resp_meanlog, sdlog = os_resp_sdlog, d…
  3 os_nresp "define_survival(rate = os_nresp_rate, dist = \"exp\")"

  $`Calc - Params`
  # A tibble: 20 × 40
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 myfo     All Patients          1     1          1               365
   2 myfo     All Patients          1     2          2               365
   3 myfo     All Patients          1     3          3               365
   4 myfo     All Patients          1     4          4               365
   5 myfo     All Patients          1    20         20               365
   6 chpl     All Patients          1     1          1               365
   7 chpl     All Patients          1     2          2               365
   8 chpl     All Patients          1     3          3               365
   9 chpl     All Patients          1     4          4               365
  10 chpl     All Patients          1    20         20               365
  11 chck     All Patients          1     1          1               365
  12 chck     All Patients          1     2          2               365
  13 chck     All Patients          1     3          3               365
  14 chck     All Patients          1     4          4               365
  15 chck     All Patients          1    20         20               365
  16 rlps     All Patients          1     1          1               365
  17 rlps     All Patients          1     2          2               365
  18 rlps     All Patients          1     3          3               365
  19 rlps     All Patients          1     4          4               365
  20 rlps     All Patients          1    20         20               365
  # ℹ 34 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   rr_myfo <dbl>, rr_chpl <dbl>, rr_chck <dbl>, rr_rlps <dbl>, rr <dbl>,
  #   rfs_scale <dbl>, rfs_shape <dbl>, os_resp_meanlog <dbl>,
  #   os_resp_sdlog <dbl>, os_nresp_rate <dbl>, util_resp <dbl>, …

  $`Calc - Trans`
  # A tibble: 84 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1         0        0             0          0 myfo   0.31        0      6.9 e-1
   2       365       52.1          12          1 myfo   0.0486      0.256  1.63e-1
   3       730      104.           24          2 myfo   0.0100      0.262  3.87e-2
   4      1095      156.           36          3 myfo   0.00225     0.221  9.18e-3
   5      1460      209.           48          4 myfo   0.000534    0.177  2.17e-3
   6      1825      261.           60          5 myfo   0.000132    0.138  5.15e-4
   7      2190      313.           72          6 myfo   0.0000336   0.108  1.22e-4
   8      2555      365            84          7 myfo   0.00000877  0.0843 2.89e-5
   9      2920      417.           96          8 myfo   0.00000234  0.0661 6.85e-6
  10      3285      469.          108          9 myfo   0.000000636 0.0522 1.62e-6
  # ℹ 74 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Calc - Unit Values`
  # A tibble: 32 × 26
     strategy group      cycle state ly_resp ly_nresp qalys_resp qalys_nresp   lys
     <chr>    <chr>      <dbl> <chr>   <dbl>    <dbl>      <dbl>       <dbl> <dbl>
   1 chck     All Patie…     1 DEAD        0        0       0           0        0
   2 chck     All Patie…     1 REF         0        1       0           0.61     1
   3 chck     All Patie…     1 REL         0        1       0           0.67     1
   4 chck     All Patie…     1 RESP        1        0       0.81        0        1
   5 chck     All Patie…     2 DEAD        0        0       0           0        0
   6 chck     All Patie…     2 REF         0        1       0           0.61     1
   7 chck     All Patie…     2 REL         0        1       0           0.67     1
   8 chck     All Patie…     2 RESP        1        0       0.81        0        1
   9 chpl     All Patie…     1 DEAD        0        0       0           0        0
  10 chpl     All Patie…     1 REF         0        1       0           0.61     1
  # ℹ 22 more rows
  # ℹ 17 more variables: qalys <dbl>, cost_med <dbl>, cost_resp <dbl>,
  #   cost_nresp <dbl>, cost_trans <dbl>, cost_hc <dbl>, .disc_ly_resp <dbl>,
  #   .disc_ly_nresp <dbl>, .disc_qalys_resp <dbl>, .disc_qalys_nresp <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_resp <dbl>, .disc_cost_nresp <dbl>, .disc_cost_trans <dbl>,
  #   .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 20 × 25
     strategy group cycle  ly_resp ly_nresp qalys_resp qalys_nresp     lys   qalys
     <chr>    <chr> <dbl>    <dbl>    <dbl>      <dbl>       <dbl>   <dbl>   <dbl>
   1 chck     All …     1 2.95e- 1  0.514     2.39e- 1     0.326   0.809   0.565  
   2 chck     All …     2 4.82e- 2  0.498     3.90e- 2     0.329   0.546   0.368  
   3 chck     All …     3 1.01e- 2  0.414     8.16e- 3     0.277   0.424   0.285  
   4 chck     All …     4 2.29e- 3  0.332     1.85e- 3     0.222   0.334   0.224  
   5 chck     All …    20 2.89e-12  0.0103    2.34e-12     0.00693 0.0103  0.00693
   6 chpl     All …     1 2.02e- 1  0.547     1.64e- 1     0.342   0.749   0.506  
   7 chpl     All …     2 3.31e- 2  0.388     2.68e- 2     0.254   0.421   0.281  
   8 chpl     All …     3 6.91e- 3  0.295     5.60e- 3     0.196   0.302   0.202  
   9 chpl     All …     4 1.57e- 3  0.230     1.27e- 3     0.154   0.232   0.155  
  10 chpl     All …    20 1.98e-12  0.00710   1.61e-12     0.00476 0.00710 0.00476
  11 myfo     All …     1 1.79e- 1  0.555     1.45e- 1     0.346   0.734   0.491  
  12 myfo     All …     2 2.93e- 2  0.360     2.37e- 2     0.235   0.389   0.259  
  13 myfo     All …     3 6.12e- 3  0.265     4.96e- 3     0.176   0.272   0.181  
  14 myfo     All …     4 1.39e- 3  0.205     1.13e- 3     0.137   0.206   0.138  
  15 myfo     All …    20 1.76e-12  0.00629   1.42e-12     0.00421 0.00629 0.00421
  16 rlps     All …     1 3.14e- 1  0.507     2.54e- 1     0.323   0.821   0.577  
  17 rlps     All …     2 5.13e- 2  0.521     4.16e- 2     0.345   0.572   0.386  
  18 rlps     All …     3 1.07e- 2  0.439     8.69e- 3     0.293   0.450   0.302  
  19 rlps     All …     4 2.44e- 3  0.352     1.97e- 3     0.236   0.355   0.238  
  20 rlps     All …    20 3.08e-12  0.0110    2.49e-12     0.00738 0.0110  0.00738
  # ℹ 16 more variables: cost_med <dbl>, cost_resp <dbl>, cost_nresp <dbl>,
  #   cost_trans <dbl>, cost_hc <dbl>, .disc_ly_resp <dbl>, .disc_ly_nresp <dbl>,
  #   .disc_qalys_resp <dbl>, .disc_qalys_nresp <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_cost_med <dbl>, .disc_cost_resp <dbl>,
  #   .disc_cost_nresp <dbl>, .disc_cost_trans <dbl>, .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 84 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1         0        0             0          0 myfo   0.31        0      6.9 e-1
   2       365       52.1          12          1 myfo   0.0486      0.256  1.63e-1
   3       730      104.           24          2 myfo   0.0100      0.262  3.87e-2
   4      1095      156.           36          3 myfo   0.00225     0.221  9.18e-3
   5      1460      209.           48          4 myfo   0.000534    0.177  2.17e-3
   6      1825      261.           60          5 myfo   0.000132    0.138  5.15e-4
   7      2190      313.           72          6 myfo   0.0000336   0.108  1.22e-4
   8      2555      365            84          7 myfo   0.00000877  0.0843 2.89e-5
   9      2920      417.           96          8 myfo   0.00000234  0.0661 6.85e-6
  10      3285      469.          108          9 myfo   0.000000636 0.0522 1.62e-6
  # ℹ 74 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Results - Trace (Corrected)`
  # A tibble: 80 × 9
     model_day model_week model_month model_year series        RESP    REL     REF
         <dbl>      <dbl>       <dbl>      <dbl> <chr>        <dbl>  <dbl>   <dbl>
   1       365       52.1          12          1 myfo   0.179       0.128  4.27e-1
   2       730      104.           24          2 myfo   0.0293      0.259  1.01e-1
   3      1095      156.           36          3 myfo   0.00612     0.242  2.40e-2
   4      1460      209.           48          4 myfo   0.00139     0.199  5.68e-3
   5      1825      261.           60          5 myfo   0.000333    0.158  1.34e-3
   6      2190      313.           72          6 myfo   0.0000827   0.123  3.19e-4
   7      2555      365            84          7 myfo   0.0000212   0.0961 7.55e-5
   8      2920      417.           96          8 myfo   0.00000556  0.0752 1.79e-5
   9      3285      469.          108          9 myfo   0.00000149  0.0592 4.24e-6
  10      3650      521.          120         10 myfo   0.000000405 0.0468 1.00e-6
  # ℹ 70 more rows
  # ℹ 1 more variable: DEAD <dbl>

  $`Results - Outcomes`
  # A tibble: 128 × 5
     outcome series        group   disc    value
     <chr>   <chr>         <chr>   <lgl>   <dbl>
   1 lys     myfo          ly_resp TRUE   0.215 
   2 lys     chpl          ly_resp TRUE   0.243 
   3 lys     chck          ly_resp TRUE   0.354 
   4 lys     rlps          ly_resp TRUE   0.377 
   5 lys     chpl vs. myfo ly_resp TRUE   0.0277
   6 lys     chck vs. myfo ly_resp TRUE   0.139 
   7 lys     rlps vs. myfo ly_resp TRUE   0.162 
   8 lys     myfo vs. chpl ly_resp TRUE  -0.0277
   9 lys     chck vs. chpl ly_resp TRUE   0.111 
  10 lys     rlps vs. chpl ly_resp TRUE   0.134 
  # ℹ 118 more rows

  $`Results - Costs`
  # A tibble: 128 × 5
     outcome series        group    disc   value
     <chr>   <chr>         <chr>    <lgl>  <dbl>
   1 cost_hc myfo          cost_med TRUE   9141.
   2 cost_hc chpl          cost_med TRUE   9302.
   3 cost_hc chck          cost_med TRUE  44162.
   4 cost_hc rlps          cost_med TRUE  58753.
   5 cost_hc chpl vs. myfo cost_med TRUE    160.
   6 cost_hc chck vs. myfo cost_med TRUE  35021.
   7 cost_hc rlps vs. myfo cost_med TRUE  49612.
   8 cost_hc myfo vs. chpl cost_med TRUE   -160.
   9 cost_hc chck vs. chpl cost_med TRUE  34861.
  10 cost_hc rlps vs. chpl cost_med TRUE  49452.
  # ℹ 118 more rows

  $`Results - CE`
  # A tibble: 8 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_cost_… myfo   5.43e4  2.12    NA  NA     
  2 .disc_lys .dis… .disc_lys      .disc_cost_… chpl   5.44e4  2.29   103.  0.170 
  3 .disc_lys .dis… .disc_lys      .disc_cost_… chck   8.90e4  2.97 34630.  0.681 
  4 .disc_lys .dis… .disc_lys      .disc_cost_… rlps   1.04e5  3.11 14543.  0.140 
  5 .disc_qa… .dis… .disc_qalys    .disc_cost_… myfo   5.43e4  1.42    NA  NA     
  6 .disc_qa… .dis… .disc_qalys    .disc_cost_… chpl   5.44e4  1.54   103.  0.120 
  7 .disc_qa… .dis… .disc_qalys    .disc_cost_… chck   8.90e4  2.02 34630.  0.479 
  8 .disc_qa… .dis… .disc_qalys    .disc_cost_… rlps   1.04e5  2.12 14543.  0.0989
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 96 × 6
     outcome series        group   disc  type    value
     <chr>   <chr>         <chr>   <lgl> <chr>   <dbl>
   1 lys     chpl vs. myfo ly_resp TRUE  health   555.
   2 lys     chck vs. myfo ly_resp TRUE  health  2774.
   3 lys     rlps vs. myfo ly_resp TRUE  health  3231.
   4 lys     myfo vs. chpl ly_resp TRUE  health  -555.
   5 lys     chck vs. chpl ly_resp TRUE  health  2219.
   6 lys     rlps vs. chpl ly_resp TRUE  health  2676.
   7 lys     myfo vs. chck ly_resp TRUE  health -2774.
   8 lys     chpl vs. chck ly_resp TRUE  health -2219.
   9 lys     rlps vs. chck ly_resp TRUE  health   458.
  10 lys     myfo vs. rlps ly_resp TRUE  health -3231.
  # ℹ 86 more rows

Groups Model produces correct results.

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Code
  exported
Output
  $`Inputs - Settings`
  # A tibble: 9 × 2
    setting             value     
    <chr>               <chr>     
  1 disc_cost           0.03      
  2 disc_eff            0.03      
  3 n_cycles            40        
  4 method              life-table
  5 disc_method         start     
  6 CycleLength         1         
  7 CycleLengthUnits    years     
  8 ModelTimeframe      20        
  9 ModelTimeframeUnits years

  $`Inputs - Groups`
  # A tibble: 2 × 3
    name           weight start_age
    <chr>          <chr>  <chr>    
  1 "\"adults\""   0.8    60       
  2 "\"children\"" 0.2    12

  $`Inputs - Strategies`
  # A tibble: 3 × 2
    name   desc            
    <chr>  <chr>           
  1 immun  Immunotherapy   
  2 target Targeted therapy
  3 chemo  Chemotherapy

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc         prob  limit
    <chr> <chr>        <chr> <dbl>
  1 rf    Relapse-free 1         5
  2 rel   Post-relapse 0         5
  3 dead  Dead         0         1

  $`Inputs - Transitions`
  # A tibble: 6 × 4
    strategy from  to    value                    
    <chr>    <chr> <chr> <chr>                    
  1 All      rf    rel   rfs_prob * (1 - rfs_mort)
  2 All      rf    dead  rfs_mort                 
  3 All      rf    rf    C                        
  4 All      rel   dead  rel_mort                 
  5 All      rel   rel   C                        
  6 All      dead  dead  1

  $`Inputs - Health Values`
  # A tibble: 6 × 5
    name       label                        strategy state value                  
    <chr>      <chr>                        <chr>    <chr> <chr>                  
  1 febn       Cases of febrile neutropenia All      rf    p_febn                 
  2 lys_rf     Relapse-free life years      All      rf    cycle_length_years     
  3 lys_rel    Post-relapse life years      All      rel   cycle_length_years     
  4 qalys_rf   Relapse-free QALYs           All      rf    lys_rf * util_rf       
  5 qalys_rel  Post-relapse QALYs           All      rel   lys_rel* util_rel      
  6 qalys_febn Febrile neutropenia QALYs    All      rf    febn * disutil_febn * …

  $`Inputs - Econ Values`
  # A tibble: 8 × 5
    name      label                       strategy state    value                 
    <chr>     <chr>                       <chr>    <chr>    <chr>                 
  1 cost_med  Cost of medication          chemo    rf       dose_chemo * freq_che…
  2 cost_med  Cost of medication          target   rf       dose_target * freq_ta…
  3 cost_med  Cost of medication          immun    rf       dose_immun * freq_imm…
  4 cost_febn Cost of febrile neutropenia All      rf       ucost_febn * p_febn   
  5 cost_rf   Routine care, relapse-free  All      rf       ucost_rf * cycle_leng…
  6 cost_rel  Routine care, post-relapse  All      rel      ucost_rel * cycle_len…
  7 cost_term Cost of terminal care       All      rf→dead  50000                 
  8 cost_term Cost of terminal care       All      rel→dead 50000

  $`Inputs - Health Summ`
  # A tibble: 5 × 4
    name  description value         wtp
    <chr> <chr>       <chr>       <dbl>
  1 lys   Life Years  lys_rf     100000
  2 lys   Life Years  lys_rel    100000
  3 qalys QALYs       qalys_rf   200000
  4 qalys QALYs       qalys_rel  200000
  5 qalys QALYs       qalys_febn 200000

  $`Inputs - Econ Summ`
  # A tibble: 4 × 4
    name     description value       wtp
    <chr>    <chr>       <chr>     <dbl>
  1 costs_hc Cost (HC)   cost_med     NA
  2 costs_hc Cost (HC)   cost_febn    NA
  3 costs_hc Cost (HC)   cost_rf      NA
  4 costs_hc Cost (HC)   cost_rel     NA

  $`Inputs - Parameters`
  # A tibble: 38 × 6
     name              desc                                value low   high  psa  
     <chr>             <chr>                               <chr> <chr> <chr> <chr>
   1 current_age       Current age                         "sta… ""    ""    ""   
   2 percent_male      Percent male                        "0.4… "0.4" "0.6" "bet…
   3 gp_mort_male      Annualized general-population deat… "loo… ""    ""    ""   
   4 gp_mort_female    Annualized general-population deat… "loo… ""    ""    ""   
   5 gp_mort           Annualized general-population deat… "gp_… ""    ""    ""   
   6 gp_mort_per_cycle Per-cycle general-population death… "res… ""    ""    ""   
   7 rfs_p1            Relapse-free survival shape parame… "1.1… "bc … "bc … ""   
   8 rfs_p2            Relapse-free survival scale parame… "32.… "bc … "bc … ""   
   9 target_hr         Hazard ratio of relapse, targeted … "0.6… "0.3" "0.8" ""   
  10 immun_hr          Hazard ratio of relapse, immunothe… "0.3… ""    ""    ""   
  # ℹ 28 more rows

  $`Tbl - life_table`
  # A tibble: 240 × 5
       age sex   prob_death n_alive life_expectancy
     <dbl> <chr>      <dbl>   <dbl>           <dbl>
   1     0 male    0.00632   100000            76.3
   2     1 male    0.000396   99368            75.8
   3     2 male    0.000282   99328            74.8
   4     3 male    0.000212   99300            73.9
   5     4 male    0.000186   99279            72.9
   6     5 male    0.000162   99261            71.9
   7     6 male    0.000144   99245            70.9
   8     7 male    0.000129   99231            69.9
   9     8 male    0.000114   99218            68.9
  10     9 male    0.0001     99206            67.9
  # ℹ 230 more rows

  $`Calc - Params`
  # A tibble: 600 × 59
     strategy group  state_time cycle model_time cycle_length_days
     <chr>    <chr>       <dbl> <dbl>      <dbl>             <dbl>
   1 immun    adults          1     1          1               365
   2 immun    adults          1     2          2               365
   3 immun    adults          1     3          3               365
   4 immun    adults          1     4          4               365
   5 immun    adults          1     5          5               365
   6 immun    adults          1     6          6               365
   7 immun    adults          1     7          7               365
   8 immun    adults          1     8          8               365
   9 immun    adults          1     9          9               365
  10 immun    adults          1    10         10               365
  # ℹ 590 more rows
  # ℹ 53 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   .group <chr>, start_age <dbl>, current_age <dbl>, percent_male <dbl>,
  #   gp_mort_male <dbl>, gp_mort_female <dbl>, gp_mort <dbl>, …

  $`Calc - Trans`
  # A tibble: 1,320 × 15
     strategy group cycle from  .rf_1 .rf_2 .rf_3 .rf_4 .rf_5 .rel_1 .rel_2 .rel_3
     <chr>    <chr> <dbl> <chr> <dbl> <dbl> <dbl> <dbl> <dbl>  <dbl>  <dbl>  <dbl>
   1 immun    adul…     1 .rf_1     0 0.860 0     0     0      0.116  0      0    
   2 immun    adul…     1 .rf_2     0 0     0.842 0     0      0.134  0      0    
   3 immun    adul…     1 .rf_3     0 0     0     0.834 0      0.142  0      0    
   4 immun    adul…     1 .rf_4     0 0     0     0     0.828  0.148  0      0    
   5 immun    adul…     1 .rf_5     0 0     0     0     0.824  0.152  0      0    
   6 immun    adul…     1 .rel…     0 0     0     0     0      0      0.866  0    
   7 immun    adul…     1 .rel…     0 0     0     0     0      0      0      0.800
   8 immun    adul…     1 .rel…     0 0     0     0     0      0      0      0    
   9 immun    adul…     1 .rel…     0 0     0     0     0      0      0      0    
  10 immun    adul…     1 .rel…     0 0     0     0     0      0      0      0    
  # ℹ 1,310 more rows
  # ℹ 3 more variables: .rel_4 <dbl>, .rel_5 <dbl>, dead <dbl>

  $`Calc - Unit Values`
  # A tibble: 1,320 × 32
     strategy group cycle state  febn lys_rf lys_rel qalys_rf qalys_rel qalys_febn
     <chr>    <chr> <dbl> <chr> <dbl>  <dbl>   <dbl>    <dbl>     <dbl>      <dbl>
   1 chemo    adul…     1 .rel…     0      0       1        0      0.55          0
   2 chemo    adul…     2 .rel…     0      0       1        0      0.55          0
   3 chemo    adul…     3 .rel…     0      0       1        0      0.55          0
   4 chemo    adul…     4 .rel…     0      0       1        0      0.55          0
   5 chemo    adul…     5 .rel…     0      0       1        0      0.55          0
   6 chemo    adul…     6 .rel…     0      0       1        0      0.55          0
   7 chemo    adul…     7 .rel…     0      0       1        0      0.55          0
   8 chemo    adul…     8 .rel…     0      0       1        0      0.55          0
   9 chemo    adul…     9 .rel…     0      0       1        0      0.55          0
  10 chemo    adul…    10 .rel…     0      0       1        0      0.55          0
  # ℹ 1,310 more rows
  # ℹ 22 more variables: lys <dbl>, qalys <dbl>, cost_med <dbl>, cost_febn <dbl>,
  #   cost_rf <dbl>, cost_rel <dbl>, cost_term <dbl>, costs_hc <dbl>,
  #   .disc_febn <dbl>, .disc_lys_rf <dbl>, .disc_lys_rel <dbl>,
  #   .disc_qalys_rf <dbl>, .disc_qalys_rel <dbl>, .disc_qalys_febn <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_febn <dbl>, .disc_cost_rf <dbl>, .disc_cost_rel <dbl>, …

  $`Calc - Values`
  # A tibble: 120 × 31
     strategy group  cycle     febn lys_rf lys_rel qalys_rf qalys_rel  qalys_febn
     <chr>    <chr>  <dbl>    <dbl>  <dbl>   <dbl>    <dbl>     <dbl>       <dbl>
   1 chemo    adults     1 0.0128   0.850    0.138   0.697     0.0758 -0.000440  
   2 chemo    adults     2 0.00872  0.581    0.367   0.477     0.202  -0.000301  
   3 chemo    adults     3 0.00570  0.380    0.496   0.311     0.273  -0.000197  
   4 chemo    adults     4 0.00363  0.242    0.532   0.199     0.292  -0.000125  
   5 chemo    adults     5 0.00228  0.152    0.505   0.124     0.278  -0.0000786 
   6 chemo    adults     6 0.00141  0.0940   0.444   0.0771    0.244  -0.0000487 
   7 chemo    adults     7 0.000872 0.0581   0.369   0.0477    0.203  -0.0000301 
   8 chemo    adults     8 0.000537 0.0358   0.296   0.0294    0.163  -0.0000185 
   9 chemo    adults     9 0.000330 0.0220   0.231   0.0180    0.127  -0.0000114 
  10 chemo    adults    10 0.000202 0.0135   0.177   0.0110    0.0973 -0.00000697
  # ℹ 110 more rows
  # ℹ 22 more variables: lys <dbl>, qalys <dbl>, cost_med <dbl>, cost_febn <dbl>,
  #   cost_rf <dbl>, cost_rel <dbl>, cost_term <dbl>, costs_hc <dbl>,
  #   .disc_febn <dbl>, .disc_lys_rf <dbl>, .disc_lys_rel <dbl>,
  #   .disc_qalys_rf <dbl>, .disc_qalys_rel <dbl>, .disc_qalys_febn <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_febn <dbl>, .disc_cost_rf <dbl>, .disc_cost_rel <dbl>, …

  $`Results - Trace`
  # A tibble: 63 × 8
     model_day model_week model_month model_year series    rf   rel   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl> <dbl>  <dbl>
   1         0        0             0          0 immun  1     0     0     
   2       365       52.1          12          1 immun  0.865 0.116 0.0193
   3       730      104.           24          2 immun  0.730 0.217 0.0525
   4      1095      156.           36          3 immun  0.610 0.286 0.104 
   5      1460      209.           48          4 immun  0.506 0.323 0.172 
   6      1825      261.           60          5 immun  0.416 0.334 0.250 
   7      2190      313.           72          6 immun  0.342 0.325 0.333 
   8      2555      365            84          7 immun  0.280 0.303 0.416 
   9      2920      417.           96          8 immun  0.229 0.275 0.496 
  10      3285      469.          108          9 immun  0.187 0.244 0.569 
  # ℹ 53 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 60 × 8
     model_day model_week model_month model_year series    rf    rel    dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>  <dbl>   <dbl>
   1       365       52.1          12          1 immun  0.932 0.0581 0.00963
   2       730      104.           24          2 immun  0.797 0.167  0.0359 
   3      1095      156.           36          3 immun  0.670 0.251  0.0784 
   4      1460      209.           48          4 immun  0.558 0.304  0.138  
   5      1825      261.           60          5 immun  0.461 0.328  0.211  
   6      2190      313.           72          6 immun  0.379 0.329  0.291  
   7      2555      365            84          7 immun  0.311 0.314  0.375  
   8      2920      417.           96          8 immun  0.255 0.289  0.456  
   9      3285      469.          108          9 immun  0.208 0.259  0.532  
  10      3650      521.          120         10 immun  0.170 0.228  0.602  
  # ℹ 50 more rows

  $`Results - Outcomes`
  # A tibble: 90 × 5
     outcome series           group   disc   value
     <chr>   <chr>            <chr>   <lgl>  <dbl>
   1 lys     immun            lys_rf  TRUE   4.78 
   2 lys     target           lys_rf  TRUE   3.28 
   3 lys     chemo            lys_rf  TRUE   2.36 
   4 lys     target vs. immun lys_rf  TRUE  -1.49 
   5 lys     chemo vs. immun  lys_rf  TRUE  -2.42 
   6 lys     immun vs. target lys_rf  TRUE   1.49 
   7 lys     chemo vs. target lys_rf  TRUE  -0.924
   8 lys     immun vs. chemo  lys_rf  TRUE   2.42 
   9 lys     target vs. chemo lys_rf  TRUE   0.924
  10 lys     immun            lys_rel TRUE   2.88 
  # ℹ 80 more rows

  $`Results - Costs`
  # A tibble: 72 × 5
     outcome  series           group     disc     value
     <chr>    <chr>            <chr>     <lgl>    <dbl>
   1 costs_hc immun            cost_med  TRUE   48142. 
   2 costs_hc target           cost_med  TRUE   26459. 
   3 costs_hc chemo            cost_med  TRUE   67888. 
   4 costs_hc target vs. immun cost_med  TRUE  -21683. 
   5 costs_hc chemo vs. immun  cost_med  TRUE   19746. 
   6 costs_hc immun vs. target cost_med  TRUE   21683. 
   7 costs_hc chemo vs. target cost_med  TRUE   41429. 
   8 costs_hc immun vs. chemo  cost_med  TRUE  -19746. 
   9 costs_hc target vs. chemo cost_med  TRUE  -41429. 
  10 costs_hc immun            cost_febn TRUE      92.4
  # ℹ 62 more rows

  $`Results - CE`
  # A tibble: 6 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_costs… target 4.64e5  6.61    NA   NA    
  2 .disc_lys .dis… .disc_lys      .disc_costs… chemo  4.95e5  5.92 30931.  -0.687
  3 .disc_lys .dis… .disc_lys      .disc_costs… immun  4.97e5  7.66 32728.   1.05 
  4 .disc_qa… .dis… .disc_qalys    .disc_costs… target 4.64e5  4.52    NA   NA    
  5 .disc_qa… .dis… .disc_qalys    .disc_costs… chemo  4.95e5  3.89 30931.  -0.627
  6 .disc_qa… .dis… .disc_qalys    .disc_costs… immun  4.97e5  5.50 32728.   0.981
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 54 × 6
     outcome series           group   disc  type      value
     <chr>   <chr>            <chr>   <lgl> <chr>     <dbl>
   1 lys     target vs. immun lys_rf  TRUE  health -149490.
   2 lys     chemo vs. immun  lys_rf  TRUE  health -241881.
   3 lys     immun vs. target lys_rf  TRUE  health  149490.
   4 lys     chemo vs. target lys_rf  TRUE  health  -92390.
   5 lys     immun vs. chemo  lys_rf  TRUE  health  241881.
   6 lys     target vs. chemo lys_rf  TRUE  health   92390.
   7 lys     target vs. immun lys_rel TRUE  health   44547.
   8 lys     chemo vs. immun  lys_rel TRUE  health   68251.
   9 lys     immun vs. target lys_rel TRUE  health  -44547.
  10 lys     chemo vs. target lys_rel TRUE  health   23704.
  # ℹ 44 more rows
Code
  exported_limited
Output
  $`Inputs - Settings`
  # A tibble: 9 × 2
    setting             value     
    <chr>               <chr>     
  1 disc_cost           0.03      
  2 disc_eff            0.03      
  3 n_cycles            40        
  4 method              life-table
  5 disc_method         start     
  6 CycleLength         1         
  7 CycleLengthUnits    years     
  8 ModelTimeframe      20        
  9 ModelTimeframeUnits years

  $`Inputs - Groups`
  # A tibble: 2 × 3
    name           weight start_age
    <chr>          <chr>  <chr>    
  1 "\"adults\""   0.8    60       
  2 "\"children\"" 0.2    12

  $`Inputs - Strategies`
  # A tibble: 3 × 2
    name   desc            
    <chr>  <chr>           
  1 immun  Immunotherapy   
  2 target Targeted therapy
  3 chemo  Chemotherapy

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc         prob  limit
    <chr> <chr>        <chr> <dbl>
  1 rf    Relapse-free 1         5
  2 rel   Post-relapse 0         5
  3 dead  Dead         0         1

  $`Inputs - Transitions`
  # A tibble: 6 × 4
    strategy from  to    value                    
    <chr>    <chr> <chr> <chr>                    
  1 All      rf    rel   rfs_prob * (1 - rfs_mort)
  2 All      rf    dead  rfs_mort                 
  3 All      rf    rf    C                        
  4 All      rel   dead  rel_mort                 
  5 All      rel   rel   C                        
  6 All      dead  dead  1

  $`Inputs - Health Values`
  # A tibble: 6 × 5
    name       label                        strategy state value                  
    <chr>      <chr>                        <chr>    <chr> <chr>                  
  1 febn       Cases of febrile neutropenia All      rf    p_febn                 
  2 lys_rf     Relapse-free life years      All      rf    cycle_length_years     
  3 lys_rel    Post-relapse life years      All      rel   cycle_length_years     
  4 qalys_rf   Relapse-free QALYs           All      rf    lys_rf * util_rf       
  5 qalys_rel  Post-relapse QALYs           All      rel   lys_rel* util_rel      
  6 qalys_febn Febrile neutropenia QALYs    All      rf    febn * disutil_febn * …

  $`Inputs - Econ Values`
  # A tibble: 8 × 5
    name      label                       strategy state    value                 
    <chr>     <chr>                       <chr>    <chr>    <chr>                 
  1 cost_med  Cost of medication          chemo    rf       dose_chemo * freq_che…
  2 cost_med  Cost of medication          target   rf       dose_target * freq_ta…
  3 cost_med  Cost of medication          immun    rf       dose_immun * freq_imm…
  4 cost_febn Cost of febrile neutropenia All      rf       ucost_febn * p_febn   
  5 cost_rf   Routine care, relapse-free  All      rf       ucost_rf * cycle_leng…
  6 cost_rel  Routine care, post-relapse  All      rel      ucost_rel * cycle_len…
  7 cost_term Cost of terminal care       All      rf→dead  50000                 
  8 cost_term Cost of terminal care       All      rel→dead 50000

  $`Inputs - Health Summ`
  # A tibble: 5 × 4
    name  description value         wtp
    <chr> <chr>       <chr>       <dbl>
  1 lys   Life Years  lys_rf     100000
  2 lys   Life Years  lys_rel    100000
  3 qalys QALYs       qalys_rf   200000
  4 qalys QALYs       qalys_rel  200000
  5 qalys QALYs       qalys_febn 200000

  $`Inputs - Econ Summ`
  # A tibble: 4 × 4
    name     description value       wtp
    <chr>    <chr>       <chr>     <dbl>
  1 costs_hc Cost (HC)   cost_med     NA
  2 costs_hc Cost (HC)   cost_febn    NA
  3 costs_hc Cost (HC)   cost_rf      NA
  4 costs_hc Cost (HC)   cost_rel     NA

  $`Inputs - Parameters`
  # A tibble: 38 × 6
     name              desc                                value low   high  psa  
     <chr>             <chr>                               <chr> <chr> <chr> <chr>
   1 current_age       Current age                         "sta… ""    ""    ""   
   2 percent_male      Percent male                        "0.4… "0.4" "0.6" "bet…
   3 gp_mort_male      Annualized general-population deat… "loo… ""    ""    ""   
   4 gp_mort_female    Annualized general-population deat… "loo… ""    ""    ""   
   5 gp_mort           Annualized general-population deat… "gp_… ""    ""    ""   
   6 gp_mort_per_cycle Per-cycle general-population death… "res… ""    ""    ""   
   7 rfs_p1            Relapse-free survival shape parame… "1.1… "bc … "bc … ""   
   8 rfs_p2            Relapse-free survival scale parame… "32.… "bc … "bc … ""   
   9 target_hr         Hazard ratio of relapse, targeted … "0.6… "0.3" "0.8" ""   
  10 immun_hr          Hazard ratio of relapse, immunothe… "0.3… ""    ""    ""   
  # ℹ 28 more rows

  $`Tbl - life_table`
  # A tibble: 240 × 5
       age sex   prob_death n_alive life_expectancy
     <dbl> <chr>      <dbl>   <dbl>           <dbl>
   1     0 male    0.00632   100000            76.3
   2     1 male    0.000396   99368            75.8
   3     2 male    0.000282   99328            74.8
   4     3 male    0.000212   99300            73.9
   5     4 male    0.000186   99279            72.9
   6     5 male    0.000162   99261            71.9
   7     6 male    0.000144   99245            70.9
   8     7 male    0.000129   99231            69.9
   9     8 male    0.000114   99218            68.9
  10     9 male    0.0001     99206            67.9
  # ℹ 230 more rows

  $`Calc - Params`
  # A tibble: 24 × 59
     strategy group    state_time cycle model_time cycle_length_days
     <chr>    <chr>         <dbl> <dbl>      <dbl>             <dbl>
   1 immun    adults            1     1          1               365
   2 immun    adults            1     2          2               365
   3 immun    adults            1     3          3               365
   4 immun    adults            1     4          4               365
   5 immun    children          1     1          1               365
   6 immun    children          1     2          2               365
   7 immun    children          1     3          3               365
   8 immun    children          1     4          4               365
   9 target   adults            1     1          1               365
  10 target   adults            1     2          2               365
  # ℹ 14 more rows
  # ℹ 53 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   .group <chr>, start_age <dbl>, current_age <dbl>, percent_male <dbl>,
  #   gp_mort_male <dbl>, gp_mort_female <dbl>, gp_mort <dbl>, …

  $`Calc - Trans`
  # A tibble: 24 × 15
     strategy group cycle from  .rf_1 .rf_2 .rf_3 .rf_4 .rf_5 .rel_1 .rel_2 .rel_3
     <chr>    <chr> <dbl> <chr> <dbl> <dbl> <dbl> <dbl> <dbl>  <dbl>  <dbl>  <dbl>
   1 immun    adul…     1 .rf_1     0 0.860 0     0     0      0.116      0      0
   2 immun    adul…     1 .rf_2     0 0     0.842 0     0      0.134      0      0
   3 immun    adul…     1 .rf_3     0 0     0     0.834 0      0.142      0      0
   4 immun    adul…     1 .rf_4     0 0     0     0     0.828  0.148      0      0
   5 immun    chil…     1 .rf_1     0 0.881 0     0     0      0.118      0      0
   6 immun    chil…     1 .rf_2     0 0     0.862 0     0      0.137      0      0
   7 immun    chil…     1 .rf_3     0 0     0     0.854 0      0.146      0      0
   8 immun    chil…     1 .rf_4     0 0     0     0     0.848  0.151      0      0
   9 target   adul…     1 .rf_1     0 0.787 0     0     0      0.189      0      0
  10 target   adul…     1 .rf_2     0 0     0.758 0     0      0.218      0      0
  # ℹ 14 more rows
  # ℹ 3 more variables: .rel_4 <dbl>, .rel_5 <dbl>, dead <dbl>

  $`Calc - Unit Values`
  # A tibble: 66 × 32
     strategy group cycle state  febn lys_rf lys_rel qalys_rf qalys_rel qalys_febn
     <chr>    <chr> <dbl> <chr> <dbl>  <dbl>   <dbl>    <dbl>     <dbl>      <dbl>
   1 chemo    adul…     1 .rel… 0          0       1     0         0.55   0       
   2 chemo    adul…     1 .rel… 0          0       1     0         0.55   0       
   3 chemo    adul…     1 .rel… 0          0       1     0         0.55   0       
   4 chemo    adul…     1 .rel… 0          0       1     0         0.55   0       
   5 chemo    adul…     1 .rel… 0          0       1     0         0.55   0       
   6 chemo    adul…     1 .rf_1 0.015      1       0     0.82      0     -0.000518
   7 chemo    adul…     1 .rf_2 0.015      1       0     0.82      0     -0.000518
   8 chemo    adul…     1 .rf_3 0.015      1       0     0.82      0     -0.000518
   9 chemo    adul…     1 .rf_4 0.015      1       0     0.82      0     -0.000518
  10 chemo    adul…     1 .rf_5 0.015      1       0     0.82      0     -0.000518
  # ℹ 56 more rows
  # ℹ 22 more variables: lys <dbl>, qalys <dbl>, cost_med <dbl>, cost_febn <dbl>,
  #   cost_rf <dbl>, cost_rel <dbl>, cost_term <dbl>, costs_hc <dbl>,
  #   .disc_febn <dbl>, .disc_lys_rf <dbl>, .disc_lys_rel <dbl>,
  #   .disc_qalys_rf <dbl>, .disc_qalys_rel <dbl>, .disc_qalys_febn <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_febn <dbl>, .disc_cost_rf <dbl>, .disc_cost_rel <dbl>, …

  $`Calc - Values`
  # A tibble: 24 × 31
     strategy group    cycle    febn lys_rf lys_rel qalys_rf qalys_rel qalys_febn
     <chr>    <chr>    <dbl>   <dbl>  <dbl>   <dbl>    <dbl>     <dbl>      <dbl>
   1 chemo    adults       1 0.0128   0.850  0.138     0.697    0.0758  -0.000440
   2 chemo    adults       2 0.00872  0.581  0.367     0.477    0.202   -0.000301
   3 chemo    adults       3 0.00570  0.380  0.496     0.311    0.273   -0.000197
   4 chemo    adults       4 0.00363  0.242  0.532     0.199    0.292   -0.000125
   5 chemo    children     1 0.0129   0.859  0.141     0.704    0.0776  -0.000445
   6 chemo    children     2 0.00902  0.602  0.380     0.493    0.209   -0.000312
   7 chemo    children     3 0.00605  0.403  0.522     0.331    0.287   -0.000209
   8 chemo    children     4 0.00397  0.264  0.569     0.217    0.313   -0.000137
   9 immun    adults       1 0.00600  0.930  0.0578    0.763    0.0318  -0.000207
  10 immun    adults       2 0.00511  0.792  0.165     0.649    0.0910  -0.000176
  # ℹ 14 more rows
  # ℹ 22 more variables: lys <dbl>, qalys <dbl>, cost_med <dbl>, cost_febn <dbl>,
  #   cost_rf <dbl>, cost_rel <dbl>, cost_term <dbl>, costs_hc <dbl>,
  #   .disc_febn <dbl>, .disc_lys_rf <dbl>, .disc_lys_rel <dbl>,
  #   .disc_qalys_rf <dbl>, .disc_qalys_rel <dbl>, .disc_qalys_febn <dbl>,
  #   .disc_lys <dbl>, .disc_qalys <dbl>, .disc_cost_med <dbl>,
  #   .disc_cost_febn <dbl>, .disc_cost_rf <dbl>, .disc_cost_rel <dbl>, …

  $`Results - Trace`
  # A tibble: 63 × 8
     model_day model_week model_month model_year series    rf   rel   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl> <dbl>  <dbl>
   1         0        0             0          0 immun  1     0     0     
   2       365       52.1          12          1 immun  0.865 0.116 0.0193
   3       730      104.           24          2 immun  0.730 0.217 0.0525
   4      1095      156.           36          3 immun  0.610 0.286 0.104 
   5      1460      209.           48          4 immun  0.506 0.323 0.172 
   6      1825      261.           60          5 immun  0.416 0.334 0.250 
   7      2190      313.           72          6 immun  0.342 0.325 0.333 
   8      2555      365            84          7 immun  0.280 0.303 0.416 
   9      2920      417.           96          8 immun  0.229 0.275 0.496 
  10      3285      469.          108          9 immun  0.187 0.244 0.569 
  # ℹ 53 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 60 × 8
     model_day model_week model_month model_year series    rf    rel    dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>  <dbl>  <dbl>   <dbl>
   1       365       52.1          12          1 immun  0.932 0.0581 0.00963
   2       730      104.           24          2 immun  0.797 0.167  0.0359 
   3      1095      156.           36          3 immun  0.670 0.251  0.0784 
   4      1460      209.           48          4 immun  0.558 0.304  0.138  
   5      1825      261.           60          5 immun  0.461 0.328  0.211  
   6      2190      313.           72          6 immun  0.379 0.329  0.291  
   7      2555      365            84          7 immun  0.311 0.314  0.375  
   8      2920      417.           96          8 immun  0.255 0.289  0.456  
   9      3285      469.          108          9 immun  0.208 0.259  0.532  
  10      3650      521.          120         10 immun  0.170 0.228  0.602  
  # ℹ 50 more rows

  $`Results - Outcomes`
  # A tibble: 90 × 5
     outcome series           group   disc   value
     <chr>   <chr>            <chr>   <lgl>  <dbl>
   1 lys     immun            lys_rf  TRUE   4.78 
   2 lys     target           lys_rf  TRUE   3.28 
   3 lys     chemo            lys_rf  TRUE   2.36 
   4 lys     target vs. immun lys_rf  TRUE  -1.49 
   5 lys     chemo vs. immun  lys_rf  TRUE  -2.42 
   6 lys     immun vs. target lys_rf  TRUE   1.49 
   7 lys     chemo vs. target lys_rf  TRUE  -0.924
   8 lys     immun vs. chemo  lys_rf  TRUE   2.42 
   9 lys     target vs. chemo lys_rf  TRUE   0.924
  10 lys     immun            lys_rel TRUE   2.88 
  # ℹ 80 more rows

  $`Results - Costs`
  # A tibble: 72 × 5
     outcome  series           group     disc     value
     <chr>    <chr>            <chr>     <lgl>    <dbl>
   1 costs_hc immun            cost_med  TRUE   48142. 
   2 costs_hc target           cost_med  TRUE   26459. 
   3 costs_hc chemo            cost_med  TRUE   67888. 
   4 costs_hc target vs. immun cost_med  TRUE  -21683. 
   5 costs_hc chemo vs. immun  cost_med  TRUE   19746. 
   6 costs_hc immun vs. target cost_med  TRUE   21683. 
   7 costs_hc chemo vs. target cost_med  TRUE   41429. 
   8 costs_hc immun vs. chemo  cost_med  TRUE  -19746. 
   9 costs_hc target vs. chemo cost_med  TRUE  -41429. 
  10 costs_hc immun            cost_febn TRUE      92.4
  # ℹ 62 more rows

  $`Results - CE`
  # A tibble: 6 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_costs… target 4.64e5  6.61    NA   NA    
  2 .disc_lys .dis… .disc_lys      .disc_costs… chemo  4.95e5  5.92 30931.  -0.687
  3 .disc_lys .dis… .disc_lys      .disc_costs… immun  4.97e5  7.66 32728.   1.05 
  4 .disc_qa… .dis… .disc_qalys    .disc_costs… target 4.64e5  4.52    NA   NA    
  5 .disc_qa… .dis… .disc_qalys    .disc_costs… chemo  4.95e5  3.89 30931.  -0.627
  6 .disc_qa… .dis… .disc_qalys    .disc_costs… immun  4.97e5  5.50 32728.   0.981
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 54 × 6
     outcome series           group   disc  type      value
     <chr>   <chr>            <chr>   <lgl> <chr>     <dbl>
   1 lys     target vs. immun lys_rf  TRUE  health -149490.
   2 lys     chemo vs. immun  lys_rf  TRUE  health -241881.
   3 lys     immun vs. target lys_rf  TRUE  health  149490.
   4 lys     chemo vs. target lys_rf  TRUE  health  -92390.
   5 lys     immun vs. chemo  lys_rf  TRUE  health  241881.
   6 lys     target vs. chemo lys_rf  TRUE  health   92390.
   7 lys     target vs. immun lys_rel TRUE  health   44547.
   8 lys     chemo vs. immun  lys_rel TRUE  health   68251.
   9 lys     immun vs. target lys_rel TRUE  health  -44547.
  10 lys     chemo vs. target lys_rel TRUE  health   23704.
  # ℹ 44 more rows

Simple Markov Model produces correct results.

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Code
  exported
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value
    <chr>        <chr>
  1 disc_cost    0.03 
  2 disc_eff     0.03 
  3 cycle_length 365  
  4 n_cycles     20

  $`Inputs - Strategies`
  # A tibble: 2 × 2
    name  desc           
    <chr> <chr>          
  1 nat   Natural History
  2 new   New Treatment

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc               prob  limit
    <chr> <chr>              <chr> <dbl>
  1 well  Patient is healthy 1         0
  2 sick  Patient is sick    0         0
  3 dead  Patient is dead    0         0

  $`Inputs - Transitions`
  # A tibble: 7 × 4
    strategy from  to    value       
    <chr>    <chr> <chr> <chr>       
  1 nat      well  sick  p_sick_nat  
  2 new      well  sick  p_sick_new  
  3 All      well  dead  p_death_well
  4 All      well  well  C           
  5 All      sick  dead  p_death_sick
  6 All      sick  sick  C           
  7 All      dead  dead  1

  $`Inputs - Health Values`
  # A tibble: 5 × 5
    name       description     strategy state value                   
    <chr>      <chr>           <chr>    <chr> <chr>                   
  1 well_lys   Well life-years All      well  cycle_length_years      
  2 sick_lys   Sick life-years All      sick  cycle_length_years      
  3 well_qalys Well QALYs      nat      All   util_well_nat * well_lys
  4 well_qalys Label...        new      All   util_well_new * well_lys
  5 sick_qalys Sick QALYs      All      All   sick_lys * util_sick

  $`Inputs - Econ Values`
  # A tibble: 3 × 5
    name      description        strategy state       value         
    <chr>     <chr>              <chr>    <chr>       <chr>         
  1 med_cost  Medication cost    new      well        cost_new      
  2 term_cost Terminal care cost All      sick→dead   cost_hosp_stay
  3 ae_cost   Adverse Event Cost nat      Model Start 100

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description value         wtp
    <chr> <chr>       <chr>       <dbl>
  1 lys   Life-years  well_lys   100000
  2 lys   Label...    sick_lys   100000
  3 qalys QALYs       well_qalys 150000
  4 qalys Label...    sick_qalys 100000

  $`Inputs - Econ Summ`
  # A tibble: 3 × 3
    name    description             value    
    <chr>   <chr>                   <chr>    
  1 cost_hc Healthcare system costs med_cost 
  2 cost_hc Label...                term_cost
  3 cost_hc Healthcare system costs ae_cost

  $`Inputs - Parameters`
  # A tibble: 11 × 6
     name             desc                                 value low   high  psa  
     <chr>            <chr>                                <chr> <chr> <chr> <chr>
   1 p_sick_nat       Probability of getting sick, natura… 0.5   "bc … "bc … "bin…
   2 p_sick_new       Probability of getting sick, new dr… 0.30  "bc … "bc … "bin…
   3 p_death_well     Probability of dying while well      0.005 "0.0… "0.0… "bin…
   4 p_death_sick     Probability of dying while sick      0.08  "bc … "bc … "bin…
   5 cost_new         Cost per year of new drug            32000 "240… "480… ""   
   6 util_well_nat    Utility value for well state, natur… 0.85  ""    ""    "log…
   7 disutil_well_new Utility decrement associated with n… 0.02  ""    ""    "log…
   8 disutil_sick     Utility decrement associated with b… 0.23  ""    ""    "log…
   9 cost_hosp_stay   Cost of a hospital stay              85000 ""    ""    "nor…
  10 util_well_new    Utility value for well state, new d… util… ""    ""    ""   
  11 util_sick        Utility value for sick state         util… ""    ""    ""

  $`Calc - Params`
  # A tibble: 40 × 30
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 nat      All Patients          1     1          1               365
   2 nat      All Patients          1     2          2               365
   3 nat      All Patients          1     3          3               365
   4 nat      All Patients          1     4          4               365
   5 nat      All Patients          1     5          5               365
   6 nat      All Patients          1     6          6               365
   7 nat      All Patients          1     7          7               365
   8 nat      All Patients          1     8          8               365
   9 nat      All Patients          1     9          9               365
  10 nat      All Patients          1    10         10               365
  # ℹ 30 more rows
  # ℹ 24 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   p_sick_nat <dbl>, p_sick_new <dbl>, p_death_well <dbl>, p_death_sick <dbl>,
  #   cost_new <dbl>, util_well_nat <dbl>, disutil_well_new <dbl>, …

  $`Calc - Trans`
  # A tibble: 120 × 7
     strategy group        cycle from   well  sick  dead
     <chr>    <chr>        <dbl> <chr> <dbl> <dbl> <dbl>
   1 nat      All Patients     1 well  0.495  0.5  0.005
   2 nat      All Patients     1 sick  0      0.92 0.08 
   3 nat      All Patients     1 dead  0      0    1    
   4 nat      All Patients     2 well  0.495  0.5  0.005
   5 nat      All Patients     2 sick  0      0.92 0.08 
   6 nat      All Patients     2 dead  0      0    1    
   7 nat      All Patients     3 well  0.495  0.5  0.005
   8 nat      All Patients     3 sick  0      0.92 0.08 
   9 nat      All Patients     3 dead  0      0    1    
  10 nat      All Patients     4 well  0.495  0.5  0.005
  # ℹ 110 more rows

  $`Calc - Unit Values`
  # A tibble: 120 × 24
     strategy group      cycle state well_lys sick_lys well_qalys sick_qalys   lys
     <chr>    <chr>      <dbl> <chr>    <dbl>    <dbl>      <dbl>      <dbl> <dbl>
   1 nat      All Patie…     1 dead         0        0          0          0     0
   2 nat      All Patie…     2 dead         0        0          0          0     0
   3 nat      All Patie…     3 dead         0        0          0          0     0
   4 nat      All Patie…     4 dead         0        0          0          0     0
   5 nat      All Patie…     5 dead         0        0          0          0     0
   6 nat      All Patie…     6 dead         0        0          0          0     0
   7 nat      All Patie…     7 dead         0        0          0          0     0
   8 nat      All Patie…     8 dead         0        0          0          0     0
   9 nat      All Patie…     9 dead         0        0          0          0     0
  10 nat      All Patie…    10 dead         0        0          0          0     0
  # ℹ 110 more rows
  # ℹ 15 more variables: qalys <dbl>, med_cost <dbl>, term_cost <dbl>,
  #   ae_cost <dbl>, cost_hc <dbl>, .disc_well_lys <dbl>, .disc_sick_lys <dbl>,
  #   .disc_well_qalys <dbl>, .disc_sick_qalys <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_med_cost <dbl>, .disc_term_cost <dbl>,
  #   .disc_ae_cost <dbl>, .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 40 × 23
     strategy group      cycle well_lys sick_lys well_qalys sick_qalys   lys qalys
     <chr>    <chr>      <dbl>    <dbl>    <dbl>      <dbl>      <dbl> <dbl> <dbl>
   1 nat      All Patie…     1  0.748      0.25     0.635        0.155 0.998 0.790
   2 nat      All Patie…     2  0.370      0.604    0.315        0.374 0.974 0.689
   3 nat      All Patie…     3  0.183      0.740    0.156        0.459 0.924 0.615
   4 nat      All Patie…     4  0.0907     0.773    0.0771       0.479 0.863 0.556
   5 nat      All Patie…     5  0.0449     0.756    0.0381       0.469 0.801 0.507
   6 nat      All Patie…     6  0.0222     0.718    0.0189       0.445 0.740 0.464
   7 nat      All Patie…     7  0.0110     0.672    0.00935      0.417 0.683 0.426
   8 nat      All Patie…     8  0.00544    0.624    0.00463      0.387 0.629 0.391
   9 nat      All Patie…     9  0.00269    0.576    0.00229      0.357 0.579 0.360
  10 nat      All Patie…    10  0.00133    0.532    0.00113      0.330 0.533 0.331
  # ℹ 30 more rows
  # ℹ 14 more variables: med_cost <dbl>, term_cost <dbl>, ae_cost <dbl>,
  #   cost_hc <dbl>, .disc_well_lys <dbl>, .disc_sick_lys <dbl>,
  #   .disc_well_qalys <dbl>, .disc_sick_qalys <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_med_cost <dbl>, .disc_term_cost <dbl>,
  #   .disc_ae_cost <dbl>, .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 42 × 8
     model_day model_week model_month model_year series    well  sick   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>    <dbl> <dbl>  <dbl>
   1         0        0             0          0 nat    1       0     0     
   2       365       52.1          12          1 nat    0.495   0.5   0.005 
   3       730      104.           24          2 nat    0.245   0.708 0.0475
   4      1095      156.           36          3 nat    0.121   0.773 0.105 
   5      1460      209.           48          4 nat    0.0600  0.772 0.168 
   6      1825      261.           60          5 nat    0.0297  0.740 0.230 
   7      2190      313.           72          6 nat    0.0147  0.696 0.289 
   8      2555      365            84          7 nat    0.00728 0.648 0.345 
   9      2920      417.           96          8 nat    0.00360 0.600 0.397 
  10      3285      469.          108          9 nat    0.00178 0.553 0.445 
  # ℹ 32 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 40 × 8
     model_day model_week model_month model_year series    well  sick   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>    <dbl> <dbl>  <dbl>
   1       365       52.1          12          1 nat    0.748   0.25  0.0025
   2       730      104.           24          2 nat    0.370   0.604 0.0262
   3      1095      156.           36          3 nat    0.183   0.740 0.0764
   4      1460      209.           48          4 nat    0.0907  0.773 0.137 
   5      1825      261.           60          5 nat    0.0449  0.756 0.199 
   6      2190      313.           72          6 nat    0.0222  0.718 0.260 
   7      2555      365            84          7 nat    0.0110  0.672 0.317 
   8      2920      417.           96          8 nat    0.00544 0.624 0.371 
   9      3285      469.          108          9 nat    0.00269 0.576 0.421 
  10      3650      521.          120         10 nat    0.00133 0.532 0.467 
  # ℹ 30 more rows

  $`Results - Outcomes`
  # A tibble: 32 × 5
     outcome series      group      disc   value
     <chr>   <chr>       <chr>      <lgl>  <dbl>
   1 lys     nat         well_lys   TRUE   1.44 
   2 lys     new         well_lys   TRUE   2.60 
   3 lys     new vs. nat well_lys   TRUE   1.17 
   4 lys     nat vs. new well_lys   TRUE  -1.17 
   5 lys     nat         sick_lys   TRUE   7.78 
   6 lys     new         sick_lys   TRUE   7.26 
   7 lys     new vs. nat sick_lys   TRUE  -0.517
   8 lys     nat vs. new sick_lys   TRUE   0.517
   9 qalys   nat         well_qalys TRUE   1.22 
  10 qalys   new         well_qalys TRUE   2.16 
  # ℹ 22 more rows

  $`Results - Costs`
  # A tibble: 24 × 5
     outcome series      group     disc    value
     <chr>   <chr>       <chr>     <lgl>   <dbl>
   1 cost_hc nat         med_cost  TRUE       0 
   2 cost_hc new         med_cost  TRUE   83352.
   3 cost_hc new vs. nat med_cost  TRUE   83352.
   4 cost_hc nat vs. new med_cost  TRUE  -83352.
   5 cost_hc nat         term_cost TRUE   51681.
   6 cost_hc new         term_cost TRUE   48161.
   7 cost_hc new vs. nat term_cost TRUE   -3520.
   8 cost_hc nat vs. new term_cost TRUE    3520.
   9 cost_hc nat         ae_cost   TRUE     100 
  10 cost_hc new         ae_cost   TRUE       0 
  # ℹ 14 more rows

  $`Results - CE`
  # A tibble: 4 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_cost_… nat    5.18e4  9.22    NA   NA    
  2 .disc_lys .dis… .disc_lys      .disc_cost_… new    1.32e5  9.87 79732.   0.648
  3 .disc_qa… .dis… .disc_qalys    .disc_cost_… nat    5.18e4  6.05    NA   NA    
  4 .disc_qa… .dis… .disc_qalys    .disc_cost_… new    1.32e5  6.66 79732.   0.618
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 14 × 6
     outcome series      group      disc  type        value
     <chr>   <chr>       <chr>      <lgl> <chr>       <dbl>
   1 lys     new vs. nat well_lys   TRUE  health    116564.
   2 lys     nat vs. new well_lys   TRUE  health   -116564.
   3 lys     new vs. nat sick_lys   TRUE  health    -51719.
   4 lys     nat vs. new sick_lys   TRUE  health     51719.
   5 qalys   new vs. nat well_qalys TRUE  health    140805.
   6 qalys   nat vs. new well_qalys TRUE  health   -140805.
   7 qalys   new vs. nat sick_qalys TRUE  health    -48098.
   8 qalys   nat vs. new sick_qalys TRUE  health     48098.
   9 cost_hc new vs. nat med_cost   TRUE  economic  -83352.
  10 cost_hc nat vs. new med_cost   TRUE  economic   83352.
  11 cost_hc new vs. nat term_cost  TRUE  economic    3520.
  12 cost_hc nat vs. new term_cost  TRUE  economic   -3520.
  13 cost_hc new vs. nat ae_cost    TRUE  economic     100 
  14 cost_hc nat vs. new ae_cost    TRUE  economic    -100
Code
  exported_limited
Output
  $`Inputs - Settings`
  # A tibble: 4 × 2
    setting      value
    <chr>        <chr>
  1 disc_cost    0.03 
  2 disc_eff     0.03 
  3 cycle_length 365  
  4 n_cycles     20

  $`Inputs - Strategies`
  # A tibble: 2 × 2
    name  desc           
    <chr> <chr>          
  1 nat   Natural History
  2 new   New Treatment

  $`Inputs - States`
  # A tibble: 3 × 4
    name  desc               prob  limit
    <chr> <chr>              <chr> <dbl>
  1 well  Patient is healthy 1         0
  2 sick  Patient is sick    0         0
  3 dead  Patient is dead    0         0

  $`Inputs - Transitions`
  # A tibble: 7 × 4
    strategy from  to    value       
    <chr>    <chr> <chr> <chr>       
  1 nat      well  sick  p_sick_nat  
  2 new      well  sick  p_sick_new  
  3 All      well  dead  p_death_well
  4 All      well  well  C           
  5 All      sick  dead  p_death_sick
  6 All      sick  sick  C           
  7 All      dead  dead  1

  $`Inputs - Health Values`
  # A tibble: 5 × 5
    name       description     strategy state value                   
    <chr>      <chr>           <chr>    <chr> <chr>                   
  1 well_lys   Well life-years All      well  cycle_length_years      
  2 sick_lys   Sick life-years All      sick  cycle_length_years      
  3 well_qalys Well QALYs      nat      All   util_well_nat * well_lys
  4 well_qalys Label...        new      All   util_well_new * well_lys
  5 sick_qalys Sick QALYs      All      All   sick_lys * util_sick

  $`Inputs - Econ Values`
  # A tibble: 3 × 5
    name      description        strategy state       value         
    <chr>     <chr>              <chr>    <chr>       <chr>         
  1 med_cost  Medication cost    new      well        cost_new      
  2 term_cost Terminal care cost All      sick→dead   cost_hosp_stay
  3 ae_cost   Adverse Event Cost nat      Model Start 100

  $`Inputs - Health Summ`
  # A tibble: 4 × 4
    name  description value         wtp
    <chr> <chr>       <chr>       <dbl>
  1 lys   Life-years  well_lys   100000
  2 lys   Label...    sick_lys   100000
  3 qalys QALYs       well_qalys 150000
  4 qalys Label...    sick_qalys 100000

  $`Inputs - Econ Summ`
  # A tibble: 3 × 3
    name    description             value    
    <chr>   <chr>                   <chr>    
  1 cost_hc Healthcare system costs med_cost 
  2 cost_hc Label...                term_cost
  3 cost_hc Healthcare system costs ae_cost

  $`Inputs - Parameters`
  # A tibble: 11 × 6
     name             desc                                 value low   high  psa  
     <chr>            <chr>                                <chr> <chr> <chr> <chr>
   1 p_sick_nat       Probability of getting sick, natura… 0.5   "bc … "bc … "bin…
   2 p_sick_new       Probability of getting sick, new dr… 0.30  "bc … "bc … "bin…
   3 p_death_well     Probability of dying while well      0.005 "0.0… "0.0… "bin…
   4 p_death_sick     Probability of dying while sick      0.08  "bc … "bc … "bin…
   5 cost_new         Cost per year of new drug            32000 "240… "480… ""   
   6 util_well_nat    Utility value for well state, natur… 0.85  ""    ""    "log…
   7 disutil_well_new Utility decrement associated with n… 0.02  ""    ""    "log…
   8 disutil_sick     Utility decrement associated with b… 0.23  ""    ""    "log…
   9 cost_hosp_stay   Cost of a hospital stay              85000 ""    ""    "nor…
  10 util_well_new    Utility value for well state, new d… util… ""    ""    ""   
  11 util_sick        Utility value for sick state         util… ""    ""    ""

  $`Calc - Params`
  # A tibble: 20 × 30
     strategy group        state_time cycle model_time cycle_length_days
     <chr>    <chr>             <dbl> <dbl>      <dbl>             <dbl>
   1 nat      All Patients          1     1          1               365
   2 nat      All Patients          1     2          2               365
   3 nat      All Patients          1     3          3               365
   4 nat      All Patients          1     4          4               365
   5 nat      All Patients          1     5          5               365
   6 nat      All Patients          1     6          6               365
   7 nat      All Patients          1     7          7               365
   8 nat      All Patients          1     8          8               365
   9 nat      All Patients          1    19         19               365
  10 nat      All Patients          1    20         20               365
  11 new      All Patients          1     1          1               365
  12 new      All Patients          1     2          2               365
  13 new      All Patients          1     3          3               365
  14 new      All Patients          1     4          4               365
  15 new      All Patients          1     5          5               365
  16 new      All Patients          1     6          6               365
  17 new      All Patients          1     7          7               365
  18 new      All Patients          1     8          8               365
  19 new      All Patients          1    19         19               365
  20 new      All Patients          1    20         20               365
  # ℹ 24 more variables: cycle_length_weeks <dbl>, cycle_length_months <dbl>,
  #   cycle_length_years <dbl>, model_day <dbl>, model_week <dbl>,
  #   model_month <dbl>, model_year <dbl>, state_day <dbl>, state_week <dbl>,
  #   state_month <dbl>, state_year <dbl>, disc_h <dbl>, disc_e <dbl>,
  #   p_sick_nat <dbl>, p_sick_new <dbl>, p_death_well <dbl>, p_death_sick <dbl>,
  #   cost_new <dbl>, util_well_nat <dbl>, disutil_well_new <dbl>,
  #   disutil_sick <dbl>, cost_hosp_stay <dbl>, util_well_new <dbl>, …

  $`Calc - Trans`
  # A tibble: 20 × 7
     strategy group        cycle from   well  sick  dead
     <chr>    <chr>        <dbl> <chr> <dbl> <dbl> <dbl>
   1 nat      All Patients     1 well  0.495  0.5  0.005
   2 nat      All Patients     1 sick  0      0.92 0.08 
   3 nat      All Patients     1 dead  0      0    1    
   4 nat      All Patients     2 well  0.495  0.5  0.005
   5 nat      All Patients     2 sick  0      0.92 0.08 
   6 nat      All Patients     2 dead  0      0    1    
   7 nat      All Patients     3 well  0.495  0.5  0.005
   8 nat      All Patients     3 sick  0      0.92 0.08 
   9 nat      All Patients    20 sick  0      0.92 0.08 
  10 nat      All Patients    20 dead  0      0    1    
  11 new      All Patients     1 well  0.695  0.3  0.005
  12 new      All Patients     1 sick  0      0.92 0.08 
  13 new      All Patients     1 dead  0      0    1    
  14 new      All Patients     2 well  0.695  0.3  0.005
  15 new      All Patients     2 sick  0      0.92 0.08 
  16 new      All Patients     2 dead  0      0    1    
  17 new      All Patients     3 well  0.695  0.3  0.005
  18 new      All Patients     3 sick  0      0.92 0.08 
  19 new      All Patients    20 sick  0      0.92 0.08 
  20 new      All Patients    20 dead  0      0    1

  $`Calc - Unit Values`
  # A tibble: 24 × 24
     strategy group      cycle state well_lys sick_lys well_qalys sick_qalys   lys
     <chr>    <chr>      <dbl> <chr>    <dbl>    <dbl>      <dbl>      <dbl> <dbl>
   1 nat      All Patie…     1 dead         0        0       0          0        0
   2 nat      All Patie…     1 sick         0        1       0          0.62     1
   3 nat      All Patie…     1 well         1        0       0.85       0        1
   4 nat      All Patie…     2 dead         0        0       0          0        0
   5 nat      All Patie…     2 sick         0        1       0          0.62     1
   6 nat      All Patie…     2 well         1        0       0.85       0        1
   7 nat      All Patie…     3 dead         0        0       0          0        0
   8 nat      All Patie…     3 sick         0        1       0          0.62     1
   9 nat      All Patie…     3 well         1        0       0.85       0        1
  10 nat      All Patie…     4 dead         0        0       0          0        0
  # ℹ 14 more rows
  # ℹ 15 more variables: qalys <dbl>, med_cost <dbl>, term_cost <dbl>,
  #   ae_cost <dbl>, cost_hc <dbl>, .disc_well_lys <dbl>, .disc_sick_lys <dbl>,
  #   .disc_well_qalys <dbl>, .disc_sick_qalys <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_med_cost <dbl>, .disc_term_cost <dbl>,
  #   .disc_ae_cost <dbl>, .disc_cost_hc <dbl>

  $`Calc - Values`
  # A tibble: 20 × 23
     strategy group      cycle well_lys sick_lys well_qalys sick_qalys   lys qalys
     <chr>    <chr>      <dbl>    <dbl>    <dbl>      <dbl>      <dbl> <dbl> <dbl>
   1 nat      All Patie…     1  7.48e-1    0.25  0.635           0.155 0.998 0.790
   2 nat      All Patie…     2  3.70e-1    0.604 0.315           0.374 0.974 0.689
   3 nat      All Patie…     3  1.83e-1    0.740 0.156           0.459 0.924 0.615
   4 nat      All Patie…     4  9.07e-2    0.773 0.0771          0.479 0.863 0.556
   5 nat      All Patie…     5  4.49e-2    0.756 0.0381          0.469 0.801 0.507
   6 nat      All Patie…     6  2.22e-2    0.718 0.0189          0.445 0.740 0.464
   7 nat      All Patie…     7  1.10e-2    0.672 0.00935         0.417 0.683 0.426
   8 nat      All Patie…     8  5.44e-3    0.624 0.00463         0.387 0.629 0.391
   9 nat      All Patie…    19  2.38e-6    0.252 0.00000202      0.156 0.252 0.156
  10 nat      All Patie…    20  1.18e-6    0.232 0.00000100      0.144 0.232 0.144
  11 new      All Patie…     1  8.48e-1    0.15  0.703           0.093 0.998 0.796
  12 new      All Patie…     2  5.89e-1    0.392 0.489           0.243 0.981 0.732
  13 new      All Patie…     3  4.09e-1    0.538 0.340           0.333 0.947 0.673
  14 new      All Patie…     4  2.85e-1    0.617 0.236           0.383 0.902 0.619
  15 new      All Patie…     5  1.98e-1    0.653 0.164           0.405 0.851 0.569
  16 new      All Patie…     6  1.37e-1    0.660 0.114           0.409 0.798 0.524
  17 new      All Patie…     7  9.55e-2    0.649 0.0793          0.402 0.744 0.482
  18 new      All Patie…     8  6.64e-2    0.626 0.0551          0.388 0.692 0.443
  19 new      All Patie…    19  1.21e-3    0.284 0.00101         0.176 0.285 0.177
  20 new      All Patie…    20  8.43e-4    0.261 0.000700        0.162 0.262 0.163
  # ℹ 14 more variables: med_cost <dbl>, term_cost <dbl>, ae_cost <dbl>,
  #   cost_hc <dbl>, .disc_well_lys <dbl>, .disc_sick_lys <dbl>,
  #   .disc_well_qalys <dbl>, .disc_sick_qalys <dbl>, .disc_lys <dbl>,
  #   .disc_qalys <dbl>, .disc_med_cost <dbl>, .disc_term_cost <dbl>,
  #   .disc_ae_cost <dbl>, .disc_cost_hc <dbl>

  $`Results - Trace`
  # A tibble: 42 × 8
     model_day model_week model_month model_year series    well  sick   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>    <dbl> <dbl>  <dbl>
   1         0        0             0          0 nat    1       0     0     
   2       365       52.1          12          1 nat    0.495   0.5   0.005 
   3       730      104.           24          2 nat    0.245   0.708 0.0475
   4      1095      156.           36          3 nat    0.121   0.773 0.105 
   5      1460      209.           48          4 nat    0.0600  0.772 0.168 
   6      1825      261.           60          5 nat    0.0297  0.740 0.230 
   7      2190      313.           72          6 nat    0.0147  0.696 0.289 
   8      2555      365            84          7 nat    0.00728 0.648 0.345 
   9      2920      417.           96          8 nat    0.00360 0.600 0.397 
  10      3285      469.          108          9 nat    0.00178 0.553 0.445 
  # ℹ 32 more rows

  $`Results - Trace (Corrected)`
  # A tibble: 40 × 8
     model_day model_week model_month model_year series    well  sick   dead
         <dbl>      <dbl>       <dbl>      <dbl> <chr>    <dbl> <dbl>  <dbl>
   1       365       52.1          12          1 nat    0.748   0.25  0.0025
   2       730      104.           24          2 nat    0.370   0.604 0.0262
   3      1095      156.           36          3 nat    0.183   0.740 0.0764
   4      1460      209.           48          4 nat    0.0907  0.773 0.137 
   5      1825      261.           60          5 nat    0.0449  0.756 0.199 
   6      2190      313.           72          6 nat    0.0222  0.718 0.260 
   7      2555      365            84          7 nat    0.0110  0.672 0.317 
   8      2920      417.           96          8 nat    0.00544 0.624 0.371 
   9      3285      469.          108          9 nat    0.00269 0.576 0.421 
  10      3650      521.          120         10 nat    0.00133 0.532 0.467 
  # ℹ 30 more rows

  $`Results - Outcomes`
  # A tibble: 32 × 5
     outcome series      group      disc   value
     <chr>   <chr>       <chr>      <lgl>  <dbl>
   1 lys     nat         well_lys   TRUE   1.44 
   2 lys     new         well_lys   TRUE   2.60 
   3 lys     new vs. nat well_lys   TRUE   1.17 
   4 lys     nat vs. new well_lys   TRUE  -1.17 
   5 lys     nat         sick_lys   TRUE   7.78 
   6 lys     new         sick_lys   TRUE   7.26 
   7 lys     new vs. nat sick_lys   TRUE  -0.517
   8 lys     nat vs. new sick_lys   TRUE   0.517
   9 qalys   nat         well_qalys TRUE   1.22 
  10 qalys   new         well_qalys TRUE   2.16 
  # ℹ 22 more rows

  $`Results - Costs`
  # A tibble: 24 × 5
     outcome series      group     disc    value
     <chr>   <chr>       <chr>     <lgl>   <dbl>
   1 cost_hc nat         med_cost  TRUE       0 
   2 cost_hc new         med_cost  TRUE   83352.
   3 cost_hc new vs. nat med_cost  TRUE   83352.
   4 cost_hc nat vs. new med_cost  TRUE  -83352.
   5 cost_hc nat         term_cost TRUE   51681.
   6 cost_hc new         term_cost TRUE   48161.
   7 cost_hc new vs. nat term_cost TRUE   -3520.
   8 cost_hc nat vs. new term_cost TRUE    3520.
   9 cost_hc nat         ae_cost   TRUE     100 
  10 cost_hc new         ae_cost   TRUE       0 
  # ℹ 14 more rows

  $`Results - CE`
  # A tibble: 4 × 11
    hsumm     esumm health_outcome econ_outcome series   cost   eff  dcost deffect
    <chr>     <chr> <chr>          <chr>        <chr>   <dbl> <dbl>  <dbl>   <dbl>
  1 .disc_lys .dis… .disc_lys      .disc_cost_… nat    5.18e4  9.22    NA   NA    
  2 .disc_lys .dis… .disc_lys      .disc_cost_… new    1.32e5  9.87 79732.   0.648
  3 .disc_qa… .dis… .disc_qalys    .disc_cost_… nat    5.18e4  6.05    NA   NA    
  4 .disc_qa… .dis… .disc_qalys    .disc_cost_… new    1.32e5  6.66 79732.   0.618
  # ℹ 2 more variables: dref <chr>, icer <dbl>

  $`Results - NMB`
  # A tibble: 14 × 6
     outcome series      group      disc  type        value
     <chr>   <chr>       <chr>      <lgl> <chr>       <dbl>
   1 lys     new vs. nat well_lys   TRUE  health    116564.
   2 lys     nat vs. new well_lys   TRUE  health   -116564.
   3 lys     new vs. nat sick_lys   TRUE  health    -51719.
   4 lys     nat vs. new sick_lys   TRUE  health     51719.
   5 qalys   new vs. nat well_qalys TRUE  health    140805.
   6 qalys   nat vs. new well_qalys TRUE  health   -140805.
   7 qalys   new vs. nat sick_qalys TRUE  health    -48098.
   8 qalys   nat vs. new sick_qalys TRUE  health     48098.
   9 cost_hc new vs. nat med_cost   TRUE  economic  -83352.
  10 cost_hc nat vs. new med_cost   TRUE  economic   83352.
  11 cost_hc new vs. nat term_cost  TRUE  economic    3520.
  12 cost_hc nat vs. new term_cost  TRUE  economic   -3520.
  13 cost_hc new vs. nat ae_cost    TRUE  economic     100 
  14 cost_hc nat vs. new ae_cost    TRUE  economic    -100

Advanced Survival Modeling produces correct results.

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AP4=

TA447 Replication produces correct results.

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dGEuZnJhbWUAAAD+

Shared State-Time produces correct results.

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AAANAAAAAoAAAAD////8AAAEAgAAAAEABAAJAAAABWNsYXNzAAAAEAAAAAEABAAJAAAACmRh
dGEuZnJhbWUAAAD+

Sparse Matrix produces correct results.

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AAANAAAAAoAAAAD////8AAAEAgAAAAEABAAJAAAABWNsYXNzAAAAEAAAAAEABAAJAAAACmRh
dGEuZnJhbWUAAAD+


PolicyAnalysisInc/heRoMod documentation built on March 23, 2024, 4:29 p.m.