vignettes/i_reproduction.R

In PolicyAnalysisInc/heRoMod: Health Economic Modeling

## ---- echo=FALSE, include=FALSE------------------------------------------
library(heRomod)

## ------------------------------------------------------------------------
par_mod <- define_parameters(
  rr = ifelse(markov_cycle <= 2, .509, 1),
  cost_lami = ifelse(markov_cycle <= 2, 2086.5, 0),
  cost_zido = 2278
)

mat_mono <- define_transition(
  1251/1734, 350/1734, 116/1734,  17/1734,
  0,         731/1258, 512/1258,  15/1258,
  0,         0,        1312/1749, 437/1749,
  0,         0,        0,         1.00
)

mat_comb <- define_transition(
  C, 350/1734*rr, 116/1734*rr, 17/1734*rr,
  0, C,           512/1258*rr, 15/1258*rr,
  0, 0,           C,           437/1749*rr,
  0, 0,           0,           1.00
)

A_mono <- define_state(
  cost_health = 2756,
  cost_drugs = cost_zido,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
B_mono <- define_state(
  cost_health = 3052,
  cost_drugs = cost_zido,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
C_mono <- define_state(
  cost_health = 9007,
  cost_drugs = cost_zido,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
D_mono <- define_state(
  cost_health = 0,
  cost_drugs = 0,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 0
)

A_comb <- define_state(
  cost_health = 2756,
  cost_drugs = cost_zido + cost_lami,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
B_comb <- define_state(
  cost_health = 3052,
  cost_drugs = cost_zido + cost_lami,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
C_comb <- define_state(
  cost_health = 9007,
  cost_drugs = cost_zido + cost_lami,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 1
)
D_comb <- define_state(
  cost_health = 0,
  cost_drugs = 0,
  cost_total = discount(
    cost_health + cost_drugs, .06, first = T),
  life_year = 0
)

mod_mono <- define_strategy(
  transition = mat_mono,
  A_mono,
  B_mono,
  C_mono,
  D_mono
)
mod_comb <- define_strategy(
  transition = mat_comb,
  A_comb,
  B_comb,
  C_comb,
  D_comb
)

res_mod <- run_model(
  mono = mod_mono,
  comb = mod_comb,
  parameters = par_mod,
  cycles = 20,
  cost = cost_total,
  effect = life_year,
  method = "beginning",
  init = c(1, 0, 0, 0)
)
summary(res_mod)

## ------------------------------------------------------------------------
# a function to return age-related mortality rate
# given age and sex
death_prob <- data.frame(
  age = rep(seq(35, 85, 10), each = 2),
  sex = rep(1:0, 6),
  value = c(
    1.51e-3, .99e-3, 3.93e-3,
    2.6e-3, 10.9e-3, 6.7e-3,
    31.6e-3, 19.3e-3, 80.1e-3,
    53.5e-3, 187.9e-3, 154.8e-3
  )
)
death_prob

param <- define_parameters(
    age_init = 60,
    sex = 0,
    # age increases with cycles
    age = age_init + markov_cycle,
    
    # operative mortality rates
    omrPTHR = .02,
    omrRTHR = .02,
    
    # re-revision mortality rate
    rrr = .04,
    
    # parameters for calculating primary revision rate
    cons = -5.490935,
    ageC = -.0367022,
    maleC = .768536,
    lambda = exp(cons + ageC * age_init + maleC * sex),
    lngamma = 0.3740968,
    gamma = exp(lngamma),
    lnrrNP1 = -1.344474,
    rrNP1 = exp(lnrrNP1),
   
    # revision probability of primary procedure
    standardRR = 1 - exp(lambda * ((markov_cycle - 1) ^ gamma -
                                     markov_cycle ^ gamma)),
    np1RR = 1 - exp(lambda * rrNP1 * ((markov_cycle - 1) ^ gamma - 
                                        markov_cycle ^ gamma)),
    
    # age-related mortality rate
    sex_cat = ifelse(sex == 0, "FMLE", "MLE"),
    mr = look_up(death_prob, age = age, sex = sex, bin = "age"),
    
    u_successP = .85,
    u_revisionTHR = .30,
    u_successR = .75,
    c_revisionTHR = 5294
)

mat_standard <- define_transition(
    state_names = c(
      "PrimaryTHR",
      "SuccessP",
      "RevisionTHR",
      "SuccessR",
      "Death"
    ),
    0, C, 0,          0, omrPTHR,
    0, C, standardRR, 0, mr,
    0, 0, 0,          C, omrRTHR+mr,
    0, 0, rrr,        C, mr,
    0, 0, 0,          0, 1
)

mat_np1 <- define_transition(
    state_names = c(
      "PrimaryTHR",
      "SuccessP",
      "RevisionTHR",
      "SuccessR",
      "Death"
    ),
    0, C, 0,     0, omrPTHR,
    0, C, np1RR, 0, mr,
    0, 0, 0,     C, omrRTHR+mr,
    0, 0, rrr,   C, mr,
    0, 0, 0,     0, 1
)

mod_standard <- define_strategy(
  transition = mat_standard,
  PrimaryTHR = define_state(
    utility = 0,
    cost = 394
  ),
  SuccessP = define_state(
    utility = discount(u_successP, .015),
    cost = 0
  ),
  RevisionTHR = define_state(
    utility = discount(u_revisionTHR, .015),
    cost = discount(c_revisionTHR, .06)
  ),
  SuccessR = define_state(
    utility = discount(u_successR, .015),
    cost = 0
  ),
  Death = define_state(
    utility = 0,
    cost = 0
  )
)

mod_np1 <- define_strategy(
  transition = mat_np1,
  PrimaryTHR = define_state(
    utility = 0,
    cost = 579
  ),
  SuccessP = define_state(
    utility = discount(u_successP, .015),
    cost = 0
  ),
  RevisionTHR = define_state(
    utility = discount(u_revisionTHR, .015),
    cost = discount(c_revisionTHR, .06)
  ),
  SuccessR = define_state(
    utility = discount(u_successR, .015),
    cost = 0
  ),
  Death = define_state(
    utility = 0,
    cost = 0
  )
)

res_mod <- run_model(
  standard = mod_standard,
  np1 = mod_np1,
  parameters = param,
  cycles = 60,
  cost = cost,
  effect = utility,
  method = "end",
  init = c(1, 0, 0, 0, 0)
)
summary(res_mod)