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Introduction

This article describes an example workflow for the use of the pacheck package.
This vignette is still in development.

1. Upload of original health economic model inputs and outputs

df_pa <- calculate_nb(df = df_pa,
                      e_int = "t_qaly_d_int",
                      e_comp = "t_qaly_d_comp",
                      c_int = "t_costs_d_int",
                      c_comp = "t_costs_d_comp",
                      wtp = 80000)# calculate net benefits

2. Investigate model inputs and outputs

a. Summary statistics of (user-selected) model inputs and outputs

To examine whether cost inputs are always positive for instance

df <- generate_sum_stats(df_pa)
kable(df)
Parameter Mean SD Percentile_2.5th Percentile_97.5th Minimum Maximum Median Skewness Kurtosis
p_pfspd 0.150 0.035 0.088 0.226 0.049 0.316 0.147 0.390 3.167
p_pfsd 0.100 0.030 0.049 0.165 0.023 0.244 0.097 0.512 3.324
p_pdd 0.201 0.040 0.129 0.283 0.073 0.366 0.199 0.281 3.043
p_dd 1.000 0.000 1.000 1.000 1.000 1.000 1.000 NaN NaN
p_ae 0.050 0.022 0.016 0.099 0.003 0.150 0.047 0.773 3.697
rr 0.752 0.067 0.631 0.895 0.541 1.053 0.748 0.337 3.220
u_pfs 0.750 0.070 0.601 0.872 0.452 0.938 0.754 -0.344 2.973
u_pd 0.551 0.101 0.351 0.743 0.189 0.880 0.553 -0.074 2.759
u_d 0.000 0.000 0.000 0.000 0.000 0.000 0.000 NaN NaN
u_ae 0.150 0.050 0.067 0.260 0.027 0.381 0.145 0.536 3.270
c_pfs 1001.901 198.469 618.721 1394.938 251.129 1683.865 999.615 0.027 2.955
c_pd 2001.849 401.590 1206.941 2797.130 507.164 3473.235 2001.862 0.023 3.007
c_d 0.000 0.000 0.000 0.000 0.000 0.000 0.000 NaN NaN
c_thx 9998.458 98.509 9803.697 10189.988 9645.508 10432.360 9998.554 0.006 2.999
c_ae 500.147 98.550 326.356 713.320 202.776 973.505 494.154 0.404 3.300
t_qaly_comp 4.045 0.812 2.685 5.835 1.857 8.361 3.965 0.608 3.696
t_qaly_int 4.361 0.904 2.848 6.353 1.997 8.929 4.272 0.626 3.727
t_qaly_d_comp 3.712 0.708 2.507 5.254 1.766 7.250 3.648 0.549 3.558
t_qaly_d_int 3.981 0.783 2.653 5.680 1.884 7.814 3.912 0.565 3.588
t_costs_comp 9308.357 2241.029 5552.338 14253.916 3544.847 24343.506 9082.400 0.665 3.984
t_costs_int 47324.248 10127.477 30892.820 70045.473 22968.730 105110.970 46107.344 0.732 3.970
t_costs_d_comp 7245.761 1569.069 4537.692 10630.767 2839.705 16238.254 7122.288 0.507 3.553
t_costs_d_int 38904.167 7229.537 26678.880 54663.960 20482.666 76512.645 38192.360 0.564 3.548
t_ly_comp 6.210 1.075 4.363 8.599 3.237 12.038 6.116 0.550 3.596
t_ly_int 6.551 1.191 4.521 9.189 3.319 12.610 6.453 0.532 3.517
t_ly_d_comp 5.674 0.918 4.070 7.682 3.063 10.407 5.605 0.481 3.457
t_ly_d_int 5.958 1.012 4.202 8.171 3.130 10.927 5.884 0.465 3.392
t_ly_pfs_d_comp 2.933 0.659 1.871 4.453 1.387 6.718 2.858 0.727 3.915
t_ly_pfs_d_int 3.536 0.791 2.254 5.327 1.610 7.865 3.441 0.711 3.874
t_ly_pd_d_comp 2.741 0.682 1.610 4.282 0.901 7.703 2.667 0.703 4.161
t_ly_pd_d_int 2.422 0.650 1.351 3.879 0.765 7.287 2.350 0.710 4.189
t_qaly_pfs_d_comp 2.200 0.539 1.342 3.437 0.924 5.179 2.136 0.779 4.105
t_qaly_pfs_d_int 2.653 0.647 1.615 4.127 1.018 6.195 2.574 0.769 4.061
t_qaly_pd_d_comp 1.512 0.476 0.753 2.606 0.411 4.629 1.452 0.798 4.150
t_qaly_pd_d_int 1.336 0.443 0.636 2.359 0.311 4.062 1.275 0.835 4.232
t_costs_pfs_d_comp 2671.516 775.772 1398.436 4432.004 521.298 7716.981 2579.053 0.677 3.842
t_costs_pfs_d_int 34887.841 7196.717 22888.074 50881.264 17118.706 73283.077 34141.115 0.607 3.592
t_costs_pd_d_comp 4574.245 1424.259 2228.701 7800.942 896.710 13727.249 4405.554 0.711 3.935
t_costs_pd_d_int 3991.423 1308.219 1879.682 6956.242 761.653 12828.864 3821.068 0.767 4.114
t_qaly_ae_int 0.007 0.004 0.002 0.018 0.000 0.040 0.007 1.344 6.133
t_costs_ae_int 24.903 12.074 7.479 53.808 1.374 91.560 22.939 1.072 4.788
inc_ly 0.284 0.189 0.007 0.730 -0.299 1.518 0.256 0.986 4.701
inc_qaly 0.269 0.158 0.033 0.646 -0.104 1.354 0.245 1.022 4.804
inc_costs 31658.406 6586.504 20654.329 46277.308 14918.827 65754.848 30921.151 0.615 3.613
NMB_int 279582.456 56982.312 183155.896 403387.760 127937.329 568439.502 274622.922 0.564 3.579
NMB_comp 289739.318 55800.494 194916.374 411412.957 137320.155 570174.142 284875.452 0.552 3.567
iNMB -10156.862 9812.973 -26529.652 12070.411 -42404.626 52128.478 -11253.077 0.764 4.408
NHB_int 3.495 0.712 2.289 5.042 1.599 7.105 3.433 0.564 3.579
NHB_comp 3.622 0.698 2.436 5.143 1.717 7.127 3.561 0.552 3.567
iNHB -0.127 0.123 -0.332 0.151 -0.530 0.652 -0.141 0.764 4.408
rm(df)

b. Correlation matrix inputs (and outputs)

Question Karel:
- Karel: kan dit met kleuren om de sterke van de associatie te onderbouwen?

## Warning in cor(df): the standard deviation is zero
##                         p_pfspd       p_pfsd        p_pdd p_dd          p_ae
## p_pfspd             1.000000000 -0.139033305 -0.010495755   NA -3.024284e-02
## p_pfsd             -0.139033305  1.000000000 -0.010816151   NA -3.663264e-03
## p_pdd              -0.010495755 -0.010816151  1.000000000   NA  1.701983e-03
## p_dd                         NA           NA           NA    1            NA
## p_ae               -0.030242838 -0.003663264  0.001701983   NA  1.000000e+00
## rr                  0.005555683  0.006708217 -0.005797883   NA  7.691566e-03
## u_pfs              -0.003437065  0.009789630 -0.016799074   NA -1.148453e-02
## u_pd               -0.008489360 -0.010290774 -0.014401764   NA  4.285824e-03
## u_d                          NA           NA           NA   NA            NA
## u_ae                0.004214310 -0.007845934  0.006115386   NA -2.072832e-02
## c_pfs              -0.007240729  0.008922006  0.007699470   NA  1.160183e-02
## c_pd               -0.006491644 -0.001989455  0.004018725   NA -2.972565e-03
## c_d                          NA           NA           NA   NA            NA
## c_thx              -0.009512600  0.003227603 -0.006967529   NA -6.331375e-03
## c_ae               -0.004787715 -0.020918854  0.008406508   NA -1.854275e-03
## t_qaly_comp        -0.249129434 -0.644894524 -0.409465972   NA  9.026731e-03
## t_qaly_int         -0.223416510 -0.719044362 -0.323450439   NA  4.623426e-03
## t_qaly_d_comp      -0.245500974 -0.650125556 -0.389887645   NA  8.905463e-03
## t_qaly_d_int       -0.217456717 -0.721315789 -0.308303151   NA  3.810515e-03
## t_costs_comp        0.072402818 -0.524795343 -0.526957959   NA -3.597241e-05
## t_costs_int        -0.509139564 -0.703054192 -0.087255808   NA  2.183282e-02
## t_costs_d_comp      0.116309363 -0.524992861 -0.466695171   NA -3.802565e-04
## t_costs_d_int      -0.512272727 -0.709937788 -0.071935067   NA  2.247691e-02
## t_ly_comp          -0.161625810 -0.743833380 -0.548875028   NA  9.186622e-03
## t_ly_int           -0.141333480 -0.815594017 -0.434782863   NA  9.078385e-03
## t_ly_d_comp        -0.154183693 -0.762245774 -0.531983204   NA  9.245782e-03
## t_ly_d_int         -0.132012632 -0.829802983 -0.420493003   NA  9.011750e-03
## t_ly_pfs_d_comp    -0.709945440 -0.562256166  0.016256423   NA  2.799160e-02
## t_ly_pfs_d_int     -0.595708606 -0.643733642  0.017622636   NA  2.328283e-02
## t_ly_pd_d_comp      0.478324088 -0.483203573 -0.732087372   NA -1.459499e-02
## t_ly_pd_d_int       0.518747045 -0.509285887 -0.676112095   NA -1.427727e-02
## t_qaly_pfs_d_comp  -0.654500671 -0.512439160  0.006902301   NA  2.147308e-02
## t_qaly_pfs_d_int   -0.549222875 -0.586905726  0.008112931   NA  1.716692e-02
## t_qaly_pd_d_comp    0.375702865 -0.386783403 -0.587595960   NA -1.106072e-02
## t_qaly_pd_d_int     0.418231668 -0.417503190 -0.556967617   NA -1.116417e-02
## t_costs_pfs_d_comp -0.517922376 -0.398979866  0.017393108   NA  2.718166e-02
## t_costs_pfs_d_int  -0.596606220 -0.642828427  0.018051103   NA  2.390793e-02
## t_costs_pd_d_comp   0.410239692 -0.361052830 -0.523619933   NA -1.522437e-02
## t_costs_pd_d_int    0.451340245 -0.386885995 -0.496859767   NA -1.556586e-02
## t_qaly_ae_int      -0.021395840 -0.008030030  0.005575349   NA  7.638387e-01
## t_costs_ae_int     -0.028186016 -0.011196075  0.002954918   NA  8.947127e-01
## inc_ly              0.042095811 -0.741342725  0.332775995   NA  3.346499e-03
## inc_qaly            0.022910723 -0.658263698  0.219492682   NA -2.098542e-02
## inc_costs          -0.589993133 -0.654181852  0.032220406   NA  2.476189e-02
## NMB_int            -0.173914077 -0.702398131 -0.329589215   NA  1.334684e-03
## NMB_comp           -0.252438721 -0.645074499 -0.382588528   NA  9.049183e-03
## iNMB                0.425577343 -0.410557880  0.261681483   NA -4.370699e-02
## NHB_int            -0.173914077 -0.702398131 -0.329589215   NA  1.334684e-03
## NHB_comp           -0.252438721 -0.645074499 -0.382588528   NA  9.049183e-03
## iNHB                0.425577343 -0.410557880  0.261681483   NA -4.370699e-02
##                               rr         u_pfs         u_pd u_d          u_ae
## p_pfspd             0.0055556829 -0.0034370651 -0.008489360  NA  0.0042143104
## p_pfsd              0.0067082170  0.0097896297 -0.010290774  NA -0.0078459341
## p_pdd              -0.0057978835 -0.0167990741 -0.014401764  NA  0.0061153859
## p_dd                          NA            NA           NA  NA            NA
## p_ae                0.0076915659 -0.0114845290  0.004285824  NA -0.0207283208
## rr                  1.0000000000 -0.0042278034 -0.005801696  NA -0.0230641212
## u_pfs              -0.0042278034  1.0000000000  0.021242759  NA  0.0135154016
## u_pd               -0.0058016960  0.0212427591  1.000000000  NA  0.0078137622
## u_d                           NA            NA           NA   1            NA
## u_ae               -0.0230641212  0.0135154016  0.007813762  NA  1.0000000000
## c_pfs              -0.0003802568  0.0034331149 -0.013308394  NA -0.0095889440
## c_pd               -0.0129604287 -0.0044320841  0.003942809  NA  0.0081048934
## c_d                           NA            NA           NA  NA            NA
## c_thx               0.0025409157 -0.0005669849  0.002582883  NA  0.0087207713
## c_ae               -0.0148876228 -0.0143081358  0.019011830  NA  0.0003062855
## t_qaly_comp        -0.0104607022  0.2847749814  0.410329142  NA  0.0060188958
## t_qaly_int         -0.1222715413  0.3063443450  0.333308547  NA  0.0069789390
## t_qaly_d_comp      -0.0106044723  0.3051658443  0.417231300  NA  0.0065257281
## t_qaly_d_int       -0.1203932067  0.3281264437  0.338581898  NA  0.0070152853
## t_costs_comp       -0.0080629394  0.0041988641  0.014221858  NA  0.0025205076
## t_costs_int        -0.2208200079 -0.0001846684  0.018160598  NA  0.0089088253
## t_costs_d_comp     -0.0080164419  0.0021469688  0.012035883  NA  0.0033489268
## t_costs_d_int      -0.2224808170 -0.0012710841  0.017484034  NA  0.0091419802
## t_ly_comp          -0.0071336061  0.0064546005  0.021068311  NA -0.0007597400
## t_ly_int           -0.0974777287  0.0037668105  0.020117524  NA  0.0028280916
## t_ly_d_comp        -0.0071752851  0.0055472255  0.020937946  NA -0.0004326849
## t_ly_d_int         -0.0949669147  0.0029410233  0.019926188  NA  0.0030739728
## t_ly_pfs_d_comp    -0.0106464373 -0.0004380891  0.017015306  NA  0.0035062868
## t_ly_pfs_d_int     -0.2476888110 -0.0008526912  0.017018478  NA  0.0091352539
## t_ly_pd_d_comp      0.0006242195  0.0078932997  0.011755265  NA -0.0039704471
## t_ly_pd_d_int       0.1532903637  0.0056157536  0.010332369  NA -0.0063209525
## t_qaly_pfs_d_comp  -0.0125463028  0.3833317662  0.024688100  NA  0.0078832951
## t_qaly_pfs_d_int   -0.2293238499  0.3846774267  0.024563732  NA  0.0134075337
## t_qaly_pd_d_comp   -0.0015692807  0.0199359727  0.592502840  NA  0.0007816481
## t_qaly_pd_d_int     0.1223329075  0.0178180478  0.562837475  NA -0.0017737143
## t_costs_pfs_d_comp -0.0072158573  0.0020768359  0.003403604  NA -0.0006867819
## t_costs_pfs_d_int  -0.2474883446 -0.0011011723  0.015662313  NA  0.0089858989
## t_costs_pd_d_comp  -0.0049011391  0.0012340391  0.011405732  NA  0.0040635071
## t_costs_pd_d_int    0.1320014993 -0.0008274771  0.010349008  NA  0.0012593845
## t_qaly_ae_int      -0.0050667196 -0.0003522583  0.005237896  NA  0.5756756227
## t_costs_ae_int     -0.0013694561 -0.0150741011  0.012047203  NA -0.0185726440
## inc_ly             -0.4740579087 -0.0112066928  0.004996597  NA  0.0185773590
## inc_qaly           -0.5476431139  0.2573068852 -0.192098858  NA  0.0054952003
## inc_costs          -0.2422916565 -0.0019066401  0.016323734  NA  0.0092367038
## NMB_int            -0.1040425630  0.3606558956  0.369763208  NA  0.0065474377
## NMB_comp           -0.0105374619  0.3096639394  0.423125322  NA  0.0065290379
## iNMB               -0.5442377056  0.3333959783 -0.258906190  NA  0.0008931641
## NHB_int            -0.1040425630  0.3606558956  0.369763208  NA  0.0065474377
## NHB_comp           -0.0105374619  0.3096639394  0.423125322  NA  0.0065290379
## iNHB               -0.5442377056  0.3333959783 -0.258906190  NA  0.0008931641
##                            c_pfs          c_pd c_d         c_thx          c_ae
## p_pfspd            -0.0072407289 -6.491644e-03  NA -0.0095126002 -0.0047877153
## p_pfsd              0.0089220058 -1.989455e-03  NA  0.0032276026 -0.0209188544
## p_pdd               0.0076994700  4.018725e-03  NA -0.0069675286  0.0084065078
## p_dd                          NA            NA  NA            NA            NA
## p_ae                0.0116018262 -2.972565e-03  NA -0.0063313753 -0.0018542748
## rr                 -0.0003802568 -1.296043e-02  NA  0.0025409157 -0.0148876228
## u_pfs               0.0034331149 -4.432084e-03  NA -0.0005669849 -0.0143081358
## u_pd               -0.0133083940  3.942809e-03  NA  0.0025828832  0.0190118301
## u_d                           NA            NA  NA            NA            NA
## u_ae               -0.0095889440  8.104893e-03  NA  0.0087207713  0.0003062855
## c_pfs               1.0000000000 -3.784204e-03  NA -0.0050909619 -0.0080850947
## c_pd               -0.0037842037  1.000000e+00  NA  0.0048944545  0.0043422450
## c_d                           NA            NA   1            NA            NA
## c_thx              -0.0050909619  4.894455e-03  NA  1.0000000000  0.0020771004
## c_ae               -0.0080850947  4.342245e-03  NA  0.0020771004  1.0000000000
## t_qaly_comp        -0.0104862686 -1.880100e-03  NA  0.0074977060  0.0137953135
## t_qaly_int         -0.0112863610 -1.544393e-03  NA  0.0055738755  0.0164282308
## t_qaly_d_comp      -0.0103328331 -1.700198e-03  NA  0.0071735807  0.0140781774
## t_qaly_d_int       -0.0111028370 -1.333459e-03  NA  0.0052731230  0.0164898298
## t_costs_comp        0.2635015199  5.486358e-01  NA  0.0060161496  0.0060764012
## t_costs_int         0.0680191883  1.109267e-01  NA  0.0435605924  0.0196733549
## t_costs_d_comp      0.3244516667  5.803968e-01  NA  0.0048001642  0.0061741806
## t_costs_d_int       0.0810140321  1.133882e-01  NA  0.0493143663  0.0205190003
## t_ly_comp          -0.0102500476 -3.996077e-03  NA  0.0078777697  0.0101315805
## t_ly_int           -0.0111867205 -3.272477e-03  NA  0.0060221635  0.0143331190
## t_ly_d_comp        -0.0102285122 -3.774215e-03  NA  0.0075143392  0.0108421201
## t_ly_d_int         -0.0111278886 -3.014764e-03  NA  0.0056701127  0.0148646997
## t_ly_pfs_d_comp    -0.0008634609  2.342358e-03  NA  0.0079975038  0.0150801585
## t_ly_pfs_d_int     -0.0036208336  3.642237e-03  NA  0.0061117234  0.0200928418
## t_ly_pd_d_comp     -0.0129396629 -7.345635e-03  NA  0.0023917651  0.0000297480
## t_ly_pd_d_int      -0.0129232078 -9.122194e-03  NA  0.0013972198 -0.0012860288
## t_qaly_pfs_d_comp   0.0006896915  8.130601e-05  NA  0.0071248409  0.0090326149
## t_qaly_pfs_d_int   -0.0023807954  1.373561e-03  NA  0.0051313266  0.0138616519
## t_qaly_pd_d_comp   -0.0161460818 -2.620310e-03  NA  0.0026034719  0.0107117232
## t_qaly_pd_d_int    -0.0161079734 -4.325842e-03  NA  0.0018436046  0.0088790778
## t_costs_pfs_d_comp  0.6816126278  3.801856e-06  NA  0.0016889697  0.0052202124
## t_costs_pfs_d_int   0.0838489930  3.821088e-03  NA  0.0489235661  0.0196049732
## t_costs_pd_d_comp  -0.0138241597  6.394063e-01  NA  0.0043682617  0.0039585651
## t_costs_pd_d_int   -0.0136432856  6.056054e-01  NA  0.0034311872  0.0017716105
## t_qaly_ae_int       0.0046730992  4.264632e-03  NA  0.0022570993 -0.0014572887
## t_costs_ae_int      0.0086834700 -1.628790e-03  NA -0.0047865527  0.4086339889
## inc_ly             -0.0099096010  2.191952e-03  NA -0.0061443215  0.0269526103
## inc_qaly           -0.0086755892  1.011375e-03  NA -0.0060124393  0.0185547912
## inc_costs           0.0116308741 -1.380677e-02  NA  0.0529853546  0.0210514040
## NMB_int            -0.0224766035 -1.585094e-02  NA -0.0004633864  0.0155131623
## NMB_comp           -0.0196105263 -1.804593e-02  NA  0.0071457601  0.0141148591
## iNMB               -0.0190046136  1.057258e-02  NA -0.0433244595  0.0098196274
## NHB_int            -0.0224766035 -1.585094e-02  NA -0.0004633864  0.0155131623
## NHB_comp           -0.0196105263 -1.804593e-02  NA  0.0071457601  0.0141148591
## iNHB               -0.0190046136  1.057258e-02  NA -0.0433244595  0.0098196274
##                     t_qaly_comp   t_qaly_int t_qaly_d_comp t_qaly_d_int
## p_pfspd            -0.249129434 -0.223416510  -0.245500974 -0.217456717
## p_pfsd             -0.644894524 -0.719044362  -0.650125556 -0.721315789
## p_pdd              -0.409465972 -0.323450439  -0.389887645 -0.308303151
## p_dd                         NA           NA            NA           NA
## p_ae                0.009026731  0.004623426   0.008905463  0.003810515
## rr                 -0.010460702 -0.122271541  -0.010604472 -0.120393207
## u_pfs               0.284774981  0.306344345   0.305165844  0.328126444
## u_pd                0.410329142  0.333308547   0.417231300  0.338581898
## u_d                          NA           NA            NA           NA
## u_ae                0.006018896  0.006978939   0.006525728  0.007015285
## c_pfs              -0.010486269 -0.011286361  -0.010332833 -0.011102837
## c_pd               -0.001880100 -0.001544393  -0.001700198 -0.001333459
## c_d                          NA           NA            NA           NA
## c_thx               0.007497706  0.005573876   0.007173581  0.005273123
## c_ae                0.013795313  0.016428231   0.014078177  0.016489830
## t_qaly_comp         1.000000000  0.981540140   0.999408651  0.979550452
## t_qaly_int          0.981540140  1.000000000   0.983305375  0.999467984
## t_qaly_d_comp       0.999408651  0.983305375   1.000000000  0.982400906
## t_qaly_d_int        0.979550452  0.999467984   0.982400906  1.000000000
## t_costs_comp        0.598435679  0.589810000   0.588149187  0.580473676
## t_costs_int         0.750768141  0.812833392   0.748278763  0.805969518
## t_costs_d_comp      0.549501061  0.547385885   0.541168761  0.539805601
## t_costs_d_int       0.743112321  0.806482160   0.741355778  0.800346396
## t_ly_comp           0.861102388  0.863050633   0.849727701  0.851144037
## t_ly_int            0.854413354  0.885941795   0.845965174  0.875793106
## t_ly_d_comp         0.861226313  0.866300462   0.850530664  0.854936272
## t_ly_d_int          0.851883156  0.885501902   0.844037966  0.875882194
## t_ly_pfs_d_comp     0.672498972  0.702622951   0.671168901  0.697024897
## t_ly_pfs_d_int      0.689651148  0.758252439   0.689136462  0.752782745
## t_ly_pd_d_comp      0.509976053  0.487703143   0.496858175  0.477808728
## t_ly_pd_d_int       0.487835425  0.456770164   0.476246644  0.448443027
## t_qaly_pfs_d_comp   0.733729850  0.769885818   0.740413173  0.773127377
## t_qaly_pfs_d_int    0.749376254  0.821278050   0.756834925  0.824676125
## t_qaly_pd_d_comp    0.655725177  0.590856749   0.649040236  0.585842899
## t_qaly_pd_d_int     0.636623665  0.566695740   0.630761664  0.562662453
## t_costs_pfs_d_comp  0.474585693  0.495561165   0.473931987  0.491897218
## t_costs_pfs_d_int   0.685056758  0.753024687   0.684744802  0.747837590
## t_costs_pd_d_comp   0.346871516  0.333116253   0.338048099  0.326760945
## t_costs_pd_d_int    0.337885631  0.314207878   0.329894530  0.308841581
## t_qaly_ae_int       0.010557378  0.007554518   0.010779190  0.006905744
## t_costs_ae_int      0.014043080  0.011086715   0.014057957  0.010393859
## inc_ly              0.378475855  0.533975197   0.388429693  0.537669288
## inc_qaly            0.372857802  0.543306128   0.384302420  0.549979880
## inc_costs           0.684756714  0.754817168   0.684813643  0.749888188
## NMB_int             0.981897509  0.995739870   0.985252004  0.997102832
## NMB_comp            0.998885917  0.982601572   0.999720397  0.981896744
## iNMB                0.021651174  0.194630777   0.036384987  0.206553204
## NHB_int             0.981897509  0.995739870   0.985252004  0.997102832
## NHB_comp            0.998885917  0.982601572   0.999720397  0.981896744
## iNHB                0.021651174  0.194630777   0.036384987  0.206553204
##                     t_costs_comp   t_costs_int t_costs_d_comp t_costs_d_int
## p_pfspd             7.240282e-02 -0.5091395641   0.1163093629  -0.512272727
## p_pfsd             -5.247953e-01 -0.7030541918  -0.5249928607  -0.709937788
## p_pdd              -5.269580e-01 -0.0872558084  -0.4666951715  -0.071935067
## p_dd                          NA            NA             NA            NA
## p_ae               -3.597241e-05  0.0218328198  -0.0003802565   0.022476909
## rr                 -8.062939e-03 -0.2208200079  -0.0080164419  -0.222480817
## u_pfs               4.198864e-03 -0.0001846684   0.0021469688  -0.001271084
## u_pd                1.422186e-02  0.0181605977   0.0120358828   0.017484034
## u_d                           NA            NA             NA            NA
## u_ae                2.520508e-03  0.0089088253   0.0033489268   0.009141980
## c_pfs               2.635015e-01  0.0680191883   0.3244516667   0.081014032
## c_pd                5.486358e-01  0.1109267282   0.5803967986   0.113388232
## c_d                           NA            NA             NA            NA
## c_thx               6.016150e-03  0.0435605924   0.0048001642   0.049314366
## c_ae                6.076401e-03  0.0196733549   0.0061741806   0.020519000
## t_qaly_comp         5.984357e-01  0.7507681414   0.5495010607   0.743112321
## t_qaly_int          5.898100e-01  0.8128333923   0.5473858847   0.806482160
## t_qaly_d_comp       5.881492e-01  0.7482787629   0.5411687615   0.741355778
## t_qaly_d_int        5.804737e-01  0.8059695185   0.5398056014   0.800346396
## t_costs_comp        1.000000e+00  0.5325578405   0.9936974249   0.528401833
## t_costs_int         5.325578e-01  1.0000000000   0.5016446400   0.999035773
## t_costs_d_comp      9.936974e-01  0.5016446400   1.0000000000   0.500110427
## t_costs_d_int       5.284018e-01  0.9990357733   0.5001104271   1.000000000
## t_ly_comp           7.319419e-01  0.7891016859   0.6766928284   0.779669656
## t_ly_int            7.059997e-01  0.8450807290   0.6590225085   0.837406997
## t_ly_d_comp         7.300733e-01  0.7952336162   0.6767457619   0.786540533
## t_ly_d_int          7.033950e-01  0.8458330910   0.6582433826   0.838910691
## t_ly_pfs_d_comp     3.088077e-01  0.9315528141   0.2696224941   0.931360950
## t_ly_pfs_d_int      3.531060e-01  0.9785483800   0.3185562098   0.978438096
## t_ly_pd_d_comp      6.847621e-01  0.1708102803   0.6508108326   0.159289361
## t_ly_pd_d_int       6.658307e-01  0.1271641709   0.6375388448   0.116520439
## t_qaly_pfs_d_comp   2.857432e-01  0.8569173510   0.2488181658   0.856203073
## t_qaly_pfs_d_int    3.262447e-01  0.8993844224   0.2935596240   0.898721828
## t_qaly_pd_d_comp    5.511999e-01  0.1428556919   0.5231299301   0.133369276
## t_qaly_pd_d_int     5.494924e-01  0.1104948135   0.5253680045   0.101526608
## t_costs_pfs_d_comp  4.108102e-01  0.7165056229   0.4252605753   0.725974010
## t_costs_pfs_d_int   3.760350e-01  0.9814106106   0.3472837212   0.983566034
## t_costs_pd_d_comp   8.709689e-01  0.1623791223   0.8700413662   0.155531629
## t_costs_pd_d_int    8.514253e-01  0.1217710029   0.8532471533   0.115233885
## t_qaly_ae_int       3.065113e-03  0.0228408501   0.0033046830   0.023501319
## t_costs_ae_int      2.634632e-03  0.0271685645   0.0024455215   0.028073273
## inc_ly              2.203125e-01  0.6668786695   0.2375925986   0.672042318
## inc_qaly            2.392506e-01  0.6377992009   0.2483088922   0.640961221
## inc_costs           3.432656e-01  0.9770662808   0.3107107467   0.978490132
## NMB_int             5.706947e-01  0.7587237363   0.5296042881   0.752423583
## NMB_comp            5.689927e-01  0.7453504209   0.5211332888   0.738367164
## iNMB                7.840909e-02  0.1674223233   0.1119519707   0.170547974
## NHB_int             5.706947e-01  0.7587237363   0.5296042881   0.752423583
## NHB_comp            5.689927e-01  0.7453504209   0.5211332888   0.738367164
## iNHB                7.840909e-02  0.1674223233   0.1119519707   0.170547974
##                       t_ly_comp     t_ly_int   t_ly_d_comp   t_ly_d_int
## p_pfspd            -0.161625810 -0.141333480 -0.1541836929 -0.132012632
## p_pfsd             -0.743833380 -0.815594017 -0.7622457742 -0.829802983
## p_pdd              -0.548875028 -0.434782863 -0.5319832041 -0.420493003
## p_dd                         NA           NA            NA           NA
## p_ae                0.009186622  0.009078385  0.0092457821  0.009011750
## rr                 -0.007133606 -0.097477729 -0.0071752851 -0.094966915
## u_pfs               0.006454600  0.003766811  0.0055472255  0.002941023
## u_pd                0.021068311  0.020117524  0.0209379455  0.019926188
## u_d                          NA           NA            NA           NA
## u_ae               -0.000759740  0.002828092 -0.0004326849  0.003073973
## c_pfs              -0.010250048 -0.011186721 -0.0102285122 -0.011127889
## c_pd               -0.003996077 -0.003272477 -0.0037742155 -0.003014764
## c_d                          NA           NA            NA           NA
## c_thx               0.007877770  0.006022163  0.0075143392  0.005670113
## c_ae                0.010131580  0.014333119  0.0108421201  0.014864700
## t_qaly_comp         0.861102388  0.854413354  0.8612263133  0.851883156
## t_qaly_int          0.863050633  0.885941795  0.8663004624  0.885501902
## t_qaly_d_comp       0.849727701  0.845965174  0.8505306644  0.844037966
## t_qaly_d_int        0.851144037  0.875793106  0.8549362719  0.875882194
## t_costs_comp        0.731941937  0.705999705  0.7300733083  0.703394996
## t_costs_int         0.789101686  0.845080729  0.7952336162  0.845833091
## t_costs_d_comp      0.676692828  0.659022508  0.6767457619  0.658243383
## t_costs_d_int       0.779669656  0.837406997  0.7865405330  0.838910691
## t_ly_comp           1.000000000  0.984519765  0.9995488370  0.981598264
## t_ly_int            0.984519765  1.000000000  0.9877087904  0.999646265
## t_ly_d_comp         0.999548837  0.987708790  1.0000000000  0.985560695
## t_ly_d_int          0.981598264  0.999646265  0.9855606951  1.000000000
## t_ly_pfs_d_comp     0.666532844  0.699597779  0.6713263880  0.699629385
## t_ly_pfs_d_int      0.699824967  0.765413195  0.7066923298  0.766601871
## t_ly_pd_d_comp      0.702008719  0.654117217  0.6979847293  0.651194007
## t_ly_pd_d_int       0.677425445  0.625780731  0.6752451606  0.624886242
## t_qaly_pfs_d_comp   0.615870232  0.645183425  0.6198631841  0.644828531
## t_qaly_pfs_d_int    0.646166356  0.705263546  0.6520582968  0.705966650
## t_qaly_pd_d_comp    0.566537282  0.527764989  0.5632120352  0.525300804
## t_qaly_pd_d_int     0.560430443  0.517636938  0.5585243239  0.516767339
## t_costs_pfs_d_comp  0.470456804  0.493514955  0.4740862923  0.493778353
## t_costs_pfs_d_int   0.695529067  0.760473878  0.7025571483  0.761900074
## t_costs_pd_d_comp   0.489244387  0.457218014  0.4873257742  0.456216202
## t_costs_pd_d_int    0.482316435  0.444101354  0.4816210131  0.444564101
## t_qaly_ae_int       0.007538937  0.009607425  0.0077651217  0.009691650
## t_costs_ae_int      0.012318024  0.013850325  0.0126417813  0.013991562
## inc_ly              0.401176954  0.555459516  0.4202188274  0.567798276
## inc_qaly            0.407467130  0.546121970  0.4226204268  0.555179507
## inc_costs           0.694582854  0.762166538  0.7021119172  0.764002643
## NMB_int             0.836186231  0.855941489  0.8394808216  0.855848587
## NMB_comp            0.843392542  0.840070688  0.8442060112  0.838136601
## iNMB                0.059727470  0.193332372  0.0742328984  0.203790895
## NHB_int             0.836186231  0.855941489  0.8394808216  0.855848587
## NHB_comp            0.843392542  0.840070688  0.8442060112  0.838136601
## iNHB                0.059727470  0.193332372  0.0742328984  0.203790895
##                    t_ly_pfs_d_comp t_ly_pfs_d_int t_ly_pd_d_comp t_ly_pd_d_int
## p_pfspd              -0.7099454396  -0.5957086063   0.4783240876   0.518747045
## p_pfsd               -0.5622561662  -0.6437336425  -0.4832035731  -0.509285887
## p_pdd                 0.0162564229   0.0176226364  -0.7320873719  -0.676112095
## p_dd                            NA             NA             NA            NA
## p_ae                  0.0279916020   0.0232828300  -0.0145949890  -0.014277271
## rr                   -0.0106464373  -0.2476888110   0.0006242195   0.153290364
## u_pfs                -0.0004380891  -0.0008526912   0.0078932997   0.005615754
## u_pd                  0.0170153062   0.0170184780   0.0117552651   0.010332369
## u_d                             NA             NA             NA            NA
## u_ae                  0.0035062868   0.0091352539  -0.0039704471  -0.006320953
## c_pfs                -0.0008634609  -0.0036208336  -0.0129396629  -0.012923208
## c_pd                  0.0023423580   0.0036422372  -0.0073456350  -0.009122194
## c_d                             NA             NA             NA            NA
## c_thx                 0.0079975038   0.0061117234   0.0023917651   0.001397220
## c_ae                  0.0150801585   0.0200928418   0.0000297480  -0.001286029
## t_qaly_comp           0.6724989725   0.6896511479   0.5099760533   0.487835425
## t_qaly_int            0.7026229508   0.7582524389   0.4877031430   0.456770164
## t_qaly_d_comp         0.6711689006   0.6891364621   0.4968581746   0.476246644
## t_qaly_d_int          0.6970248969   0.7527827446   0.4778087276   0.448443027
## t_costs_comp          0.3088076725   0.3531059901   0.6847620595   0.665830710
## t_costs_int           0.9315528141   0.9785483800   0.1708102803   0.127164171
## t_costs_d_comp        0.2696224941   0.3185562098   0.6508108326   0.637538845
## t_costs_d_int         0.9313609503   0.9784380959   0.1592893612   0.116520439
## t_ly_comp             0.6665328437   0.6998249670   0.7020087190   0.677425445
## t_ly_int              0.6995977793   0.7654131952   0.6541172169   0.625780731
## t_ly_d_comp           0.6713263880   0.7066923298   0.6979847293   0.675245161
## t_ly_d_int            0.6996293847   0.7666018715   0.6511940069   0.624886242
## t_ly_pfs_d_comp       1.0000000000   0.9601524440  -0.0621798008  -0.078101001
## t_ly_pfs_d_int        0.9601524440   1.0000000000   0.0239455799  -0.022276390
## t_ly_pd_d_comp       -0.0621798008   0.0239455799   1.0000000000   0.984761501
## t_ly_pd_d_int        -0.0781010008  -0.0222763897   0.9847615007   1.000000000
## t_qaly_pfs_d_comp     0.9195089096   0.8829401022  -0.0537105754  -0.069545562
## t_qaly_pfs_d_int      0.8823532541   0.9188192983   0.0255439748  -0.017979886
## t_qaly_pd_d_comp     -0.0426530865   0.0254548920   0.7996453378   0.786917218
## t_qaly_pd_d_int      -0.0572350799  -0.0119590067   0.8074219246   0.819120214
## t_costs_pfs_d_comp    0.7166648447   0.6859691250  -0.0540284664  -0.065238500
## t_costs_pfs_d_int     0.9554599214   0.9947523813   0.0229109812  -0.023216602
## t_costs_pd_d_comp    -0.0933204830  -0.0226919536   0.7464101972   0.737894726
## t_costs_pd_d_int     -0.1094859168  -0.0654639981   0.7543471267   0.771756793
## t_qaly_ae_int         0.0242182692   0.0236321368  -0.0129430743  -0.013643401
## t_costs_ae_int        0.0302275645   0.0284804549  -0.0121822544  -0.012843420
## inc_ly                0.4857323935   0.6727143672   0.0965599904   0.066122302
## inc_qaly              0.4441107160   0.6393621083   0.1400090183   0.087026404
## inc_costs             0.9580578941   0.9980738994   0.0198012548  -0.023981431
## NMB_int               0.6476183538   0.7029036248   0.5047328155   0.477896559
## NMB_comp              0.6736130109   0.6904729854   0.4859797503   0.465433530
## iNMB                 -0.0698206114   0.1553392393   0.1674245355   0.128424867
## NHB_int               0.6476183538   0.7029036248   0.5047328155   0.477896559
## NHB_comp              0.6736130109   0.6904729854   0.4859797503   0.465433530
## iNHB                 -0.0698206114   0.1553392393   0.1674245355   0.128424867
##                    t_qaly_pfs_d_comp t_qaly_pfs_d_int t_qaly_pd_d_comp
## p_pfspd                -6.545007e-01     -0.549222875     0.3757028652
## p_pfsd                 -5.124392e-01     -0.586905726    -0.3867834032
## p_pdd                   6.902301e-03      0.008112931    -0.5875959604
## p_dd                              NA               NA               NA
## p_ae                    2.147308e-02      0.017166917    -0.0110607234
## rr                     -1.254630e-02     -0.229323850    -0.0015692807
## u_pfs                   3.833318e-01      0.384677427     0.0199359727
## u_pd                    2.468810e-02      0.024563732     0.5925028397
## u_d                               NA               NA               NA
## u_ae                    7.883295e-03      0.013407534     0.0007816481
## c_pfs                   6.896915e-04     -0.002380795    -0.0161460818
## c_pd                    8.130601e-05      0.001373561    -0.0026203095
## c_d                               NA               NA               NA
## c_thx                   7.124841e-03      0.005131327     0.0026034719
## c_ae                    9.032615e-03      0.013861652     0.0107117232
## t_qaly_comp             7.337298e-01      0.749376254     0.6557251774
## t_qaly_int              7.698858e-01      0.821278050     0.5908567487
## t_qaly_d_comp           7.404132e-01      0.756834925     0.6490402357
## t_qaly_d_int            7.731274e-01      0.824676125     0.5858428991
## t_costs_comp            2.857432e-01      0.326244744     0.5511998737
## t_costs_int             8.569174e-01      0.899384422     0.1428556919
## t_costs_d_comp          2.488182e-01      0.293559624     0.5231299301
## t_costs_d_int           8.562031e-01      0.898721828     0.1333692759
## t_ly_comp               6.158702e-01      0.646166356     0.5665372823
## t_ly_int                6.451834e-01      0.705263546     0.5277649890
## t_ly_d_comp             6.198632e-01      0.652058297     0.5632120352
## t_ly_d_int              6.448285e-01      0.705966650     0.5253008039
## t_ly_pfs_d_comp         9.195089e-01      0.882353254    -0.0426530865
## t_ly_pfs_d_int          8.829401e-01      0.918819298     0.0254548920
## t_ly_pd_d_comp         -5.371058e-02      0.025543975     0.7996453378
## t_ly_pd_d_int          -6.954556e-02     -0.017979886     0.7869172178
## t_qaly_pfs_d_comp       1.000000e+00      0.966230347    -0.0307844497
## t_qaly_pfs_d_int        9.662303e-01      1.000000000     0.0318566918
## t_qaly_pd_d_comp       -3.078445e-02      0.031856692     1.0000000000
## t_qaly_pd_d_int        -4.531064e-02     -0.003533728     0.9892597940
## t_costs_pfs_d_comp      6.598858e-01      0.630883629    -0.0421087357
## t_costs_pfs_d_int       8.784588e-01      0.913761198     0.0239962695
## t_costs_pd_d_comp      -8.531339e-02     -0.020225802     0.5992549034
## t_costs_pd_d_int       -1.011601e-01     -0.060380510     0.6050656989
## t_qaly_ae_int           2.233839e-02      0.021915325    -0.0092537738
## t_costs_ae_int          2.249150e-02      0.020913681    -0.0045513547
## inc_ly                  4.422373e-01      0.613367215     0.0770833758
## inc_qaly                5.106423e-01      0.692001538    -0.0064761485
## inc_costs               8.805185e-01      0.916529830     0.0217673915
## NMB_int                 7.407635e-01      0.792002832     0.6267126361
## NMB_comp                7.444766e-01      0.759885591     0.6440253507
## iNMB                    6.809908e-02      0.278015725    -0.0229693757
## NHB_int                 7.407635e-01      0.792002832     0.6267126361
## NHB_comp                7.444766e-01      0.759885591     0.6440253507
## iNHB                    6.809908e-02      0.278015725    -0.0229693757
##                    t_qaly_pd_d_int t_costs_pfs_d_comp t_costs_pfs_d_int
## p_pfspd                0.418231668      -5.179224e-01      -0.596606220
## p_pfsd                -0.417503190      -3.989799e-01      -0.642828427
## p_pdd                 -0.556967617       1.739311e-02       0.018051103
## p_dd                            NA                 NA                NA
## p_ae                  -0.011164173       2.718166e-02       0.023907932
## rr                     0.122332907      -7.215857e-03      -0.247488345
## u_pfs                  0.017818048       2.076836e-03      -0.001101172
## u_pd                   0.562837475       3.403604e-03       0.015662313
## u_d                             NA                 NA                NA
## u_ae                  -0.001773714      -6.867819e-04       0.008985899
## c_pfs                 -0.016107973       6.816126e-01       0.083848993
## c_pd                  -0.004325842       3.801856e-06       0.003821088
## c_d                             NA                 NA                NA
## c_thx                  0.001843605       1.688970e-03       0.048923566
## c_ae                   0.008879078       5.220212e-03       0.019604973
## t_qaly_comp            0.636623665       4.745857e-01       0.685056758
## t_qaly_int             0.566695740       4.955612e-01       0.753024687
## t_qaly_d_comp          0.630761664       4.739320e-01       0.684744802
## t_qaly_d_int           0.562662453       4.918972e-01       0.747837590
## t_costs_comp           0.549492379       4.108102e-01       0.376035000
## t_costs_int            0.110494813       7.165056e-01       0.981410611
## t_costs_d_comp         0.525368005       4.252606e-01       0.347283721
## t_costs_d_int          0.101526608       7.259740e-01       0.983566034
## t_ly_comp              0.560430443       4.704568e-01       0.695529067
## t_ly_int               0.517636938       4.935150e-01       0.760473878
## t_ly_d_comp            0.558524324       4.740863e-01       0.702557148
## t_ly_d_int             0.516767339       4.937784e-01       0.761900074
## t_ly_pfs_d_comp       -0.057235080       7.166648e-01       0.955459921
## t_ly_pfs_d_int        -0.011959007       6.859691e-01       0.994752381
## t_ly_pd_d_comp         0.807421925      -5.402847e-02       0.022910981
## t_ly_pd_d_int          0.819120214      -6.523850e-02      -0.023216602
## t_qaly_pfs_d_comp     -0.045310638       6.598858e-01       0.878458808
## t_qaly_pfs_d_int      -0.003533728       6.308836e-01       0.913761198
## t_qaly_pd_d_comp       0.989259794      -4.210874e-02       0.023996269
## t_qaly_pd_d_int        1.000000000      -5.233263e-02      -0.013302458
## t_costs_pfs_d_comp    -0.052332629       1.000000e+00       0.745158875
## t_costs_pfs_d_int     -0.013302458       7.451589e-01       1.000000000
## t_costs_pd_d_comp      0.607289336      -7.618643e-02      -0.023283366
## t_costs_pd_d_int       0.634292655      -8.757247e-02      -0.065998149
## t_qaly_ae_int         -0.010408393       2.182615e-02       0.024270500
## t_costs_ae_int        -0.005761587       2.667734e-02       0.028958922
## inc_ly                 0.054140841       3.414383e-01       0.667620124
## inc_qaly              -0.039318788       3.121541e-01       0.634556651
## inc_costs             -0.013717206       6.955424e-01       0.996858864
## NMB_int                0.605285530       4.483139e-01       0.696820054
## NMB_comp               0.625410807       4.690534e-01       0.685207927
## iNMB                  -0.041543286      -6.394087e-02       0.149952181
## NHB_int                0.605285530       4.483139e-01       0.696820054
## NHB_comp               0.625410807       4.690534e-01       0.685207927
## iNHB                  -0.041543286      -6.394087e-02       0.149952181
##                    t_costs_pd_d_comp t_costs_pd_d_int t_qaly_ae_int
## p_pfspd                  0.410239692     0.4513402453 -0.0213958397
## p_pfsd                  -0.361052830    -0.3868859950 -0.0080300301
## p_pdd                   -0.523619933    -0.4968597667  0.0055753487
## p_dd                              NA               NA            NA
## p_ae                    -0.015224366    -0.0155658632  0.7638387333
## rr                      -0.004901139     0.1320014993 -0.0050667196
## u_pfs                    0.001234039    -0.0008274771 -0.0003522583
## u_pd                     0.011405732     0.0103490084  0.0052378960
## u_d                               NA               NA            NA
## u_ae                     0.004063507     0.0012593845  0.5756756227
## c_pfs                   -0.013824160    -0.0136432856  0.0046730992
## c_pd                     0.639406277     0.6056054408  0.0042646317
## c_d                               NA               NA            NA
## c_thx                    0.004368262     0.0034311872  0.0022570993
## c_ae                     0.003958565     0.0017716105 -0.0014572887
## t_qaly_comp              0.346871516     0.3378856306  0.0105573783
## t_qaly_int               0.333116253     0.3142078778  0.0075545183
## t_qaly_d_comp            0.338048099     0.3298945299  0.0107791899
## t_qaly_d_int             0.326760945     0.3088415812  0.0069057443
## t_costs_comp             0.870968878     0.8514253292  0.0030651131
## t_costs_int              0.162379122     0.1217710029  0.0228408501
## t_costs_d_comp           0.870041366     0.8532471533  0.0033046830
## t_costs_d_int            0.155531629     0.1152338847  0.0235013194
## t_ly_comp                0.489244387     0.4823164345  0.0075389368
## t_ly_int                 0.457218014     0.4441013537  0.0096074248
## t_ly_d_comp              0.487325774     0.4816210131  0.0077651217
## t_ly_d_int               0.456216202     0.4445641008  0.0096916503
## t_ly_pfs_d_comp         -0.093320483    -0.1094859168  0.0242182692
## t_ly_pfs_d_int          -0.022691954    -0.0654639981  0.0236321368
## t_ly_pd_d_comp           0.746410197     0.7543471267 -0.0129430743
## t_ly_pd_d_int            0.737894726     0.7717567931 -0.0136434012
## t_qaly_pfs_d_comp       -0.085313393    -0.1011600941  0.0223383932
## t_qaly_pfs_d_int        -0.020225802    -0.0603805098  0.0219153249
## t_qaly_pd_d_comp         0.599254903     0.6050656989 -0.0092537738
## t_qaly_pd_d_int          0.607289336     0.6342926550 -0.0104083932
## t_costs_pfs_d_comp      -0.076186434    -0.0875724737  0.0218261521
## t_costs_pfs_d_int       -0.023283366    -0.0659981491  0.0242704998
## t_costs_pd_d_comp        1.000000000     0.9877000509 -0.0082476962
## t_costs_pd_d_int         0.987700051     1.0000000000 -0.0099460697
## t_qaly_ae_int           -0.008247696    -0.0099460697  1.0000000000
## t_costs_ae_int          -0.011836585    -0.0133970006  0.6830800630
## inc_ly                   0.075773320     0.0410620099  0.0141884656
## inc_qaly                 0.103529855     0.0514184380 -0.0140649116
## inc_costs               -0.036549514    -0.0767806827  0.0250084694
## NMB_int                  0.339261611     0.3246872927  0.0046052735
## NMB_comp                 0.318632819     0.3108296960  0.0108472806
## iNMB                     0.158162272     0.1179033004 -0.0349399176
## NHB_int                  0.339261611     0.3246872927  0.0046052735
## NHB_comp                 0.318632819     0.3108296960  0.0108472806
## iNHB                     0.158162272     0.1179033004 -0.0349399176
##                    t_costs_ae_int       inc_ly     inc_qaly    inc_costs
## p_pfspd              -0.028186016  0.042095811  0.022910723 -0.589993133
## p_pfsd               -0.011196075 -0.741342725 -0.658263698 -0.654181852
## p_pdd                 0.002954918  0.332775995  0.219492682  0.032220406
## p_dd                           NA           NA           NA           NA
## p_ae                  0.894712740  0.003346499 -0.020985418  0.024761891
## rr                   -0.001369456 -0.474057909 -0.547643114 -0.242291657
## u_pfs                -0.015074101 -0.011206693  0.257306885 -0.001906640
## u_pd                  0.012047203  0.004996597 -0.192098858  0.016323734
## u_d                            NA           NA           NA           NA
## u_ae                 -0.018572644  0.018577359  0.005495200  0.009236704
## c_pfs                 0.008683470 -0.009909601 -0.008675589  0.011630874
## c_pd                 -0.001628790  0.002191952  0.001011375 -0.013806774
## c_d                            NA           NA           NA           NA
## c_thx                -0.004786553 -0.006144322 -0.006012439  0.052985355
## c_ae                  0.408633989  0.026952610  0.018554791  0.021051404
## t_qaly_comp           0.014043080  0.378475855  0.372857802  0.684756714
## t_qaly_int            0.011086715  0.533975197  0.543306128  0.754817168
## t_qaly_d_comp         0.014057957  0.388429693  0.384302420  0.684813643
## t_qaly_d_int          0.010393859  0.537669288  0.549979880  0.749888188
## t_costs_comp          0.002634632  0.220312487  0.239250585  0.343265642
## t_costs_int           0.027168565  0.666878669  0.637799201  0.977066281
## t_costs_d_comp        0.002445522  0.237592599  0.248308892  0.310710747
## t_costs_d_int         0.028073273  0.672042318  0.640961221  0.978490132
## t_ly_comp             0.012318024  0.401176954  0.407467130  0.694582854
## t_ly_int              0.013850325  0.555459516  0.546121970  0.762166538
## t_ly_d_comp           0.012641781  0.420218827  0.422620427  0.702111917
## t_ly_d_int            0.013991562  0.567798276  0.555179507  0.764002643
## t_ly_pfs_d_comp       0.030227565  0.485732393  0.444110716  0.958057894
## t_ly_pfs_d_int        0.028480455  0.672714367  0.639362108  0.998073899
## t_ly_pd_d_comp       -0.012182254  0.096559990  0.140009018  0.019801255
## t_ly_pd_d_int        -0.012843420  0.066122302  0.087026404 -0.023981431
## t_qaly_pfs_d_comp     0.022491495  0.442237323  0.510642327  0.880518545
## t_qaly_pfs_d_int      0.020913681  0.613367215  0.692001538  0.916529830
## t_qaly_pd_d_comp     -0.004551355  0.077083376 -0.006476148  0.021767392
## t_qaly_pd_d_int      -0.005761587  0.054140841 -0.039318788 -0.013717206
## t_costs_pfs_d_comp    0.026677344  0.341438317  0.312154120  0.695542387
## t_costs_pfs_d_int     0.028958922  0.667620124  0.634556651  0.996858864
## t_costs_pd_d_comp    -0.011836585  0.075773320  0.103529855 -0.036549514
## t_costs_pd_d_int     -0.013397001  0.041062010  0.051418438 -0.076780683
## t_qaly_ae_int         0.683080063  0.014188466 -0.014064912  0.025008469
## t_costs_ae_int        1.000000000  0.013524227 -0.011484943  0.030231451
## inc_ly                0.013524227  1.000000000  0.920698810  0.681052590
## inc_qaly             -0.011484943  0.920698810  1.000000000  0.644384191
## inc_costs             0.030231451  0.681052590  0.644384191  1.000000000
## NMB_int               0.007857415  0.505443661  0.522912001  0.699716932
## NMB_comp              0.014199184  0.387550996  0.383060737  0.686306202
## iNMB                 -0.035115534  0.731257582  0.858226748  0.160528636
## NHB_int               0.007857415  0.505443661  0.522912001  0.699716932
## NHB_comp              0.014199184  0.387550996  0.383060737  0.686306202
## iNHB                 -0.035115534  0.731257582  0.858226748  0.160528636
##                          NMB_int     NMB_comp          iNMB       NHB_int
## p_pfspd            -0.1739140768 -0.252438721  0.4255773427 -0.1739140768
## p_pfsd             -0.7023981314 -0.645074499 -0.4105578800 -0.7023981314
## p_pdd              -0.3295892152 -0.382588528  0.2616814826 -0.3295892152
## p_dd                          NA           NA            NA            NA
## p_ae                0.0013346838  0.009049183 -0.0437069868  0.0013346838
## rr                 -0.1040425630 -0.010537462 -0.5442377056 -0.1040425630
## u_pfs               0.3606558956  0.309663939  0.3333959783  0.3606558956
## u_pd                0.3697632083  0.423125322 -0.2589061895  0.3697632083
## u_d                           NA           NA            NA            NA
## u_ae                0.0065474377  0.006529038  0.0008931641  0.0065474377
## c_pfs              -0.0224766035 -0.019610526 -0.0190046136 -0.0224766035
## c_pd               -0.0158509439 -0.018045931  0.0105725785 -0.0158509439
## c_d                           NA           NA            NA            NA
## c_thx              -0.0004633864  0.007145760 -0.0433244595 -0.0004633864
## c_ae                0.0155131623  0.014114859  0.0098196274  0.0155131623
## t_qaly_comp         0.9818975087  0.998885917  0.0216511745  0.9818975087
## t_qaly_int          0.9957398704  0.982601572  0.1946307768  0.9957398704
## t_qaly_d_comp       0.9852520045  0.999720397  0.0363849874  0.9852520045
## t_qaly_d_int        0.9971028323  0.981896744  0.2065532036  0.9971028323
## t_costs_comp        0.5706946580  0.568992716  0.0784090874  0.5706946580
## t_costs_int         0.7587237363  0.745350421  0.1674223233  0.7587237363
## t_costs_d_comp      0.5296042881  0.521133289  0.1119519707  0.5296042881
## t_costs_d_int       0.7524235834  0.738367164  0.1705479740  0.7524235834
## t_ly_comp           0.8361862311  0.843392542  0.0597274699  0.8361862311
## t_ly_int            0.8559414890  0.840070688  0.1933323716  0.8559414890
## t_ly_d_comp         0.8394808216  0.844206011  0.0742328984  0.8394808216
## t_ly_d_int          0.8558485867  0.838136601  0.2037908949  0.8558485867
## t_ly_pfs_d_comp     0.6476183538  0.673613011 -0.0698206114  0.6476183538
## t_ly_pfs_d_int      0.7029036248  0.690472985  0.1553392393  0.7029036248
## t_ly_pd_d_comp      0.5047328155  0.485979750  0.1674245355  0.5047328155
## t_ly_pd_d_int       0.4778965586  0.465433530  0.1284248674  0.4778965586
## t_qaly_pfs_d_comp   0.7407635298  0.744476634  0.0680990824  0.7407635298
## t_qaly_pfs_d_int    0.7920028315  0.759885591  0.2780157247  0.7920028315
## t_qaly_pd_d_comp    0.6267126361  0.644025351 -0.0229693757  0.6267126361
## t_qaly_pd_d_int     0.6052855304  0.625410807 -0.0415432856  0.6052855304
## t_costs_pfs_d_comp  0.4483138901  0.469053408 -0.0639408664  0.4483138901
## t_costs_pfs_d_int   0.6968200543  0.685207927  0.1499521812  0.6968200543
## t_costs_pd_d_comp   0.3392616109  0.318632819  0.1581622716  0.3392616109
## t_costs_pd_d_int    0.3246872927  0.310829696  0.1179033004  0.3246872927
## t_qaly_ae_int       0.0046052735  0.010847281 -0.0349399176  0.0046052735
## t_costs_ae_int      0.0078574153  0.014199184 -0.0351155337  0.0078574153
## inc_ly              0.5054436612  0.387550996  0.7312575823  0.5054436612
## inc_qaly            0.5229120009  0.383060737  0.8582267482  0.5229120009
## inc_costs           0.6997169316  0.686306202  0.1605286359  0.6997169316
## NMB_int             1.0000000000  0.985077285  0.2052907467  1.0000000000
## NMB_comp            0.9850772852  1.000000000  0.0337804864  0.9850772852
## iNMB                0.2052907467  0.033780486  1.0000000000  0.2052907467
## NHB_int             1.0000000000  0.985077285  0.2052907467  1.0000000000
## NHB_comp            0.9850772852  1.000000000  0.0337804864  0.9850772852
## iNHB                0.2052907467  0.033780486  1.0000000000  0.2052907467
##                        NHB_comp          iNHB
## p_pfspd            -0.252438721  0.4255773427
## p_pfsd             -0.645074499 -0.4105578800
## p_pdd              -0.382588528  0.2616814826
## p_dd                         NA            NA
## p_ae                0.009049183 -0.0437069868
## rr                 -0.010537462 -0.5442377056
## u_pfs               0.309663939  0.3333959783
## u_pd                0.423125322 -0.2589061895
## u_d                          NA            NA
## u_ae                0.006529038  0.0008931641
## c_pfs              -0.019610526 -0.0190046136
## c_pd               -0.018045931  0.0105725785
## c_d                          NA            NA
## c_thx               0.007145760 -0.0433244595
## c_ae                0.014114859  0.0098196274
## t_qaly_comp         0.998885917  0.0216511745
## t_qaly_int          0.982601572  0.1946307768
## t_qaly_d_comp       0.999720397  0.0363849874
## t_qaly_d_int        0.981896744  0.2065532036
## t_costs_comp        0.568992716  0.0784090874
## t_costs_int         0.745350421  0.1674223233
## t_costs_d_comp      0.521133289  0.1119519707
## t_costs_d_int       0.738367164  0.1705479740
## t_ly_comp           0.843392542  0.0597274699
## t_ly_int            0.840070688  0.1933323716
## t_ly_d_comp         0.844206011  0.0742328984
## t_ly_d_int          0.838136601  0.2037908949
## t_ly_pfs_d_comp     0.673613011 -0.0698206114
## t_ly_pfs_d_int      0.690472985  0.1553392393
## t_ly_pd_d_comp      0.485979750  0.1674245355
## t_ly_pd_d_int       0.465433530  0.1284248674
## t_qaly_pfs_d_comp   0.744476634  0.0680990824
## t_qaly_pfs_d_int    0.759885591  0.2780157247
## t_qaly_pd_d_comp    0.644025351 -0.0229693757
## t_qaly_pd_d_int     0.625410807 -0.0415432856
## t_costs_pfs_d_comp  0.469053408 -0.0639408664
## t_costs_pfs_d_int   0.685207927  0.1499521812
## t_costs_pd_d_comp   0.318632819  0.1581622716
## t_costs_pd_d_int    0.310829696  0.1179033004
## t_qaly_ae_int       0.010847281 -0.0349399176
## t_costs_ae_int      0.014199184 -0.0351155337
## inc_ly              0.387550996  0.7312575823
## inc_qaly            0.383060737  0.8582267482
## inc_costs           0.686306202  0.1605286359
## NMB_int             0.985077285  0.2052907467
## NMB_comp            1.000000000  0.0337804864
## iNMB                0.033780486  1.0000000000
## NHB_int             0.985077285  0.2052907467
## NHB_comp            1.000000000  0.0337804864
## iNHB                0.033780486  1.0000000000

c. Inspect types of variables

Perform quick checks on input values

Are utility values/probabilities between 0-1, costs positive etc…

do_quick_check(df = df_pa,
               v_utilities = c("u_pfs", "u_pd"),
               v_costs = c("c_pfs", "c_pd", "c_thx"),
               v_rr = "rr"
               )
## Test passed 
## Test passed 
## Test passed 
## Test passed
##                                         Test        Result
## 1             All probabilities are positive NOT PERFORMED
## 2  All probabilities are lower or equal to 1 NOT PERFORMED
## 3            All utility values are positive          TRUE
## 4 All utility values are lower or equal to 1          TRUE
## 5          All costs parameters are positive          TRUE
## 6             All hazard ratios are positive NOT PERFORMED
## 7            All relative risks are positive          TRUE
## 8                     All rates are positive NOT PERFORMED
## 9                  All outcomes are positive NOT PERFORMED
Perform quick comparison discounted and undiscounted results

Are utility values/probabilities between 0-1, costs positive etc…

do_discount_check(df = df_pa,
                   v_outcomes = c("t_qaly_comp", "t_qaly_int"),
                   v_outcomes_d = c("t_qaly_d_comp", "t_qaly_d_int")
                   )
## Test passed
##                                                           Test Result
## 1 All discounted outcomes are lower than undiscounted outcomes   TRUE
Positive variables

Are these variables strictly positive?

check_positive("c_pfs", "c_pd", df = df_pa)
##   Input Negative_values
## 1 c_pfs            None
## 2  c_pd            None
Variables between 0-1

Are these variables strictly positive?

check_binary("u_pfs", "p_pfspd", df = df_pa)
##     Input Negative_values Values_above_1
## 1   u_pfs            None           None
## 2 p_pfspd            None           None
Sum of probabilities

To check whether the sum is lower than or equal to, or equal to 1

check_sum_probs("p_pfspd", "p_pfsd", df = df_pa, check = "lower") # output is a text
## [1] "The sum of probabilities in all iterations is lower or equal to 1"

d. Histogram, density distribution of (user-selected) model inputs and outputs

To visually investigate the parameter distributions

Single parameter
p_1 <- vis_1_param(df = df_pa,
            param = "u_pfs",
            binwidth = NULL,
            type = "histogram",
            dist = c("norm", "beta", "gamma", "lnorm"))
p_1
## `stat_bin()` using `bins = 30`. Pick better value with `binwidth`.

paste("Probability to be in user-defined range: ",
      check_range(df_pa,
                  outcome = "u_pfs",
                  min_val = 0.77,
                  max_val = 0.80
                  ), "%") # add this to plot? + lines of min/ max on plot?
## [1] "Probability to be in user-defined range:  The proportion of iterations between 0.77 and 0.8 is 15.9% %"

Two parameters

p_2p <- vis_2_params(df = df_pa,
                     param_1 = "u_pfs",
                     param_2 = "u_pd",
                     slope = 1,
                     check = "param_2 > param_1")
## [1] "P(TRUE): 5 %"
p_2p

e. Possibility to fit user-selected distributions (beta, gamma, lognormal, normal) + visualisation + parameters of the fitted distribution.

To cross check with parameters reported in documentation/report/ journal article, as an implementation check
- To do XP: Add probabilistic mean value per distribution

p_2 <- vis_1_param(df = df_pa,
            param = "u_pfs",
            binwidth = NULL,
            type = "density",
            dist = c("norm", "beta", "gamma", "lnorm"),
            user_dist = "beta",
            user_param_1 = 0.8,
            user_param_2 = 0.2,
            user_mean = 0.75)
p_2
## Warning: The dot-dot notation (`..density..`) was deprecated in ggplot2 3.4.0.
##  Please use `after_stat(density)` instead.
##  The deprecated feature was likely used in the pacheck package.
##   Please report the issue to the authors.
## This warning is displayed once every 8 hours.
## Call `lifecycle::last_lifecycle_warnings()` to see where this warning was
## generated.
## `stat_bin()` using `bins = 30`. Pick better value with `binwidth`.

Distributions’ parameters & statistical fit
l_dist <- fit_dist(df = df_pa,
                   param = "u_pfs",
                   dist = c("norm", "beta", "gamma", "lnorm"))
l_dist[[1]]
##   Distribution    AIC    BIC Kolmorogov-Smirnov
## 1         norm -24724 -24710              0.026
## 2         beta -24980 -24966              0.008
## 3        gamma -24445 -24431              0.036
## 4        lnorm -24259 -24244              0.041
l_dist[[2]]
##   Distribution Name_param_1 Value_param_1 Name_param_2 Value_param_2
## 1         norm         mean          0.75           sd          0.07
## 2         beta       shape1          27.7       shape2          9.23
## 3        gamma        shape        110.13         rate        146.82
## 4        lnorm      meanlog         -0.29        sdlog           0.1

3. Investigate model outputs

a. Incremental cost-effectiveness plane & summary

Questions met Karel te bespreken:
- Interactive plot where you can click on a dot, or select some dots and see which input parameters combination has led to these outputs –> ook mogelijkheid om een bepaalde ‘gebied’ te selecteren (invoeren) en te zien welke inputs daarbij behoren.
- Combineren van de plot hierbeneden met de histogrammen van de waarden op de x en y as, of als niet overzichtelijk: met ticks op de axes als er een datapunt is.

p_3 <- plot_ice(
  df = df_pa,
  e_int = "t_qaly_d_int",
  e_comp = "t_qaly_d_comp",
  c_int = "t_costs_d_int",
  c_comp = "t_costs_d_comp",
  wtp = 8000
)
p_3

summary_ice(df_pa,
           "inc_qaly",
           "inc_costs")
##                                     Quadrant Percentage
## 1 NorthEast (more effective, more expensive)         0%
## 2 SouthEast (more effective, less expensive)         0%
## 3 NorthWest (less effective, more expensive)         0%
## 4 SouthWest (less effective, less expensive)         0%
  • Plot hierboven koppelen aan een graphs van 1 en 2 input parameters. Al gedaan in tentative shiny app voor onderwijs: selectie van punten in de ‘input graph’ wordt gehighlight in andere plot. Voorbeeld, laatste tabs van volgende shiny app: shiny::runGitHub("Teaching", "Xa4P", subdir = "Basics/shiny_app_cea/", ref = "main").

b. Cost-effectiveness acceptability curve.

df_ceac <- calculate_ceac(df = df_pa,
                     e_int = "t_qaly_d_int",
                     e_comp = "t_qaly_d_comp",
                     c_int = "t_costs_d_int",
                     c_comp = "t_costs_d_comp")

plot_ceac(df = df_ceac,
          wtp = "WTP_threshold")

df_ceac
##     WTP_threshold Prob_int Prob_comp
## 1               0   0.0000    1.0000
## 2            1000   0.0000    1.0000
## 3            2000   0.0000    1.0000
## 4            3000   0.0000    1.0000
## 5            4000   0.0000    1.0000
## 6            5000   0.0000    1.0000
## 7            6000   0.0000    1.0000
## 8            7000   0.0000    1.0000
## 9            8000   0.0000    1.0000
## 10           9000   0.0000    1.0000
## 11          10000   0.0000    1.0000
## 12          11000   0.0000    1.0000
## 13          12000   0.0000    1.0000
## 14          13000   0.0000    1.0000
## 15          14000   0.0000    1.0000
## 16          15000   0.0000    1.0000
## 17          16000   0.0000    1.0000
## 18          17000   0.0000    1.0000
## 19          18000   0.0000    1.0000
## 20          19000   0.0000    1.0000
## 21          20000   0.0000    1.0000
## 22          21000   0.0000    1.0000
## 23          22000   0.0000    1.0000
## 24          23000   0.0000    1.0000
## 25          24000   0.0000    1.0000
## 26          25000   0.0000    1.0000
## 27          26000   0.0000    1.0000
## 28          27000   0.0000    1.0000
## 29          28000   0.0000    1.0000
## 30          29000   0.0000    1.0000
## 31          30000   0.0000    1.0000
## 32          31000   0.0000    1.0000
## 33          32000   0.0000    1.0000
## 34          33000   0.0000    1.0000
## 35          34000   0.0000    1.0000
## 36          35000   0.0000    1.0000
## 37          36000   0.0000    1.0000
## 38          37000   0.0000    1.0000
## 39          38000   0.0000    1.0000
## 40          39000   0.0000    1.0000
## 41          40000   0.0001    0.9999
## 42          41000   0.0005    0.9995
## 43          42000   0.0007    0.9993
## 44          43000   0.0007    0.9993
## 45          44000   0.0011    0.9989
## 46          45000   0.0015    0.9985
## 47          46000   0.0017    0.9983
## 48          47000   0.0025    0.9975
## 49          48000   0.0029    0.9971
## 50          49000   0.0043    0.9957
## 51          50000   0.0051    0.9949
## 52          51000   0.0067    0.9933
## 53          52000   0.0088    0.9912
## 54          53000   0.0099    0.9901
## 55          54000   0.0116    0.9884
## 56          55000   0.0134    0.9866
## 57          56000   0.0159    0.9841
## 58          57000   0.0181    0.9819
## 59          58000   0.0198    0.9802
## 60          59000   0.0231    0.9769
## 61          60000   0.0266    0.9734
## 62          61000   0.0295    0.9705
## 63          62000   0.0333    0.9667
## 64          63000   0.0374    0.9626
## 65          64000   0.0418    0.9582
## 66          65000   0.0467    0.9533
## 67          66000   0.0526    0.9474
## 68          67000   0.0584    0.9416
## 69          68000   0.0640    0.9360
## 70          69000   0.0701    0.9299
## 71          70000   0.0756    0.9244
## 72          71000   0.0814    0.9186
## 73          72000   0.0861    0.9139
## 74          73000   0.0927    0.9073
## 75          74000   0.0996    0.9004
## 76          75000   0.1066    0.8934
## 77          76000   0.1130    0.8870
## 78          77000   0.1181    0.8819
## 79          78000   0.1251    0.8749
## 80          79000   0.1324    0.8676
## 81          80000   0.1399    0.8601
## 82          81000   0.1480    0.8520
## 83          82000   0.1537    0.8463
## 84          83000   0.1609    0.8391
## 85          84000   0.1688    0.8312
## 86          85000   0.1750    0.8250
## 87          86000   0.1837    0.8163
## 88          87000   0.1914    0.8086
## 89          88000   0.1996    0.8004
## 90          89000   0.2086    0.7914
## 91          90000   0.2176    0.7824
## 92          91000   0.2251    0.7749
## 93          92000   0.2330    0.7670
## 94          93000   0.2404    0.7596
## 95          94000   0.2486    0.7514
## 96          95000   0.2562    0.7438
## 97          96000   0.2645    0.7355
## 98          97000   0.2725    0.7275
## 99          98000   0.2819    0.7181
## 100         99000   0.2895    0.7105
## 101        100000   0.2967    0.7033

c. Histogram and density distribution of total and incremental costs and effects.

Can use the function above!

d. Convergence graph of outcomes

plot_convergence(df = df_pa,
                 outcome = "iNMB"
                 )

e. Check whetherthe mean quality of life outcome of each iteration remain between the maximum and minimum utility values of the specific iteration.

check_mean_qol(df = df_pa,
               t_ly = "t_ly_comp",
               t_qaly = "t_qaly_comp",
               u_values = c("u_pfs", "u_pd")
               )
##   Mean_QoL_below_min Mean_QoL_above_max
##   "None"             "None"

4. Investigate relation between inputs and outputs

Single

  • To do XP: Add R2
lm_rr <- fit_lm_metamodel(df = df_pa,
                          x_vars = "rr",
                          y_var = "inc_qaly")
lm_pred <- unlist(predict(lm_rr$fit, data.frame(rr = df_pa$rr)))
df_obs_pred <- data.frame(
  Values = df_pa$rr,
  Observed = df_pa$inc_qaly,
  Predicted = lm_pred
)
ggplot(data = df_obs_pred, aes(x = Values, y = Observed)) +
  geom_point(shape = 1, colour = "lightgrey") +
  geom_smooth(method = "lm") +
  theme_bw()
## `geom_smooth()` using formula = 'y ~ x'

plot(lm_rr$fit)

Multiple

lm_full <- fit_lm_metamodel(df = df_pa,
                            x_vars = c("rr",
                                       "u_pfs",
                                       "u_pd",
                                       "c_pfs",
                                       "c_pd",
                                       "c_thx",
                                       "p_pfspd",
                                       "p_pfsd",
                                       "p_pdd"),
                            y_var = "inc_qaly")
lm_pred_full <- predict(lm_full$fit, data.frame(rr = df_pa$rr,
                            u_pfs = mean(df_pa$u_pfs),
                            u_pd = mean(df_pa$u_pd),
                            c_pfs = mean(df_pa$c_pfs),
                            c_pd = mean(df_pa$c_pd),
                            c_thx = mean(df_pa$c_thx),
                            p_pfspd = mean(df_pa$p_pfspd),
                            p_pfsd = mean(df_pa$p_pfsd),
                            p_pdd = mean(df_pa$p_pdd)))

df_obs_pred_full <- data.frame(
  Values = df_pa$rr,
  Observed = df_pa$inc_qaly,
  Predicted = lm_pred_full
)

ggplot(data = df_obs_pred_full, aes(x = Values, y = Observed)) +
  geom_point(shape = 1, colour = "lightgrey") +
  geom_line(data = df_obs_pred_full, aes(x = Values, y = Predicted), colour = "blue") +
  theme_bw()

plot(lm_full$fit)

5. Predictions based on metamodel

# Predicting using metamodel fitted above
predict(
  lm_full$fit,
  data.frame(
    rr = 0.9,
    u_pfs = 0.75,
    u_pd = 0.4,
    c_pfs = 1000,
    c_pd = 2000,
    c_thx = 0,
    p_pfspd = 0.5,
    p_pfsd = 0.3,
    p_pdd = 0.4
  )
)
##          1 
## -0.5031238

Other activities/ questions/ to do’s

  • Two-way sensitivity analysis based on metamodel.
  • Include other functional forms of metamodels
  • Check results of deterministic sensitivity analyses using original model and metamodel.
  • XP/Karel to do: Add possibility of having multiple scenarios loaded. –> door selectie aan het begin van de app?
  • Shapley values, zou dat kunnen ? Zou het mogelijk zijn om dat op de originele data set te doen? KernelExplainer on this github: https://github.com/slundberg/shap. Of is dit iets? https://github.com/nredell/shapFlex, maar ziet eruit dat je ook een model moet fitten (niet model agnostic)
  • Check whether violin plot have added value