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| Content Provider | PubMed Central |
|---|---|
| Author | Jackson, Christopher Mark, Jit Sharples, Linda Deangelis, Daniela |
| Abstract | Decision-analytic models must often be informed using data which are only indirectly related to the main model parameters. The authors outline how to implement a Bayesian synthesis of diverse sources of evidence to calibrate the parameters of a complex model. A graphical model is built to represent how observed data are generated from statistical models with unknown parameters, and how those parameters are related to quantities of interest for decision-making. This forms the basis of an algorithm to estimate a posterior probability distribution, which represents the updated state of evidence for all unknowns given all data and prior beliefs. This process calibrates the quantities of interest against data, and at the same time, propagates all parameter uncertainties to the results used for decision-making. To illustrate these methods, the authors demonstrate how a previously-developed Markov model for the progression of human papillomavirus (HPV16) infection was rebuilt in a Bayesian framework. Transition probabilities between states of disease severity are inferred indirectly from cross-sectional observations of prevalence of HPV16 and HPV16-related disease by age, cervical cancer incidence, and other published information. Previously, a discrete collection of plausible scenarios was identified, but with no further indication of which of these are more plausible. Instead, the authors derive a Bayesian posterior distribution, in which scenarios are implicitly weighted according to how well they are supported by the data. In particular, we emphasise the appropriate choice of prior distributions and checking and comparison of fitted models. |
| Related Links | http://dx.doi.org/10.1177/0272989x13493143 |
| Ending Page | 161 |
| Page Count | 14 |
| Starting Page | 148 |
| File Format | |
| ISSN | 0272989X |
| e-ISSN | 1552681X |
| Journal | Medical decision making : an international journal of the Society for Medical Decision Making |
| Issue Number | 2 |
| Volume Number | 35 |
| Language | English |
| Publisher Date | 2015-02-01 |
| Access Restriction | Open |
| Subject Keyword | Health Policy Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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