To do list
Joke Bilcke (to be honest, I’m not sure this is the best link to her webpage, but I hope it is!) contacted me to suggest a couple of changes in BCEA. In particular, she has pointed out that when doing an analysis for multiple comparisons (which in this context simply means that there are more than 2 interventions being assessed), then the standard analysis considers by default pairwise comparisons.
In other words, if you have interventions \(t=1,2,3,4,\ldots,T\) and set one (say \(t=1\)) as the reference, then
BCEA presents the analysis by assuming you want to contrast \(t=1\) vs \(t=2\), \(t=1\) vs \(t=3\), \(\ldots\) and \(t=1\) vs \(t=T\). Here’s a simple example.
# Loads BCEA library(BCEA) # Loads an example dataset containing more than 2 interventions # that's the smoking cessation example we discuss in the BCEA book (http://www.gianluca.statistica.it/book/bcea/) data(Smoking) # Runs the BCEA basic analysis using t=4 ("Group counselling") as the "reference" (= new intervention) # against each of the comparators m = bcea(e,c,ref=4,interventions=treats)
What Joke has (rightly!) pointed out is that when comparing more than two interventions with respect to cost-effectiveness, all strategies should be compared incrementally to all other interventions (not only to a single other intervention). Because cost-effectiveness acceptability curves show the proportion of times an intervention result in highest net benefit among all interventions compared, by definition probabilities sum up to one. (I almost quoted her verbatim here). As is obvious from the output of
ceac.plot, the CEACs here do not sum to 1 — and that’s OK, because they are showing a slightly different output, i.e. the analysis of \(t=4\) agains each other competitor in a 1:1 fashion.
BCEA does have a facility to do what Joke wanted — simply need to run the function
multi.ce, for example like this.
# Makes the "multiple comparisons" analysis mce = multi.ce(m)
Joke suggested that actually this should be made the default for the case in which the number of interventions is greater than 2 — I don’t disagree. Like I told her, I kind of like the ability of
BCEA to allow for both kinds of analyses, the “pairwise” and the “overall” (for lack of a better word). But I see her point that things may be confusing. Shouldn’t be too complicated to modify the code so that
bcea goes to the pairwise analysis (i.e. is unchanged) when \(T=2\) but runs
multi.ce in the background when \(T>2\) and I’ll try and find some time to do this — and then see how it is…
My first #rstats package📦 ggpointdensity is now on #CRAN 🎉. It provides a #ggplot2 geom that is a cross between a 2D density plot and a scatter plot: geom_pointdensity(). Useful to deal with overplotting without hiding outlier points. https://t.co/7hNZy3rTpy pic.twitter.com/2AspdGU4wz— Lukas PM Kremer (@LPMKremer) September 3, 2019
which I think is actually pretty cool. Again, shouldn’t be too complicated to modify the current
bcea code used to construct the contour for the underlying distribution of the benefit and cost differentials \((\Delta_e,\Delta_c)\), which underlies the cost-effectiveness plane.
I’ll try and make these two changes happen as soon as I can — which may not be super soon, though…
The second person to contact me (this time about
survHE) was Alberto Carmona-Bayonas (again, there may be a more appropriate website to link to, but I think this is the best I could find…). Alberto has been (kindly!) trying out
survHE, specifically with the Bayesian modes of inference, using
rstan as the underlying engine.
He did have a few questions, mainly on how to set up priors — there is some explanation in the extended manual (incidentally this has now been accepted as a full paper in the Journal of Statistical Software, but I’m told there’s a long back-log so it may be actually published some ways down the line…).
But also, I think he’s right in suggesting that a few more comprehensive vignettes may be helpful — I’ve cheekly asked him to start perhaps drafting one based on the different tests he was doing (at least I’ve offered full acknowledgement/authorship on that, so I don’t feel too bad about it). Again, more work needed and hopefully I’ll manage to find some time to do this — not necessarily in the immediate future…
Alberto also points me out to this arxiv paper, which compares several packages for survival analysis, including
survHE, which is also kind of cool!