Syllabus

Decision and Cost-Effectiveness Analysis EPI213

Date/Time Activity Topic/Content Faculty Locations
Thurs 1/7/2010
1:00 PM-2:30 PM
Lecture

Decision Analysis: Introduction, Steps

Content TBA

Required Reading:

  1. Sox HC et al_Expected Value Decision Making_Ch 6 in Sox HC et al--Medical Decision Making_1988.pdf

Note/Slide Files: DCEA10_Lecture 1.ppt (683 KB) DCEA10_Lecture1.doc (68 KB)

J KahnCB 6702
Thurs 1/14/2010
1:00 PM-2:30 PM
Section

Section 1 Homework Review

Required Reading:

  1. Detsky AS et al_Primer on Medical DA--Part 1--Getting Started_In Med Decis Making_Apr-Jun 1997.pdf
  2. Detsky AS et al_Primer on Medical DA--Part 2--Builiding a Tree_In Med Decis Making_Apr-Jun 1997.pdf
  3. Naglie G et al_Primer on Medical DA--Part 3--Est Probs & Utilities_In Med Decis Making_Apr-Jun 1997.pdf

Note/Slide Files: DCEA10_Mam_HW1_Grading_Criteria_altered(1).xls (14 KB)

Assignment Files: DCEA10_Section1Assignment.doc (42 KB)

Assignment Answer Files: DCEA10_Mam_HW1_Anskey_Ted_Omachi_Example(1).xls (27 KB) DCEA10_Mam_HW1_Assignment_Commentary[1].doc (32 KB) DCEA10_Mam_HW2_AnsKey_Sei_Lee_Example(1).xls (23 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702
Thurs 1/14/2010
2:45 PM-4:15 PM
Lecture

Utilities/QALYS

Content TBA

Required Reading:

  1. Shlipak MG_Decision Analysis_Ch 2 in Friedland DJ et al--Evidence-Based Medicine_1998

Note/Slide Files: DCEA10_Lec2_Utility_QALYs_Discounting_ABC.ppt (777 KB)

M KuppermannCB 6702
Thurs 1/21/2010
2:45 PM-4:15 PM
Section

Section 2 Homework Review - Utilities/QALYs

Assignment Files: DCEA10_Mam_HW2_AnsKey.xls (57 KB) DCEA10_Mam_HW2_Assignment Commentary.doc (29 KB) DCEA10_Mam_HW2_Results of Single Variable Changes to Tree(s).xls (73 KB) Homework 2 Grade distribution.pdf (78 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702
Thurs 1/28/2010
1:00 PM-2:30 PM
Lecture

Cost Effectiveness Analysis: Overview

Why CEA? (resource allocation, the cost:health ratio); Overview (health + cost inputs, health and CE outcomes); Steps: define analysis, specify technical details (incl CE formulas), determine input values, perform analyses.

Required Reading:

  1. Eisenberg JM_Clinical Economics_In JAMA_11-24-89.pdf
  2. Russell LB et al_CEA as a Guide to Resource Allocation in Health_Ch 1 in Gold MR et al--C E in Health & Medicine_1996.pdf

Optional Reading:

  1. Coffield_Preventive Services Priorities_AmJrnlPrevMed_2001.pdf
  2. Ubel_Price of Life--$ per QALY_ArchInternMed_2003.pdf

Note/Slide Files: DCEA10_Lecture 3_v1.ppt (3216 KB)

J KahnCB 6702
Thurs 2/4/2010
2:45 PM-4:15 PM
Lecture

Cost Effectiveness: Data Inputs (Costs)

General approach (base case, range); Health inputs (health outcomes, population traits, hierarchy of evidence); Cost inputs (direct, time); Presentation.

Required Reading:

  1. US Preventative Services Task Force_Methodology_Ch 2 in USPSTF Guide to Clinical Preventive Services_1996.pdf

Note/Slide Files: DCEA10_Lecture 4_v1.ppt (783 KB)

J KahnCB 6702
Thurs 2/11/2010
1:00 PM-2:30 PM
Section

Section 3 Homework Review - Costs

Assignment Files: DCEA10_Mam_HW3_Feb4.xls (93 KB) DCEA10_Section 3 Assignment.doc (44 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702
Thurs 2/18/2010
1:00 PM-2:30 PM
Lecture

HIV

Assignment Files: DCEA10_Mam_HW3_Assignment Commentary.doc (31 KB) Homework 3 Grade distribution.pdf (75 KB) intro_Math_model_inf_dis.ppt (2001 KB)

Assignment Answer Files: DCEA10_Mam_HW3_AnswerKey.xls (88 KB)

J KahnCB 6702
Thurs 3/4/2010
1:00 PM-2:30 PM
Section

Section 4 Homework Review - Data Search & Summary

Assignment Files: DCEA10_Section 4 Assignment.doc (49 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702
Thurs 3/4/2010
2:45 PM-4:15 PM
Lecture

Cost Effectiveness: Sensitivity Analyses

Types of uncertainty; Deterministic SA (one-way, multi-way, scenario); Probabilistic SA (reasons for, data needs, methods); Uses (planning, checking, thresholds, policy)

Required Reading:

  1. Krahn MD_Primer on Med DA--Part 5--Analyzing the Model & Interpreting the Results_Med Decis Making_Apr-Jun 1997.pdf
J KahnCB 6702
Thurs 3/11/2010
1:00 PM-2:30 PM
Section

Section 5 Homework Review - Sensitivity Analysis

Note/Slide Files: SA_3machDCEASession5.ppt (2706 KB)

Assignment Files: DCEA10_Mam_HW5_Assignment Commentary.doc (37 KB) DCEA10_Mam_HW5_Mar4.xls (111 KB) DCEA10_Section 5 Assignment.doc (37 KB)

Assignment Answer Files: DCEA10_Mam_HW5_AnsKey.xls (131 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702
Thurs 3/11/2010
2:45 PM-4:15 PM
Lecture

Portraying Disease Progression: Markov modeling

Content TBA

Required Reading:

  1. Naimark D et al_Primer on Medical DA--Part 5--Working with Markov Proceses_Med Decision Making_Apr-Jun 1997.pdf

Note/Slide Files: DCEA10_Lecture 6_Markov_ABC.ppt (943 KB)

J KahnCB 6702
Thurs 3/18/2010
1:00 PM-2:30 PM
Section

Section 6 Homework Review - Journal Article Review; Markov

Required Reading:

  1. Harris RA et al_CU of prenatal diagnosis & the risk-based threshold_The Lancet_24Jan2004.pdf
  2. Lindfors KK et al_CE of Mammo Screening Strategies_JAMA_20Sept1995.pdf

Assignment Files: DCEA10_HW6_Har_Mar11.doc (52 KB) DCEA10_HW6_Lin_Mar11.doc (53 KB) DCEA10_Section 6 Assignment.doc (41 KB)

J Burgos
A Caughey
J Kahn
CB 5721
CB 6704
CB 6702