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Multilevel and Quasi Monte Carlo methods for EVPPI

Methodpeer-reviewed✓ Source-grounded

This method helps estimate how much value there would be in collecting more information about certain uncertain inputs in health technology assessment models, especially when those inputs are complex and correlated. It does so more efficiently than traditional simulation methods.

At a glance

Use when

Estimating EVPPI in models with many correlated uncertain parameters, especially when inputs come from MCMC; when regression approximations are infeasible or biased

Avoid when

When computational resources are not a constraint and parameter sets are small; when simpler methods (e.g., standard Monte Carlo) are sufficient

Inputs

Cost-effectiveness model structure, probabilistic input parameters (especially MCMC-sampled), sets of parameters of interest for EVPPI calculation

Outputs

Estimate of the expected value of partial perfect information (EVPPI) with quantified precision and reduced variance

How it works

The method applies quasi Monte Carlo (QMC) and multilevel Monte Carlo (MLMC) techniques to estimate the expected value of partial perfect information (EVPPI) in cost-effectiveness models. It reduces computational cost by lowering variance compared to standard Monte Carlo methods, particularly when input parameters are numerous, correlated, and derived from Markov chain Monte Carlo (MCMC) sampling. The approach preserves accuracy and allows control over bias and precision.

HTA domains
Costs & Economic Evaluation
Assumptions
The underlying cost-effectiveness model is well-specified; input parameters are characterized with sufficient accuracy (e.g., via MCMC); the EVPPI is defined over a fixed subset of parameters
Strengths
Reduces computational cost significantly for large and correlated parameter sets; maintains control over bias and precision; applicable to complex models with MCMC-derived inputs; outperforms regression approximations in scalability and accuracy in high-dimensional settings
Limitations
Implementation complexity is higher than standard Monte Carlo; performance gains depend on problem structure (e.g., diminishing returns for small parameter sets); requires careful integration with MCMC sampling workflows
Also known as
QMC for EVPPI, MLMC for EVPPI, Multilevel Monte Carlo EVPPI, Quasi Monte Carlo EVPPI

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