Cited by 67Health Systems, Economic Evaluations, Quality of LifeMathematical and Theoretical Epidemiology and Ecology ModelsClinical practice guidelines implementation

Guidelines for multi-model comparisons of the impact of infectious disease interventions

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den Boon, Saskia, Jit, Mark, Brisson, Marc, Medley, Graham, Beutels, Philippe, White, Richard, Flasche, Stefan, Hollingsworth, T. Déirdre +7 more·2019·BMC Medicine

Abstract

BACKGROUND: Despite the increasing popularity of multi-model comparison studies and their ability to inform policy recommendations, clear guidance on how to conduct multi-model comparisons is not available. Herein, we present guidelines to provide a structured approach to comparisons of multiple models of interventions against infectious diseases. The primary target audience for these guidelines are researchers carrying out model comparison studies and policy-makers using model comparison studies to inform policy decisions. METHODS: The consensus process used for the development of the guidelines included a systematic review of existing model comparison studies on effectiveness and cost-effectiveness of vaccination, a 2-day meeting and guideline development workshop during which mathematical modellers from different disease areas critically discussed and debated the guideline content and wording, and several rounds of comments on sequential versions of the guidelines by all authors. RESULTS: The guidelines provide principles for multi-model comparisons, with specific practice statements on what modellers should do for six domains. The guidelines provide explanation and elaboration of the principles and practice statements as well as some examples to illustrate these. The principles are (1) the policy and research question - the model comparison should address a relevant, clearly defined policy question; (2) model identification and selection - the identification and selection of models for inclusion in the model comparison should be transparent and minimise selection bias; (3) harmonisation - standardisation of input data and outputs should be determined by the research question and value of the effort needed for this step; (4) exploring variability - between- and within-model variability and uncertainty should be explored; (5) presenting and pooling results - results should be presented in an appropriate way to support decision-making; and (6) interpretation - results should be interpreted to inform the policy question. CONCLUSION: These guidelines should help researchers plan, conduct and report model comparisons of infectious diseases and related interventions in a systematic and structured manner for the purpose of supporting health policy decisions. Adherence to these guidelines will contribute to greater consistency and objectivity in the approach and methods used in multi-model comparisons, and as such improve the quality of modelled evidence for policy.

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Cited by

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Authors
den Boon, S., Jit, M., Brisson, M., Medley, G., Beutels, P., White, R., Flasche, S., Hollingsworth, T. D., Garske, T., Pitzer, V. E., Hoogendoorn, M., Geffen, O., Clark, A., Kim, J., & Hutubessy, R.
Affiliations
  • Public Health England (GB)
  • Université Laval (CA)
  • London School of Hygiene & Tropical Medicine (GB)
  • University of Antwerp (BE)
  • University of Oxford (GB)
  • Imperial College London (GB)
  • Yale University (US)
  • Erasmus University Rotterdam (NL)
  • Harvard University (US)
  • World Health Organization (CH)
Corresponding author
Hutubessy, Raymond
Venue
BMC Medicine
Published
2019-08-19
Volume
17
Issue
1
Pages
163-163
ISSN
1741-7015 (ISSN-L)
OpenAlex
W2968757301
Cited by
67
References
1
Citations by year
2026: 6 · 2025: 13 · 2024: 9 · 2023: 10 · 2022: 7 · 2021: 14 · 2020: 8
FWCI
9.05
Type
journal article
Language
en
Open access
Locations
  • BMC Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Spiral (Imperial College London) (submittedVersion, other-oa)
Funders
  • Bill and Melinda Gates Foundation (OPP1151915, OPP1084276, OPP1160830, OPP1137034, OPP1135288, OPP1137034/OPP1151915)
  • World Health Organization
  • London School of Hygiene and Tropical Medicine
  • Wellcome Trust (Z/17/Z, 208812, 208812/Z/17/Z)
  • Royal Society (208812, Z/17/Z, 208812/Z/17/Z)
  • European Commission (EDCTP2-programme, EDCTP2, MR/P002404/1)
  • Department for International Development (MR/P002404/1)
  • Medical Research Council (MR/P002404/1, MR/R015600/1, OPP1135288, OPP1084276)
  • European and Developing Countries Clinical Trials Partnership (EDCTP2)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mathematical and Theoretical Epidemiology and Ecology Models
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
multi-model comparison, model selection, system identification, vaccination effectiveness, cost-effectiveness, health policy decision-making, reporting guidelines
MeSH terms
Communicable Diseases, Cost-Benefit Analysis, Decision Making, Health Policy, Humans, Models, Theoretical

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