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PSP Neoadjuvant vs Upfront Markov Cohort Analysis

This repository contains analyses comparing neoadjuvant and upfront treatment strategies using Markov cohort models. The analyses include Monte Carlo sensitivity analyses and reference materials.

Table of Contents

Project Overview

The project aims to evaluate and compare the effectiveness of neoadjuvant versus upfront treatment strategies using Markov cohort analysis. The analyses involve Monte Carlo simulations to assess sensitivity and robustness of the results.

Repository Structure

  • SB11/: Contains Jupyter Notebook files with the main analyses.
  • MDP_Final.amua: Data file used in the analyses.
  • Monte carlo 2-way sensitivity analysis.26: Script for performing two-way sensitivity analysis using Monte Carlo simulations.
  • Reference article and other IMP info.docx: Document with reference articles and important information related to the project.
  • Transformations related to the angular and the square root.pdf: PDF discussing mathematical transformations used in the analysis.
  • sb11_base_article_H.pdf: Base article providing foundational information for the project.
  • terminal node.png: Image depicting the terminal node structure used in the Markov model.

Installation

  1. Clone the Repository:

    git clone https://github.com/klsavaj/PSP-Neoadjuvant-v-s-Upfront-Markov-Cohort-Analysis.git
    cd PSP-Neoadjuvant-Vs-Upfront-Markov-Cohort-Analysis
  2. Set Up the Environment:

    • Ensure you have Python installed.

    • Install the required packages:

      pip install -r requirements.txt

Usage

  1. Run the Jupyter Notebooks:

    • Navigate to the SB11/ directory.
    • Open and execute the notebooks to perform the analyses.
  2. Perform Sensitivity Analysis:

    • Execute the Monte carlo 2-way sensitivity analysis.26 script to conduct two-way sensitivity analyses.

Key Implementations

  • Markov Cohort Model: Utilized to simulate patient transitions between health states over time, comparing neoadjuvant and upfront treatment strategies.

  • Monte Carlo Simulations: Applied to assess the uncertainty and variability in model parameters, enhancing the robustness of the analysis.

  • Sensitivity Analyses: Conducted to determine the influence of key parameters on the outcomes, identifying critical factors affecting treatment effectiveness.

References

  • Refer to Reference article and other IMP info.docx for detailed references and important information related to the analyses.

Research Paper

This project is inspired by the research paper titled "Neoadjuvant therapy versus upfront surgery for potentially resectable pancreatic cancer: A Markov decision analysis" by Alison Bradley and Robert Van Der Meer, published in PLOS ONE on February 28, 2019.

You can access the full research paper here.

License

This project is licensed under the MIT License. See the LICENSE file for details.

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