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Development and implementation of microsimulation models of neurological conditions.

Identifieur interne : 000284 ( PubMed/Checkpoint ); précédent : 000283; suivant : 000285

Development and implementation of microsimulation models of neurological conditions.

Auteurs : Philippe Finès [Canada] ; Rochelle Garner [Canada] ; Christina Bancej [Canada] ; Julie Bernier [Canada] ; Douglas G. Manuel

Source :

RBID : pubmed:26983006

English descriptors

Abstract

As part of a program of the first National Population Health Study of Neurological Conditions launched in 2009, a series of microsimulation models of neurological conditions (called POHEM-Neurological meta-model) was developed to project health and economic impacts of seven neurological conditions (NCs)-Alzheimer's disease and other dementias, cerebral palsy, epilepsy, multiple sclerosis, Parkinson's disease, traumatic brain injury, and traumatic spinal cord injury-over a 20-year horizon.

PubMed: 26983006


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pubmed:26983006

Le document en format XML

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<div type="abstract" xml:lang="en">As part of a program of the first National Population Health Study of Neurological Conditions launched in 2009, a series of microsimulation models of neurological conditions (called POHEM-Neurological meta-model) was developed to project health and economic impacts of seven neurological conditions (NCs)-Alzheimer's disease and other dementias, cerebral palsy, epilepsy, multiple sclerosis, Parkinson's disease, traumatic brain injury, and traumatic spinal cord injury-over a 20-year horizon.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">As part of a program of the first National Population Health Study of Neurological Conditions launched in 2009, a series of microsimulation models of neurological conditions (called POHEM-Neurological meta-model) was developed to project health and economic impacts of seven neurological conditions (NCs)-Alzheimer's disease and other dementias, cerebral palsy, epilepsy, multiple sclerosis, Parkinson's disease, traumatic brain injury, and traumatic spinal cord injury-over a 20-year horizon.</AbstractText>
<AbstractText Label="DATA AND METHODS" NlmCategory="METHODS">The common framework of the seven models allows for dynamic, continuous-time, discrete-event simulation of synthetic large populations in which persons are subject to the risk of developing the NC under study and are assigned a value of functional health and a probability of receiving a caregiver and of entering long-term care. Calculations for transitions are done every year over the life course, and costs are accumulated throughout the life of the synthetic person. The need to reconcile empirical estimates of incidence and mortality with prevalence required implementation of "cure" parameters for two of the NCs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The POHEM-Neurological meta-model integrates the latest Canadian microdata on neurological conditions and satisfies most criteria for validation of microsimulation models, including conceptualization, computer implementation, assessment of output plausibility, and comparison with external data. Limitations include an absence of risk factors and the lack of uncertainty measures.</AbstractText>
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