|
1 | 1 | --- |
2 | 2 | title: "Exeter Oncology Model: Renal Cell Carcinoma edition" |
| 3 | +author: |
| 4 | + - name: Amy Heather |
| 5 | + affiliation: University of Exeter Medical School |
| 6 | + orcid: 0000-0002-6596-3479 |
3 | 7 | --- |
4 | 8 |
|
5 | | -Exeter Oncology Model: Renal Cell Carcinoma edition (EOM-RCC) |
| 9 | +## Context |
6 | 10 |
|
7 | | -Page yet to be written! |
| 11 | +The **Exeter Oncology Model: Renal Cell Carcinoma edition (EOM-RCC)** is a platform cost-effectiveness model encompassing each decision node in the disease area for advanced renal cell carcinoma. |
| 12 | + |
| 13 | +It was constructed as part of two National Institute for Health and Care Excellence (NICE) appraisals: |
| 14 | + |
| 15 | +* The NICE Pathways Pilot appraisal (ID6186, [GID-TA11186](https://www.nice.org.uk/guidance/indevelopment/gid-ta11186)). |
| 16 | +* The NICE appraisal of cabozantinib plus nivolumab ([TA964](https://www.nice.org.uk/guidance/ta964)) (formerly ID6184, whilst in development). |
| 17 | + |
| 18 | +The model was developed by the Peninsula Technology Assessment Group (PenTAG) and collaborators. It's development is briefly described in: |
| 19 | + |
| 20 | +> Lee D, Burns D, Wilson E. NICE’s Pathways Pilot: Pursuing Good Decision Making in Difficult Circumstances. PharmacoEconomics - Open 2024. <https://doi.org/10.1007/s41669-024-00490-x>. |
| 21 | +
|
| 22 | +The model is available on GitHub: |
| 23 | + |
| 24 | +> Lee D. [](https://orcid.org/0000-0003-4027-8456), Muthukumar M. , Lovell A., Farmer C., Burns D. [](https://orcid.org/0000-0002-5209-8041), Matthews J., Coelho H. [](https://orcid.org/0000-0002-4799-4300), O'Toole B., Trigg L. [](https://orcid.org/0000-0002-8447-2616), Snowsill T. [](https://orcid.org/0000-0001-7406-2819), Barnish M. [](https://orcid.org/0000-0003-0139-6548), Nikoglou T., Brand A., Ahmad Z., Abdelsabour A. [](https://orcid.org/0009-0007-2532-4676), Robinson S. [](https://orcid.org/0000-0003-0463-875X), Heather A. [](https://orcid.org/0000-0002-6596-3479), Wilson E. [](https://orcid.org/0000-0002-8369-1577), Melendez-Torres G. [](https://orcid.org/0000-0002-9823-4790) Exeter Oncology Model: RCC edition URL: <https://github.com/nice-digital/NICE-model-repo>. |
| 25 | + |
| 26 | +## Improving the reusability of EOM-RCC |
| 27 | + |
| 28 | +Our involvement in EOM-RCC as part of the STARS project has been to help improve the reusability of the model, including helping it adhere to the [STARS framework for model reuse](/pages/research/stars_framework_reuse.qmd). |
| 29 | + |
| 30 | +Below, we have linked to our forked versions of the GitHub repositories with these changes, but they have also been integrated into the NICE model repository linked above. |
| 31 | + |
| 32 | +### GitHub repository |
| 33 | + |
| 34 | +We can compare the repository [before](https://github.com/pythonhealthdatascience/stars-eom-rcc/tree/8e2bb675c86e86e9d1318094a880f17682d86fa4) and [after](https://github.com/pythonhealthdatascience/stars-eom-rcc) our changes, to see that amendments included that we: |
| 35 | + |
| 36 | +* Add dependency management (using `renv`). |
| 37 | +* Add model documentation and web app (as described below). |
| 38 | +* Add `CHANGELOG.md` and `CITATION.cff` |
| 39 | +* Amended `README.md` to incorporate information from the word document (which had instructions on how to run the model) - as well adding things like badges, ORCID IDs, repository overview, citation instructions, and funding. |
| 40 | +* Created releases and archived the repository on Zenodo. |
| 41 | + |
| 42 | +### Model documentation |
| 43 | + |
| 44 | +We developed a website with detailed model documentation which you can view at <https://pythonhealthdatascience.github.io/stars-eom-rcc/> (code available [on GitHub](https://github.com/pythonhealthdatascience/stars-eom-rcc/tree/main/docs)). It provides: |
| 45 | + |
| 46 | +* Acronyms. |
| 47 | +* Context on the associated NICE appraisals, articles and reports. |
| 48 | +* A detailed summary of the analysis. |
| 49 | +* A plain english summary of the analysis. |
| 50 | +* Installation instructions. |
| 51 | +* A step-by-step walkthrough of the code in `Model_Structure.R`. |
| 52 | +* Descriptions of the probabilistic analysis and scenario analysis. |
| 53 | +* Details about the license, citation instructions and the changelog. |
| 54 | + |
| 55 | +```{=html} |
| 56 | +<div class="iframe-wrapper"> |
| 57 | + <div class="iframe-header"> |
| 58 | + <span>Documentation website preview:</span> |
| 59 | + <a href="https://pythonhealthdatascience.github.io/stars-eom-rcc/" |
| 60 | + target="_blank" rel="noopener"> |
| 61 | + View full website in new tab |
| 62 | + </a> |
| 63 | + </div> |
| 64 | +
|
| 65 | + <iframe |
| 66 | + width="100%" |
| 67 | + height="500" |
| 68 | + src="https://pythonhealthdatascience.github.io/stars-eom-rcc/" |
| 69 | + title="EOM:RCC web app"> |
| 70 | + </iframe> |
| 71 | +</div> |
| 72 | +<br> |
| 73 | +``` |
| 74 | + |
| 75 | +For example, a diagram from our [plain english summary](https://pythonhealthdatascience.github.io/stars-eom-rcc/pages/plain_english.html) of the analysis: |
| 76 | + |
| 77 | +{width=80% fig-align="center"} |
| 78 | + |
| 79 | +Conversely, a diagram from the [detailed summary](https://pythonhealthdatascience.github.io/stars-eom-rcc/pages/model_overview.html): |
| 80 | + |
| 81 | +{width=80% fig-align="center"} |
| 82 | + |
| 83 | +### Web application |
| 84 | + |
| 85 | +The ambition for EOM:RCC is to create a shiny interface that allows users to interact and run the full economic model from a web application. We created pilot example web app has been created which allows users to run one part of the analysis: creating a table of possible treatment sequences. |
| 86 | + |
| 87 | +The app was developed using RShiny, with code available at <https://github.com/pythonhealthdatascience/stars-eom-rcc/tree/main/shinyapp>. The app is hosted using shinyapps at <https://amyheather.shinyapps.io/shinyapp/>. |
| 88 | + |
| 89 | +```{=html} |
| 90 | +<div class="iframe-wrapper"> |
| 91 | + <div class="iframe-header"> |
| 92 | + <span>Web app preview:</span> |
| 93 | + <a href="https://amyheather.shinyapps.io/shinyapp/" |
| 94 | + target="_blank" rel="noopener"> |
| 95 | + View full app in new tab |
| 96 | + </a> |
| 97 | + </div> |
| 98 | +
|
| 99 | + <iframe |
| 100 | + width="100%" |
| 101 | + height="500" |
| 102 | + src="https://amyheather.shinyapps.io/shinyapp/" |
| 103 | + title="EOM:RCC web app"> |
| 104 | + </iframe> |
| 105 | +</div> |
| 106 | +<br> |
| 107 | +``` |
| 108 | + |
| 109 | +## Feedback |
| 110 | + |
| 111 | +::: {.card-blue} |
| 112 | + |
| 113 | +**Feedback from Dawn Lee (PenTAG):** "What you've done looks fantastic and should really help us demonstrate the potential for our bid. Wanted to say a massive thank you for all your hard work on this!" |
| 114 | + |
| 115 | +::: |
| 116 | + |
| 117 | +<br> |
| 118 | +--- |
| 119 | + |
| 120 | +*This page was written by Amy Heather and reflects her interpretation of this work, which may not fully represent the views of all project authors or affiliated institutions.* |
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