What happens to value of information measures as the number of decision options increases?

Pelham Barton

    Research output: Contribution to journalArticle

    6 Citations (Scopus)


    Aim: To explore what happens to the expected value of perfect information (EVPI) as an increasingly large number of decision options is considered.Methods: A stylised model of screening for a hypothetical cancer. The model was used to test different possible ages for 'once in a lifetime' screening under a variety of assumptions about model parameter uncertainty. Initial model runs only considered screening at ages which are multiples of 16 years, then multiples of 8 years were allowed, then 4 years, etc.Results: Effects of more refined choice sets on the cost-effectiveness acceptability frontier (CEAF) and EVPI are shown. The CEAF collapses to zero for threshold incremental cost-effectiveness ratios at which screening at some age is preferred to no screening, while the EVPI stabilises at a non-zero figure.Conclusions: The CEAF is likely to be highly dependent on the choice of options when these are a selection from a very large set of possible options. In contrast, the EVPI can be reasonably approximated by a model with a slightly limited choice set. Copyright (c) 2010 John Wiley & Sons, Ltd.
    Original languageEnglish
    Pages (from-to)853-863
    JournalHealth Economics
    Issue number7
    Publication statusPublished - 1 Jan 2010


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