Selection of initial model input parameters is an important step during model development. Input parameters are typically chosen to represent characteristics of the entire population: transitional probabilities (initiation, cessation, quitting, switching) and health outcome (mortality and/or morbidity rates). The initial values of these parameters are typically estimated from sources representative of the population, such as complex probability-based surveys or census data.


Transitional Probabilities 

Transition probabilities are typically chosen to represent characteristics of the population of interest (e.g. initiation, cessation, quitting, switching). Transition probabilities determine the rate at which the population changes with respect to time during the period of interest. For example, one might be interested in projecting the health impact of introducing a new tobacco product to the US population for a period of 50 years starting with the year 2000; transition probabilities govern transition between tobacco use behavior as well as health outcome during the projection period (50 years, in this example). The following figure shows different transition for a 2-products model developed by the FDA; each letter represents a transitional probability representing transitions from tobacco use behaviors over time.  

The figure below illustrates transitional probabilities for a two-product model. Transition probabilities are estimated from population surveys and other sources, and they are typically tabulated by sex, age and race. In some models, these are constant during the entire simulation period, but they could also change over time. 


Example

This is an example of an ADaM dataset designed to capture the reference data describing historical transitional probabilities. When there are two products in the TOBACCO PRODUCT CATEGORY there are 27 different possible transitions. In the example data below, STRTM4 captures the combination of tobacco products of interest for this particular set of probabilities and STRTM5 captures the status of product(s) of interest  pre-transition. STRTM6 captures the transition type of the combination of usage at the point of probability and STRTM7 captures the status of product(s) of interest post-transition.

Row 1:Shows INITIATION of both products going from NEVER/NEVER to CURRENT/CURRENT.
Row 2:Shows CESSATION of both products going from CURRENT/CURRENT to FORMER/FORMER.
Row 3:Shows RELAPSE of both products going from FORMER/FORMER to CURRENT/CURRENT.
Rows 4-27:Show various combinations and pathways of transitional probabilities that are captured in the historical data.
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Row

STRTM1

STRVAL1

STRTM2

STRVAL2

STRTM3

STRVAL3

STRTM4STRVAL4STRTM5STRVAL5STRTM6STRVAL6STRTM7STRVAL7INPRMINPRMVALINPRMU

1

YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/NEVERTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.15RATIO / 10 PER 1000
2YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/CURRENTTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/FORMERTRANSITION PROBABILITY0.03RATIO / 10 PER 1000
3YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
4YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/NEVERTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONNEVER/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
5YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPESWITCHINGTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
6YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONNEVER/FORMERTRANSITION PROBABILITY0.06RATIO / 10 PER 1000
7YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/FORMERTOBACCO PRODUCT USE TRANSITION TYPESWITCHINGTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/CURRENTTRANSITION PROBABILITY0.03RATIO / 10 PER 1000
8YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/FORMERTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
9YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000

10

YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
11YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/CURRENTTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/FORMERTRANSITION PROBABILITY0.01RATIO / 10 PER 1000
12YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/FORMERTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
13YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONNEVER/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
14YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
15YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/NEVERTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/NEVERTRANSITION PROBABILITY0.01RATIO / 10 PER 1000
16YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/NEVERTOBACCO PRODUCT USE TRANSITION TYPESWITCHINGTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/CURRENTTRANSITION PROBABILITY0.03RATIO / 10 PER 1000
17YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/NEVERTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/NEVERTRANSITION PROBABILITY0.04RATIO / 10 PER 1000
18YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITION

FORMER/NEVER

TOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.03RATIO / 10 PER 1000
19YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/NEVERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/NEVERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
20YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITION

FORMER/NEVER

TOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/CURRENTTRANSITION PROBABILITY0.05RATIO / 10 PER 1000
21YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
22YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
23YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/FORMERTOBACCO PRODUCT USE TRANSITION TYPERELAPSETOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
24YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/NEVERTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.01RATIO / 10 PER 1000
25YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONCURRENT/CURRENTTOBACCO PRODUCT USE TRANSITION TYPECESSATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONFORMER/CURRENTTRANSITION PROBABILITY0.01RATIO / 10 PER 1000
26YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONNEVER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPEINITIATIONTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/CURRENTTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
27YEAR2000AGE24SEXFTOBACCO PRODUCT CATEGORYCIGARETTE/CIGARTOBACCO PRODUCT USE STATUS PRE-TRANSITIONFORMER/CURRENTTOBACCO PRODUCT USE TRANSITION TYPESWITCHINGTOBACCO PRODUCT USE STATUS POST-TRANSITIONCURRENT/FORMERTRANSITION PROBABILITY0.02RATIO / 10 PER 1000
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Dataset Wrapper Debug Message

Please add a row column to your dataset.

RFTRANSP Dataset Metadata

RFTRANSP Variable Metadata

Mortality Rates and Risks

Another type of input parameters are those related to risk; this included mortality rates and risks related to comorbidities. For many models, these are projected over the entire simulation period (e.g., 50 years in the future), and they are estimated from population surveys or other data sources. These parameters are tabulated based on age, sex, race, tobacco use status, and years of tobacco use and/or former use.

Example

This is an example of an ADaM dataset designed to capture the reference data describing mortality rates.

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Row

STRTM1

STRVAL1

STRTM2

STRVAL2STRTM3STRVAL3STRTM4STRVAL4STRTM5STRVAL5INPRMINPRMVAL
1AGE0SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
2AGE1SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
3AGE2SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
4AGE3SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.001
5AGE4SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.001
6AGE5SEXMRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.001
7AGE0SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
8AGE1SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
9AGE2SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0
10AGE3SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.001
11AGE4SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.002
12AGE5SEXFRACEWHITEYEAR2000PRODUCT COMPARATORSDEP1MORTALITY PROBABILITY0.002
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RFMORT Dataset Metadata

RFMORT Variable Metadata

Birth Rate

At each step of the simulation period (e.g., each year), individuals may enter the population according to birth rates that are projected across the time horizon of the model. These rates are typically obtained from government census data.

Example

This is an example of an ADaM dataset designed to capture the reference data describing historical birth rates.

STRTMy captures the different stratum variables describing the content of a particular cell in the dataset. Stratum may be based on any combination of factors used to describe reference values (e.g., year in the birth rate data); sometimes these factors may be defined as compound factors (e.g., sex_race as sex and race in the birth rate source data). The y index for STRTMy does not indicate any particular ordering; the y value merely indicates a unique factor. If STRTMy concepts change across source data, the same STRTMy variable is still used (e.g., in the source data if a stratum changes from SEX to ETHNIC as the second stratum, then the same STRTM2 variable would be used and the value would change from Sex to Ethnic). The general assumption is that combinations of levels of granularity will be consistent across the source reference data. If that is not the case, then some of the STRTMy/STRMVALy variables may be null.

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Row

STRTM1

STRVAL1

STRTM2

STRVAL2STRTM3STRVAL3INPRMINPRMVALINPRMUREFSRCE
1YEAR2000SEXFRACETOTALBIRTH RATE

0.048156602

RATIO / 10 PER 1000

birthrate 2015.xslx

2YEAR

2001

SEXFRACETOTALBIRTH RATE0.050162384RATIO / 10 PER 1000birthrate 2015.xslx
3YEAR2002SEXFRACETOTALBIRTH RATE0.049912072RATIO / 10 PER 1000birthrate 2015.xslx
4YEAR2003SEXFRACETOTALBIRTH RATE0.049953214RATIO / 10 PER 1000birthrate 2015.xslx
5YEAR2004SEXFRACETOTALBIRTH RATE0.050199534RATIO / 10 PER 1000birthrate 2015.xslx
6YEAR2005

SEX

M

RACETOTALBIRTH RATE0.050497803RATIO / 10 PER 1000birthrate 2015.xslx
7YEAR

2001

SEXMRACETOTALBIRTH RATE0.052554053RATIO / 10 PER 1000birthrate 2015.xslx
8YEAR2002SEXMRACETOTALBIRTH RATE0.052289152RATIO / 10 PER 1000birthrate 2015.xslx
9YEAR2003SEXMRACETOTALBIRTH RATE0.052334712RATIO / 10 PER 1000birthrate 2015.xslx
10YEAR2004SEXMRACETOTALBIRTH RATE0.052594772RATIO / 10 PER 1000birthrate 2015.xslx
11YEAR2000SEXFRACEWHITEBIRTH RATE0.043829866RATIO / 10 PER 1000birthrate 2015.xslx
12YEAR

2001

SEXFRACEWHITEBIRTH RATE0.04509937RATIO / 10 PER 1000birthrate 2015.xslx
13YEAR2002SEXFRACEWHITEBIRTH RATE0.044711283RATIO / 10 PER 1000birthrate 2015.xslx
14YEAR2003SEXFRACEWHITEBIRTH RATE0.044899939RATIO / 10 PER 1000birthrate 2015.xslx
15YEAR2004SEXFRACEWHITEBIRTH RATE0.045284915RATIO / 10 PER 1000birthrate 2015.xslx
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RFBR Dataset Metadata

RFBR Variable Metadata

Migration

Similar to birth rates, at each step of the simulation period individuals may enter the population according to migration rates. Base migration rates are generally obtained from national census data and if necessary are projected across the simulation timeframe. Depending on specific modeling assumptions, immigration demographics define the sex, age, race/ethnicity, and prevalence of tobacco product use behavior (never, current, former dual use, polytobacco use) in the immigrating population at a particular period.

Example

This is an example of an ADaM dataset designed to capture the reference data describing historical migration rates.

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Row

STRTM1

STRVAL1

STRTM2

STRVAL2

STRTM3

STRVAL3INPRMINPRMVALINPRMU
1YEAR2001SEXFRACETOTAL

NET MIGRATION RATE

100

COUNT
2YEAR

2002

SEXFRACETOTALNET MIGRATION RATE100COUNT
3YEAR2003SEXFRACETOTALNET MIGRATION RATE100COUNT
4YEAR2004SEXFRACETOTALNET MIGRATION RATE100COUNT
5YEAR2005SEXFRACETOTALNET MIGRATION RATE100COUNT
6YEAR2001SEX

M

RACETOTALNET MIGRATION RATE100

COUNT

7YEAR

2002

SEXMRACETOTALNET MIGRATION RATE100COUNT
8YEAR2003SEXMRACETOTALNET MIGRATION RATE100COUNT
9YEAR2004SEXMRACETOTALNET MIGRATION RATE100COUNT
10YEAR2005SEXMRACETOTALNET MIGRATION RATE100COUNT
11YEAR2001SEXTOTALRACETOTALNET MIGRATION RATE100COUNT
12YEAR

2002

SEXTOTALRACETOTALNET MIGRATION RATE100COUNT
13YEAR2003SEXTOTALRACETOTALNET MIGRATION RATE100COUNT
14YEAR2004SEXTOTALRACETOTALNET MIGRATION RATE100COUNT
15YEAR2005SEXTOTALRACETOTALNET MIGRATION RATE100COUNT
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RFMIGRAT Dataset Metadata

RFMIGRAT Variable Metadata

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