A Sequential Calibration Approach to Address Challenges of Repeated Calibration of a COVID-19 Model.

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Medical Decision Making Pub Date : 2024-11-15 DOI:10.1177/0272989X241292012
Eva A Enns, Zongbo Li, Shannon B McKearnan, Szu-Yu Zoe Kao, Erinn C Sanstead, Alisha Baines Simon, Pamela J Mink, Stefan Gildemeister, Karen M Kuntz
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Abstract

Background: Mathematical models served a critical role in COVID-19 decision making throughout the pandemic. Model calibration is an essential, but often computationally burdensome, step in model development that provides estimates for difficult-to-measure parameters and establishes an up-to-date modeling platform for scenario analysis. In the evolving COVID-19 pandemic, frequent recalibration was necessary to provide ongoing support to decision makers. In this study, we address the computational challenges of frequent recalibration with a new calibration approach.

Methods: We calibrated and recalibrated an age-stratified dynamic compartmental model of COVID-19 in Minnesota to statewide COVID-19 cumulative mortality and prevalent age-specific hospitalizations from March 22, 2020 through August 20, 2021. This period was divided into 10 calibration periods, reflecting significant changes in policies, messaging, and/or epidemiological conditions in Minnesota. When recalibrating the model from one period to the next, we employed a sequential calibration approach that leveraged calibration results from previous periods and adjusted only parameters most relevant to the calibration target data of the new calibration period to improve computational efficiency. We compared computational burden and performance of the sequential calibration approach to a more traditional calibration method, in which all parameters were readjusted with each recalibration.

Results: Both calibration methods identified parameter sets closely reproducing prevalent hospitalizations and cumulative deaths over time. By the last calibration period, both approaches converged to similar parameter values. However, the sequential calibration approach identified parameter sets that more tightly fit calibration targets and required substantially less computation time than traditional calibration.

Conclusions: Sequential calibration is an efficient approach to maintaining up-to-date models with evolving, time-varying parameters and potentially identifies better-fitting parameter sets than traditional calibration.

Highlights: This study used a sequential calibration approach, which takes advantage of previous calibration results to reduce the number of parameters to be estimated in each round of calibration, improving computational efficiency and algorithm convergence to best-fitting parameter values.Both sequential and traditional calibration approaches were able to identify parameter sets that closely reproduced calibration targets. However, the sequential calibration approach generated parameter sets that yielded tighter fits and was less computationally burdensome.Sequential calibration is an efficient approach to maintaining up-to-date models with evolving, time-varying parameters.

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采用顺序校准法应对 COVID-19 模型重复校准的挑战。
背景:数学模型在整个 COVID-19 大流行的决策过程中发挥了关键作用。模型校准是模型开发过程中必不可少的一步,但通常计算量很大,可提供难以测量参数的估计值,并为情景分析建立最新的建模平台。在不断演变的 COVID-19 大流行中,为了向决策者提供持续支持,有必要进行频繁的重新校准。在本研究中,我们采用了一种新的校准方法来应对频繁重新校准所带来的计算挑战:方法:我们对明尼苏达州 COVID-19 年龄分层动态分区模型进行了校准和重新校准,以校准 2020 年 3 月 22 日至 2021 年 8 月 20 日期间全州 COVID-19 的累积死亡率和特定年龄的住院流行率。这一时期被分为 10 个校准期,以反映明尼苏达州在政策、信息传递和/或流行病学条件方面的重大变化。在从一个时期到下一个时期对模型进行重新校准时,我们采用了一种顺序校准方法,即利用以前时期的校准结果,只调整与新校准时期校准目标数据最相关的参数,以提高计算效率。我们比较了顺序校准方法与更传统的校准方法的计算负担和性能,在后者中,每次重新校准都要重新调整所有参数:结果:两种校准方法都确定了参数集,密切再现了一段时间内的住院流行率和累计死亡人数。到最后一次校准时,两种方法都趋近于相似的参数值。不过,顺序校准法确定的参数集更紧密地贴合校准目标,所需的计算时间也比传统校准法少得多:结论:与传统校准相比,顺序校准是一种高效的方法,可用于维护具有不断变化的时变参数的最新模型,并有可能识别出拟合度更高的参数集:本研究采用了顺序校准方法,该方法利用之前的校准结果减少了每轮校准中需要估计的参数数量,提高了计算效率和算法对最佳拟合参数值的收敛性。然而,顺序校准方法生成的参数集拟合更紧密,计算负担更小。顺序校准是一种高效的方法,可用于维护具有不断变化的时变参数的最新模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medical Decision Making
Medical Decision Making 医学-卫生保健
CiteScore
6.50
自引率
5.60%
发文量
146
审稿时长
6-12 weeks
期刊介绍: Medical Decision Making offers rigorous and systematic approaches to decision making that are designed to improve the health and clinical care of individuals and to assist with health care policy development. Using the fundamentals of decision analysis and theory, economic evaluation, and evidence based quality assessment, Medical Decision Making presents both theoretical and practical statistical and modeling techniques and methods from a variety of disciplines.
期刊最新文献
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