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. Author manuscript; available in PMC: 2009 Dec 1.
Published in final edited form as: Health Care Manag Sci. 2008 Dec;11(4):399–406. doi: 10.1007/s10729-008-9067-6

Table 1.

Partitions of Stochastic Events in Breast Cancer Model

Partition 1 – Woman and Tumor Characteristics
Stochastic Event Order and Frequency Controlling Input parameters
 Date of non-breast cancer death Once at beginning of lifetime Life tables by birth cohort
 Tumor onset Once per time cycle Age- and birth cohort specific onset rate
 Tumor growth rate Once at onset Growth rate distribution
 Tumor progression Once per cycle post onset Growth rate, Poisson process
 Time to breast cancer death Once at distant stage Survival curve
 Treatment type Once at detection Dissemination of adjuvant treatment
 Treatment effectiveness Once at detection Likelihood of treatment effectiveness as function of tumor characteristics

Partition 2 – Clinical/Symptom Detection
Stochastic Event Order Controlling Input parameters

 Detection Once per time cycle post onset Likelihood as a function of tumor size

Partition 3 – Screen Detection
Stochastic Event Order Controlling Input parameters

 Assignment of screening schedule Once at beginning of lifetime Screening dissemination sub-model
 Result of Mammogram Once per screen if tumor Sensitivity of mammography by tumor size